Ambulatory group treatment for cocaine dependent patients combining cognitive behavioral therapy and motivational interviewing

Psychological interventions in cocaine dependent patients have demonstrated efficacy. Remarkable approaches are Contingency Management (CM) and Cognitive Behavioral Therapy (CBT). Lack of treatment adherence is the most important limitation. Motivational Interview (MI) has been shown to be an adherence enhancer. The objective of this study is to evaluate retention and abstinence in a combined CM and CBT group treatment in patients who have reached maintenance stage according to Prochaska and DiClemente's transtheoretical model (1982). Therefore, a longitudinal study was carried out with cocaine dependent patients with or without concomitant mental health disease. A 12-session open group was conducted weekly. Nineteen patients were included (78.9% men, mean age 36.6 years), 95% consumed intranasally and 47% had another psychiatric comorbidity. Treatment retention was 84%. During treatment and the first month of follow-up, all patients remained abstinent whereas at three months, 3 patients relapsed. These data confirm that using combined CM and CBT group therapy in cocaine dependents undergoing maintenance treatment enhances adherence and is effective to achieve abstinence.     

Did Somebody See It? Applying the Verifiability Approach to Insurance Claim Interviews

We examined the application of the verifiability approach to insurance claim interviews. The verifiability approach states that truth tellers and liars differ from each other in terms of the number of details they give that can be verified. Eighty‐three true and false insurance claim statements, related to damage, theft, or loss, were coded in terms of ‘witnesses’ (was the incident witnessed by others) and ‘verifiability’ (the number of perceptual and contextual details provided that could be checked by the investigator). We found that the majority of liars, compared with half the truth tellers, described unwitnessed incidents. This difference between the groups allowed for the detection of liars only. Discrimination between liars and truth tellers based on the verifiability of details was not possible. The implications of these findings are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

Attention and movement execution during handwriting

Two studies were performed in order to test the hypothesis that movement execution during handwriting in skilled writers is independent of attention. Study I examined the relationship between attentional functioning and kinematic aspects of handwriting movements in 24 adult participants. A digitizing tablet was used for the assessment of handwriting movements. Participants were asked to perform a simple writing task and various components of their attention were assessed. Correlation analysis indicated no significant relationship between attention functions and both kinematic aspects of handwriting movements and quality of handwriting. In Study II, 20 participants underwent total sleep deprivation (TSD) for 24h. While attention, as assessed with alertness and vigilance tasks, deteriorated during TSD, the execution of handwriting movements, as assessed with a digitizing tablet, improved markedly. The quality of handwriting was not affected by TSD. These findings may suggest an independence between attention and movement generation during handwriting.     

Cognitive-behavioral treatment of childhood obsessive-compulsive disorder in community-based clinical practice: clinical significance and benchmarking against efficacy

Objective

To evaluate the feasibility and outcomes of evidence-based (EB) manualized, cognitive-behavioral treatment (CBT) for childhood obsessive-compulsive disorder (OCD), when delivered in an outpatient community-based specialist clinic.

Method

This study, conducted in an outpatient private clinic in South-East Queensland Australia, involved thirty-three children and adolescents with OCD. Children were assessed at pre- and post-treatment, by means of diagnostic interviews, symptom severity interviews, and self-report. Treatment involved 12 sessions CBT delivered either individually or in small groups and included parental involvement.

Results

Manualized CBT could be transported to the community setting effectively, with 63% of the current sample responding positively, based on post-treatment diagnosis. Significant change was evident across a wide-range of outcomes; including, diagnostic severity, symptom severity, child reported depression and anxiety, and both child and parent reported OCD functional impairment.

Conclusions

This study provides evidence for the transportability of manualized CBT in clinical community practice for pediatric OCD. The next important step is larger community based dissemination and effectiveness studies to advance both research and clinical practice outcomes.     

Development of Social Problem Solving in Early Childhood: Stability,Change, and Associations With Social Competence

Kindergarten and 1st-grade boys were administered social cognitive interviews in 2 consecutive years to investigate the response-generation step of N. R. Crick and K. A. Dodge's (1994) social information processing model. Boys generated responses to 4 types of hypothetical social dilemmas. Responses to these situations were primarily prosocial, with a large minority of avoidant and antisocial solutions. In general, older boys provided more effective solutions than did their younger peers, and stabilities were modest but significant for subcategories of both prosocial and antisocial responses. Boys who were accepted by their peers provided more prosocial and effective solutions than did boys of lower peer status, but no status differences emerged for antisocial responses. The data also suggest that young children view aggression as an acceptable means to solving peer conflict.     

The Mini-IPIP6: Tiny yet highly stable markers of Big Six personality

We assessed the stability of a short-form six-factor personality measure over a one-year period in a large national probability sample (N = 4289). Personality was assessed using the Mini-IPIP6—a short-form measure assessing Extraversion, Agreeableness, Conscientiousness, Neuroticism, Openness to Experience, and Honesty-Humility. Standardized estimates calculated using Bayesian Structural Equation Modelling (BSEM) indicated that all six personality dimensions were extremely stable. An alternative model using Maximum Likelihood estimation, in which residual item variances were associated over repeated assessments, yielded similar findings. These results highlight the stability of personality in the general population, even when assessed using short-form scales. The use of Bayesian models to examine the stability of personality and their application for study of change in specific developmental periods is discussed.     

Whom do children copy? Model-based biases in social learning

This review investigates the presence of young children’s model-based cultural transmission biases in social learning, arguing that such biases are adaptive and flexible. Section 1 offers five propositions regarding the presence and direction of model-based transmission biases in young children’s copying of a model. Section 2 discusses the cognitive abilities required for differing model-based biases and tracks their development in early childhood. Section 3 suggests future areas of research including considering the social aspect of model-based biases and understanding their use within a comparative perspective.     

Toward the re‐enchantment of psychotherapy: Stories as container

Abstract

Storytelling by a therapist to clients may serve to increase clients’ ability to bear pain, to increase self‐complexity, and expand clients’ senses of the allowable. A model delineating the therapeutic impact of therapist storytelling in psychotherapy is proposed. Stories may change clients’ selves so that they may accommodate traumatic experiences and internal complexity. Stories increase clients’ capacity to tolerate painful experience and therefore serve as a container of tragic life experiences. The artistry of therapeutic story selection is defined as choosing stories consonant with clients’ strengths, rather than with the nature of the trauma. The power of story‐listening to alter consciousness in pleasant ways (storystoned) increases its usefulness as an intervention that is neither anxiety provoking nor re‐traumatizing.