Evidence‐Based Effective Practices With Older Adults

Older persons constitute an increasingly large population with significant mental health challenges. The authors review outcome research for both diagnosable conditions and late‐life transitions as a basis for evidence‐based practice with this population. Implications for clinical practice in professional counseling, counselor education and supervision, and research are considered.     

Exploring the Public Understanding of Basic Genetic Concepts

It is predicted that the rapid acquisition of new genetic knowledge and related applications during the next decade will have significant implications for virtually all members of society. Currently, most people get exposed to information about genes and genetics only through stories publicized in the media. We sought to understand how individuals in the general population used and understood the concepts of “genetics” and “genes.” During in-depth one-on-one telephone interviews with adults in the United States, we asked questions exploring their basic understanding of these terms, as well as their belief as to the location of genes in the human body. A wide range of responses was received. Despite conversational familiarity with genetic terminology, many noted frustration or were hesitant when trying to answer these questions. In addition, some responses reflected a lack of understanding about basic genetic science that may have significant implications for broader public education measures in genetic literacy, genetic counseling, public health practices, and even routine health care.     

Testing the Adult Development Tower of Babel Hypothesis: Homogeneous by Perry Position Collaborative Learning Groups and Graduate Student Satisfaction

The purpose of this quasi-experimental study was to investigate what appears to be a grounding assumption in some adult developmental and educational research: persons of differing epistemologies who are grouped together will understand one another less well than persons who are grouped homogeneously. A robust effect is discussed within the context of adult development theory, research on collaborative learning groups, and Bruffee's social constructionist challenge (K. A. Bruffee, 1993) to Perry and to cognitive development theory. Collateral research questions relating to covariates of developmental position (according to the Perry scheme) are entertained; confirmatory qualitative data are presented.     

The ‘Collective Pierre Rivière’: Using collective biography and ambling conversational methods to interrogate and re-present pivotal moments from the Pierre Rivière narratives

Collective biography is a research strategy that works at the level of bodily and emotional knowledge and moves beyond individualized versions of the subject, towards subjects-in-process and subjects-in-relation (Davies and Gannon, 2006). In this paper we, the authors, reflect upon and describe our experiences of using collective biography practices as a way of interrogating and writing our way into ‘pivotal moments’ within the Pierre Rivière texts (both book and film). The collective writing about ‘pivotal moments’ that our research group generated during workshops held at a university, exploring the ‘Pierre Rivière’ narratives have then been further reworked into a reflective, layered account, through an ambling conversational process.     

Visual recognition memory across contexts

In two experiments, we investigated the development of representational flexibility in visual recognition memory during infancy using the Visual Paired Comparison (VPC) task. In Experiment 1, 6- and 9-month-old infants exhibited recognition when familiarization and test occurred in the same room, but showed no evidence of recognition when familiarization and test occurred in different rooms. In contrast, 12- and 18-month-old infants exhibited recognition irrespective of testing room. Thus, flexibility across a change of room was observed at a younger age than flexibility across a change of background that has previously been seen with the VPC procedure (Robinson & Pascalis, 2004). To determine if limitations in representational flexibility across a change of background could be overcome by experiences during encoding, in Experiment 2, 6-, 9-, 12- and 18-month-old infants were familiarized with a picture on multiple backgrounds. At all ages, infants showed recognition across a change in background at test. These findings indicate that dissociating an item from its context during encoding may be an important factor in understanding the representational flexibility of visual recognition memory in infancy. Developmental changes in representational flexibility are likely driven by changes in the functional maturity of the hippocampal formation, and experience.     

