Gender role typing,the superwoman ideal,and the potential for eating disorders

The interactive effects of gender role typing and adherence to a superwoman ideal (desiring to excel in many diverse roles) on the potential for disordered eating were examined among a nonclinical sample of women. Results indicated that both masculine and feminine gender-typed women who strongly adhered to a superwoman ideal were at greater risk for eating disorders than androgynous superwomen. In contrast, androgynous superwomen had relatively low potential for disordered eating and appeared comparable to women who, regardless of gender typing, rejected the superwoman ideal. Women undifferentiated with regard to gender type, whether superwomen or not, also had reduced potential for disordered eating. Findings are discussed with regard to gender role socialization and expectations, and the implications for mediating the potential for eating disorders are considered.     

Predictive testing for HD: maximizing patient autonomy

In "The Ethical Justification for Minimal Paternalism in the Use of the Predictive Test for Huntington's Disease," David DeGrazia attempts to provide a rational analysis of the exclusion criteria and counseling requirements for predictive testing proposed by the Huntington's Disease Society of America (HDSA). The need for analysis is clear. These protocols and procedures for predictive testing for Huntington's disease (HD) are being used as models for testing programs for any number of genetic conditions. DeGrazia concludes that the HDSA guidelines are reasonable, a conclusion with which I agree. However, I believe that DeGrazia, by placing his analysis within the framework of autonomy versus paternalism, overlooks both the fundamental rationale for the testing procedures and the true barriers to testing....The difficulties encountered during the testing process clearly demonstrated the failure of abstract principles to deal with real life.     

Assessment of delusional beliefs during the modification of delusional verbalizations

This study examined the strength of delusional beliefs during the modification of delusional verbalizations of a 51 year-old chronically mentally ill inpatient. The changing-criterion design was used to document the effectiveness of a behavioral treatment package to alter the rate of delusional responses to personal background questions. The results revealed a stepwise decline in the frequency of delusional responses. Generalization effects to novel interviewers were obtained. No changes were obtained on the subject's ratings of delusional beliefs, with the subject assigning ratings of absolute conviction to his beliefs throughout the duration of the study.     

Holland's theory: Stability of avocational interests

The generality and stability of Holland's vocational choice model was tested by examining preference for avocational (leisure) activity. Based on their responses to the Strong Vocational Interest Blank, college students were placed into one of the six Holland groups. They also indicated preferred leisure activities on questionnaires that were administered at a 9-year interval. Six hypotheses were developed relating Holland groups to particular types of avocational behavior. For example, it was predicted that the Artistic group would be more active in cultural affairs and that the Enterprising group would prefer reading political and economic magazines. The initial test of these hypotheses during late adolescence confirmed five of the six predictions. A follow-up 9 years later confirmed all six hypotheses. These results provide some support for the notion that individuals self-select a variety of situations. Also, the relationships between Holland scales and leisure activity and possible implications for the vocational choice model are discussed.     

Book reviews

Hamilton, Vernon and Veronon, Magdalen D. (Eds). The Development of Cognitive Processes. London and New York: Academic Press. 1976. Pp. 772. £21.00. ISBN 0 12 321750 4.

Miller, G. A, and Johnson-Laird, P. N. Language and Perception. Cambridge University Press. 1976. Pp. viii + 760. £12.50. ISBN 0 521 21242.

Neisser, U. Cognition and Reality. San Francisco: Freeman. 1976. pp. 230. Hardback $11.00; paperback $4.95. ISBN 0 7167 04781.

Norman, D. A. Memory and Attention. Second edition. New York: Wiley. 1976. Pp. 262. £8.45.

Hammond, K. R. and Joyce, C. R. B. (eds). Psychoactive Drugs and Social Judgment: Theory and Research. New York and London: Wiley. 1975. Pp. 278. £9.25. ISBN

Fodor, J. D. Semantics : Theories of Meaning in Generative Grammer. Sussex: Harvester Press. 1977. Pp. 225. £12.95. ISBN 0 85527 500 6.

