Are Some Psychotherapies Much More Effective Than Others?

In a previous paper we had reported on the examination of comparisons of 18 metaanalyses of active treatments with each other (Luborsky, Rosenthal, Diguer, et al., 2001). These metaanalyses gave a small and nonsignificant mean level of difference between types of treatments. The smallness of this correlation confirms Rosenzweig's (1936) expectation that because of the large overlap in effective ingredients of different psychotherapies, comparative studies of psychotherapies would show little difference. Such a comparison that includes psychoanalyses seems a long way off, but if outcomes of psychoanalyses are defined similarly to those in the other psychotherapies, the expected differences in outcomes may also be small.     

Reviews: Books, Art

YOGA AND PSYCHOLOGY. By Howard Coward. 115 pp. Albany: State University of New York Press, 2002. $16.95. CASE STUDIES IN INFANT MENTAL HEALTH: RISK, RESILIENCY AND RELATIONSHIPS. Edited by Joan J. Shirilla and Deborah J. Weatherston. 203 pp. Washington, D.C.: Zero to Three, 2002. $32.95. JACOB'S SHADOW: CHRISTIAN PERSPECTIVES ON MASCULINITY. By Herbert Anderson. 173 pp. Louisville, KY: Bridge Resources, 2002. $18.95. LEONARDO DA VINCI. By Sherwin B. Nuland. 170 pp. New York: Viking, 2002. $19.95. FAITH AND THE PLACEBO EFFECT: AN ARGUMENT FOR SELF-HEALING. By Lolette Kuby. 323 pp. Novato, CA: Origin Press, 2001. $23.00. NOTHING PERSONAL, JUST BUSINESS: A GUIDED JOURNEY INTO ORGANIZATIONAL DARKNESS. By Howard F. Stein. Westport, CT: Quorum/Greenwood Publishing Group, 2001. FAITH BEYOND FAITH HEALING: FINDING HOPE AFTER SHATTERED DREAMS. By Kimberly Winston. 115 pp. Brewster, MA: Praraclete Press, 2002. A SHADOW OF GLORY: READING THE NEW TESTAMENT AFTER THE HOLOCAUST. Edited by Tod Linafelt. New York and London: Routledge, 2002. LOVE IS STRONGER THAN DEATH: THE MYSTICAL UNION OF TWO SOULS. By Cynthia Bourgeault. 222 pp. Great Barrington, MA: Lindisfarne Books, 2001. $14.95. Moving Pictures     

Improving Predictions of Condom Behavioral Intentions With Partner-Specific Measures of Risk Perception

Inconsistent findings regarding the predictive validity of perceptions of risk for a sexually transmitted disease (STD) and HIV may be related to the use of nonspecific measures. The objective of this study was to determine whether more specific measures of perceptions of risk for SI Ds and HIV are associated with intentions to use a condom. We interviewed 490 male and female adolescents, 14 to 19 years old, from a free municipal STD clinic. Controlling for whether a condom was used at last sex, the association between perceptions of risk for an STD and HIV with a casual sex partner and intentions to use a condom with a casual sex partner was significant (β_HIV= 14, p < .01, and β_STD=.20, p < .01), as was the association between perceptions of risk for an STD and HIV with a main sex partner and intentions to use a condom with a main sex partner (β_HIV= .31, p <.001, and β_STD= .32, p < .001). This supports the continued inclusion of this construct in models of sexual and other health-related behaviors.     

Multi-limb coordination and rhythmic variability under varying sensory availability conditions in children with DCD

Children with Developmental Coordination Disorder (DCD) have sensory processing deficits; how do these influence the interface between sensory input and motor performance? Previously, we found that children with DCD were less able to organize and maintain a gross motor coordination task in time to an auditory cue, particularly at higher frequencies [Whitall, J., Getchell, N., McMenamin, S., Horn, C., Wilms-Floet, A., & Clark, J. (2006). Perception-action coupling in children with and without DCD: Frequency locking between task relevant auditory signals and motor responses in a dual motor task. Child: Care, Health, and Development, 32, 679-692]. In the present study, we examine the same task (clapping in-phase to marching on a platform) under conditions involving the removal of vision and hearing. Eleven children with DCD (mean=7.21, SD=0.52 years), 7 typically developing (TD) children (mean=6.95+/-0.72 years), and 10 adults performed continuous clapping while marching under four conditions: with vision and hearing, without vision, without hearing, and without both. Results showed no significant condition effects for any measure taken. The DCD group was more variable in phasing their claps and footfalls than both the adult group and the TD group. There were also significant group effects for inter-clap interval coefficient of variation and inter-footfall interval coefficient of variation, with the DCD group being the most variable for both measures. Coherence analysis between limb combinations (e.g., left arm-right arm, right arm-left leg) revealed that the adults exhibited significantly greater coherence for each combination than both of the children's groups. The TD group showed significantly greater coherence than the DCD group for every limb combination except foot-foot and left hand-right foot. Measures of approximate entropy indicated that adults differed from children both with and without DCD in the structure of the variability across a trial with adults showing more complexity. Children with DCD are able to accomplish a self-initiated gross-motor coordination task but with increased variability for most but not all measures compared to typically developing children. The availability of visual and/or auditory information does not play a significant role in stabilizing temporal coordination of this task, suggesting that these are not salient sources of information for this particular task.     

