Race,religion and a cat in the clinical hour

Racial and religious identities are complex, often mired in dynamics of ‘othering’. Such dynamics easily become a means of distancing the pain, fear and rage of intergenerational traumas, thus undermining ways race and religion can be powerful vehicles for the transference and countertransference. Drawing from a history of race in America as well as Jung's anxiety when meeting the stranger within himself, this paper focuses on 17 years of work between a black female patient and white female clinician (me). Together we encountered themes of hatred, silence, guilt and intimacy in the transference and countertransference, themes eventually symbolized by the presence of my cat which was locked into the bathroom for each session. This cat came to represent a bridge through developmental traumas and wounds of racism.     

A Closer Look at the Yardstick: A New Discount Rate Measure with Precision and Range

In intertemporal choice research, choice tasks (i.e., choosing between $80 today and $100 in a year) are often used to elicit a discount rate. The discount rate derived from a choice task, however, is largely restricted by the granularities and ranges of the questions asked. We examined this restriction in three popular discount rate measurements using simulations and experiments, and we propose an alternative procedure (Three‐option Adaptive Discount rate measure (ToAD)), which is capable of measuring a wide range of discount rates (from approximately .035% to 350 000% annual percentage rate) with high precision using 10 questions, in under a minute. ToAD can be easily implemented in online surveys (i.e., Qualtrics). Copyright © 2015 John Wiley & Sons, Ltd.     

Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination.

BACKGROUND: Risk perceptions are central to many health behavior theories. However, the relationship between risk perceptions and behavior, muddied by instances of inappropriate assessment and analysis, often looks weak. METHOD: A meta-analysis of eligible studies assessing the bivariate association between adult vaccination and perceived likelihood, susceptibility, or severity was conducted. RESULTS: Thirty-four studies met inclusion criteria (N = 15,988). Risk likelihood (pooled r = .26), susceptibility (pooled r = .24), and severity (pooled r = .16) significantly predicted vaccination behavior. The risk perception-behavior relationship was larger for studies that were prospective, had higher quality risk measures, or had unskewed risk or behavior measures. CONCLUSIONS: The consistent relationships between risk perceptions and behavior, larger than suggested by prior meta-analyses, suggest that risk perceptions are rightly placed as core concepts in theories of health behavior.     

Implementation of DBT-Informed Therapy at a Rural University Training Clinic: A Case Study

University training clinics offer state-of-the-art treatment opportunities for clients, particularly for underserved and underinsured client populations. Little has been published regarding the implementation of Dialectical Behavior Therapy (DBT) in settings such as a university training clinic, which may face challenges in utilizing such a comprehensive treatment. This single-case study describes the application of a DBT-informed treatment with a female BPD client, highlighting how the modifications made can ease implementation in a rural university training clinic. Data collected from DBT diary cards document minimal time demands required for the use of between session-coaching, along with clinically meaningful changes in suicidality and misery ratings, and effective DBT skill use. A discussion of the unique components and contributions of this case to informing potential DBT modifications within university clinics are presented.     

Planning and control of sequential rapid aiming in adults with Parkinson's disease

Eight people with Parkinson's disease (PD), 8 age-matched older adults, and 8 young adults executed 3-dimensional rapid aiming movements to 1, 3, 5, and 7 targets. Reaction time, flight time, and time after peak velocity to the 1st target indicated that both neurologically healthy groups implemented a plan on the basis of anticipation of upcoming targets, whereas the PD group did not. One suggested reason for the PD group's deficiency in anticipatory control is the greater variability in their initial force impulse. Although the PD group scaled peak velocity and time to peak velocity similarly to the other groups, their coefficients of variation were greater, making consistent prediction of the movement outcome difficult and thus making it less advantageous to plan too far in advance. A 2nd finding was that the PD group exhibited increased slowing in time after peak velocity in the final segments of the longest sequence, whereas the other 2 groups did not. The increased slowing could be the result of a different movement strategy, increased difficulty modulating the agonist and antagonist muscle groups later in the sequence, or both. The authors conclude that people with PD use more segmented planning and control strategies than do neurologically healthy older and young adults when executing movement sequences and that the locus of increased bradykinesia in longer sequences is in the deceleration phase of movement.     

The combined effects of risk and time on choice: Does uncertainty eliminate the immediacy effect? Does delay eliminate the certainty effect?

Researchers have noted parallels between decisions under uncertainty and over time. Three experiments evaluated the theory that uncertainty and time affect choice via a common underlying dimension, such that delaying an outcome is equivalent to making it uncertain. To test this account we asked whether adding uncertainty to outcomes would eliminate the immediacy effect bias. We also asked whether adding time delay to outcomes would eliminate the certainty effect bias. The answer to both questions was yes, provided the prospects were presented singly rather than jointly. In single evaluation uncertainly eliminated the immediacy effect and delay eliminated one form of the certainty effect, while in joint evaluation, these effects did not occur. These findings suggest that at least in some contexts decision makers may equate risk and delay. Other explanations are possible, however, demonstrating that the interaction between risk and delay is complex and not easily understood.     

Instructional set and internet use by low-income adults.

This research examined the effects of instructional set on Internet use by low-income adults during a 16-month longitudinal study. Participants (n = 117) received instructions that focused on either the Internet's communication tools or its information tools. Internet use was continuously and automatically recorded. Survey measures of computer and Internet experiences, affect and attitudes were obtained to examine their mediational role in the relationship between instructional set and Internet use. Results indicated that instructions focused on the Internet's information tools led to greater Internet use than instructions focused on its communication tools or only basic instructions about how to use the Internet. Implications for reducing the digital divide are discussed.     

Perspective taking and prejudice reduction: the mediational role of empathy arousal and situational attributions

This research was designed to examine whether perspective taking promotes improved intergroup attitudes regardless of the extent that stereotypic perceptions of outgroups are endorsed, as well as examining the mechanisms (attributional or empathy related) by which perspective taking motivates improved intergroup attitudes. Participants were presented with an interview segment where an African American interviewee discussed the difficulties experienced as a result of his membership in a negatively stereotyped group. Materials were presented in a 2 (perspective taking: other focused or objective focused) × 2 (target stereotypicality: confirming or disconfirming) between participants design. Findings revealed that the manipulation of target stereotypicality influenced subsequent stereotype endorsement; those exposed to a stereotype confirming target later endorsed more stereotypic perceptions of African Americans than did those exposed to a stereotype disconfirming target. However, perspective taking promoted improved intergroup attitudes irrespective of stereotypicality; those encouraged to adopt the perspective of the target later reported more favourable intergroup attitudes than did those who remained detached and objective listeners. Whereas empathy partially mediated the relation between perspective taking and intergroup attitudes, situational attributions were a stronger and more reliable mediator. Copyright © 2003 John Wiley & Sons, Ltd.