The role of computer‐aided psychotherapy within an NHS CBT specialist service

To date, the feasibility of computer‐aided psychotherapy as an intervention has only been recognised in primary care practice. The present study sought to evaluate the impact of ‘Beating the Blues’ (BtB), an established computerised cognitive behaviour therapy (CCBT) self‐help programme for the management of anxiety and depression, within an NHS CBT specialist healthcare centre. Of the 555 service users who used BtB as part of routine care, with follow‐up assessment at six to eight weeks, 71% completed all eight sessions. Statistically significant differences on the Beck Depression Inventory‐II (BDI‐II) and Beck Anxiety Inventory (BAI) were found in completer and intention‐to‐treat analyses; 50% of completers achieved reliable change on the BDI‐II and approximately 25% of completers achieved reliable and clinically significant change on both measures. Outcomes were benchmarked against outcomes in studies of routine face‐to‐face CBT. These findings provide evidence that BtB may be of value to service users in secondary mental healthcare centres, alleviating current burdens on public health and therapeutic resources. Future research directions should include examining which factors influence individuals’ decisions to try computer‐aided psychotherapy, which individuals are best suited to using these interventions, and why some users drop out prior to programme completion.     

Understanding Pamina's recovery: An application of the hermeneutic single‐case efficacy design

This article reports an effectiveness case study of the individual systemic therapy of a 22‐year‐old Portuguese woman with a diagnosis of paranoid personality disorder, conducted in a university‐based clinic in Lisbon, Portugal. Data were analysed using the hermeneutic single‐case efficacy design, a non‐experimental interpretive approach that aims to determine whether change occurred, whether change was due to therapeutic strategies, and what in therapy caused the change. Results indicate that the treatment was effective and that de‐pathologising Pamina's condition and genogram‐based exploration techniques played a crucial role in her recovery.     

STOP-IT: Windows executable software for the stop-signal paradigm

The stop-signal paradigm is a useful tool for the investigation of response inhibition. In this paradigm, subjects are instructed to respond as fast as possible to a stimulus unless a stop signal is presented after a variable delay. However, programming the stop-signal task is typically considered to be difficult. To overcome this issue, we present software called STOP-IT, for running the stop-signal task, as well as an additional analyzing program called ANALYZE-IT. The main advantage of both programs is that they are a precompiled executable, and for basic use there is no need for additional programming. STOP-IT and ANALYZE-IT are completely based on free software, are distributed under the GNU General Public License, and are available at the personal Web sites of the first two authors or at expsy.ugent.be/tscope/stop.html.     

Family in transition: parents,children and grandparents in lesbian families give meaning to ‘doing family’

Lesbian parents, their children and grandparents ‘do family’ in rich and diverse ways. This article draws on innovative grounded theory research using qualitative, multi‐generational family interviews with twenty lesbian‐parented families living in Victoria, Australia. The intersection between the public and the private in lesbian family life has been seriously neglected by family researchers, and in particular the perspectives of family members other than the lesbian parents themselves. This article addresses the question of ‘How members of lesbian‐parented families define and describe their family’, and the results reported here focus on children's and grandparents' views, because they are the voices less well represented in the literature. Children and grandparents straddle both mainstream and marginalized spaces as they negotiate contemporary family life. We examine the interface and tensions between the traditional and the transformative, and the implications of these findings for family therapists are briefly discussed.     

A longitudinal twin study of the genetic and environmental etiology of maternal hostile-reactive behavior during infancy and toddlerhood

Children's negative characteristics are thought to be a factor in evoking hostile parenting responses. This can result in genotype/environment correlations (rGE) in which children's heritable traits influence the parenting they experience. We did genetic analyses on 292 mothers' self-reported hostile-reactive behaviors toward each of their twins at 5, 18 and 30 months. Finding heritability for a parenting behavior analyzed as a child phenotype is evidence of rGE correlation. The heritability of maternal behavior was modest (29% at 5 months, 0% at 18 months, and 25% at 30 months) and longitudinal analyses indicated that genetic factors at 5 and 30 months were uncorrelated. Common environment factors, probably reflecting characteristics of the mothers, were the main source of variance at the three ages and were highly correlated through time. We concluded that children's heritable characteristics evoked maternal negative response at specific times, but were not responsible for the stability of maternal hostility from infancy to toddlerhood.     