Side-to-side differences in overuse running injury susceptibility: a retrospective study

Despite the number of studies examining factors associated with overuse running injury, little is known about why an individual gets injured on a particular side of the body. Abnormal levels of several strength, structural, kinetic, and kinematic factors have been attributed to injury susceptibility. However, while most studies have compared the injured limb of injured runners to an arbitrary limb of healthy controls, there is some evidence to suggest that injury risk is related to characteristics on both sides of a runner. Therefore, the purpose of this study was to investigate how bilateral characteristics of strength, structural, kinetic, and kinematic factors relate to overuse injury. The first purpose was to compare these factors between the injured and uninjured limbs of runners with a history of injury on only one side of their bodies. The results showed that hip internal rotation range of motion and peak tibial acceleration were both elevated on the side with a history of injury. The second purpose was to compare asymmetry levels between the injured runners and runners who had never sustained a running-related injury. Asymmetry levels were similar between groups for all variables, which suggests that some level of asymmetry is normal. The final purpose of the study was to compare bilateral values of these factors between the injured and uninjured runners. The results showed that hip internal rotation range of motion, as well as the deviation from normal arch height index, were bilaterally elevated in the injured runners. Although peak tibial acceleration was different between sides of the injured runners, it was not bilaterally elevated compared to the uninjured runners. These results support the notion that injury risk may be related to risk factors on both sides.     

The Implementation of Modified Parent-Child Interaction Therapy for Youth with Separation Anxiety Disorder

Separation Anxiety Disorder (SAD) is the most prevalent anxiety disorder experienced by children, and yet empirical treatment studies of SAD in young children are virtually nonexistent. This paper will describe the development and implementation of an innovative treatment for SAD in young children. First, we will highlight the rationale for developing interventions specifically for SAD in young children. Second, we will describe an existing empirically supported treatment, Parent-Child Interaction Therapy (PCIT; Brinkmeyer, M. Y., & Eyberg, S.M., (2003)), that may have particular applicability to very young children with SAD and their parents. We present how results from 10 pilot participants were utilized to modify PCIT to better address the needs of children with SAD and their families. The benefits and challenges of implementing this modified version of PCIT are reviewed, along with potential directions for future research in this area.     

Megan's Law and its impact on community re-entry for sex offenders

Community notification, known as "Megan's Law," provides the public with information about known sex offenders in an effort to assist parents and potential victims to protect themselves from dangerous predators. The purpose of this study was to explore the impact of community notification on the lives of registered sex offenders. Two hundred and thirty-nine sex offenders in Connecticut and Indiana were surveyed. The negative consequences that occurred with the greatest frequency included job loss, threats and harassment, property damage, and suffering of household members. A minority of sex offenders reported housing disruption or physical violence following community notification. The majority experienced psychosocial distress such as depression, shame, and hopelessness. Recommendations are made for community notification policies that rely on empirically derived risk assessment classification systems in order to better inform the public about sex offenders' danger while minimizing the obstacles that interfere with successful community reintegration.     

Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism

We examined the relation between child maltreatment and non-suicidal self-injury (NSSI). Participants were 86 adolescents who completed measures of child maltreatment, self-criticism, perceived criticism, depression, and NSSI. Analyses revealed significant, small-to-medium associations between specific forms of child maltreatment (physical neglect, emotional abuse, and sexual abuse) and the presence of a recent history of NSSI. Emotional and sexual abuse had the strongest relations with NSSI, and the data supported a theoretical model in which self-criticism mediates the relation between emotional abuse and engagement in NSSI. Specificity for the mediating role of self-criticism was demonstrated by ruling out alternative mediation models. Taken together, these results indicate that several different forms of childhood maltreatment are associated with NSSI and illuminate one mechanism through which maltreatment may be associated with NSSI. Future research is needed to test the temporal relation between maltreatment and NSSI and should aim to identify additional pathways to engagement in NSSI.