Brightening His Days: A Reflective Single Case-Study of Social Integration and Recovery

Having been persuaded to change from an older to a newer generation antipsychotic, a gentleman with bipolar depression then had the potential to “recover his life,” which he did by utilizing occupational therapy interventions offered to him by occupational therapists in the UK National Health Service (NHS). This reflective case study illustrates how the combination of medical outpatient clinic and occupational therapy intervention together made a big difference in a person's life. Eleven key ingredients were reflected on as intentional strategies for helping him achieve his life goals.     

The Interactive Effects of Facial Maturity and Name Warmth on Perceptions of Job Candidates

This study investigated the interactive effects of' name warmth and facial maturity on job-hiring recommendations and trait perceptions of others. Subjects examined the bogus resume of a job applicant, attached to which was a picture of a babyfaced or maturefaced female or male. The name of the applicant was either cold or warm, as determined by pretesting. The suitability of the candidate for jobs requiring warmth and competence was rated, and other trait judgments were made. Results revealed that applicants with warm names were viewed as more suitable for a job requiring warmth, hut less suitable for a job requiring competence, and were judged as more sincere, but less powerful, than were applicants with cold names. Name warmth modified the perceptions of power and coldness that are typical when perceiving maturefaced people, although babyfaced job-seekers' name warmth did not affect their suitability for jobs. Specifically, maturefaced applicants with warm names were judged as less powerful and more suited for a job requiring warm than were maturefaced applicants with cold names, and maturefaced female applicants with warm names were perceived as more sincere than their cold-named counterparts. The results are discussed within a context suggesting that both physical appearance, and other nonbehavioral information jointly, and systematically influence impressions of others.     

Chaotic attractors in the therapeutic system 1

Because little research had been done on the presence and role of latent communication in the context of team‐conducted family therapy, the writers set out to monitor unconscious responses generated under these conditions. Specifically, they investigated an ongoing family treatment situation conducted according to the “reflecting team model.” One team of therapists handles the actual treatment session, while the other observes from behind a one‐way mirror. During the course of a session, the second team makes suggestions to the treatment team either by telephone or by calling the therapists out of the treatment room.

As the project developed, the writers found that the unconscious responses of both family and treatment teams indicated a process at work beyond the conscious intentions of the participants. That is, the therapeutic enterprise was functioning as a dynamical system, whose increasing complexity suggested a self organizing principle at work. This paper traces the development of the system's movement toward greater complexity, identifies the specific interventions that indicate this process, describes how all participants demonstrated a high degree of resonance and synchronization with this overarching‐self organizing pattern. This paper serves to alert therapists to the role of unconscious communication within the therapeutic system and postulates that the generation of form within psychotherapy follows many of the same self organizing processes found in other human and non human systems.     

Some thoughts and responses to The Francis Report

This response to the report by lawyer Robert Francis into the failure of National Health Service (NHS) care in Mid-Staffordshire is fairly positive about its conclusions but points out that without consideration of personal, psychosocial factors in care, on the ward, in the institution things are unlikely to improve, the report leaves much unconsidered. Francis emphasises that patient care is at the very centre of the NHS, this is obvious but so often forgotten. He comments that the unhelpful blame culture still exists. Missing from Francis’ analysis is a psychological perspective – the systemic factors he mentions are administrative not relational. This response is an attempt to redress the balance in thinking about the improvement of care for patients and of the working lives of staff.     

Cancer fear and the interpretation of ambiguous information related to cancer

We tested the hypothesis that people with a high fear of cancer would be more likely to interpret ambiguous information about cancer in a negative manner compared with people low on cancer fear. Adults (n=47) aged 50–70, who scored either high (n=16) or low (n=31) on cancer fear, took part in a laboratory-based ambiguous sentences task. Participants were presented with ambiguous cancer and social threat scenarios mixed with unambiguous neutral scenarios. Interpretations were assessed in a recognition task, by asking participants to rate disambiguated sentences in terms of how similar in meaning they were to the originals. People high on cancer fear were more likely to endorse negative interpretations of the original ambiguous cancer scenarios than were people low on cancer fear. This negative interpretation bias was specific to cancer scenarios and was not observed for the social threat scenarios.     

