Reliability of the Wraparound Observation Form: An Instrument to Measure the Wraparound Process

Within the past decade, the wraparound approach has gained significant popularity in providing services to children with challenging social and family needs. While a plethora of wraparound programs have been developed and studies have been conducted to assess their effectiveness, the need to develop instruments that measure the implementation of wraparound services is clear. The purpose of the present study was to evaluate the reliability of a scale that measures wraparound services. In this study, the Wraparound Observation Form (WOF), was developed to evaluate the implementation of the wraparound process in treatment planning meetings. The WOF includes 34 closed-ended items that requires the respondent to note the occurrence or non-occurrence of specific events or behaviors at treatment planning meetings. In the present study, two data collectors attended planning meetings and independently completed the WOF. The inter-rater reliability was 95%. The WOF appears to be a reliable instrument and be appropriate in evaluating wraparound services.     

Evaluation of the Self-Report Inventory of Callous-Unemotional Traits in a Sample of Urban Middle School Students: a Multidimensional Rasch Analysis

Journal of Psychopathology and Behavioral Assessment - Callous-Unemotional (CU) traits are characterized by limited empathy, lack of guilt, and callous use of others. The Inventory of Callous...     

Inhibiting reactions to emotional versus non‐emotional response cues in schizophrenia: Insights from a motor‐process paradigm

Recent models of schizophrenia suggest deficient use of contextual response cues when confronted with countermanding emotional cues. It is important to clinically validate these models by testing patients diagnosed with schizophrenia on tasks with competing emotional and contextual response determinants. Control and schizophrenia groups completed a novel task that elicited motor responses consistent with, or in opposition to, pre‐potent emotional actions (i.e., approach vs. avoidance). An analogous non‐emotional task was also used to examine cue‐conflict impairment more generally. The groups demonstrated statistically equivalent performance decrements on incongruent versus congruent trials on both tasks. However, within the schizophrenia group, the incongruency effect was significantly greater in the emotional versus non‐emotional task. These data suggest that, while patients with schizophrenia were able to employ contextual response cues to override competing emotional responses, they were slower to resolve emotional versus non‐emotional response conflict. When patients were subdivided according to the presence or absence of disorganized symptoms, this effect was confined to patients with disorganized symptoms.     

Addressing the Supply of Psychologists in the Workforce: Is Focusing Principally on Demand Sound Economics?

The growth of the psychologist workforce offers greater human capital for delivering psychological services. Workforce expansion also may contribute to excessive services or psychologists' employment concerns. Our survey revealed that interns and Internship Directors perceive the supply and demand workforce imbalance as one of the most important problems, and possibly the most challenging problem, facing professional psychology in the next decade. Organized psychology has predominantly focused on options for approaching workforce imbalances by exploring avenues for increasing the demand for psychologists' services and broadening the scope of their professional activities. Additional attention to moderating the supply of psychologists and current training levels is perceived as an important and potentially more successful means of addressing imbalances between the workforce supply and the demand for psychologists' services. Internship directors were pessimistic about the impact of most of the resolutions of the 1997 Supply and Demand Conference in addressing workforce imbalances.     

Beyond beliefs: Challenging obsessive thoughts and compulsive behaviours within a collaborative counselling relationship

Three clients with obsessive‐compulsive disorder were studied using a multiple case study approach. Clients' experiences of cognitive‐behavioural therapy, in particular the impact of having their beliefs challenged, and their responses to self‐monitoring tasks and behavioural experiments were investigated. Data included case notes made during therapy, pre‐ and post‐therapy questionnaires, and post‐therapy semi‐structured interviews. Qualitative analysis of the data identified clients' obsessive beliefs, general negative beliefs and meta‐cognitive beliefs, and explored any post‐therapy changes in these beliefs. The results demonstrated similarities between cases in obsessive beliefs (e.g. inflated responsibility for harm), general negative beliefs (e.g. feelings of failure), meta‐cognitive beliefs (e.g. the need to control thoughts) and affect (e.g. guilt). Questionnaire data from all three clients suggested no clinically significant post‐therapy changes in general negative beliefs and meta‐cognitive beliefs. However, idiosyncratic changes in obsessive beliefs were reported during therapy and at post‐therapy interview, and clients reported improved functioning and decreased levels of distress during therapy and at interview. Responses to challenge were uniformly positive, but reactions to self‐monitoring and behavioural experiments varied across cases. The implications of these findings for the treatment of obsessive‐compulsive disorder using cognitive behavioural techniques are discussed.     

