Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial

In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive-behavioral treatment for insomnia for AD (CBTI-AD, n = 9) or to a behavioral placebo treatment (BPT, n = 8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent.     

The New Narcissist and Pastoral Counseling

Pastoral Psychology - For some time now, psychiatrists and psychotherapists have recognized that they are working with a new individual, one who no longer seems capable of experiencing a sense of...     

A Black Theological Response to Race-Based Medicine: Reconciliation in Minority Communities

The harm race-based medicine inflicts on minority bodies through race-based experimentation and the false solutions a race-based drug ensues within minority communities provokes concern. Such areas analyze the minority patient in a physical proxy. Though the mind and body are important entities, we cannot forget about the spirit. Healing is not just a physical practice; it includes spiritual practice. Efficient medicine includes the holistic elements of the mind, body, and spirit. Therefore, the spiritual discipline of black theology can be used as a tool to mend the harms of race-based medicine. It can be an avenue of research to further particular concerns for justice in medical care . Such theology contributes to the discussion of race-based medicine indicating the need for the voice, participation, and interdependence of minorities. Black theology can be used as a tool of healing and empowerment for health equity and awareness by exploring black theology’s response to race-based medicine, analyzing race in biblical literature, using biblical literature as a tool for minority patient empowerment, building on past and current black church health advocacy with personal leadership in health advocacy.

     

Scientist versus Practitioner–An abridged meta-analysis of the changing role of psychologists

This study investigated factors of conflicting expectations and roles of the current psychology practitioners, as well as how these factors were associated with the founding principles of the scientist-practitioner model. Data were gathered from ten published journal articles and then interpreted using an abridged meta-analysis methodology. Results revealed: (a) the scientist-practitioner model needs to adapt to survive, preferably with the aim of becoming more versatile; (b) The majority of graduate level clinical psychology training programs are based on a flawed version of the scientist-practitioner model, which renders the training inadequate and ineffective; (c) The identity of clinical psychology should remain firmly grounded in mental health care, and so not encroach on the territory of any other psychological divisions. Implications of these findings and suggestions for psychology practitioners are also discussed.     

The Promise of Neuroplasticity for Pastoral Care and Counseling

This article continues the author’s exploration of the significance of recent neuroscientific research for pastoral care and counseling Bingaman (Pastoral Psychology 60:477–489, 2011), (Pastoral Psychology, 61:411-422, 2012) by focusing on the plasticity and malleability of the human brain. It makes the case for mindfulness meditation (e.g., Centering Prayer) as a means to lower activity in the amygdala and thereby calm the stress region of the brain. In light of evidence that such mindfulness practices are more effective in reducing anxiety than is a focus on right belief or correct doctrine the case is made for a paradigmatic turn (see Bingaman 2007, pp. 102–110; Bingaman (Pastoral Psychology, 61:411–422, 2012) toward neurotheology, which seeks to understand the relationship between the brain and theology. The article concludes that the revolutionary discoveries concerning neuroplasticity challenge the field of pastoral care and counseling to recognize the ability of contemplative-meditational practices to reduce anxiety and to produce long-term, possibly permanent changes in the neural pathways of the human brain.     

Training effects on dual-task performance: are there age-related differences in plasticity of attentional control?

A number of studies have suggested that attentional control skills required to perform 2 tasks concurrently become impaired with age (A. A. Hartley, 1992; J. M. McDowd & R. J. Shaw, 2000). A. A. Hartley (2001) recently observed that the age-related differences in dual-task performance were larger when the 2 tasks required similar motor responses. The present study examined the extent to which age-related deficits in dual-task performance or time sharing--in particular, dual-task performance of 2 discrimination tasks with similar motor requirements--can be moderated by training. The results indicate that, even when the 2 tasks required similar motor responses, both older and younger adults could learn to perform the tasks faster and more accurately. Moreover, the improvement in performance generalized to new task combinations involving new stimuli. Therefore, it appears that training can substantially improve dual-task processing skills in older adults.     

Principles of forensic mental health assessment: implications for neuropsychological assessment in forensic contexts

Forensic mental health assessment (FMHA) is a form of evaluation performed by a mental health professional to provide relevant clinical and scientific data to a legal decision maker or the litigants involved in civil or criminal proceedings. Such FMHA evaluations can be further specialized when the clinical and scientific data are primarily neuropsychological. This paper provides an adaptation of 29 recently derived principles of FMHA (Heilbrun, 2001) that have been described in two forms: general guidelines for application in FMHA, and guidelines for application to neuropsychological assessment in forensic contexts. Each principle is described, and the general guideline is compared with the highly specialized neuropsychological guideline. In this way, the applicability of such FMHA principles to forensic neuropsychological assessment is described.     

Latent constructs of proximal and distal motivation predicting performance under maximum test conditions

The concept of a maximum-typical performance dimension has received theoretical and empirical support in research on the construct of job performance. The critical distinction between maximum and typical performance resides in the postulate that under maximum test conditions motivational factors will be constant and maximal. The present study challenges the notion of the maximum performance paradigm by testing the effects of proximal (self-efficacy) and distal (need for achievement) motivation on performance under maximum test conditions. The authors used a walk-through performance test to evaluate the performance of 90 employees. The structural model demonstrates significant pathways between latent measures of motivation and performance ratings. The findings confirm the explanatory power of the motivation construct under maximum test conditions.     

Self-critical perfectionism and daily affect: dispositional and situational influences on stress and coping

This study of university students (64 men and 99 women) examined both dispositional and situational influences of self-critical (SC) perfectionism on stress and coping, which explain its association with high negative affect and low positive affect. Participants completed questionnaires at the end of the day for 7 consecutive days. Structural equation modeling indicated that the relation between SC perfectionism and daily affect could be explained by several maladaptive tendencies associated with SC perfectionism (e.g., hassles, avoidant coping, low perceived social support). Multilevel modeling indicated that SC perfectionists were emotionally reactive to stressors that imply possible failure, loss of control, and criticism from others. As well, certain coping strategies (e.g., problem-focused coping) were ineffective for high-SC perfectionists relative to low-SC perfectionists.     

The benefits of being present: mindfulness and its role in psychological well-being

Mindfulness is an attribute of consciousness long believed to promote well-being. This research provides a theoretical and empirical examination of the role of mindfulness in psychological well-being. The development and psychometric properties of the dispositional Mindful Attention Awareness Scale (MAAS) are described. Correlational, quasi-experimental, and laboratory studies then show that the MAAS measures a unique quality of consciousness that is related to a variety of well-being constructs, that differentiates mindfulness practitioners from others, and that is associated with enhanced self-awareness. An experience-sampling study shows that both dispositional and state mindfulness predict self-regulated behavior and positive emotional states. Finally, a clinical intervention study with cancer patients demonstrates that increases in mindfulness over time relate to declines in mood disturbance and stress.