Treatment Effects for Common Outcomes of Child Sexual Abuse: A Current Meta-Analysis

The present meta-analysis examined the effects of psychosocial treatments at reducing deleterious outcomes of sexual abuse. The meta-analysis included a total of 35 published and unpublished studies written in English, focusing on youth under the age of 18, and evaluating the effectiveness of treatments for the most common negative outcomes of sexual abuse: PTSD symptoms, externalizing problems, and internalizing problems. Results revealed medium effect sizes for PTSD symptoms, externalizing problems, and internalizing problems following treatment for sexual abuse. This study also examined the potential moderating effects of treatment (e.g., modality, duration, inclusion of caregiver) and participant (e.g., age, gender, ethnicity) characteristics. Results indicated that longer interventions were associated with greater treatment gains while group and individual treatments were equally effective. These findings shed new light on treatment effectiveness and provide useful information regarding the conditions under which treatment may be most effective. Future directions for research in this area are discussed.     

Bad Woman, Bad Victim? Disentangling the Effects of Victim Stereotypicality, Gender Stereotypicality and Benevolent Sexism on Acquaintance Rape Victim Blame

Based on the assertion that previous research may have inadvertently confounded two stereotypes, we considered the impact of benevolent sexism on rape victim blame in the context of independent manipulations of gender and the perceived genuineness (victim stereotypicality) of an acquaintance rape victim. We predicted that for blame, benevolent sexism may be independently positively associated with gender and victim counter-stereotypicality. Following pilot work, 120 Australian undergraduates read an acquaintance rape scenario. Results indicated that benevolent sexism was only positively associated with blame of the gender counter-stereotypical victim when that victim was also counter-stereotypical in terms of victim stereotypes. This result indicates a more moderate role than previously indicated for benevolent sexism in accounting for rape victim blame.     

How accurately can older adults evaluate the quality of their text recall? The effect of providing standards on judgment accuracy

Adults have difficulties accurately judging how well they have learned text materials; unfortunately, such low levels of accuracy may obscure age‐related deficits. Higher levels of accuracy have been obtained when younger adults make postdictions about which test questions they answered correctly. Accordingly, we focus on the accuracy of postdictive judgments to evaluate whether age deficits would emerge with higher levels of accuracy and whether people's postdictive accuracy would benefit from providing an appropriate standard of evaluation. Participants read texts with definitions embedded in them, attempted to recall each definition, and then made a postdictive judgment about the quality of their recall. When making these judgments, participants either received no standard or were presented the correct definition as a standard for evaluation. Age‐related equivalence was found in the relative accuracy of these term‐specific judgments, and older adults' absolute accuracy benefited from providing standards to the same degree as did younger adults. Copyright © 2009 John Wiley & Sons, Ltd.     

Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD

Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (N = 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (d = 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (d = 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.     

LGB-Affirmative Cognitive Behavioral Treatment for Social Anxiety: A Case Study Applying Evidence-Based Practice Principles

Guided by the American Psychological Association's principles of evidence-based practice, this article reviews a single-case treatment outcome study whereby a client characteristic, sexual identity, was integrated into the assessment and treatment of social anxiety symptoms. The case involved a young adult European-American male who presented to a training clinic with a primary diagnosis of social anxiety disorder as well as secondary symptoms of excessive worry and concerns of sexual identity confusion. Recent evidence suggests that gay men report more symptoms of social anxiety when compared to heterosexual men, and those who make more efforts to conceal their sexual identity experience increased anxiety and have greater difficulty committing to a personal identity. Further, it has been hypothesized that fear of rejection from heterosexual individuals underlies this anxiety. The client attended 50 sessions over the course of 18 months. Treatment progress was assessed via self-report questionnaires assessing social anxiety and worry. Consistent with principles of evidence-based practice, a cognitive behavioral treatment protocol was employed at the outset of therapy and resulted in a decline in the client's social anxiety scores. However, once the case conceptualization and treatment focus shifted to focus on sexual identity, his scores continued to decline at an even steeper rate. He ultimately came to identify himself as having a same-sex sexual orientation, began living his life in a manner consistent with that identification, and reported a number of positive outcomes at termination of therapy. Implications for treatment of social anxiety in sexual minorities are discussed.     

Tits use amodal completion in predator recognition: a field experiment

Amodal completion enables an animal to perceive partly concealed objects as an entirety, and to interact with them appropriately. Several studies, based upon either operant conditioning or filial imprinting techniques, have shown that various animals (both mammals and birds) can perform amodal completion. Before this study, the use of amodal completion by untrained animals in the recognition of objects had not been considered. Using two feeders, we observed in a field experiment the reaction of tits to the torso of a sparrowhawk (partly occluded or an ‘amputated’ dummy) in two different treatments (sparrowhawk torso vs. complete dummy pigeon; and torso vs. complete dummy sparrowhawk). It is clear that the birds considered the two torso variants as predators and kept away from both of them when the second feeder offered a ‘pigeon’ instead. On the other hand, when a ‘complete sparrowhawk’ was present on the second feeder, the number of visits to the occluded torso remained low; while the number of visits to the amputated one increased threefold. Birds risked perching near what was clearly an amputated torso; while the fear of a “hiding” (occluded) torso remained unchanged, when the second feeder did not provide a safe alternative. Such discrimination between torsos requires the ability for amodal completion. Our results demonstrate that in their recognition process, the birds not only use simple sign stimuli, but also complex cognitive functions.     