Plomp, R. Aspects of Tone Sensation. London: Academic Press. 1976. Pp. id + 167. £6.50. ISBN 0 12 558350 8.

Fite, K. V. The Amphibian Visual System. London: Academic Press. 1977. Pp. 374. £20.95. ISBN 0 12 257450 8.

Eliot, J. and Salkind, N. J. Children's Spatial Development. Springfield, Illinois: Charles C. Thomas. 1975. $23.50. Pp. 296. ISBN 0398 03210 6.

Wong, R. Motiviation : A Biobehavioral Analysis of consummatory Activities. London: Collier-Macmillan. 1976. Pp. 326. £ 4.95. ISBN 0 0242 9400 4.     

Nonsuicidal Self-injury,Suicide Planning,and Suicide Attempts Among High-risk Adolescents Prior to Psychiatric Hospitalization

Research on Child and Adolescent Psychopathology - The purpose of this study was to understand the trajectories of nonsuicidal self-injury (NSSI) and suicide plans (SP) in the 90 days...     

Risk–need–responsivity and its application in behavioral health settings: A feasibility study of a treatment planning support tool

The risk–need–responsivity (RNR) model suggests several key practices for justice‐involved populations under correctional supervision. Behavioral health treatment planning aligned with RNR principles for offender populations with co‐occurring mental health and substance use disorders (CODs) could be one method for integrating RNR into clinical care. To explore a unique approach to working with behavioral health and RNR principles, the authors implemented a mixed‐methods feasibility study of the acceptability, usability, and utility of a newly developed RNR treatment planning support tool (RNR TST). The tool was implemented in a re‐entry program serving adults with co‐occurring mental health and opioid use disorders. Chart reviews of RNR TSTs (N = 55) and a focus group (N = 14 re‐entry clinical staff) were conducted. Ninety‐six percent of the RNR TSTs incorporated the use of a validated risk–need assessment and 70% of the RNR TSTs were semi‐complete to complete. Focus group interviews highlighted behavioral health staff perspectives on the acceptability, usability, and utility of the RNR TST. This novel RNR TST has the potential to assist behavioral health providers in integrating RNR principles into treatment planning. Further development and testing are needed to determine its impact on client care and outcomes.     

A Safety and Coping Planning Intervention for Suicidal Adolescents in Acute Psychiatric Care

Transitioning from an acute psychiatric care setting to a less restrictive environment after a suicidal event is arguably the most critical period of suicide risk for adolescents, making comprehensive safety and coping plans for this population ever more critical. In this paper we provide theoretical and empirical rationale for the need for developmental adaptations to current safety planning procedures for suicidal adolescents, as well as the standardization of pediatric safety plans for broader use across settings that provide acute psychiatric care to adolescents. We describe how we developed the Adolescent Safety and Coping Plan (ASCP) using qualitative in-depth interviews with 20 adolescents and their parents, explain the specific components of the ASCP, and give a case example of the ASCP being used with a young adolescent and her parents. Finally, we conclude with a discussion of the barriers and facilitators of the use of the ASCP in settings that provide acute psychiatric care, as well as the need for future research to test the ASCP with diverse adolescent and family populations and settings.     

Parent–Child Relationships and the COVID-19 Pandemic: An Exploratory Qualitative Study with Parents in Early,Middle, and Late Adulthood

The impact of the COVID-19 pandemic on families is currently unknown. Parents and children have experienced a variety of changes as public health interventions have been implemented to slow the spread of the virus. The current exploratory qualitative study recruited parents (n?=?365) in early (ages 20–34), middle (ages 35–64), and late (ages 65 and older) adulthood to understand how the early weeks of the pandemic influenced their parent–child relationships. Participants completed an online survey between March 21 and 31, 2020. Three themes emerged through qualitative content analysis: (1) relational steadiness, (2) navigating COVID-19 challenges in relationships, and (3) relational enhancement.

     

The Nature of Client Agency Prior to Therapy: A Qualitative Study on Clients’ Narratives

Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.