Getting emotional about ‘brain mobility’

Our purpose in this paper is to offer an historical and cultural account of the relationships between globalisation, the nation-state, emotion and the academic mobility policies that are driven by the knowledge economy. In so doing we seek to contribute to the emerging literature on the links between emotion, policy and globalisation. These links are under-researched and under-theorised. Seeking to build on Arjun Appadurai’s work on the global cultural economy, we coin the term ‘emoscapes’. Emoscapes, we argue, involve the movement and mobilisation of emotion on intersecting global, national and personal scales. This concept helps us to illuminate how emotion circulates within global power and knowledge geographies. We discuss global policy atmospherics in terms of the structural power relationship between different nation-states and regions, the feelings such relationships generate on matters of ‘brain mobility’ and the implications for policy. This provides a broad context for our discussion of the nation-state itself where we consider how the nation-state’s position within these global power formations contributes to national feelings. Taking the example of Australia, we look at its emotional archive, the implications for the ways in which Australian policies have territorialised the global ‘brain mobility’ policy discourse and the nation-state policy atmospherics involved. Ultimately we show how emoscapes have entered and influenced policy and how they are part of global and national power and knowledge geographies.     

Testing multiple motives in feedback seeking: The interaction of instrumentality and self protection motives

Research indicates that information received from feedback seeking is valuable for both individual and organizational outcomes. Previous research examining the feedback seeking process has consistently suggested that individual's feedback behaviors are directly influenced by three motives. Specifically, individuals are instrumentally motivated to obtain valued information but are also motivated to protect and/or enhance their ego and to protect others' impressions of them (Ashford, Blatt and VandeWalle, 2003). The current study simultaneously examined these motives by testing the interactive effects of them on feedback seeking behavior. As predicted, they did significantly interact and the results present a deeper understanding of these motives and how employees weigh various factors in deciding whether to seek feedback within the organization.     

A DBT Skills training group for family caregivers of persons with dementia

A Dialectical Behavior Therapy Skills training manual (DBT Skills) was adapted for use with caregivers of individuals with dementia. Implementation occurred in a community clinic with a heterogeneous caregiver group at risk for elder abuse. Sixteen caregivers completed the 9-week group. The results point to improved psychosocial adjustment, particularly increased problem-focused coping, enhanced emotional well-being, and less fatigue. Caregivers tended to utilize individual therapeutic services at a higher rate during the period of group attendance, indicative of appropriate help-seeking behavior in highly demanding situations. Six of the 16 caregivers repeated the training sequence in “booster” groups. Follow-up data from the booster groups suggest that high-risk caregivers may require continuing support to maintain treatment gains. In addition to demonstrating the feasibility of DBT Skills with caregivers, the results warrant a controlled outcome evaluation.     

A Video Life-world Approach to Consultation Practice: The Relevance of a Socio-Phenomenological Approach

This article discusses the [development and] use of a video life-world schema to explore alternative orientations to the shared health consultation. It is anticipated that this schema can be used by practitioners and consumers alike to understand the dynamics of videoed health consultations, the role of the participants within it and the potential to consciously alter the outcome by altering behaviour during the process of interaction. The study examines health consultation participation and develops an interpretative method of analysis that includes image elicitation (via videos), phenomenology (to identify the components of the analytic framework), narrative (to depict the stories of interactions) and a reflexive mode (to develop shared meaning through a conceptual framework for analysis). The analytic framework is derived from a life-world conception of human mutual shared interaction which is presented here as a novel approach to understanding patient-centred care. The video materials used in this study were derived from consultations in a Walk-in Centre (WiC) in East London. The conceptual framework produced through the process of video analysis is comprised of different combinations of movement, knowledge and emotional conversations that are used to classify objective or engaged WiC health care interactions. The videoed interactions organise along an active or passive, facilitative or directive typical situation continuum illustrating different kinds of textual approaches to practice that are in tension or harmony. The schema demonstrates how practitioners and consumers interact to produce these outcomes and indicates the potential for both consumers and practitioners to be educated to develop practice dynamics that support patient-centred care and impact on health outcomes.     

The ABCs of CBT (Cognitive Behavior Therapy): Evidence‐Based Approaches to Child Anxiety in Public School Settings

This study evaluated a locally developed cognitive behavior therapy (CBT) intervention program in a public elementary school. In the prevention approach, 118 children were randomly assigned either to an 8‐week intervention or to a waitlist control. Results of statistical analysis indicated that the manualized CBT intervention did not reduce symptoms of anxiety on either self‐reports or parent reports of anxiety symptoms in the general school population. Challenges to translational efforts to public school settings are discussed.