Outcomes in clients transitioning from in-person counselling to telehealth counselling with trainees

The onset of the 2020 COVID-19 pandemic necessitated a rapid transition of mental health services from in-person to telehealth counselling. Despite the far-reaching impact of this transition, we know little about the impact of this transition on outcomes for clients working with counsellor trainees. The present study utilised longitudinal data collected from a counselling training centre at a major U.S. university to compare client ratings of depression, anxiety and working alliance across 1) in-person services delivered (i.e. pre-pandemic) and 2) telehealth services delivered after the pandemic began (i.e. intra-pandemic) among the same group of clients. Results support our hypothesis that changes in clients' self-reports would be generally equivalent across in-person and telehealth services. Depression and anxiety symptoms decreased, and working alliance tended to increase during both in-person and telehealth care; however, these trends were only statistically significant during telehealth services. Limitations related to sample size (N = 15 clients; up to 17 sessions per client) and low statistical power are discussed. Nonetheless, this study supports the growing body of literature supporting the efficacy of telehealth counselling services. We provide suggestions for future telehealth research and discuss implications for counsellor training.     

Adolescents’ Change in Motivation as a Result of Buddhist Education: How Does It Make a Difference in Their Learning Outcomes?

Motivation significantly influences students’ learning outcomes. Changing their learning motivation improves their performance. This study used an exploratory sequential mixed methods approach, with the participation of 140 adolescents attending retreats at three Zen monasteries belonging to the Truc Lam (Bamboo Forest) Zen sect, to examine how they changed their motivation, what made them change, and how the change improved their learning outcomes. The study also evaluated the effect of gender and age on changes in motivation. The results indicated that many teenagers had changed from extrinsic to intrinsic motivation thanks to Dharma lessons, teacher support, and leisure activities. Compared to students who maintained their extrinsic motivation unchanged, they had better learning outcomes. Age, but not gender, had a considerable effect on changes in teenagers’ motivation. These findings provide more evidence for extending Buddhist education and conducting further research on young Buddhist learners’ motivation in various contexts.     

Basic psychological needs and neurophysiological responsiveness to decisional conflict: an event-related potential study of integrative self processes

Fulfillment of the basic psychological needs for competence, relatedness, and autonomy is believed to facilitate people’s integrative tendencies to process psychological conflicts and develop a coherent sense of self. The present study therefore used event-related potentials (ERPs) to examine the relation between need fulfillment and the amplitude of conflict negativity (CN), a neurophysiological measure of conflict during personal decision making. Participants completed a decision-making task in which they made a series of forced choices according to their personal preferences. Three types of decision-making situations were created on the basis of participants’ unique preference ratings, which were obtained prior to ERP recording: low-conflict situations (choosing between an attractive and an unattractive option), high-conflict approach-approach situations (choosing between two similarly attractive options), and high-conflict avoidance-avoidance situations (choosing between two similarly unattractive options). As expected, CN amplitudes were larger in high- relative to low-conflict situations, and source localization analyses suggested that the anterior cingulate cortex was the generating structure of the CN. Most importantly, people reporting higher need fulfillment exhibited larger CN amplitudes in avoidance–avoidance situations relative to low-conflict situations; to a lesser extent, they also exhibited larger CN amplitudes in approach–approach situations relative to low-conflict situations. By contrast, people reporting lower need fulfillment exhibited CN amplitudes that poorly discriminated the three decision situations. These results suggest that need fulfillment may promote self-coherent functioning by increasing people’s receptivity to and processing of events that challenge their abilities to make efficient, self-congruent choices.     

Anosognosia for Memory Impairment in Addiction: Insights from Neuroimaging and Neuropsychological Assessment of Metamemory

In addiction, notably Alcohol Use Disorder (AUD), patients often have a tendency to fail to acknowledge the reality of the disease and to minimize the physical, psychological, and social difficulties attendant to chronic alcohol consumption. This lack of awareness can reduce the chances of initiating and maintaining sobriety. Presented here is a model focusing on compromised awareness in individuals with AUD of mild to moderate cognitive deficits, in particular, for episodic memory impairment—the ability to learn new information, such as recent personal experiences. Early in abstinence, alcoholics can be unaware of their memory deficits and overestimate their mnemonic capacities, which can be investigated with metamemory paradigms. Relevant neuropsychological and neuroimaging results considered suggest that the alcoholics’ impairment of awareness of their attenuated memory function can be a clinical manifestation explained mechanistically by neurobiological factors, including compromise of brain systems that result in a mild form of mnemonic anosognosia. Specifically, unawareness of memory impairment in AUD may result from a lack of personal knowledge updating attributable to damage in brain regions or connections supporting conscious recollection in episodic memory. Likely candidates are posterior parietal and medial frontal regions known to be integral part of the Default Mode Network (DMN) and the insula leading to an impaired switching mechanism between the DMN and the Central-Executive Control (i.e., Lateral Prefronto-Parietal) Network. The cognitive concepts and neural substrates noted for addictive disorders may also be relevant for problems in self-identification of functional impairment resulting from injury following war-related blast, sport-related concussion, and insidiously occurring dementia.     

