Effectiveness of Dialectical Behavior Therapy in a Community Mental Health Center

Dialectical behavior therapy (DBT) has been shown to be effective in randomized controlled trials with women with borderline personality disorder and histories of chronic self-inflicted injury including suicide attempts. The present study is a pre-post replication of a comprehensive DBT program in a community mental health center for individuals who chronically injure themselves and/or have experienced multiple treatment failures. Twenty-four subjects were given the Treatment History Interview to obtain information regarding medically treated self-inflicted injuries and the use of crisis services. After 1 year of treatment, DBT showed a significant reduction in the number and severity of self-inflicted injuries, psychiatric-related emergency room visits, psychiatric inpatient admissions and days, and the number of crisis treatment systems engaged. Results are compared to benchmarks from 3 other clinical trials of DBT. While this pre-post comparison has threats to internal validity, it supports the feasibility of DBT when fully implemented in a community mental health clinic.     

Investigating the dynamics of affect: Psychological mechanisms of affective habituation to pleasurable stimuli

Affective habituation (i.e., reductions in stimulus-evoked affective reactions as a result of previous exposure) may serve a functional purpose. However, little is know about the psychological mechanisms underlying this process. To elucidate the characteristics of affective habituation, two experiments that examined affective reactions to repeated exposures of pleasurable stimuli were conducted. Results of these experiments indicated that habituation trajectories are characterized by linear decreases in affect. Results also demonstrated that habituation can be slowed by the introduction of novel stimuli (i.e., “novelty effects”), effects that are dimensional (rather than taxonic) in nature. Experiment 2 demonstrated that habituation is mediated by conceptual rather than perceptual processes. Depressed and anhedonic individuals were not more susceptible to habituation in either experiment. The current findings and previous theorizing suggest that habituation may be an important component of an adaptive affective processing system that promotes effective responses to salient stimuli and prevents compulsive reward-seeking behavior.

"Lost in a shopping mall" -- a breach of professional ethics

The "lost in a shopping mall" study has been cited to support claims that psychotherapists can implant memories of false autobiographical information of childhood trauma in their patients. The mall study originated in 1991 as 5 pilot experiments involving 3 children and 2 adult participants. The University of Washington Human Subjects Committee granted approval for the mall study on August 10, 1992. The preliminary results with the 5 pilot subjects were announced 4 days laters. An analysis of the mall study shows that beyond the external misrepresentions, internal scientific methodological errors cast doubt on the validity of the claims that have been attributed to the mall study within scholarly and legal arenas. The minimal involvement -- or, in some cases, negative impact -- of collegial consultation, acadmic supervision, and peer review throughout the evolution of the mall study are reviewed.     

Challenging gender stereotypes: Theory of mind and peer group dynamics

To investigate the social cognitive skills related to challenging gender stereotypes, children (N = 61, 3–6 years) evaluated a peer who challenged gender stereotypic norms held by the peer's group. Participants with false belief theory of mind (FB ToM) competence were more likely than participants who did not have FB ToM to expect a peer to challenge the group's stereotypes and propose that the group engage in a non‐stereotypic activity. Further, participants with FB ToM rated challenging the peer group more positively. Participants without FB ToM did not differentiate between their own and the group's evaluation of challenges to the group's stereotypic norms, but those with ToM competence asserted that they would be more supportive of challenging the group norm than would the peer group. Results reveal the importance of social‐cognitive competencies for recognizing the legitimacy of challenging stereotypes, and for understanding one's own and other group perspectives.     

Seat Belt Attitudes, Habits, and Behaviors: An Adaptive Amendment to the Fishbein Model

One hundred thirty-four introductory psychology students participatcd in a longitudinal study of seat belt usage. The model of Fishbein and Ajzen was tested, as was the construct of habit within this context. Multiple regression analyses supported the basic Fishhein and Ajzen model predictions. Attitudes and subjective norms predicted intentions, which in turn predicted behavior. Furthermore, habit predicted behavior better than intention. The following nonspurious relationships were observed in cross-lagged panel correlation tests: influence from subjective norm to intention, influence from intention to attitude, influcnce from attitude to subjective norm, influence from behavior to habit, and, of course, influence from attitude to behavior. Discussion included further consideration of the Fishbein and Ajzen model, social adaptation theory, and implications for seat belt usage.     

