An Integrative Brief Treatment Approach for Obsessive-Compulsive Disorder

This article reports on the integrated application of cognitive therapy, transactional analysis techniques, and the behavioral technique of response prevention using self-instructional training and behavioral substitution in a brief therapy approach. These methods were applied in the case of a young man who presented with compulsions to perform repetitive and ordering rituals with the belief that it would prevent his girlfriend from becoming pregnant. A 21-year-old white male who had performed 3 to 5 hours of rituals daily for several years was able to eliminate the majority of his compulsive behaviors and reduce his level of anxiety after eight clinical therapy sessions. Results were maintained at 6-month follow-up. The clear precipitating factors and the unusual maintaining variables for the disorder in the client are described. The author discusses the case in light of current theoretical, therapeutic, and biomedical understandings of the disorder.     

Parental Perceptions of Child Development Among Low-Income Mexican American Families

Parents' perceptions of child development are influenced by complex interactions among cultural, social, and economic factors. Insights into how parents from culturally diverse societies perceive the development of their children might explain why different cultural groups foster or value the development of different skills in their children. In this study, we explored the perceptions of child development among low income Mexican American parents. A series of ethnographic interviews were conducted with eight Mexican American families who had preschool children. Qualitative data analyses yielded three main themes that were important to these parents: family attitudes and values, changes, and adaptations. For these parents, the development of social attributes in children, that will enable them to function within their own cultural group, was as important as the development of cognitive or motor skills. Service providers, such as school and mental health personnel, should take into account cultural differences in parents' perceptions of the importance of various developmental milestones for their children when suggesting interventions typically used by parents in the dominant culture.     

Two investigations of “female modesty” in achievement situations

Two experiments examined motivations underlying the common finding that females present themselves more modestly than males in achievement situations. In Study 1, 388 first-year college students, primarily European-Americans, predicted their first semester grade point averages (GPAs) in one of 3 public and 2 private conditions, which varied the salience of modesty concerns and/or concerns about the others' feelings. In the public conditions combined, but not in the private conditions, women's predictions were lower than men's, although there were no gender differences in actual GPA. The public condition in which the others' feelings and modesty concerns were made salient accounted for this difference between men and women. In Study 2, 230 first-year college students predicted their first-semester GPAs in private, in public to a “nonvulnerable” other, or in public to a “vulnerable” other (someone who supposedly had earned a low GPA). Women's estimates were lower than men's in the latter condition only and lower than their estimates in the other conditions. These results suggest that relational motivations, rather than a simple lack of self-confidence or modesty alone, are a factor in gender differences in self-presentation of achievement.     

ALTERING SHOPPERS' SUPERMARKET PURCHASES TO FIT NUTRITIONAL GUIDELINES: AN INTERACTIVE INFORMATION SYSTEM

This study reports the results of one effort to help supermarket shoppers alter food purchases to make purchases (and meals) that are lower in fat and higher in fiber. A prototype interactive information system using instructional video programs, feedback on purchases with specific goals for change, weekly programs, and the ability to track user interactions and intended purchases was evaluated. The major dependent measure was users' actual food purchases as derived from participants' highly detailed supermarket receipts. After a 5- to 7-week baseline phase, participants were randomly assigned to an experimental or control condition for the 7- to 8-week intervention phase. A follow-up phase began 5 to 8 weeks after participants completed the intervention and discontinued use of the system. The results indicated that experimental participants, when compared to control participants, decreased high fat purchases and increased high fiber purchases during intervention, with evidence for some maintenance of effect in follow-up. Plans for increasing the use and impact of the system are discussed.     

Who enrolls in prevention trials? Discordance in perception of risk by professionals and participants

Internal and external validity problems permeate all intervention studies but are accentuated in primary preventive intervention research, particularly when studies target or recruit individuals based on their risk for psychopathology. Since many people who are at risk do not yet experience distress, they may not perceive the need for intervention. Recruitment tactics based on explaining extent of risk are unlikely to be persuasive and may have negative consequences. If respondents are not motivated to participate, a small or biased subset of the target population will participate in the intervention. Bias is of special concern when those enrolled represent only part of the continuum of risk. Selective enrollment may compromise both internal validity (the interpretation of the research results) and external validity (the generalizability of the findings) of intervention trials in primary prevention. This article discusses the effects of partial enrollment and the resultant bias. It suggests several strategies for increasing the enrollment of the target population and examines some of their ethical ramifications. It also stresses the importance of collecting systematic data documenting how the participants in the intervention differ from the target group as a whole.     

Spirituality and creative leisure

The following article examines creation-centered spirituality and leisure approaches to a way of life which gives healing and wholeness to individuals. Rather than limiting spirituality to mystics and saints, a wholistic spirituality based on the goodness of creation affirms the creativity in every person. Creative leisure is viewed as a necessary component of a spirituality which provides the basis for wholeness in humans. Not only the necessity of creative leisure for a vital Christian life for both laity and clergy but also its importance, particularly for those called to be ministers, is emphasized in the following essay.Gwen Laurie Wright, Ed.D. is a consultant in Spiritual Development.     

Goal setting in acquisition of a volleyball skill late in motor learning

To examine the effects of different types of goal setting on motor skill acquisition during advanced stages of learning. 44 female volleyball players were tested in four experimental training groups with generic goals, specific long-term goals, specific short-term goals, and as a control group. This study's pretest, training, and retention test phases used performance of a volleyball dig/forearm pass oriented to a target. Analyses yielded no significant differences among groups, although performance increased from pre- to retention test.