Counselling in primary care and the new NHS

A detailed overview of the changes in the structures of the new NHS in England, Scotland and Wales is presented, looking at the effect these changes will have on counsellors working in primary care. New structures for the provision of counselling in primary care and their implementation are explored. Supervision of counsellors in primary care is addressed and how supervision might fit into a managed counselling service. The requirements of clinical governance are discussed, as is the necessity of appropriate audit and evaluation data to inform service and individual development.     

Are reporting errors due to encoding limitations or retrieval failure? Surveys of child vaccination as a case study

Surveys of childhood vaccinations are often highly inaccurate, due to parental misreporting. We conducted three experiments to examine the source of the inaccuracies. In Experiment 1, we provided parents with memory aids; these aids did little to improve reporting accuracy. Two further experiments asked whether parents forgot what they knew about their children's vaccinations, or whether they never knew the information. In Experiment 2 we surveyed parents both immediately and ten weeks after their child's medical visit. Accuracy was only slightly better than chance immediately afterwards; ten weeks later performance had not changed significantly. Experiment 3 compared reports in both recall and recognition conditions. Although the recognition condition lowered the response burden on parents it did not produce more accurate reports. We conclude that low levels of accuracy in parental reports on vaccinations appear to reflect poor initial encoding rather than retrieval failure. Copyright © 1999 John Wiley & Sons, Ltd.     

Parent–child attachment as a mediator of the relationship between parenting style and gelotophobia among adolescents

Fear of being laughed at and family interaction are highly related. Parental over‐control and over‐protection influence children's excessive anxiety over being laughed at. Conversely, parental attachment is an important index of the parent–child relationship and is closely correlated to children's gelotophobia. However, is it the style of parenting or the outcome of parenting (i.e. attachment) that influences a child's gelotophobia? To answer this question, the present study analysed the relationships between gelotophobia, perceived parenting of children and parent–child attachment, as well as the mediating role of attachment between parenting and children's gelotophobia, using a sample of 373 high‐school students. The results show that being highly communicative and close attachment completely weakened the negative correlation between warm, caring parenting and the child's gelotophobia; moreover, being highly communicative and close attachment, together with over‐protective and over‐controlling parenting, influence children's gelotophobia. In sum, this study indicates that parent–child attachment has a direct and indirect influence on perceived parental care and protection and children's fear of being laughed at.     

Inside bilingualism: Language background modulates selective attention to a talker's mouth

Previous findings indicate that bilingual Catalan/Spanish‐learning infants attend more to the highly salient audiovisual redundancy cues normally available in a talker's mouth than do monolingual infants. Presumably, greater attention to such cues renders the challenge of learning two languages easier. Spanish and Catalan are, however, rhythmically and phonologically close languages. This raises the possibility that bilinguals only rely on redundant audiovisual cues when their languages are close. To test this possibility, we exposed 15‐month‐old and 4‐ to 6‐year‐old close‐language bilinguals (Spanish/Catalan) and distant‐language bilinguals (Spanish/”other”) to videos of a talker uttering Spanish or Catalan (native) and English (non‐native) monologues and recorded eye‐gaze to the talker's eyes and mouth. At both ages, the close‐language bilinguals attended more to the talker's mouth than the distant‐language bilinguals. This indicates that language proximity modulates selective attention to a talker's mouth during early childhood and suggests that reliance on the greater salience of audiovisual speech cues depends on the difficulty of the speech‐processing task.     

Metacognitive scaffolding boosts cognitive and neural benefits following executive attention training in children

Interventions including social scaffolding and metacognitive strategies have been used in educational settings to promote cognition. In addition, increasing evidence shows that computerized process‐based training enhances cognitive skills. However, no prior studies have examined the effect of combining these two training strategies. The goal of this study was to test the combined effect of metacognitive scaffolding and computer‐based training of executive attention in a sample of typically developing preschoolers at the cognitive and brain levels. Compared to children in the regular training protocol and an untrained active control group, children in the metacognitive group showed larger gains on intelligence and significant increases on an electrophysiological index associated with conflict processing. Moreover, changes in the conflict‐related brain activity predicted gains in intelligence in the metacognitive scaffolding group. These results suggest that metacognitive scaffolding boosts the influence of process‐based training on cognitive efficiency and brain plasticity related to executive attention.     

Violent obsessions are associated with suicidality in an OCD analog sample of college students

The picture of suicide in obsessive-compulsive disorder (OCD) is unclear because previous research did not uniformly control for depressive symptoms when examining the relationship between OCD and suicidality. Specific links between OC symptom dimensions and suicidality were also not adequately studied. As such, we investigated specific associations between OC symptom dimensions and suicidality, beyond the contribution of depressive symptoms, in an OCD analog sample of college students, a group traditionally at risk for suicide. One hundred and forty-six college students (103 females; 43 males) who exceeded the clinical cut-off for OC symptoms on the Obsessive-Compulsive Inventory, Revised (OCI-R) were recruited. Participants completed an online questionnaire containing measures that assessed suicidality and OC and depressive symptom severity. Total OC symptom severity, unacceptable thoughts, and especially violent obsessions exhibited significant positive zero-order correlations with suicidality. However, analyses of part correlations indicated that only violent obsessions had a significant unique association with suicidality after controlling for depressive symptoms. Our findings support the hypothesis that violent obsessions have a specific role in suicidality beyond the influence of depressive symptoms in an OCD analog sample of college students. A strong clinical focus on suicide risk assessment and safety planning in college students reporting violent obsessions is therefore warranted. Future related research should employ longitudinal or prospective designs and control for other possible comorbid symptoms in larger and more representative samples of participants formally diagnosed with OCD in order to verify the generalizability of our findings to these groups.     

Estimating group size from human speech: Three's a conversation,but four's a crowd

Much previous research has examined various aspects of auditory processing, including the localization of sounds, and the influence of lexical and indexical information on language processing. In the present set of experiments we explored the ability of listeners to estimate the number of speakers in a group solely from the information in an auditory signal. The bound on accurately estimating the number of simultaneous speakers is 3. We suggest that subitization—the ability to estimate numerosity of visual and auditory elements without explicitly counting these elements—rather than the capacity of short-term memory, may underlie this limitation. The cognitive constraint on estimating the number of simultaneous speakers may have implications for a wide variety of seemingly unrelated psychological phenomena.