Building a bridge of trust: collaborative assessment with a person with serious mental illness

Collaborative assessment utilizes psychological testing to help people make positive changes in their lives. Limited research has evaluated the utility of collaborative assessment for persons with serious mental illness. This case example uses the Personality Assessment Inventory to illustrate the usefulness of collaborative assessment with a person with serious mental illness. This approach informed not only diagnostic considerations but also revealed the client's current level of distress, contributed to enhanced therapeutic alliance, and directly pointed to psychiatric rehabilitation strategies.     

The effect of preview eccentricity in a lexical decision task

We report lexical decision experiments in which eye movements and lexical decision time were analysed. The results show that nonwords produced more fixation than words, and that the time to make a lexical decision was also greater for nonwords. Further, a preview of the stimulus was presented on some occasions either at fixation or peripherally. When the presentation was peripheral the number of refixations and lexical decision times were reduced. Parafoveal previews of words also reduced word length effects on refixations and lexical decision time. These effects decreased (for nonwords) when the case of the letters was changed in the preview. These results are compatible with the idea that the peripheral preview benefit derives from word visual structure in addition to information about word length, word envelope, and single letter identities.     

Facilitating Online Counseling: Perspectives From Counselors in Training

To address the need for research regarding online counseling, the authors explore the experiences of 4 female and 2 male Caucasian counseling students who facilitated 5 chat‐based online counseling sessions. Conducting semistructured interviews based in grounded theory methods, the authors discuss technological barriers, counseling without visual and verbal cues, online counseling techniques, counseling from home, and factors related to the pace of the sessions. They suggest that online counseling requires specific technical, ethical, and clinical considerations.     

A controlled evaluation of cognitive behavioural therapy for posttraumatic stress in motor vehicle accident survivors

Seventy-eight motor vehicle accident survivors with chronic (greater than 6 months) PTSD, or severe sub-syndromal PTSD, completed a randomized controlled comparison of cognitive behavioral therapy (CBT), supportive psychotherapy (SUPPORT), or a Wait List control condition with two detailed assessments. Scores on the CAPS showed significantly greater improvement for those in CBT in comparison to the Wait List and to the SUPPORT conditions. The SUPPORT condition in turn was superior (p=0.012) to the Wait List. Categorical diagnostic data showed the same results. An analysis of CAPS scores including drop-outs (n=98) also showed CBT to be superior to Wait List and to SUPPORT with a trend for SUPPORT to be superior to Wait List. The CBT condition led to significantly greater reductions in co-morbid major depression and GAD than the other two conditions. Results held up well at a 3-month follow-up on the two active treatment conditions.     

Two studies of psychiatric morbidity among motor vehicle accident survivors 1 year after the crash

We assessed the psychiatric co-morbidity associated with chronic posttraumatic stress disorder (PTSD) (1-2 years) secondary to personal injury motor vehicle accidents (MVAs) in two studies. In Study 1, we compared the results of SCID assessments for 75 treatment-seeking MVA survivors (51 with PTSD and 24 with symptoms but no PTSD). In Study 2, we compared similar results among 132 MVA survivors who had been followed prospectively for 12+ months after their accidents (19 with PTSD, 32 who had PTSD but who had remitted, and 81 who never met criteria for PTSD). We found comparable levels of current co-morbid major depression (53%), any mood disorder (62-68%), generalized anxiety disorder (26%) and any anxiety disorder (42%) for both groups of participants with chronic PTSD. These rates of co-morbidity were higher than those found in non-PTSD comparison groups with similar MVA histories.     

Consulting Legal Experts in the Real and Virtual World: Pimps’ and Johns’ Cultural Schemas about Strategies to Avoid Arrest and Conviction

This study addressed the cultural schemas about legal issues associated with on line solicited prostitution from those embedded in the subculture. Qualitative analysis of conversations in a specialized legal website forum, coupled with interview data from 43 pimps, revealed that participants held similar realistic cultural schemas of law enforcement’s priorities and operations, and risk reduction strategies. Evasive strategies emphasized the importance of covert communication in interactions and the use of trustworthy connections (virtual verification websites and non-traceable technology) when engaging in on-line solicited prostitution. Findings have direct implication for strategies aimed at ending demand by targeting johns and pimps.     

Using a new analysis of the best interests standard to address cultural disputes: Whose data,which values?

Clinicians sometimes disagree about how much to honor surrogates’ deeply held cultural values or traditions when they differ from those of the host country. Such a controversy arose when parents requested a cultural accommodation to let their infant die by withdrawing life saving care. While both the parents and clinicians claimed to be using the Best Interests Standard to decide what to do, they were at an impasse. This standard is analyzed into three necessary and jointly sufficient conditions and used to resolve the question of how much to accommodate cultural preferences and how to treat this infant. The extreme versions of absolutism and relativism are rejected. Properly understood, the Best Interests Standard can serve as a powerful tool in settling disputes about how to make good decisions for those who cannot decide for themselves.     

Infant attractiveness and perceived temperament in the prediction of attachment classifications

The influence of infant physical attractiveness and infant temperament on the mother-infant relationship at 12 months of age was examined. Physical attractiveness of the infant was rated by 48 adults, and infant temperament was assessed by use of the Toddler Temperament Scale, which yields indices of activity level, rhythmicity, approach, adaptability, intensity, mood, persistence, distractibility, and threshold. Mother-infant attachment was measured via the Strange Situation. Results showed that 46% of the variance in attachment classification was accounted for by five of the nine dimensions of temperament (withdrawal from new situations, high intensity of response, low distractibility, negative mood, and low threshold of response). Physical attractiveness and other dimensions of temperament did not add significant amounts of variance over and above that contributed by the first five dimensions to the prediction of attachment.     

Giving Back and Growing in Service: Investigating Spirituality,Religiosity, and Generativity in Young Adults

Generativity investigations have explored the manner by which adults derive meaning and fulfillment from their life activities (e.g., Erikson in Identity, youth, and crisis W.W. Norton & Company Inc.,NY, 1968; McAdams and Logan in American Psychological Association, 15–31, 2004). Faith and religious practice have often been central features of adult meaning making, yet the relationship between one’s spiritual identity and one’s generative concern or activities has received only limited investigation. Lesser still has been investigated examining the degree to which young adults demonstrate generative concern. The current study examined the relationship between aspects of faith (religiosity and spirituality) and generativity (concern and action). A sample of 94 undergraduates from a religiously affiliated college were recruited through door-to-door invitation and were surveyed using a new measure of religiosity (Steger and Frazier in Journal of Counseling Psychology 52(4):574–582, 2005) and two measures of generativity (Loyola Generativity Scale and Generative Behavior Checklist, McAdams et al. 1992). Support was found for a relationship between spirituality and generative concern. These findings are discussed in relation to recent demographic shifts and are compared with earlier work investigating secular spiritual trends on generativity (e.g., Dillon and Wink in The generative society American Psychological Association Press, Washington, DC, 153–174, 2004).