National attitudes towards mental health treatment: the importance of research evidence

Most conceptualizations of evidence-based practice view it as a “three legged stool” consisting of: the use of best available research evidence, clinical expertise, and client preferences. Although empirical evidence and clinical expertise have received greater empirical attention, relatively little research has systematically explored client preferences. The present study analyzed self-reported treatment preferences for various clinical and non-clinical presentations. Adult participants (n = 1262) residing in the United States were presented with diagnostic vignettes and rated their relative preferences among 5 treatment variables, including: use of an empirically supported treatment (EST), quality of the client–therapist relationship, therapist empathy, therapist experience, and client speaking for the majority of therapy sessions. Results indicated that participants endorsed significant preference for receiving an EST over other treatment variables for all clinical disorders, with effect sizes ranging from small to large depending on the diagnosis. There was slightly greater variability in treatment preferences for non-clinical issues, though participants generally reported greater preference for receiving an EST. Follow-up questions provided further evidence for EST preferences. The implications of these results are discussed.     

Achieving socially significant reductions in problem behavior following the interview‐informed synthesized contingency analysis: A summary of 25 outpatient applications

Jessel, Hanley, and Ghaemmaghami (2016) reported the results of 30 interview‐informed, synthesized contingency analyses (IISCAs) and found the IISCAs to be an effective tool for identifying the functions of problem behavior across a variety of topographies, participants, and settings. Jessel et al. did not, however, include data on the effectiveness of the corresponding treatments. In the current study, we collected and summarized 25 additional applications, from analysis to treatment, in which the IISCA was applied in an outpatient clinic. The IISCA identified various social functions of problem behavior, which informed personalized treatments of functional communication training with contingency‐based reinforcement thinning. A 90% or greater reduction in problem behavior was obtained for every participant by the end of the treatment evaluation. The assessment and treatment process was socially validated by caregivers who rated the procedures highly acceptable and helpful, and the improvement in their child's behavior highly satisfactory.     

Mindfulness as a moderator of the effect of implicit motivational self-concept on day-to-day behavioral motivation

Drawing from theories regarding the role of awareness in behavioral self-regulation, this research was designed to examine the role of mindfulness as a moderator between implicit motivation and the motivation for day-to-day behavior. We hypothesized that dispositional mindfulness (Brown and Ryan, J Pers Soc Psychol, 84, 822–848, 2003) would act to modify the expression of implicit autonomy orientation in daily behavioral motivation. Using the Implicit Association Test (Greenwald et al. J Pers Soc Psychol, 74, 1464–1480, 1998), Study 1 provided evidence for the reliability and validity of a new measure of implicit autonomy orientation. Using an experience-sampling strategy, Study 2 showed the hypothesized moderating effect, such that implicit autonomy orientation predicted day-to-day motivation only for those lower in dispositional mindfulness. Those higher in mindfulness showed more autonomously motivated behavior regardless of implicit orientation toward autonomy or heteronomy. It also showed that this moderating effect of awareness was specific to mindfulness and was primarily manifest in spontaneous behavior. Discussion focuses on the implications of these findings for dual process theory and research.

The high‐tech industry and its workers

The purpose of this article is to provide counselors, academic advisers, and career coaches with a basic understanding of the current state of the high‐technology (high‐tech) industry in the United States and the people who work in it. A profile of a high‐tech worker is presented, several high‐tech career developments are described, and selected industry trends and issues are discussed. The authors conclude by offering 5 specific ways employment counselors can help aspiring, disillusioned, and/or committed high‐tech workers manage their careers.     

Senior Service Centers: A Comparison of Affiliated and Nonaffiliated Participants

The authors divided 275 elderly volunteers into 2 groups (affiliated and non‐affiliated participants) and examined demographic, emotional, and practical issues that affect elderly people. There were significant differences between the groups on issues of loneliness, nutrition, and overall quality of life.     

Beyond Original Sin: A Paradigm Shift for the Age of Neuroscience

In this article I explore the implications of Jesus?? location of the kingdom of heaven in the lived experience of the individual and of the findings of neuroscientific research for a paradigm shift in Christian theology, one that moves us beyond the Adamic myth and belief in original sin. Support for a theological paradigm shift based on lived experience is provided by Capps (1993) and for this particular paradigm shift by Pagels (1989) and Ricoeur (2004). I point out that the doctrine of original sin supports and fosters the negativity bias of the brain and inhibits the resculpting of the brain. Drawing on Hanson??s (2009) evidence in support of the brain??s neuroplasticity (i.e., its capacity to change itself) and on Brach??s (2003) critique of the ??trance of unworthiness,?? I make the case for meditative and mindful awareness practices in Christianity and other religious traditions as proven methods for the resculpting of the brain in order that individuals may experience greater joy, contentment, and awareness of the goodness of life and of God??s creation. A longitudinal neuroscientific research study of Roman Catholic nuns (Newberg and Waldman 2009) provides evidence in support of the role of contemplative prayer and meditation in generating the joy and serenity that Jesus?? allusion to the hidden treasure envisions.