Cognitive Behavioral Treatment of Panic Disorder and Agoraphobia in a Multiethnic Urban Outpatient Clinic: Initial Presentation and Treatment Outcome

Few studies examine the effectiveness of panic control treatment across diverse ethnic groups. In this paper we present data on 40 patients (African American, n = 24; Caucasian, n = 16) with panic disorder and comorbid agoraphobia who presented at an anxiety disorder clinic in an inner-city area. On initial assessment both groups were similar on psychometric measures, and both groups moderately improved with treatment though significant residual symptoms remained. We illustrate, through case examples, a variety of clinical issues that need to be addressed when providing treatment to multiethnic African American clients with panic disorder and agoraphobia.     

The Role of Maternal Employment, Role-Altering Strategies, and Gender in College Students’ Expectations of Work–Family Conflict

We examined the relationship between maternal employment and college students’ expected work–family conflict as well as the relationship between expected conflict and the anticipated use of family-altering and career-altering strategies. Results indicated a positive relationship between the extensiveness of maternal employment and expected work–family conflict only for men. In addition, students who expected extensive work–family conflict anticipated delaying marriage, limiting the number of children they will have, and, in the case of men, intending not to have children. There was no relationship between expected work–family conflict and the anticipated use of career-altering strategies. Implications of the findings and directions for future research are discussed.     

Why inflammation and the activities of the immune system matter for social and personality psychology (and not only for those who study health)

A growing body of research finds that the activities of the immune system—in addition to protecting the body from infection and injury—also influence how we think, feel, and behave. Although research on the relationship between the immune system and psychological and behavioral outcomes has most commonly focused on the experiences of those who are ill or experiencing an acute immune response, we propose that the immune system may also play a key role in influencing such outcomes in those who are healthy. Here, we review theory and research suggesting that inflammation—a key component of the immune response to pathogens and stressors—may play an important modulatory role in shaping emotions, motivation, cognition, and behavior, even among those without symptoms of illness. Moreover, because inflammation occurs in response to a number of everyday social experiences (e.g., loneliness and stress), we propose that it may be an important mediator of many psychological and behavioral outcomes that are of interest to social and personality psychologists. We close by discussing potential opportunities for researchers looking to incorporate psychoneuroimmunology (PNI) into their area of inquiry.     

Video Games can Increase Creativity,but with Caveats

Although many studies have focused on aggression or visual-spatial cognition effects of video games, the problem-solving aspects have been largely ignored. This study sought to expand the existing literature on video game effects by focusing on a rarely-tested outcome: creative production. As a game with few rules and a high amount of player freedom, Minecraft exemplifies a game that fosters players’ abilities for creative expression. This experimental study included 352 undergraduates and it compared the effect of playing Minecraft on creativity measures compared to watching a TV show (passive control), a driving game (game control), and playing Minecraft with specific instructions (an instructional control). A within-subjects analysis found a significant correlation between trait creativity and game play habits. Between-groups experimental analyses showed that players randomly assigned to play Minecraft without instruction demonstrated significantly higher scores on post-game creativity measures compared to those who played Minecraft with instructions to “be creative,” those who played a driving game, or those who watched a television show. Results indicate that effects are not solely predicted by game mechanics, but also by the way the player plays.     

Catching up with our changing (digital) world: A comment on Baier (this issue)

Many mental health clinicians participate in the use of social media in their professional and personal lives. There are a number of ethics issues and challenges associated with this social media use, particularly with regard to self-disclosure. In this comment, key issues relevant to social media use and self-disclosure are addressed including relevant ethics guidance for participating in social media; social media use, boundaries, and multiple relationships; informed consent and the social media policy; and preparation of our next generation for working ethically and effectively in the digital world. These challenges are examined and recommendations for addressing each of them in a thoughtful and proactive manner are made with a focus on each mental health professional’s overarching ethics obligations to those we serve.     

Stress and inflammation among older adults: The moderating role of religiosity

Chronic stress weakens the immune system and leads to heightened bodily inflammation, which in turn is linked with serious health conditions. This study examined whether religiosity moderates the relationship between stress and inflammation (measured by C-reactive Protein (CRP)). A sample of 4,734 community-dwelling older adults was drawn from the 2006 wave of the Health and Retirement Study. Logistic regression was used to analyze the relationship between chronic stress (8-item index), inflammation (high CRP level), and religiosity (organizational, nonorganizational, and intrinsic), controlling for other factors. Higher levels of stress were significantly associated with high inflammation/CRP (p = .039). Further, intrinsic religiosity acted as a moderator of this relationship (p = .024), such that the relationship between stress and inflammation is lessened for persons with higher levels of intrinsic religiosity. Higher intrinsic religiosity attenuated the effects of stress on inflammation, suggesting that individuals with stronger religious commitment/motivation may better cope with stress.     

A Critical Appraisal of Amish Studies’ De Facto Paradigm, “Negotiating with Modernity”

The predominant paradigm for Amish research over the past three decades has been “negotiating with modernity” (NWM). NWM explains how the Amish as a distinctive American culture and religion have overcome the threats modernity poses to their existence. This article argues that NWM has been accepted and replicated uncritically and without empirical testing due to properties making it inherently untestable. We first synthesize the central NWM literature, as the paradigm has never been fully constructed in one place. We then call attention to two sets of impairments that prevent empirical tests. First, the perspective contains several logical fallacies and terminology problems. NWM reifies “the Amish” as its unit of analysis; creates circular variable relationships (the Amish are Amish because they are not something else); employs terms problematically, notably “modernity” and “modernization”; dichotomizes phenomena; and is grounded in no particular theoretical tradition. Second, we argue that the production of knowledge within core NWM literature has not been sufficiently substantiated. Data collection procedures and methodological strategies are unclear or undefined and scientific peer review is relatively low. We conclude by suggesting more promising theoretical directions for Amish studies.