Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Low-income families are more likely to have a child with an early-onset Behavior Disorder (BD); yet, socioeconomic strain challenges engagement in Behavioral Parent Training (BPT). This study follows a promising pilot to further examine the potential to cost-effectively improve low-income families’ engagement in and the efficiency of BPT. Low-income families were randomized to (a) Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003), a weekly, mastery-based BPT program that includes both the parent and child or (b) Technology-Enhanced HNC (TE-HNC), which includes all of the standard HNC components plus a parent mobile application and therapist web portal that provide between-session monitoring, modeling, and coaching of parent skill use with the goal of improved engagement in the context of financial strain. Relative to HNC, TE-HNC families had greater homework compliance and mid-week call participation. TE-HNC completers also required fewer weeks to achieve skill mastery and, in turn, to complete treatment than those in HNC without compromising parent satisfaction with treatment; yet, session attendance and completion were not different between groups. Future directions and clinical implications are discussed.     

Interactive effects of social network centrality and social identification on stress

The present study aimed to integrate the social identity approach to health and well-being with social network analysis. Previous research on the effects of social network centrality on stress has yielded mixed results. Building on the social identity approach, we argued that these mixed results can be explained, in part, by taking into account the degree to which individuals identify with the social network. We hence hypothesized that the effects of social network centrality on stress are moderated by social identification. Using a full roster method, we assessed the social network of first-year psychology students right after the start of their study programme and three months later. The effects of network centrality (betweenness, closeness, eigenvector centrality) and social identification on stress were examined using structural equation models. As predicted, our results revealed a significant interaction between network centrality and social identification on stress: For weakly or moderately identified students, network centrality was positively related to stress. By contrast, for strongly identified students, network centrality was unrelated to stress. In conclusion, our results point to the perils of being well-connected yet not feeling like one belongs to a group.     

Ensemble coding of facial identity is not refined by experience: Evidence from other-race and inverted faces

The ability to recognize identity despite within-person variability in appearance is likely a face-specific skill and shaped by experience. Ensemble coding – the automatic extraction of the average of a stimulus array – has been proposed as a mechanism underlying face learning (allowing one to recognize novel instances of a newly learned face). We investigated whether ensemble encoding, like face learning and recognition, is refined by experience by testing participants with upright own-race faces and two categories of faces with which they lacked experience: other-race faces (Experiment 1) and inverted faces (Experiment 2). Participants viewed four images of an unfamiliar identity and then were asked whether a test image of that same identity had been in the study array. Each test image was a matching exemplar (from the array), matching average (the average of the images in the array), non-matching exemplar (a novel image of the same identity), or non-matching average (an average of four different images of the same identity). Adults showed comparable ensemble coding for all three categories (i.e., reported that matching averages had been present more than non-matching averages), providing evidence that this early stage of face learning is not shaped by face-specific experience.     

Reflections on the role of the analytic setting in the light of COVID-19

There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger’s (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when ‘the setting begins to weep’, are explored.     

Ageing- and dementia-friendly design: theory and evidence from cognitive psychology,neuropsychology and environmental psychology can contribute to design guidelines that minimise spatial disorientation

Cognitive Processing - Many older people, both with and without dementia, eventually move from their familiar home environments into unfamiliar surroundings, such as sheltered housing or care...     

Collaboration and Memory: Effects of Dyadic Retrieval on Different Memory Tasks

Collaborative retrieval was investigated in two experiments. The experiments were explicitly designed to investigate how different types of memory tasks were affected by two individuals working together compared to individuals working on their own. A nominal group score was treated as the predicted potential a dyad could attain. In Experiment 1, semantic and episodic retrieval were employed. The episodic task was to encode and retrieve a story and the semantic task was to answer, without any encoding, 20 questions from the same history domain as the episodic task. In Experiment 2, explicit recognition and implicit retrieval of dot patterns were employed. The explicit recognition task was forced-choice, and in the implicit task, subjects were instructed to complete a pattern they saw from an incomplete pattern. The results suggest that: (1) dyads suffer from collaboration relative to the predicted potential, (2) the reduction of productivity for dyads was limited to explicit and episodic memory tasks, and (3) friends as opposed to non-friends reduced the negative effect of collaboration. The results replicate and extend the results from a previous study.     

Citizen Advocacy Observed: Tool or Tokenism?

Citizen advocacy, where a volunteer works in partnership with a vulnerable person, compliments self- and legal advocacy. In the context of mental health services, citizen advocacy is a tool for enabling and empowering people who use these services, and is founded on the recognition that mental health service users are frequently socially oppressed and disadvantaged. This article describes the development of a Citizen Advocacy service for people with mental health difficulties, and also the problems they brought to this service. The problems encountered in sustaining the service are noted and lessons are drawn for the future.     

Letter Therapy: A Model for Enhancing Counseling Intervention

Based on 15 letters between a counselor and a female client, this article outlines and discusses a unique letter therapy process, which is loosely adapted from the Morita Therapy approach to counseling. The five-step Letter therapy approach consists of 1) opening up, 2) focusing on life themes, 3) redirecting toward strengths, 4) reinforcing actions, and 5) affirming a positive attitude toward life. Letter writing has the potential of being used by counselors either in conjunction with face-to-face counseling or as a separate therapeutic method.     

Providing noncontingent,alternative, functional reinforcers during delays following functional communication training

Functional Communication Training (FCT) involves arranging extinction for problem behavior and reinforcement for a more desirable, functionally equivalent, communicative response (FCR). Although effective under ideal arrangements, the introduction of delays to reinforcement following the FCR can result in increased problem behavior. Austin and Tiger (2015) showed that for individuals whose problem behavior was sensitive to multiple sources of reinforcement, providing access to alternative, functional reinforcers during delays mitigated this increase in problem behavior during delay fading. The current study replicated the procedures of Austin and Tiger with 2 individuals displaying multiply controlled problem behavior. Providing alternative functional reinforcers reduced problem behavior during 10-min delays for both participants without requiring delay fading.