A descriptive study of e-counsellor attitudes,ethics, and practice

Introduction: The purpose of this study was to examine questions related to the process, perceived outcomes, and ethics of therapists who provide counselling and therapy online. Method: An online survey was conducted (N=93) with identified e-counsellors with at least a Master's Degree. Questions included demographic information and Likert-type scales related to extent of practice, theoretical orientation, training and supervision, attitudes about appropriate practice, referral, legal and ethical issues, practice difficulties, and therapist satisfaction. Results: Overall, e-counsellors are satisfied with their practice and believe it is effective. They generally do not have formal training or supervision in online practice. Current e-counselling appears to be a part-time, supplemental practice with little overlap to FTF practice. There was little agreement among respondents on attitudes, practice, ethical issues, and knowledge of regulations related to e-counselling. Discussion: Lack of consensus about ethical obligations and practice suggest the need for formal training in e-counselling by professional programmes and international cooperation in formulating practice ethics. Areas for further research are discussed.     

Jail‐based competency treatment comes of age: Multi‐site outcomes and challenges to the implementation of an evidence‐based forensic continuum

The jail‐based competency treatment (JBCT) model has become an established forensic practice across the country. From the perspective of implementation science and the three core elements of the Promoting Action on Research Implementation in Health Service (PARiHS) framework, the JBCT model is a remarkable example of how context (an unrelenting and overwhelmingly strong demand for forensic beds) has driven multiple state governments to facilitate implementation of a methodology in the absence of empirical evidence supporting its efficacy. This 7‐year study of outcomes from four JBCT program sites provides this much‐needed evidence by showing that JBCT restored 56% of 1553 male and 336 female patients over an average of 48.7 days. At the same time, the study highlights how variations in JBCT models, methods, and preadmission stabilization time present challenges to planned and effective implementation of evidence‐based practice at the statewide system level. By identifying differential responsiveness to JBCT treatment by diagnosis and other factors, the study suggests preliminary implementation ideas for what types of patients are well served by the JBCT model as part of a continuum of restoration options that includes inpatient, outpatient and diversion. Significant findings showed that JBCT patients were restored at a higher rate and in a shorter time if they were female, < 20 years old (highest restoration rate; those < 60 years old also significantly better rates), free of co‐occurring intellectual and cognitive deficits, and malingering. Of the major diagnoses, schizoaffective disorder required a significantly longer length of JBCT treatment for restoration, and lower restoration rates than schizophrenia and bipolar disorder, although this was moderated by a significant interaction with abuse of amphetamines.     

Death Attitudes,Palliative Care Self-efficacy,and Attitudes Toward Care of the Dying Among Hospice Nurses

Journal of Clinical Psychology in Medical Settings - Previous research has linked death attitudes, palliative care self-efficacy, and attitudes toward care of the dying among nursing students and...     

Assessment of mothers' concerns about infants,toddlers, and preschoolers

Only recently has determining the child-rearing concerns of parents been considered an important research objective. Existing efforts have, for the most part, either employed small sample sizes or surveyed parents already in the process of seeking help or advice. It was, therefore, felt that additional, more representative data were needed. In the present study, 583 mothers with children aged 59 months or younger were surveyed regarding their concerns about their children's development. On the „Specific Needs Assessment Report”︁ (SNAR) (copyright © 1975, by Karl F. Riem, J. Jeffrey Crisco, and Kathy Willms), mothers rated their concerns for 60 developmental-behavioral items about their children's health, attending skills, problem behaviors, communication skills, motor skills, cognitive skills, self-help skills, and social skills. Mothers were most frequently concerned to a moderate or major degree about at least one item of the problem behavior category. For this category, parent-child management, crying-whining, and temper tantrums were the individual items of greatest concern. Mothers of girls more frequently indicated health concerns than mothers of boys. These results support those of previous investigations, which suggested the need for parent education programs to help parents manage their children.     

Ability evaluation by proxy: role of maximal performance and related attributes in social comparison

Four experiments tested the effects of information about a proxy's related attributes and maximal effort in social comparisons of ability. In Study 1, a proxy's prior performance at maximal effort exerted systematic effects on participants' personal performance predictions for a novel task. When information about the proxy's effort was ambiguous (Study 2). information about related attribute similarity was used in the formulation of performance predictions. In Studies 3 and 4, 2-way interaction terms revealed that participants used related attribute information in generating performance predictions when the proxy's maximum effort was unknown. However, related attribute information was disregarded when proxy's maximum effort was unambiguous. Results were consistent with the proxy comparison model of ability self-evaluation (L. Wheeler, R. Martin, & J. Suls, 1997).     

Infants' and adults' use of duration and intensity cues in the segmentation of tone patterns

Adults and 8-month-olds were presented with sequences in which every third complex tone was either longer or more intense. Segmentation was measured by comparing the detection of silent gaps inserted into three possible locations in each pattern: Silent gaps inserted at perceived segmentation boundaries are harder to detect than gaps within perceived phrases or groups. A go/no-go conditioned head-turn (hand-raising for adults) procedure was used. In Experiment 1, detection was worse for the gaps following the longer complex tones than for the gaps at the other locations, suggesting that the longer tones marked the ends of perceived groups for both infants and adults. Experiment 2 showed that an increase in intensity did not result in any systematic grouping at either age.     

Magnitude estimation of manually assessed elastic stiffness: stability of the exponent

Magnitude estimations were obtained for manual assessments of pure elastic stiffness stimuli (metal springs). 20 subjects of varied experience in manual assessment of spinal stiffness volunteered to participate. The mean exponent of the power function relating perceived magnitude of elastic stiffness to measured physical magnitude was 1.65. Exponents varied across the 20 individuals but were stable across testing sessions held at least 2 weeks apart, and the size of the exponent was not related to prior experience.     

Development and validation of the Self-Identity Inventory (SII): a multicultural identity development instrument

The Self-Identity Inventory (SII) was developed using the Optimal Theory Applied to Identity Development (OTAID) model. A sample of 325 culturally diverse respondents completed the SII, the Tolerance Scale from the California Psychological Inventory, the Belief Systems Analysis Scale, and the Social Desirability and Infrequency Scales. Through confirmatory factor analysis, goodness-of-fit, and social desirability/item infrequency measures, SII items were analyzed, resulting in a 6-scale, 71-item inventory. Internal consistency for the scales ranged from .72 to .90. Test-retest reliability ranged from .72 to .92. Correlations with external construct validity measures supported predictions. Interscale correlations and other statistical tests primarily supported the OTAID model. Implications for therapy and future research are suggested.     

Children's working memory: investigating performance limitations in complex span tasks

Three experiments investigated the roles of resource-sharing and intrinsic memory demands in complex working memory span performance in 7- and 9-year-olds. In Experiment 1, the processing complexity of arithmetic operations was varied under conditions in which processing times were equivalent. Memory span did not differ as a function of processing complexity. In Experiment 2, complex memory span was assessed under three conditions designed to vary both processing and intrinsic storage demands: mental arithmetic (significant attentional demands-requires storage), odd/even judgments (significant attentional demands-no storage required), and articulatory suppression (minimal attentional demands--no storage required). The highest memory spans were found in the articulatory suppression task. Span was at an intermediate level with arithmetic processing and was lowest for processing involving odd/even judgments. This difference in memory span for processing tasks involving arithmetic processing and odd/even judgments was eliminated in Experiment 3 when the pacing requirements of the arithmetic and odd/even processing tasks were equated. The results are consistent with the view that complex memory span performance is disrupted by processing activities that divert attentional resources from storage.