Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data

The Unified Protocol (UP) is a transdiagnostic, emotion-focused cognitive-behavioral treatment developed to be applicable across the emotional disorders. The UP consists of 4 core modules: increasing emotional awareness, facilitating flexibility in appraisals, identifying and preventing behavioral and emotional avoidance, and situational and interoceptive exposure to emotion cues. Here we present data from 2 open clinical trials. In the first trial, an initial version of the UP was administered to a heterogeneous clinical sample, yielding significant pre- to posttreatment effects across disorders on a variety of measures. Analyses of clinical significance demonstrated modest results, with 56% of participants achieving responder status and 33% achieving high end-state functioning. Further manual development ensued, resulting in specific modifications and enhancements to core treatment components, and a second trial presents data from an additional pilot study of this revised version of the UP. Results from this trial demonstrated more robust treatment effects, with 73% achieving responder status and 60% achieving high end-state functioning. Results improved further at 6-month follow-up, with 85% classified as treatment responders and 69% achieving high end-state functioning. Implications for the treatment of emotional disorders as well as dimensional conceptualizations of psychopathology are discussed.     

Two‐year‐olds are vigilant of others’ non‐verbal cues to credibility

Data from three experiments provide the first evidence that children, at least as young as age two, are vigilant of others’ non‐verbal cues to credibility, and flexibly use these cues to facilitate learning. Experiment 1 revealed that 2‐ and 3‐year‐olds prefer to learn about objects from someone who appears, through non‐verbal cues, to be confident in performing actions on those objects than from someone who appears uncertain when performing actions on those objects. Experiment 2 revealed that when 2‐year‐olds observe only one model perform a single action, either confidently or unconfidently, they do not use the model’s level of confidence in this single instance to influence their learning. Experiment 3 revealed that 2‐year‐olds will use a single model’s level of confidence to guide their learning if they have observed that the model has a history of being either consistently confident or consistently uncertain. These findings reveal that young children selectively alter their learning based on others’ non‐verbal cues of credibility, and underscore the importance of an early sensitivity to socio‐cognitive cues for human learning and development.     

Differential Genetic and Environmental Influences on Reactive and Proactive Aggression in Children

While significant heritability for childhood aggression has been claimed, it is not known whether there are differential genetic and environmental contributions to proactive and reactive forms of aggression in children. This study quantifies genetic and environmental contributions to these two forms of aggression in an ethnically diverse urban sample of 9–10 year old twins (N = 1219), and compares results across different informants (child self-report, mother, and teacher ratings) using the Reactive–Proactive Aggression Questionnaire (RPQ). Confirmatory factor analysis of RPQ items indicated a significant and strong fit for a two-factor proactive–reactive model which was significantly superior to a one-factor model and which replicated across gender as well as the three informant sources. Males scored significantly higher than females on both self-report reactive and proactive aggression, findings that replicated on mother and teacher versions of the RPQ. Asian–Americans scored lower than most ethnic groups on reactive aggression yet were equivalent to Caucasians on proactive aggression. African–Americans scored higher than other ethnic groups on all measures of aggression except caregiver reports. Heritable influences were found for both forms of aggression across informants, but while boys’ self-reports revealed genetic influences on proactive (50%) and reactive (38%) aggression, shared and non-shared environmental influences almost entirely accounted for girls’ self-report reactive and proactive aggression. Although genetic correlations between reactive and proactive aggression were significant across informants, there was evidence that the genetic correlation was less than unity in boys self reported aggression, indicating that genetic factors differ for proactive and reactive aggression. These findings provide the first evidence for varying genetic and environmental etiologies for reactive and proactive aggression across gender, and provide additional support for distinction between these two forms of aggression.     

