Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel

Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.     

Social effects on reference frame selection

Psychonomic Bulletin & Review - The presence of another person in a spatial scene has been shown to induce spontaneous perspective taking. This investigation presents two experiments exploring...     

Providers’ Perceptions and Practices Regarding <Emphasis Type="BoldItalic">BRCA1/2</Emphasis> Genetic Counseling and Testing in African American Women

We examined healthcare providers’ perceptions of genetic counseling and testing in African American women at moderate to high-risk of carrying a BRCA1/2 mutation. We conducted 20 in-depth interviews with genetic counselors (n = 5), medical oncologists (n = 8), obstetrician/gynecologists (n = 2) and surgeons (n = 5). Interviews were audiotaped, transcribed and independently coded by two individuals using a content analysis approach. Seven themes emerged relevant to providers’ perceptions of African American women’s use of BRCA1/2 genetic services: access factors, cultural beliefs and preferences, effects of testing, patient motivators for genetic counseling and testing, patient-provider communication, reasons for provider referral, and reasons for patient refusal. Providers identified individual- and system-level barriers to African American women’s use of genetic services, including lack of follow-up after referrals to genetic specialists and challenges to obtaining financial coverage for under- and uninsured high-risk women. Results have implications for physician and patient education regarding appropriate referrals to and uptake of genetic services in at-risk African American women.     

The role of encoding strategies in the verbal memory performance in patients with schizophrenia

Background. Verbal learning and memory is often compromised in patients with schizophrenia who prefer encoding words in order of their presentation (serial clustering) rather than using semantic categories (semantic clustering). Method. One hundred and four in‐patients with schizophrenia were assessed twice with the California Verbal Learning Test. Results. Patients showed significantly less semantic than serial clustering at both assessment times. Usage of encoding strategies were not stable over time. An increase in semantic clustering improved recall and recognition performance. Conclusions. Patients with schizophrenia should be taught to use the more effective encoding strategy of semantic clustering in order to improve their memory performance.     

The effect of tangible reinforcement on the learning and retention of programmed material in academically retarded children

The effect of three reinforcement conditions was determined with respect to the learning and retention of a commercially available program purporting to teach simple nouns. The addition of candy reward to a novel method of presenting knowledge of results produced no change in performance when given on a continuous schedule, but reduced rate of responding when given on a partial schedule, i.e., only terninal frames.     

Comparison of DSM-III-R chronic major depression and major depression superimposed on dysthymia (double depression): validity of the distinction

The nosology of chronic depression has become increasingly complex since the publication of the revised third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R; American Psychiatric Association, 1987), but there are few data available to evaluate the validity of the distinctions between the subtypes of chronic depression. The validity of the distinction between DSM-III-R chronic major depression (CMD) and major depression superimposed on dysthymia (double depression, DD) was examined. Participants were 635 patients with chronic depression in a 12-week trial of antidepressant medications. Patients with CMD, DD, and a 3rd group with a chronic major depressive episode superimposed on dysthymia (DD/CMD) were compared on demographic and clinical characteristics, family history, and response to treatment. Few differences were evident, although the depression of patients with DD/CMD tended to be more severe.     

The time course of orthographic and phonological code activation

The present study used event-related potentials (ERPs) to examine the time course of orthographic and phonological priming in the masked priming paradigm. Participants monitored visual target words for occasional animal names, and ERPs to nonanimal critical items were recorded. These critical items were preceded by different types of primes: Orthographic priming was examined using transposed-letter (TL) primes (e.g., barin-BRAIN) and their controls (e.g., bosin-BRAIN); phonological priming was examined using pseudohomophone primes (e.g., brane-BRAIN) and their controls (e.g., brant-BRAIN). Both manipulations modulated the N250 ERP component, which is hypothesized to reflect sublexical processing during visual word recognition. Orthographic (TL) priming and phonological (pseudohomophone) priming were found to have distinct topographical distributions and different timing, with orthographic effects arising earlier than phonological effects.     

In genes we trust: the biological component of psychological essentialism and its relationship to mechanisms of motivated social cognition

Three studies analyzed the biological component of psychological essentialism (laypeople's belief that social categories have an underlying nature/natural foundation) as it pertains to mechanisms of motivated social cognition. A new scale assessing the belief in genetic determinism is introduced as a measure of the biological component of essentialism. Results speak to the reliability and validity of the scale and show that essentialist beliefs are associated with basic social-cognitive motives and are also related to processes of stereotyping and prejudice. An experimental study found that rendering essentialist information salient elicits increased levels of prejudice and in-group bias, particularly in persons holding chronic essentialist beliefs.     

Contingency experiences of 3-month-old children and their relation to later developmental achievements

In this study, the authors investigated the relation between early social contingency experiences and infants' competencies to detect nonsocial contingencies. In this study of 87 three-month-old infants, the authors operationalized early social contingencies as prompt, contingent maternal responses and coded microanalytically on the basis of video-recorded mother-infant interactions. The authors assessed competence to detect nonsocial contingencies by 2 methods: (a) the mobile conjugate reinforcement paradigm, which focuses on detecting contingencies between the infants' actions (kicking) and nonsocial consequences (mobile moving) and (b) the visual expectation paradigm, which focuses on detecting contingencies between 1 event (a smiley face projected on a screen) that was followed by a 2nd event (a complex picture projected on the other side of the screen). The results showed that early social contingencies are related to the competency to detect nonsocial action-consequence contingencies in the mobile conjugate reinforcement paradigm.     

Ethical issues surrounding human participants research using the Internet

The Internet appears to offer psychologists doing research unrestricted access to infinite amounts and types of data. However, the ethical issues surrounding the use of data and data collection methods are challenging research review boards at many institutions. This article illuminates some of the obstacles facing researchers who wish to take advantage of the Internet's flexibility. The applications of the APA ethical codes for conducting research on human participants on the Internet are reviewed. The principle of beneficence, as well as privacy and confidentiality, informed consent, deception, and avoiding harm are all illustrated through the use of a hypothetical online study.