Predicting psychological responses to influenza A, H1N1 ("swine flu"): the role of illness perceptions

Previous research on H1N1 ("Swine flu") has demonstrated that although the public reported concern about H1N1, knowledge levels were low, as were reports of behavioural changes aimed at minimising the spread of H1N1. The current study had two main aims; (i) to ascertain levels of state anxiety and knowledge about H1N1, and (ii) to examine if illness perceptions predict anxiety about H1N1, perceived risk of contracting H1N1, and knowledge about H1N1. The study was cross-sectional in design, and involved 235 participants (100 males, 135 females, mean age 22.48 years) completing self-report measures of knowledge, anxiety, and perceived risk about H1N1, and illness perceptions (BIPQ). Analyses revealed low levels of knowledge about H1N1, 37.4% of participants could not identify any of the causes of H1N1. Correlation and multiple regression analyses demonstrated that illness perceptions were associated with responses to H1N1, with negative illness perceptions predicting state anxiety (β?=?0.498, p?相似文献   

The influence of culture on disaster mental health and psychosocial support interventions in Southeast Asia

Southeast Asia (SEA), which has borne the brunt of some of the most severe natural disasters in the past decade, has unfortunately, been largely under-represented in the world literature on disaster mental health. This article describes cultural factors that may inform the design and conduct of disaster-related mental health psychosocial support (MHPSS) interventions. Specifically, it discusses cultural nuances in emotional expression, shame, power distance, collectivism, and spiritual beliefs and their implications on providing post-disaster psychosocial interventions. It describes the MHPSS interventions implemented in the region using the Johns Hopkins Perspectives Model of Disaster Mental Health categories of resistance, resilience and recovery. Given the challenges on the delivery of MHPSS, there is a need for evidence-based interventions and to ensure that disaster responders in SEA understand the cultural factors that impact the delivery of MHPSS interventions.     

The Integration of Family and Group Therapy as an Alternative to Juvenile Incarceration: A Quasi‐Experimental Evaluation Using Parenting with Love and Limits

The current study employed a quasi‐experimental design using both intent‐to‐treat and protocol adherence analysis of 155 moderate‐ to high‐risk juvenile offenders to evaluate the effectiveness of Parenting with Love and Limits® (PLL), an integrative group and family therapy approach. Youth completing PLL had significantly lower rates of recidivism than the comparison group. Parents also reported statistically significant improvements in youth behavior. Lengths of service were also significantly shorter for the treatment sample than the matched comparison group by an average of 4 months. This study contributes to the literature by suggesting that intensive community‐based combined family and group treatment is effective in curbing recidivism among high‐risk juveniles.     

Developmental Intergroup Theory: Explaining and Reducing Children's Social Stereotyping and Prejudice

ABSTRACT— Social stereotyping and prejudice are intriguing phenomena from the standpoint of theory and, in addition, constitute pressing societal problems. Because stereotyping and prejudice emerge in early childhood, developmental research on causal mechanisms is critical for understanding and controlling stereotyping and prejudice. Such work forms the basis of a new theoretical model, developmental intergroup theory (DIT), which addresses the causal ingredients of stereotyping and prejudice. The work suggests that biases may be largely under environmental control and thus might be shaped via educational, social, and legal policies.     

On the high intelligence and cognitive achievements of Jews in Britain

A number of studies in the United States have found that Jews obtain higher average IQs than white gentiles. This paper examines whether this is also the case in Britain. Three early studies are summarized that found that Jews in Britain have mean IQs in the range of 110–113. New data are presented for two nationally representative samples of 7–16 year olds in which Jews had mean IQs of 108.5 and 107.7. Taking all five studies into account, it is proposed that the best reading of the IQ of Jews in Britain is 110. It is proposed that the best reading of the IQ of Jews in the United States is 109.5. Data are presented for the numbers of Jewish Fellows of the Royal Society in relation to their proportion in the population. It is found that Jews were over-represented by a factor of 3.7 in the years 1901 through 1940 and by a factor of 7.6 in the years 1950 through 2003. Data are also presented for the numbers Jewish Nobel prize-winners in Britain and the United States for 1901 through 2003. It is shown that Jews are over-represented among Nobel prize-winners by a factor of 8.0 in Britain and 12.3 in the United States. It is proposed that the over-representation of Jews among Nobel prize-winners can be partly explained by the higher average Jewish IQ.