Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial

This study further evaluates the efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP). A diagnostically heterogeneous clinical sample of 37 patients with a principal anxiety disorder diagnosis was enrolled in a randomized controlled trial (RCT) involving up to 18 sessions of treatment and a 6-month follow-up period. Patients were randomly assigned to receive either immediate treatment with the UP (n=26) or delayed treatment, following a 16-week wait-list control period (WLC; n=11). The UP resulted in significant improvement on measures of clinical severity, general symptoms of depression and anxiety, levels of negative and positive affect, and a measure of symptom interference in daily functioning across diagnoses. In comparison, participants in the WLC condition exhibited little to no change following the 16-week wait-list period. The effects of UP treatment were maintained over the 6-month follow-up period. Results from this RCT provide additional evidence for the efficacy of the UP in the treatment of anxiety and comorbid depressive disorders, and provide additional support for a transdiagnostic approach to the treatment of emotional disorders.     

Political Humiliation and Conversion

In this article, I explore political humiliation and its relation to conversion, as seen in the autobiographies of Malcolm X and Martin Luther King. In brief, I argue that before and during the time that Martin Luther King and Malcolm X lived, political structures, laws, policies, and programs gave rise to and supported social behaviors and communications of the dominant group that were aimed at humiliating a subjugated, marginalized group—African-Americans. These experiences of political humiliation served to motivate Malcolm X and Martin Luther King to make changes in their religious commitments and attitudes. I argue further that their conversions, while different in a number of ways, cannot simply be understood as religious acts. Rather, their conversions represent political-religious acts that involved a turning away from the individual and social political subjugation to acts of political resistance against the pervasive barrage of humiliations at the hands of whites. Their political-religious acts of resistance also included a redemptive telos, which was a quest for a present and future political, social, and religious realization of human dignity and freedom.     

Malcolm X’s Conversions: The Interplay of Political and Religious Subjectivities

In this article, I offer a way of thinking about the interplay of political and religious subjectivities in persons’ conversion experiences or faith journeys. More particularly, I contend that a person’s political and religious experiences interact such that political experiences and ideas shape the person’s religious values and beliefs, and vice versa. Malcolm X’s story is used to illustrate this interplay of subjectivities vis-à-vis the varied changes or conversions in his life. The major point here is that the richness and depth of change in Malcolm X’s life (and other figures) are better grasped when we take into account the dynamic intersection of the political and religious.     

The effect of local kinematic changes on anticipation judgments

Skilled tennis players rely on a more global than local perceptual strategy when anticipating an opponent’s shot direction in tennis (Williams, Huys, Cañal-Bruland, & Hagemann, 2009). Global perceptual strategy refers to the pick-up of dynamic information across different body areas rather than from a single source such as the arm or racket. We extend previous work by examining the spatiotemporal characteristics of visual information pick-up when anticipating shot direction in tennis. We perturbed information from various body locations by interchanging the dynamics of selected areas with those from strokes played to the opposite side of the court. In addition, we presented each manipulation under four different temporal occlusion conditions (from 240 ms prior to racket-ball contact) to examine the time course of information extraction. Skilled tennis players outperformed less skilled counterparts in predicting shot direction, even at early phases of the opponent’s motion. Moreover, skilled players showed significant decrements in performance when the arms and racket were perturbed, highlighting the relevance of distal information when anticipating opponents’ intentions.     

Do proposed facial expressions of contempt, shame, embarrassment, and compassion communicate the predicted emotion?

Shame, embarrassment, compassion, and contempt have been considered candidates for the status of basic emotions on the grounds that each has a recognisable facial expression. In two studies (N=88, N=60) on recognition of these four facial expressions, observers showed moderate agreement on the predicted emotion when assessed with forced choice (58%; 42%), but low agreement when assessed with free labelling (18%; 16%). Thus, even though some observers endorsed the predicted emotion when it was presented in a list, over 80% spontaneously interpreted these faces in a way other than the predicted emotion.     

African American Women’s Limited Knowledge and Experiences with Genetic Counseling for Hereditary Breast Cancer

Genetic counseling and testing for hereditary breast cancer have the potential benefit of early detection and early interventions in African American women. However, African American women have low use of these services compared to White women. We conducted two focus groups with African American women diagnosed with breast cancer (affected group, n?=?13) and women with at least one first-degree relative with breast/ovarian cancer (unaffected group, n?=?8). A content analysis approach was employed to analyze interview data. Breast cancer survivors had more knowledge about genetic counseling and testing than participants who were unaffected with cancer. However, knowledge about genetic counseling was limited in both groups. Barriers to pursuing genetic counseling and testing included poor understanding of the genetic counseling and testing process, fear of carrying the mutation, concerns about discrimination, and cost. Motivators to participate in genetic counseling and testing included desire to help family members, insurance coverage, and potential of benefiting the larger African American community. Education efforts are needed to increase genetic counseling and testing awareness in the African American community.     

An Assessment of Time Involved in Pre-test Case Review and Counseling for a Whole Genome Sequencing Clinical Research Program

Whole genome sequencing (WGS) is being used for evaluation of individuals with undiagnosed disease of suspected genetic origin. Implementing WGS into clinical practice will place an increased burden upon care teams with regard to pre-test patient education and counseling about results. To quantitate the time needed for appropriate pre-test evaluation of participants in WGS testing, we documented the time spent by our clinical research group on various activities related to program preparation, participant screening, and consent prior to WGS. Participants were children or young adults with autism, intellectual or developmental disability, and/or congenital anomalies, who have remained undiagnosed despite previous evaluation, and their biologic parents. Results showed that significant time was spent in securing allocation of clinical research space to counsel participants and families, and in acquisition and review of participant’s medical records. Pre-enrollment chart review identified two individuals with existing diagnoses resulting in savings of $30,000 for the genome sequencing alone, as well as saving hours of personnel time for genome interpretation and communication of WGS results. New WGS programs should plan for costs associated with additional pre-test administrative planning and patient evaluation time that will be required to provide high quality care.     

Preliminary investigation of the Kitchen Picture Test (KPT): A new screening test of practical judgment for older adults

Judgment is widely recognized as an important executive function, and deficits in judgment can lead to health risks, safety concerns, and hospitalizations. Surprisingly, relatively few tests of judgment have been developed specifically for older adults—a population particularly vulnerable to executive and functional declines. The Kitchen Picture Test (KPT) is a new screening measure of practical judgment. In two independent studies (Study 1, N = 99 nursing home patients; Study 2, N = 163 nursing home and assisted living patients), psychometric analyses confirmed strong evidence for reliability, construct validity, and predictive validity. A receiver operating characteristic (ROC) curve was calculated from sensitivity and 1-specificity values for diagnoses of dementia versus no dementia. A KPT cut score can be used for identifying persons to be referred to appropriate health-care professionals who have specific expertise in the evaluation and treatment of cognitive impairment.     

ABA and ABC Renewal during Ongoing Omission Training

The Psychological Record - Renewal is one form of behavioral relapse in which a previously reduced response reemerges following a contextual change. Renewal is prevalent during clinical...