Individual differences in client reactions to counseling and psychotherapy: A challenge for research

Recent research is reviewed that suggests extensive individual differences in how clients respond to therapeutic interventions and therapist response modes. Three research strategies are proposed as parts of a therapeutic science that aims at both nomothetic generalizations and explications of idiographic meanings, while simultaneously confronting conceptual and methodological complexities arising from client individual differences in response to counseling.     

Subclmical depression and role fulfillment in domestic settings: Spurious relationships,imagined problems,or real effects?

Considerable evidence has accumulated in support of the hypothesis that subclinical depression may inhibit role performance in important ways. However, interpersonal stress and marital discord often precede the development of depressive symptomatology and may independently predict deficits in family role functioning. In addition, cognitive theories suggest that persons with subclinical depression may report poor role functioning even in the absence of any real performance deficits. The current research examines the possibility (1) that the effect of depression on the fulfillment of important family roles is attributable to previously unmeasured contextual variables of ongoing interpersonal stress and/or relationship dissatisfaction or, alternatively, (2) that this relationship is the result of depressive distortion associated with self-report of symptoms and performance. Multiple regression analyses of interview data collected from 495 community-dwelling adults found, however, that depression is related to role functioning beyond any spurious effects attributable to interpersonal stress, spousal stress, or marital satisfaction. In addition, the effect of depression persists when collateral reports of role functioning utilized. Accordingly, it appears that subclinical depression is related to decrements in role performance, and this effect is not entirely due to contextual elements or shared method variance between self-report measures.The authors acknowledge research support from Research Grants R01-AA-07250 and R01-AA-07218 from the National Institute on Alcohol Abuse and Alcoholism, Research Grant R01-DA-07417 from the National Institute on Drug Abuse, and National Institutes of Mental Health Grant A-41487-07.     

CHANGING PROTECTIVE AND RISKY BEHAVIORS TO PREVENT CHILD-TO-PARENT TRANSMISSION OF CYTOMEGALOVIRUS

Child-to-parent transmission of cytomegalovirus may be reduced by increasing protective behaviors (handwashing and glove use) and decreasing risky behaviors (intimate contact between child and parent). This study showed that an educational intervention resulted in increases in reported and objective measures of protective behaviors and decreases in reported risky behaviors. Further study must determine if changes in protective and risky behavior are maintained and prevent cytomegalovirus transmission.     

Gods and REMS: The implications of recent dream research for the psychology of religion

Throughout history dreams have been primarily the province of religion. People in many cultures have looked to dreams as sources of spiritual insight and divine revelation. The relationship between traditional religious views of dreams and modern psychological views of dreams has long interested psychologists of religion—for dreams are a uniquely fertile subject for comparing religious and psychological understandings of human experience. In recent years there have been many revolutionary discoveries in dream research, discoveries that have taken us far beyond the seminal works of Freud, Jung, and the early sleep laboratory researchers. This essay describes the work of three leading contemporary dream researchers (neurophysiologist J. Allan Hobson, psychologist Stephen LaBerge, and anthropologist Barbara Tedlock) and evaluates the implications of their findings for our understanding of the religious dimensions of dreams. The essay concludes with some reflections on the valuable role of dream study in the psychology of religion. The primary claim is that recent dream research can make important contributions to current psychology of religion discussions about such issues as interdisciplinary inquiry, hermeneutics, the cross-cultural study of religious experience, the cultural and religious context of modern psychology, and the practical concerns of pastoral counselors.This essay is based on a paper presented on November 25 at the 1991 Annual Meeting of the American Academy of Religion, Kansas City, Missouri.     

Changing contexts and the field of community psychology

Conclusion The legacy of the Swampscott conference 25 years ago is palpable. The scientific accomplishments have been substantial. The four agendas I have presented for the future development of the field depend upon psychologists as individuals and psychologists as participants in our departments, colleges, universities, professional societies, and peer review panels to reduce the constraints that limit the definition and study of psychological phenomena in community settings (Schneider, 1990). As these constraints are addressed, new social norms can be established to expand and diversify the research process. There are some explicit positive side effects that can occur. A new working social structure can be created for how universities and communities can be resources for each other.The four topics I have presented are agendas for keeping at the task of generating active and expanding scientific traditions. These topics when addressed in the context of collaboration with other disciplines and citizens can develop an empirical base of shared wisdom about how to carry out community psychology research. In these ways the benefits of community psychology research can become more empowering for the public and more and more systemic for the scholar.These comments were presented as an Invited Address at the 2nd annual meeting of the American Psychological Society, June 8, 1990, Dallas, Texas.The following persons took time to read and comment on earlier drafts of these comments. I have benefited very much from their appraisals. Eileen Altman, Daniel Cervone, Seeley Chandler-Kelly, Nancy Dassoff, Penny Foster-Fishman, Steve Goldston, Peter Graves, Kenneth Heller, Robert E. Hess, David Henry, Ira Iscoe, Chris Keys, Benjamin Kleinmuntz, Ed Lichtenstein, Philip Mann, Kyoung Oh, Julian Rappaport, Dan Romer, Lonnie R. Snowden, Joseph P. Stokes, Edison J. Trickett, Abe Wandersman, and Marc Alan Zimmerman.     

An MMPI-based empirical model of malingering and deception

The empirically-based model of malingering and deception described by Rogers (1984b) was operationalized using MMPI and clinical interview data. Subjects (N = 159) were patients committed to an inpatient forensic hospital as ‘Incompetent to Stand Trial’ or ‘Not Guilty by Reason of Insanity’. Inter-rater reliability was acceptable for the 11 criteria used to define response styles. Each subject was categorized into one of five response style groups: ‘Reliable’, ‘Malingering’, ‘Defensive’, ‘Irrelevant’, or ‘Unclassifiable’. Factor analysis of the rating criteria yielded four factors, three of which are comparable to the assigned groups, providing some validation for the constructs underlying these groups.     

Vulnerability to Stress: Self-Criticism and Stress-Induced Changes In Biochemistry

ABSTRACT It has been hypothesized that individuals who are high on the attribute of self-criticism are particularly vulnerable to failure stress. To test this hypothesis, we examined the relationship between self-criticism and changes in plasma homovanillic acid (HVA; the metabolite of dopamine) and emotion during exposure to an induced-failure task. Participants consisted of 21 women. Plasma HVA and emotion were assessed at three time points: baseline (T1), during stress exposure (T2), and 40 minutes after cessation of the stressor (T3). We found that self-criticism was significantly and positively related to changes in plasma HVA during stress exposure. In addition, the personality attribute was significantly and positively related to subjective ratings of stress and changes in scores on the Confusion-Bewilderment scale of the Profile of Mood States during the task. To our knowledge, this is the first study to report that self-criticism is related to stress-induced changes in biochemistry.