Children's false memory and true disclosure in the face of repeated questions

The current study was designed to investigate children's memory and suggestibility for events differing in valence (positive or negative) and veracity (true or false). A total of 82 3- and 5-year-olds were asked repeated questions about true and false events, either in a grouped order (i.e., all questions about a certain event asked consecutively) or in a nongrouped order (i.e., questions about a certain event were interspersed with questions about other events). Interviewer gender was also varied. Individual differences, including attachment style, inhibition, and behavioral adjustment, were examined as potential predictors of memory and suggestibility. Results revealed significant age, valence, and veracity effects on children's memory reports. Path analysis demonstrated that individual differences in behavioral problems and inhibitory ability predicted children's provision of inaccurate information. Implications for psychological theory and legal application are discussed.     

RPE at relative intensities after 12 weeks of resistance-exercise training by older adults

The constant-RPE tracking model monitors progress over the course of exercise training. During aerobic exercise, prior work using this model has demonstrated similar relative intensities pre- and posttraining, while the absolute workload increases posttraining. However, the prediction equation associated with these changes has not been examined during resistance training. 22 men and 27 women (M age 64 yr.) participated in a 12-wk. resistance training. Orientation determined resistances associated with RPEs of 4, 5-6, 7-8, and 9 on the OMNI-Resistance Exercise Scale for each of seven exercises for each participant. Individuals trained 3 days a week for 12 wk. Linear regression was used to calculate percent of 1-repetition maximum (%1-RM) at RPE 4, 6, and 8 for the exercises. Paired sample t tests, comparing pre- and posttraining %1-RMs at each RPE, indicated that posttraining %1-RMs were higher for RPE 4 and 6 for each exercise, while at RPE 8, results were significant for only 3 exercises. Thus for at least the RPE 4 and 6, the constant RPE tracking model is appropriate for resistance exercise; however, the equation of prediction appears to differ from that for aerobic exercise. Development of a new prediction equation may be necessary to track relative strength in older adults.     

Sorai and the will oftian

Conclusion My purpose has been more negative than positive. That is, I have challenged the view that Sorai understoodtian as an intentional agent. At minimum, Sorai’s philosophical views do not depend upon such a conception oftian, and he refrains from characterizingtian in such terms when he discusses the concept oftian directly. However, I do not claim to have proven that Sorai’s view oftian was completely naturalistic, or even that Sorai did not—at some level—believe thattian had intentions. I have, I hope, shown thatthe case that Sorai viewedtian as intentional has not been convincingly made. Further, something closer to a dynamic and indeterminate naturalistic view is a reasonable alternative. On my reading, Sorai steers a course between the Song Confucian view oftian as static and knowable (a view that he explicitly rejects) and a view oftian as intentional (a view he never unequivocally expresses)—indeed, he rejects the idea of personifyingtian. When Sorai speaks of thexin or “mind”of tian, he is best understood as employing a metaphor that implies complexity, mystery, activity, and perhaps moral structure, but not intentionality in the normal sense. The complexity, indeterminacy, and dynamism oftian, as these are expressed in Sorai’s writings, do not necessarily imply willful intent on the part oftian, for they are all consistent with the Xunzian interpretation oftian as a natural process, even iftian’s regularities have a moral character.     

Quality child care supports the achievement of low-income children: Direct and indirect pathways through caregiving and the home environment

Existing studies of child care have not been able to determine whether higher quality child care protects children from the effects of poverty, whether poverty and lower quality child care operate as dual risk factors, or whether both are true. The objective of the current study was to test two pathways through which child care may serve as a naturally occurring intervention for low-income children: a direct pathway through child care quality to child outcomes, and an indirect pathway through improvements in the home environment. Children were observed in their homes and child care settings at 6, 15, 24, and 36 months. An interaction between family income-to-needs ratio and child care quality predicted School Readiness, Receptive Language, and Expressive Language, as well as improvements in the home environment. Children from low-income families profited from observed learning supports in the form of sensitive care and stimulation of cognitive development, and their parents profited from unobserved informal and formal parent supports. Policy implications are discussed.