CACREP Accreditation: A Solution to License Portability and Counselor Identity Problems

A confluence of forces addressing counselor identity occurred with the 20/20: A Vision for the Future of Counseling initiative, the 2009 Standards of the Council for Accreditation of Counseling and Related Education Programs (CACREP), and the quest by the American Association of State Counseling Boards to establish license portability. This article provides a historical context for the profession's struggles with these issues, 1 state's experience, TRICARE's impact, and the role CACREP standards can play in their resolution.     

Modeling Interactions Between Latent Variables in Research on Type D Personality: A Monte Carlo Simulation and Clinical Study of Depression and Anxiety

Several approaches exist to model interactions between latent variables. However, it is unclear how these perform when item scores are skewed and ordinal. Research on Type D personality serves as a good case study for that matter. In Study 1, we fitted a multivariate interaction model to predict depression and anxiety with Type D personality, operationalized as an interaction between its two subcomponents negative affectivity (NA) and social inhibition (SI). We constructed this interaction according to four approaches: (1) sum score product; (2) single product indicator; (3) matched product indicators; and (4) latent moderated structural equations (LMS). In Study 2, we compared these interaction models in a simulation study by assessing for each method the bias and precision of the estimated interaction effect under varying conditions. In Study 1, all methods showed a significant Type D effect on both depression and anxiety, although this effect diminished after including the NA and SI quadratic effects. Study 2 showed that the LMS approach performed best with respect to minimizing bias and maximizing power, even when item scores were ordinal and skewed. However, when latent traits were skewed LMS resulted in more false-positive conclusions, while the Matched PI approach adequately controlled the false-positive rate.     

Author biographies

This paper describes how an application of psychodynamic principles and techniques in a school setting can open up perspectives and insights into aspects of loss and mourning, which result in the personal and professional growth of individuals. It discusses applied psychoanalytic work in relation to its clinical base in the consulting room, in particular family work, and exemplifies this with a variety of cases.     

‘I don't want to be the mother of a paedophile’: the perspectives of mothers whose adolescent sons with learning disabilities sexually offend

The subject of sexual abuse is a major focus of professional and public concern. Sexual abuse of (and by) people with learning disabilities evokes even greater disquieting emotions, and makes severe demands on the social services, and the criminal justice system. The aims of the project were: 1) to determine whether group psychotherapy produced effective outcomes for adolescent boys with learning disabilities who exhibit sexually abusive behaviour, 2) to explore the perspectives of parents and other care-givers, and 3) to document the nature and extent of service support to families. This paper focuses solely on the mothers' perspectives. This was a three-year project with six boys (under 16) receiving group psychotherapy, using both quantitative and qualitative methods. Clinical measures were used to track changes throughout the course of psychotherapy. Semi-structured interviews (taped and transcribed) were held (separately) with the boys, their parents, paid care-givers and the therapists. The mothers tried hard to make sense of, and come to terms with, what was happening to their sons and to themselves, they struggled to reconcile their own confused and often conflicting emotions, and to maintain their own sense of identity. They felt almost totally unsupported by the services, both in the past and present, and could see little hope for the future. There is an urgent need for development of effective and sympathetic services for the parents of boys with learning disabilities who have been abused, and who are now showing abusive behaviour.     

Self-reported Deviant Computer Behavior: A Big-5, Moral Choice,and Manipulative Exploitive Behavior Analysis

Many criminological theories about individual violation can be broadly classified into two groups: (1) those that attempt to explain the violation of personally held conventional norms and values (normative violations) and (2) those that attempt to explain the following of deviant norms and values (cultural deviance). We argue that each set of theories focuses on a unique dependent variable, but that social learning is one example of a theory that explicitly integrates these dependent variables under one explanatory heading. This important difference in what theories are trying to explain has been downplayed in criminology, with potentially serious consequences. The failure to provide accurate, focused measures of the correct dependent variables may have produced empirical findings that are weaker than expected. This article takes a step toward rectifying this important problem. It presents a discussion of the different sets of theories and of the attempt by social learning theory to explain both of behavior; in addition, it spells out the implications for research of this difference.