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Ohne Zusammenfassung     

Utility of personality measurement of clinic patients with insomnia

An assessment study examining the relationship between sleep quality and personality style in individuals presenting to a sleep clinic with symptoms of insomnia was conducted. The protocol entailed standard clinical interviews conducted by a board certified sleep physician and licensed clinical psychologist. Participants were then assessed using a standard interview and the Millon Clinical Multi-axial Inventory III (MCMI-III) A follow-up appointment was conducted to provide interpretation and treatment recommendations from the interview and testing data. The results from a review of 210 cases are presented in terms of their sleep quality and dominant MCMI-III patterns. Preliminary multivariate analyses indicated two common profiles that correspond to the presentation of insomnia symptomology. These clusters were termed "avoidant" and "anxious" profiles, accordingly. Item content analyses were conducted via the Noteworthy Item classification in the MCMI-III manual to determine the viability of a category determined by the authors called Sleep Behavior Preoccupation. Of this sample 17% fit into the category.     

Integration of weight and distance information in young children: The role of relational complexity

Young children's integration of weight and distance information was examined using a new methodology that combines a single-armed apparatus with functional measurement. Weight and distance values were varied factorially across the item set. Children estimated how far the beam would tilt when different numbers of weights were placed at different distances from the pivot. There was a developmental progression from non-systematic responding (3-year-olds) to responding based on a single variable, usually weight (4-year-olds) to responding based on integration of weight and distance (5-, 6- and 7-year-olds). Individual analyses revealed additive and multiplicative integration rules in children aged from 5 years. Weight–distance strategy complexity increased with age and was associated with better performance on independent measures of relational processing, especially the more complex items. Thus weight–distance integration involves processing of complex relational information. The findings enhance the explanatory power of Relational Complexity theory as a domain-general approach to cognitive development.     

Vacuuming with my mouth?: Children's ability to comprehend novel extensions of familiar verbs

Can 6- and 8-year-olds (and adults) comprehend common instrument verbs when extended to novel situations? Participants heard eight unusual extensions of common verbs and were asked to paraphrase the verbs’ meanings. Half of the verbs used were specified instrument verbs that include the name of the instrument used to perform the action (e.g., a vacuum is used to vacuum); the other half were open instrument verbs (e.g., write) whose function can be performed with a range of objects. Results suggest that children's ability to interpret verb extensions increases with age, that open instrument verb extensions were more difficult to comprehend than specified instrument verb extensions and that performance on verb extension correlates with scores on a standardized test of language acquisition. Verb knowledge continues to develop well beyond the preschool years.     

Rejection sensitivity and disruption of attention by social threat cues

Two studies tested the hypothesis that Rejection Sensitivity (RS) increases vulnerability to disruption of attention by social threat cues, as would be consistent with prior evidence that it motivates individuals to prioritize detecting and managing potential rejection at a cost to other personal and interpersonal goals. In Study 1, RS predicted disruption of ongoing goal-directed attention by social threat but not negative words in an Emotional Stroop task. In Study 2, RS predicted attentional avoidance of threatening but not pleasant faces in a Visual Probe task. Threat-avoidant attention was also associated with features of borderline personality disorder. This research extends understanding of processes by which RS contributes to a self-perpetuating cycle of interpersonal problems and distress.