Using Cognitive Processing Therapy–Cognitive in a Residential Treatment Setting With an OIF Veteran With PTSD and a History of Severe Traumatic Brain Injury: A Case Study

The co-occurrence of posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) is common among military personnel returning from deployments in Iraq and Afghanistan. Despite the prevalence, scant evidence exists to inform clinicians as how to best treat these individuals, particularly for individuals with PTSD and a history of severe TBI. This case study presents the course of treatment in a VA residential PTSD/TBI program for an Operation Iraqi Freedom Veteran with PTSD, a history of severe TBI, and other psychiatric comorbidities. Cognitive Processing Therapy–Cognitive (CPT-C) was utilized as the primary PTSD treatment in conjunction with ancillary treatment. Data obtained during and following treatment suggest that CPT-C, without modifications to the protocol, offered within a residential treatment program may be an effective treatment for veterans with PTSD and a history of severe TBI.     

Willingness to accept occupational change when offered incentives: Comparing full-time and part-time employees

The ability to deal with occupational change is becoming increasingly important. We hypothesized that individual differences determining preferences for specific types of mobility (i.e., global personality traits and uncertainty tolerance) and decisional factors theoretically derived from the theory of planned behaviour (e.g., desirability of change; subjective norms) would be associated with higher willingness to accept occupational change when incentives such as greater autonomy were offered. These hypotheses were tested in a questionnaire study with samples of full-time and part-time employees. We further expected employment situation to function as a moderator in this process. Overall, results of regression analyses confirmed the relevance of the core components of the theory of planned behaviour. In addition, we found decisional factors to be more closely linked to the outcomes of full-time employees than to those of part-time employees. We discuss the practical implications of our results in terms of how best to support employees in adapting to the increasing demands for occupational change.     

Moral worry and religiosity in US and Canadian college samples

The objective of this study was to investigate the presence of worry about personal moral attitudes and behaviors in two college samples, and to check associations with religiosity, age, gender, personality traits, and geographic region. The study sample was drawn from college students in Minneapolis, Minnesota (N?=?333) and Sydney, Nova Scotia (N?=?137). Instruments consisted of moral worry and religiosity questionnaires, and the Eysenck Personality Questionnaire. Principal-components analysis was used to develop components for the worry and religiosity scales, and MANOVA for correlations between variables. Moral worry emerged as a domain distinct from worry about practical issues. Moral worry was not related to religiosity, age, gender, or Eysenck personality traits. Whereas the US sample scored higher in religiosity than the Canadian sample, the Canadian sample scored higher on moral worry. The present study supports our previous work and that of others that worry about one's moral emotions and behaviors is an important aspect of daily life. As such, consideration should be given to including some inquiry about moral worries (guilt, shame, regret, remorse, and others) in psychiatric assessments.     

A reappraisal of medieval mysticism & hysteria

This paper examines the historical association between medieval mysticism and asceticism and the psychopathological condition of hysteria. We first review the particular forms of medieval mysticism and asceticism that seem to have inspired modern psychiatrists and reductive historians to dismiss these phenomena as indubitably neurotic behaviours. Then we review the concept of hysteria as it evolved during the last two centuries for points of convergence with mysticism. Finally, we question the validity of value-laden diagnostic formulations in the domain of personality assessment. A few highly dramatic but culturally endorsed religious behaviours occuring in an otherwise well functioning individual does not constitute a basis for any psychiatric diagnosis, let alone a condemnatory characterological one such as hysteria. We propose a perspective for looking at medieval mystical states of mind and behaviours in context that moves beyond ahistoric assumptions that employ modern Western standards as the yardstick for medieval health and illness.     

Self-Presentation Concerns and Health Behaviors Among Cosmetic Surgery Patients

The present investigation examined the relationship between self-presentational motives and physical activity in a population of cosmetic surgery participants. Participants were 50 female and 5 male cosmetic surgery patients (CSPs; M age = 38.5 years) who completed a battery of self-report measures following either vein or acne treatment. Analyses revealed significant group differences on self-presentational concern and public self-consciousness between: (a) those who elected the treatment for appearance motives and those who elected treatment for health-based motives, and (b) the more frequent (3 or more times per week) and less frequent (2 or less times per week) exercisers. Greater self-presentational concerns and greater public self-consciousness were associated with having appearance-related motives for treatment and with being a less frequent exerciser.     

