Psychologists' Experiences with the Better Access Initiative: A Pilot Study

The Australian Government's Better Access initiative was introduced in late 2006 to increase treatment rates for people with mental disorders. It provides for reimbursement of psychologists' services through Medicare. The current pilot study examines the experiences of psychologists with this initiative. A random sample of 204 of 4,235 psychologists in private practice was approached and 73 psychologists (36%) were interviewed. The current study suggests that psychologists have had positive experiences with Better Access. They have appreciated the greater security of income and greater variety of work afforded by the initiative, and they have observed flow‐on benefits in terms of increased access and reduced stigma for their clients. Additional research is required to corroborate these findings with a larger sample of psychologists, but the current findings provide indicative evidence that Better Access is assisting psychologists to meet a previously unmet community need for mental health care.     

Converted patients and clinic patients as control cases: a comparison with implications for psychoanalytic training

All twenty-eight respondents to a recent poll of the thirty institutes affiliated with the American Psychoanalytic Association reported that they now accept cases converted from psychotherapy to psychoanalysis as control cases. This study was designed to compare converted cases to clinic cases systematically with respect to patient characteristics, treatment, and the educational experience of the treating candidate. The study followed twenty-four candidates entering analytic training between 1992 and 1995, who treated thirty-four clinic cases and forty-three converted cases between February 1993 and July 2000. Clinic and converted patients were comparable with regard to demographics, prior treatment histories, structural diagnoses, and Axis I diagnoses. In addition, the two groups of cases were indistinguishable with respect to the rate at which candidates received credit toward graduation requirements. Candidates treating converted cases earned approximately dollars 7,600 per patient per year, compared to candidates treating clinic cases, who earned nothing. Eighty-four percent of converted patients diagnosed with a mood disorder by the treating candidate were on medication, in contrast to only 20% of clinic patients with the same diagnosis. Similar differences were seen in the case of anxiety disorders. Given the prevalence of affective and anxiety disorders in control cases and the availability of a variety of medications and psychotherapies with documented efficacy in treating these disorders, candidates should be trained to discuss treatment options with patients who present with Axis I disorders.     

Frequency and Psychosocial Correlates of Eating Disorder Symptomatology in Male Figure Skaters

Using a cross-sectional, mixed-method design, this study examined the frequency and psychosocial correlates of eating disorder (ED) symptomatology among male figure skaters (n = 29; M_age = 18.45 years) and explored their perspectives on skating-related weight pressures. One participant (3.7%) scored within range of a clinical ED. Body mass index, sport-related weight pressures, and sport-related body dissatisfaction explained 30% of variance in ED symptomatology; only weight pressures were significant. Although most endorsed the positive influences of skating, a perceived body–performance link was their most frequent weight pressure. Coping with sport-related weight pressures should be addressed in applied sport psychology and ED prevention.     

Thinking Developmentally in Child and Adult Psychoanalysis

Psychoanalysis in theory and clinical practice is a developmental domain. Psychoanalysts think about their patients from a developmental point of view. The analytic relationship promotes development in both analyst and patient. Two concepts central to this author’s developmental point of view are epigenetics—as used in biology and philosophy—and that of the analyst as “developmental object.” Optimally, the analyst as developmental object facilitates what Rita Tähkä terms the “developmental illusion,” which intersubjectively transforms psychic structures, enabling alternatives to the repetition compulsion. Two vignettes with adult patients illustrate how empathic intimacy in psychoanalysis with an emphasis on latency and toddler phases as reconstructed in adult analysis presaged psychic growth. Transference as a vehicle for a developmental history taking is also considered.     

Resilience of the Childhood Origins of Dutch Mothers’ Gender Role Attitudes

Based on qualitative analysis of 39 in depth interviews with Dutch mothers, this paper firstly explores if differences in primary socialization are relevant to an understanding of Dutch mothers’ current diverse (personal) gender role attitudes. Secondly, it addresses the interplay of a mother’s own gender role attitude and those of her partner and peers. The findings reveal that Dutch mothers’ current diverse gender role attitudes have origins in the transmission of different mental and verbal parental, especially maternal, symbols. Egalitarian mothers often recall a strong mother-figure, the verbal persuasion of economic independence and/or particular non-traditional upbringing matters that appealed to their logic of being financially independent. The memories of traditional/adaptive mothers rather stand out for the resignation of unpaid tasks by their own mothers, and the absence of parental encouragement to consider their professional life. The findings further indicate that in childhood originated aspects of mother’s personal gender role attitude continue to shape the character of mother’s behavior and new social relationships.     

