Ethics and endings in group psychotherapy: saying good-bye and saying it well

Endings in group psychotherapy are suffused with complexity and potential conflict, some of which entail ethical quandaries. Ethical issues attending endings in group therapy are explored through a discussion of informed consent, time and role boundaries, privacy and confidentiality, unplanned endings, therapist-initiated termination, and competence. Findings from an exploratory survey of members of the American Group Psychotherapy Association and clinical-ethical vignettes are presented to highlight these issues. Clinicians need to develop and maintain ethical fitness and awareness, including attunement to personal responses, to endings and loss.     

Editorial on Supervision

This Editorial provides background information to inform the report from the United Kingdom (UK) and Eire Association of Genetic Nurses and Counsellors (AGNC) Supervision Working Group on Genetic Counselling Supervision. We begin by introducing the context of practice as a genetic counselor in the UK and then follow with an overview of events that have happened in our profession that led to the need and creation of the report. Genetic counseling supervision has become instrumental to our practice, training and registration as genetic counselors in the UK.     

Writing consumer research: the world according to Belk

• Writing is a core scholarly competence. Not only is it a skill that every academic must acquire, regardless of their methodological, philosophical or empirical affiliations, but also it is ‘a substantial differentiating characteristic of eminent researchers’. This article offers an analysis of the writing style of one of the field's most eminent researchers, Russell W. Belk. It identifies five literary devices that help Belk's writing stand out from the crowd and, while the article does not claim to contain the secret of writing success, it considers the crucial part writing plays in the consumer research process.

Copyright © 2007 John Wiley & Sons, Ltd.     

Working alliance for clients with social anxiety disorder: relationship with session helpfulness and within-session habituation

It has been suggested that a strong working alliance encourages clients to take risks during therapy (Raue, Castonguay, & Goldfried, 1993). This encouragement may be important for clients who fear negative evaluations as they engage in risk-taking elements of therapy. This study examined the relationship between working alliance, session helpfulness and measures of emotional processing in 18 clients undergoing cognitive behavior therapy (CBT) for social anxiety disorder. Results indicate a positive correlation between client-rated, but not observer-rated, working alliance and session helpfulness. Moderate levels of working alliance were associated with higher initial anxiety and deeper within-session habituation. Overall, a strong alliance was associated with clients engaging with the session and finding the session helpful. Implications for the use of CBT for social anxiety are discussed.     

Family income and its relation to preschool children's adjustment for families in the NICHD Study of Early Child Care

The current study examines relations of mean-level estimates, linear changes, and instability in income and family processes to child outcomes and addresses whether income, through its impact on family functioning, matters more for children living in poverty. Temporal changes and instability in family processes, but not income, predicted children's adjustment. Cross-sectional mediational analyses indicated that for families living at the poverty threshold, family processes fully mediated the effect of average income over the study period on social behavior but only partially mediated its effect on cognitive-linguistic development. The strength of these associations diminished as average income exceeded the poverty threshold. That is, income had a greater impact on the family functioning and development of poor children than of nonpoor children.     

Infants’ perception of rhythm and tempo in unimodal and multimodal stimulation: A developmental test of the intersensory redundancy hypothesis

Research has demonstrated that young infants can detect a change in the tempo and the rhythm of an event when they experience the event bimodally (audiovisually), but not when they experience it unimodally (acoustically or visually). According to Bahrick and Lickliter (2000, 2002), intersensory redundancy available in bimodal, but not in unimodal, stimulation directs attention to the amodal properties of events in early development. Later in development, as infants become more experienced perceivers, attention becomes more flexible and can be directed toward amodal properties in unimodal and bimodal stimulation. The present study tested this developmental hypothesis by assessing the ability of older, more perceptually experienced infants to discriminate the tempo or rhythm of an event, using procedures identical to those in prior studies. The results indicated that older infants can detect a change in the rhythm and the tempo of an event following both bimodal (audiovisual) and unimodal (visual) stimulation. These results provide further support for the intersensory redundancy hypothesis and are consistent with a pattern of increasing specificity in perceptual development.     

Intersensory redundancy educates selective attention in bobwhite quail embryos

We assessed whether exposure to amodal properties in bimodal stimulation (e.g. rhythm, rate, duration) could educate attention to amodal properties in subsequent unimodal stimulation during prenatal development. Bobwhite quail embryos were exposed to an individual bobwhite maternal call under several experimental and control conditions during the day prior to hatching. Experimental groups received redundant auditory and visual exposure to the temporal features of an individual maternal call followed by unimodal auditory exposure to the same call immediately or after a 2-hr or 4-hr delay. Control groups received (1) the same exposure but in the reverse sequence (unimodal --> redundant bimodal), (2) asynchronous bimodal --> unimodal, (3) only unimodal exposure, or (4) only bimodal exposure. All experimental groups showed a significant preference for the familiar maternal call over a novel maternal call when tested 2 days after hatching, whereas none of the control groups showed a significant preference for the familiar call. These results indicate that intersensory redundancy can direct attention to amodal properties in bimodal stimulation and educate attention to the same amodal properties in subsequent unimodal stimulation where no intersensory redundancy is available.     

Gender differences in social support for socially anxious individuals

Given that social anxiety disorder is a common, chronic, debilitating disorder and socially anxious women appear to have different experiences related to social development and social support than men, it is essential that the gender differences in social anxiety and social support be understood. The present study examined perceived social support quantity and satisfaction in 23 women and 28 men seeking treatment for social anxiety disorder. Contrary to expectations, men and women did not differ on measures of social support. However, younger, unmarried women reported having smaller social support networks and less satisfaction with their social support networks than older, married women. Analyses of socially anxious men did not reveal such a pattern. The current study provides preliminary evidence that younger, single women have social support networks that are less satisfying than the social support networks of older, married women. Inclusion of social support modules within a cognitive behavioral treatment approach for social anxiety disorder may be warranted, particularly for young, unmarried women.     

Perception time measured with the slope-transition paradigm (STP): category, set size, and task manipulations

A perception time measure was obtained with the 'slope-transition paradigm' (STP), which is described in detail. In two experiments with the paradigm, participants viewed two sequential data frames, each presented for a wide range of durations. They made a binary response based on combined information from the two frames. The results showed piecewise linear response-time versus frame-duration functions with a slope-0 branch at short durations, followed by a slope-1 branch. The duration where the two branches met (the slope transition) was interpreted as the end of the perception of frame 1. For longer durations, the participant had completed the perception of frame 1 and was forced to waste time waiting for data from frame 2. In experiment 1, an odd-digit enumeration task was used, and set size and distractor category (even digits versus consonants) were varied. In experiment 2, a same/different task with digits was used and the type of judgment (literal versus parity) was varied. Perception time increased with set size. Distractor category and judgment type affected post-perceptual processes. The perception time measure of the STP is considered in relation to the attentional blink, repetition blindness, and object files.     

Eyewitness recognition errors: the effects of mugshot viewing and choosing in young and old adults

Eyewitness memory is vulnerable to information encountered prior to a lineup. Young (18-30 years) and older (60-80 years) witnesses viewed a crime video. Some witnesses were then exposed to mugshots of innocent suspects that included a critical foil. After a 48-h delay, all the witnesses took part in a target-absent lineup that included the critical foil and five new foils. Witnesses who picked one of the mugshots as the likely perpetrator showed inflated rates of choosing the critical foil from the lineup. Context reinstatement instructions did not reduce choices of innocent foils following mugshot exposure. Despite age-related increases in false choosing, age did not qualify other effects. The results are discussed in terms of commitment, source memory, and gist-based processing.