Examining autobiographical memory content in patients with depression and anxiety disorders

The purpose of this study was to move beyond the traditional specificity model of autobiographical memory (ABM) and to examine the content of memories with a focus on disorder and schema-relevant content. The sample (N = 82) included 25 patients with major depressive disorder (MDD), 24 with social phobia (SP), and 33 with panic disorder with agoraphobia (PDA) who were referred to a large outpatient clinic for group treatment of depression or anxiety. Participants completed the Autobiographical Memory Test (AMT) and Beck Depression Inventory-II as part of the clinical intake process. Responses to the AMT were coded for disorder-specific content based on diagnostic criteria for each disorder as well as for schema-relevant (sociotropy vs. autonomy) content. A repeated measures multiple analysis of variance demonstrated significant differences in disorder-specific content, with patients in the MDD group reporting more depressotypic ABMs than those in the PDA group but not the SP group. Similarly, in the analysis of schema-relevant content, significant differences were found between MDD and PDA regarding the presence of autonomy-based ABM ratings. Study results provide partial support for the cognitive specificity hypothesis with ABM content. The results are discussed in relation to the cognitive models of depression and anxiety.     

Differential Genetic and Environmental Influences on Reactive and Proactive Aggression in Children

While significant heritability for childhood aggression has been claimed, it is not known whether there are differential genetic and environmental contributions to proactive and reactive forms of aggression in children. This study quantifies genetic and environmental contributions to these two forms of aggression in an ethnically diverse urban sample of 9–10 year old twins (N = 1219), and compares results across different informants (child self-report, mother, and teacher ratings) using the Reactive–Proactive Aggression Questionnaire (RPQ). Confirmatory factor analysis of RPQ items indicated a significant and strong fit for a two-factor proactive–reactive model which was significantly superior to a one-factor model and which replicated across gender as well as the three informant sources. Males scored significantly higher than females on both self-report reactive and proactive aggression, findings that replicated on mother and teacher versions of the RPQ. Asian–Americans scored lower than most ethnic groups on reactive aggression yet were equivalent to Caucasians on proactive aggression. African–Americans scored higher than other ethnic groups on all measures of aggression except caregiver reports. Heritable influences were found for both forms of aggression across informants, but while boys’ self-reports revealed genetic influences on proactive (50%) and reactive (38%) aggression, shared and non-shared environmental influences almost entirely accounted for girls’ self-report reactive and proactive aggression. Although genetic correlations between reactive and proactive aggression were significant across informants, there was evidence that the genetic correlation was less than unity in boys self reported aggression, indicating that genetic factors differ for proactive and reactive aggression. These findings provide the first evidence for varying genetic and environmental etiologies for reactive and proactive aggression across gender, and provide additional support for distinction between these two forms of aggression.     

Attentional mechanisms associated with repressive distancing

This research explores the role of attentional shift and disengagement in repressive distancing. During a target-detection task in which emotional and neutral facial expressions were used as cues, participants received performance feedback intended to elicit a negative emotional reaction that rendered the task either threatening or not threatening to self-concept. When the task was perceived to threaten self-concept, repressors distanced themselves by rapidly disengaging their attention from the facial expressions rather than by slowly shifting or not shifting their attention to the facial expressions. Attentional disengagement was accompanied by sympathetic nervous system activity suggestive of a defense response. This research provides further insight into the nature and consequences of the interplay of dispositional tendencies, situational contexts, and higher order cognitive influences in attentional behavior.     

Stories of the young and the old: personal continuity and narrative identity

This study examined narrative identity in 2 groups of participants who were younger (ages ranging from late adolescence through young adulthood) and older (over the age of 65 years). Participants completed an extensive interview in which they reported three self-defining memories. Interviews were coded for several characteristics of autobiographical reasoning: self-event connections representing self-stability or self-change, event-event connections, reflective processing, and thematic coherence. Results showed that the older and younger groups were not different in terms of the frequencies of self-event connections or the levels of reflective processing. However, in comparison with the younger group, the older group had more thematic coherence and more stories representing stability, whereas the younger group had more stories representing change. Gender differences also emerged, suggesting that females may have an advantage in the development of narrative identity. Results are discussed in terms of the different ways to represent narrative identity at 2 ends of the life span.