Online control of discrete action following visual perturbation

We examined the spatial and temporal limitations of the visual corrective process in goal-directed aiming, as well as gender differences in online control. An initial experiment was conducted to test the utility of a monocular switch procedure as a method of rapidly introducing a visual perturbation. The results revealed minimal effect of the monocular switch on movement time and the endpoint error. Following this control experiment, prismatic displacement was introduced at the initiation of and during the movement. In the third experiment, the prism was presented prior to movement initiation, and then removed at the beginning of or during the movement. Movement trajectories were most influenced by the early presentation and removal of the prism, and female performance was significantly more affected by both perturbations than male performance.     

Precompetitive anxiety and self-confidence in athletes with disability

This study examined the precompetition temporal patterning of competitive anxiety components in 42 athletes with disability who participated at the national level and at the national trials for the Paralympic Games in a variety of sports. All subjects completed a modified version of the Competitive State Anxiety Inventory-2 which measures intensity and direction of the competitive anxiety response on three occasions before competition (1 wk., 2 hr., and 20 min.). Analysis suggested that for cognitive and somatic dimensions athletes with disabilities show a similar precompetition anxiety response to athletes without disability. However, there appear to be some differences, particularly in the intensity of self-confidence, as athletes with disability reported a reduction of self-confidence just prior to competition.     

Nonlinear principal components analysis: introduction and application

The authors provide a didactic treatment of nonlinear (categorical) principal components analysis (PCA). This method is the nonlinear equivalent of standard PCA and reduces the observed variables to a number of uncorrelated principal components. The most important advantages of nonlinear over linear PCA are that it incorporates nominal and ordinal variables and that it can handle and discover nonlinear relationships between variables. Also, nonlinear PCA can deal with variables at their appropriate measurement level; for example, it can treat Likert-type scales ordinally instead of numerically. Every observed value of a variable can be referred to as a category. While performing PCA, nonlinear PCA converts every category to a numeric value, in accordance with the variable's analysis level, using optimal quantification. The authors discuss how optimal quantification is carried out, what analysis levels are, which decisions have to be made when applying nonlinear PCA, and how the results can be interpreted. The strengths and limitations of the method are discussed. An example applying nonlinear PCA to empirical data using the program CATPCA (J. J. Meulman, W. J. Heiser, & SPSS, 2004) is provided.     

Neuroticism and responses to social comparison among cancer patients

The present study examined how the effects of three audiotapes containing different types of social comparison information on the mood of cancer patients depended on the level of neuroticism. On the procedural tape, a man and woman discussed the process of radiation therapy, on the emotion tape, they focussed on emotional reactions to their illness and treatment, while on the coping tape they focussed on the way they had been coping. A validation study among 115 students showed that the tapes were perceived as they were intended. The main study was conducted among 226 patients who were about to undergo radiation therapy. Compared to patients in the control group, as patients were higher in neuroticism, they reported less negative mood after listening to the procedural and the coping tape. Furthermore, as patients were higher in neuroticism, they reported less negative mood after listening to the coping tape than to the emotion tape. Copyright © 2009 John Wiley & Sons, Ltd.     

Effects of working memory capacity on mental set due to domain knowledge

The present set of studies examines how working memory capacity (WMC) relates to performance on a Remote Associates Task (RAT), originally designed by Mednick as a quantifiable creative problem solving assessment. The source of fixation was manipulated across two sets of RAT items. One set was neutral with no specific fixation embedded in them, while the second set was baseball-misleading, designed so that prior knowledge of baseball would lead to an incorrect solution attempt. WMC scores were positively related to performance on RAT items in all conditions, except one. High baseball knowledge participants' WMC scores did not relate to performance on the baseball-misleading RAT. While in general WMC may lead to better RAT performance, these results suggest that when there is a candidate solution strongly activated by prior knowledge, WMC may actually lead to too much focus on the incorrect solution and exacerbate mental sets.