‘Real Italians and wogs’: The discursive construction of Italian identity among first generation Italian immigrants in Western Australia

We explore the discursive construction of Italian identity among a bilingual sample of Italian‐born Western Australians. Focus groups were held with two groups: Italians who had migrated to Australia as children and a group who had migrated as adults. We found intra‐ and inter‐individual differences in identity construction, with much discourse devoted to demonstrating Italian authenticity and negotiating ethnic category boundaries. Shared markers of authenticity included language, heritage and food. The groups varied in their selection of referent groups to make authenticity claims, with the child migrants drawing upon the shared Australian stereotype of ‘wogs’ to construct and authenticate their Italian‐ness. In contrast, adult migrants constructed Italian identity through comparisons with the dominant Australian ethnic group and in relation to a broader ‘migrant’ identity. The findings highlight the fluid and complex nature of ethnic identity and the need for further exploration of how it is constructed in talk. Copyright © 2009 John Wiley & Sons, Ltd.     

Assessing Alexithymia: Psychometric Properties and Factorial Invariance of the 20-Item Toronto Alexithymia Scale in Nonclinical and Psychiatric Samples

The 20-item Toronto Alexithymia Scale (TAS-20) is a self-report questionnaire designed to measure the three components of alexithymia; difficulty identifying feelings in the self (DIF), difficulty describing feelings (DDF), and externally orientated thinking (EOT). We examined the scale’s psychometric properties in Australian nonclinical (N = 428) and psychiatric (N = 156) samples. In terms of factorial validity, confirmatory factor analyses found the traditional 3-factor correlated model (DIF, DDF, EOT) to be the best and most parsimonious solution, but it did not reach adequate levels of goodness-of-fit in either sample. Several EOT items loaded poorly on their intended factor, and a reverse-scored item method factor was present; the factor structure of the scale was invariant across both samples. A higher-order factor model (with a single higher-order factor) was slightly inferior to the correlated models, but still tenable. The total scale score and DIF and DDF subscales displayed sound internal consistency, but the EOT subscale did not. We conclude that the TAS-20 has, for the most part, adequate psychometric properties, though interpretation should focus only on the total scale score and DIF and DDF subscales; we recommend the EOT subscale score not be used. Implications for clinical use and future revision of the scale are discussed.     

The conflict of harmony: Intergroup contact,commonality and political solidarity between minority groups

Recent work on social change has complicated the picture regarding the influence of intergroup contact with majority groups on minority group members' perceptions of inequality and willingness to engage in social action. The present research investigated the ability of a commonality-focused message to inspire political solidarity between minority groups, as well as the potential moderating role of intergroup contact with a majority group on the efficacy of this message for political solidarity. Across two experiments, as hypothesized, political solidarity from one minority group to another was highest within a commonality condition, relative to group-boundaries salient and control conditions, which was explained by increases in commonality perceptions. As expected, however, these effects were moderated by majority group contact, such that those with high levels of contact with majority group were less likely to show the commonality-to-political solidarity relation. Implications for intergroup contact and more broadly social change are discussed.     

PTSD, Depressive Symptoms, and Suicidal Ideation in African American Women: A Mediated Model

Although research has shown positive associations among post-traumatic stress disorder (PTSD), depressive symptoms, and suicidal ideation, the nature of these relations is unclear, especially in African American women. This study examined the associations among these comorbid psychological difficulties in a sample of 136 low-income, African American women. Specifically, the goal of this investigation was to ascertain if overall depressive symptoms, as well as both the cognitive-affective and somatic components of depression, mediated the PTSD-suicidal ideation link. Results from bootstrapping analyses revealed that overall depressive symptoms and the cognitive-affective components of depression, but not the somatic components, mediated the PTSD-suicidal ideation link.