We think you agree: The detrimental impact of the false consensus effect on behavior

Two studies were designed to examine the impact of the false consensus effect on behavior (FCE; Ross, Greene, & House, 1977). False consensus is a form of social projection whereby individuals overestimate the degree to which others share their characteristics or beliefs. In a modified test of the theory of reasoned action, Study 1 demonstrated that the FCE independently predicts behavioral intentions regarding important social issues in a sample comprised of 205 college students. Further, results indicated that self-monitoring moderates the extent to which the FCE predicts behavioral intentions (specifically, as hypothesized, the FCE is a stronger predictor of behavior for high self-monitors). Because of the prevalence of the FCE among college students regarding potentially harmful social behaviors, Study 2 was designed to eliminate the FCE by differentially presenting students (N = 280) with alternative viewpoints regarding various issues. Presenting both sides of an argument using video-based stimuli effectively reduced the FCE. Recommendations for interventions that effectively promote beneficial social norms are discussed.     

Listening in aging adults: from discourse comprehension to psychoacoustics.

Older adults, whether or not they have clinically significant hearing loss, have more trouble than their younger counterparts understanding speech in everyday life. These age-related difficulties in speech understanding may be attributed to changes in higher-level cognitive processes such as language comprehension, memory, attention, and cognitive slowing, or to lower-level sensory and perceptual processes. A complicating factor in determining how these sources might contribute to age-related declines in speech understanding is that they are highly correlated. Experimenters have typically focused either on cognitive declines or sensory declines in artificially optimized test conditions. In contrast, our approach focuses on the complex interactions between age-related changes in cognitive and perceptual factors that affect spoken language comprehension, especially in nonideal, realistic conditions. In this article, we describe our attempts to systematically investigate sensory-cognitive interactions in controlled experimental situations. We begin by looking at experimental conditions that closely approximate everyday listening, and show that older adults do indeed experience deficits in spoken language comprehension relative to younger adults in these conditions. We then review further experiments designed to isolate more precisely the cognitive and perceptual sources of these age-related differences and how they vary with listening condition. In large part, we find that age-related changes in speech understanding are a consequence of auditory declines.     

Well-being of mothers of children with mental retardation: An evaluation of the Double ABCX model in a cross-cultural context

The present study was designed to compare the psychological well-being of mothers of children with mental retardation in the USA and Korea. The Double ABCX model of stress proposed by McCubbin and Patterson (1983) was evaluated for the two national groups. Thirty-eight American and 40 Korean mothers participated in the home-visit interview. The path models in the present study partially supported the ABCX model, but different path models for the two national groups provided important explanations for the well-being of mothers from the two nations. The cause of stress for the American mothers was specific to the individual variables. For Korean mothers, cultural values that carry social influence were more strongly associated with their attitudes towards the child and their experience of stress.     

Cork Older Adult Intervention Project: Outcomes of a gestalt therapy group with older adults

The study investigated the effects of a gestalt therapy group with older adults. A total of 43 adults, 65 years or older, were randomised into treatment and assessment control groups of 22 and 21 respectively. ANCOVA results indicated that group therapy participants reported less anger control and more overall expression of anger than the control participants. In addition, they were significantly more agreeable and less hostile and more clear-headed and less confused at the end of the group. These findings were supported by reported emotional changes. Younger group participants were significantly more composed and less anxious than younger control group members. Qualitative results further illustrated this reduction in anxiety. Participants significantly increased their level of clear-headedness and were less confused. Qualitative evidence also illustrated their clear-headedness and agreeableness. Exploratory analysis illustrated substantial learning about oneself by group participants.     

Exploring the “New” Frontier of Spirituality in Health Care: Identifying the Dangers

Enthusiasm is growing in nursing and medicine for addressing spirituality and religious needs in patient care. We urge caution and stress the need for greater awareness of the dangers involved. The first danger is the lack of any attention given to how informed consent might be relevant to the topic of patient autonomy in spiritual health care decisions. The second danger is that the major health care providers, nursing and medicine, are not adequately educated to provide such care. The third danger is that we have not yet sufficiently clarified the roles of the various providers and as a consequence coordination of quality spiritual care is in jeopardy.