Does Social Capital Affect Immigrant Political Participation? Lessons from a Small-N Study of Migrant Political Participation in Rome

Social capital captures the idea that relationships hold value. While this idea has intuitive appeal, there is significant debate regarding its utility to political science research. This article employs original data collected in Rome, Italy, to test a new model that recognizes the distinction between levels of social capital and introduces the idea of conflict between these levels into the field’s current theorizing on immigrant political participation. The findings presented here lend further support for the proposed relationship between migration-related factors, such as language proficiency and length of stay and participation. The article’s main finding is that the interactions between group-level and individual-level social capital plays an important role in shaping participation. Specifically, because it reinforces group-level social capital, bonding social capital favors participation in the formal, institutionally sanctioned activity of voting, while bridging social capital—which mitigates the effect of group-level social capital—favors participation in the informal political activity, protest.     

Patterns of engagement: the relationship between efficacy beliefs and task engagement at the individual versus collective level

This study examines the relationship between efficacy beliefs and task engagement in and over time, at both the individual and collective levels. We conducted latent growth curve analyses using data from 372 university students (individual level) who were assigned to one of 79 e‐work groups (collective level). The participants carried out three collaborative tasks in a laboratory setting. Results reveal, at both levels, that the level of task engagement of participants and groups with high initial levels of efficacy beliefs remained stable, whereas the level of task engagement of participants and groups with low initial levels of efficacy beliefs decreased significantly over time. Moreover, the relationships linking the parallel constructs were functionally equivalent across levels. Theoretical and practical implications are discussed from the perspective of Bandura's social cognitive theory.     

Tool use in neurodegenerative diseases: Planning or technical reasoning?

Recent works showed that tool use can be impaired in stroke patients because of either planning or technical reasoning deficits, but these two hypotheses have not yet been compared in the field of neurodegenerative diseases. The aim of this study was to address the relationships between real tool use, mechanical problem‐solving, and planning skills in patients with Alzheimer's disease (AD, n = 32), semantic dementia (SD, n = 16), and corticobasal syndrome (CBS, n = 9). Patients were asked to select and use ten common tools, to solve three mechanical problems, and to complete the Tower of London test. Motor function and episodic memory were controlled using the Purdue Pegboard Test and the BEC96 questionnaire, respectively. A data‐transformation method was applied to avoid ceiling effects, and single‐case analysis was performed based on raw scores and completion time. All groups demonstrated either impaired or slowed tool use. Planning deficits were found only in the AD group. Mechanical problem‐solving deficits were observed only in the AD and CBS groups. Performance in the Tower of London test was the best predictor of tool use skills in the AD group, suggesting these patients had general rather than mechanical problem‐solving deficits. Episodic memory seemed to play little role in performance. Motor dysfunction tended to be associated with tool use skills in CBS patients, while tool use disorders are interpreted as a consequence of the semantic loss in SD in line with previous works. These findings may encourage caregivers to set up disease‐centred interventions.     

Effects of Bilingual Tact Instruction for a Child with Communication Disorder

We evaluated the effects of tact training when instruction was presented in English only compared to tact training in a bilingual format (in English and the home language, Portuguese) for a participant diagnosed with a communication disorder. The participant’s parents completed a questionnaire describing his exposure to both languages prior to the start of the study. We also conducted formal language assessments to determine the participant’s preexisting language abilities. An adapted alternating treatment design was used to compare the rate of acquisition in the two training conditions. Results show the participant emitted more correct responses during tact training in English than during the bilingual tact training. Generalization and maintenance of acquired tact responses for stimuli trained in the bilingual condition were greater than for stimuli trained in the English-only condition. These results are discussed with respect to implications for language-training programs for children with language delays and developmental disabilities, and we outline suggestions for future research in this area.     

Applying the SIDE model to brainwriting: The impact of intergroup comparison and anonymity on creative performance

According to the Social Identity model of Deindividuation Effects, intergroup comparison under anonymity accentuates social identity salience, potentially increasing motivation to work for one's group. The present experiment aimed to examine whether intergroup comparison and anonymity could boost creative performance in a brainwriting task. Sixty participants, randomly assigned to groups, wrote their ideas on sticky notes of the same (anonymity) or different color (individuation). To reinforce social identity salience, half the groups were told that their performance would be compared with other groups. As predicted, anonymity and intergroup comparison boosted both the number of nonredundant ideas produced by group members (fluency), and diversity of ideas pertaining to different categories (flexibility). By contrast, when social identity was not salient, anonymity led to an increase in the originality of ideas.     

Self-compassion and Students' Well-Being Among Vietnamese Students: Chain Mediation Effect of Narcissism and Anxiety

Journal of Rational-Emotive & Cognitive-Behavior Therapy - The positive psychology that increases mental health is referred to "health assets." Among those assets, self-compassion...