Treatment Engagement: Building Therapeutic Alliance in Home-Based Treatment with Adolescents and their Families

Client engagement is an essential yet challenging ingredient in effective therapy. Engaged clients are more likely to bond with therapists and counselors, endorse treatment goals, participate to a greater degree, remain in treatment longer, and report higher levels of satisfaction. This study explored the process of engaging high-risk youth and their parents in a unique home-based family therapy intervention. Qualitative interviews were conducted with 19 families who completed family therapy sessions that included a core component aimed at increasing treatment engagement. Parents’ and youths’ perceptions of engagement suggest the importance of developing therapeutic alliance with therapists, who facilitated building a shared alliance among family members. Implications for improving client engagement are discussed within the context of alliance building with the therapist and among family members.     

Discriminating languages by speech-reading

The goal of this study was to explore the ability to discriminate languages using the visual correlates of speech (i.e., speech-reading). Participants were presented with silent video clips of an actor pronouncing two sentences (in Catalan and/or Spanish) and were asked to judge whether the sentences were in the same language or in different languages. Our results established that Spanish-Catalan bilingual speakers could discriminate running speech from their two languages on the basis of visual cues alone (Experiment 1). However, we found that this ability was critically restricted by linguistic experience, since Italian and English speakers who were unfamiliar with the test languages could not successfully discriminate the stimuli (Experiment 2). A test of Spanish monolingual speakers revealed that knowledge of only one of the two test languages was sufficient to achieve the discrimination, although at a lower level of accuracy than that seen in bilingual speakers (Experiment 3). Finally, we evaluated the ability to identify the language by speech-reading particularly distinctive words (Experiment 4). The results obtained are in accord with recent proposals arguing that the visual speech signal is rich in informational content, above and beyond what traditional accounts based solely on visemic confusion matrices would predict.     

Complexity of visual icons studied via signal detection theory

Two investigations on how humans perceive information from visually rendered complex objects, such as military icons (glyphs) were conducted. A signal detection theory framework was employed to evaluate the sensitivity and specificity of human subject performance. The 6 adults tested showed that as complexity increased, their accuracy in performance decreased. Study 1 showed that complex dimensions (features) could not be assigned arbitrarily. Study 2 developed a rank ordering for features of an iconic object.     

Implementing fairness in racial-group assessment requires assessment of individuals

Replies to comments by R. J. Griffore and D. A. Newman et al on the author's original article on test validity and cultural bias in racial-group assessment. Helms notes that, given that within-group variance exceeds between-groups variance, racial groups are probably simulating a psychological construct that is more strongly related to individuals' test scores than to their respective racial group's mean test scores. Therefore, models of individual differences, such as her Helms individual-differences (HID) model, that remove construct-irrelevant racial variance, are needed to make the testing process fair at the level of individual African American, Latino/Latina American, and Native American test takers. Her HID model is intended to focus attention on identifying the factors responsible for the racial-group-level differences and, thereby, assist test users to look beyond presumed physical appearance (e.g., racial-group designations) for explanations of individuals' cognitive abilities, knowledge, or skills test scores.     

Infant-directed speech supports phonetic category learning in English and Japanese

Across the first year of life, infants show decreased sensitivity to phonetic differences not used in the native language [Werker, J. F., & Tees, R. C. (1984). Cross-language speech perception: evidence for perceptual reorganization during the first year of life. Infant Behaviour and Development, 7, 49-63]. In an artificial language learning manipulation, Maye, Werker, and Gerken [Maye, J., Werker, J. F., & Gerken, L. (2002). Infant sensitivity to distributional information can affect phonetic discrimination. Cognition, 82(3), B101-B111] found that infants change their speech sound categories as a function of the distributional properties of the input. For such a distributional learning mechanism to be functional, however, it is essential that the input speech contain distributional cues to support such perceptual learning. To test this, we recorded Japanese and English mothers teaching words to their infants. Acoustic analyses revealed language-specific differences in the distributions of the cues used by mothers (or cues present in the input) to distinguish the vowels. The robust availability of these cues in maternal speech adds support to the hypothesis that distributional learning is an important mechanism whereby infants establish native language phonetic categories.     

Using message framing to promote acceptance of the human papillomavirus vaccine.

OBJECTIVE: Use of message framing for encouraging vaccination, an increasingly common preventive health behavior, has received little empirical investigation. The authors examined the relative effectiveness of gain-versus loss-framed messages in promoting acceptance of a vaccine against human papillomavirus (HPV)-a virus responsible for virtually all cases of cervical cancer. DESIGN: Undergraduate women (N = 121) were randomly assigned to read a booklet describing the benefits of receiving (gain-framed message) or the costs of not receiving (loss-framed message) a prophylactic HPV vaccine. After reading the booklet, participants indicated their intent to obtain the HPV vaccine. MAIN OUTCOME MEASURE: A 5-item composite representing intentions to obtain the HPV vaccine. RESULTS: The effect of message framing on HPV vaccine acceptance was moderated by risky sexual behavior and approach avoidance motivation. A loss-framed message led to greater HPV vaccination intentions than a gain framed message but only among participants who had multiple sexual partners and participants who infrequently used condoms. The loss-frame advantage was also observed among participants high in avoidance motivation. CONCLUSION: Findings highlight characteristics of the message recipient that may affect the success of framed messages promoting vaccine acceptance. This study has practical implications for the development of health communications promoting vaccination.     

Amnesia,rehearsal, and temporal distinctiveness models of recall

Classical amnesia involves selective memory impairment for temporally distant items in free recall (impaired primacy) together with relative preservation of memory for recency items. This abnormal serial position curve is traditionally taken as evidence for a distinction between different memory processes, with amnesia being associated with selectively impaired long-term memory. However recent accounts of normal serial position curves have emphasized the importance of rehearsal processes in giving rise to primacy effects and have suggested that a single temporal distinctiveness mechanism can account for both primacy and recency effects when rehearsal is considered. Here we explore the pattern of strategic rehearsal in a patient with very severe amnesia. When the patient’s rehearsal pattern is taken into account, a temporal distinctiveness model can account for the serial position curve in both amnesic and control free recall. The results are taken as consistent with temporal distinctiveness models of free recall, and they motivate an emphasis on rehearsal patterns in understanding amnesic deficits in free recall.     

The phonological loop unmasked? A comment on the evidence for a "perceptual-gestural" alternative

Jones et al. (Jones, Hughes, & Macken, 2006; Jones, Macken, & Nicholls, 2004) identify the interaction between phonological similarity, articulatory suppression, and stimulus presentation mode in verbal short-term memory as potentially providing important support for the phonological loop hypothesis. They find such an interaction but attribute it to "perceptual organization masquerading as phonological storage". We present data using shorter letter sequences and find clear evidence of the interaction predicted by the phonological loop hypothesis, which, unlike the evidence of Jones et al., is not limited to recency, and which provides continued support for the phonological loop hypothesis.