Intrusive memories and depression in cancer patients

Matched samples of depressed and nondepressed cancer patients were interviewed about past life events, particularly experiences of death and illness. They identified and described any spontaneous intrusive visual memories they had experienced in the past week corresponding to these events. About one quarter reported such memories and, as predicted, the majority of intrusive memories concerned illness, injury and death. The mean levels of intrusion and avoidance were equivalent to patients with post-traumatic stress disorder. Consistent with prediction, depressed patients reported significantly more intrusive memories than controls, and described the memories as typically beginning with or being exacerbated by the onset of depression. Greater numbers of intrusive memories were associated with more maladaptive coping, and greater avoidance with deficits in autobiographical memory functioning.     

Intimacy and computer communication

The relationship between intimacy and communication which uses computer technology is addressed. Definitions of intimacy are considered, and the nature of intimate conversations which use computers as a communications medium are discussed. Implications for counselling are examined.     

Globalising counselling: humanistic counselling in Kenya

This paper explores the application of a Western, psychologically-based model of counselling and counselling training in contexts where the social and cultural conditions differ from mainstream Western societies. A group of Kenyan trainee counsellors following such a course are interviewed about their experience of training. The interview data are analysed to provide a tentative answer to the question of the appropriateness in a Kenyan cultural milieu of a humanistic counselling training model developed in the UK. It is concluded that such application is possible and desirable, if it is undertaken as shared and respectful learning between trainers and trainees.     

Lifeline in der Narrativen Expositionstherapie

The biographical memory of patients with trauma spectrum disorders is often shattered. Survivors cannot voluntarily access memories. Sometimes in survivors of severe and complex trauma whole life periods seem lost, avoidance sets in, the autobiography is sketchy, seems strange and ego-alien. The lifeline tool in Narrative Exposure Therapy (NET) is an effective first step towards discussing the traumatic material. The lifeline in NET displays the emotional highlights of the person’s life in a symbolic way. Looking at one’s autobiography from an allocentric perspective can serve as a controlled contact to the fragmented memories. This is then followed by a well-directed imaginal exposure from which a chronological narrative emerges. Laying out the lifeline at the end of the NET treatment enables the person to perceive the gestalt of the course of life.     

Psychological Predictors of Neurobehavioral Symptoms in a Polytrauma Veteran Sample

Given the high prevalence of comorbid conditions found in polytrauma settings, effective screening measures are needed. Several screening tools are commonly used in polytrauma clinics within the Department of Veterans Affairs (VA). This study examined the use of three screening measures—the Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and PTSD Checklist–Civilian Version (PCL-C)—to predict scores on the Neurobehavioral Symptom Inventory (NSI). Research suggests that the presence of mental health conditions, such as PTSD, shares a significant amount of variance with postconcussive symptoms. The investigators hypothesized that the PCL-C would be the best predictor of scores on the NSI. All subjects were administered the screening measures as part of an evaluation in an outpatient Level III polytrauma clinic. Regression analysis was used to determine which instrument might serve as the best predictor of NSI total scores. Regression analysis revealed that BAI, BDI-II, and PCL-C total scores were good predictors of NSI total scores, with the BAI accounting for the majority of the variance. Mental health conditions can account for higher scores on the NSI, and screening of other mental health conditions should be taken into account when reviewing the NSI for individuals in polytrauma settings.     

Efficacy and Social Validity of a Class-Wide Interdependent Group Contingency to Decrease Between-Class Transition Durations

Journal of Behavioral Education - The time students spend actively engaged with instruction is positively correlated with their academic achievement (Dotterer and Lowe in J Youth Adolesc...     

Generality of the practical functional assessment and skill‐based treatment among individuals with autism and mental health disorders

A practical functional assessment format was recently developed that informed a skill‐based treatment for the problem behavior of children diagnosed with autism spectrum disorder. Since its inception there have been multiple replications of the procedures; however, the comprehensive model has rarely been applied to populations with more complex comorbid disorders and severe problem behavior such as those diagnosed with anxiety or depression. We conducted the current study to systematically replicate the entire practical functional assessment and skill‐based treatment model with two participants diagnosed with multiple mental health disorders admitted to a severe behavior outpatient unit. The practical functional assessment identified reinforcers that were provided contingent on increasingly complex forms of communication. Problem behavior remained low for both participants after reinforcement was thinned by increasing a response requirement of completing difficult tasks. Furthermore, the results were socially validated by the parents and teachers and the treatment was extended to the home setting.     

Construal level moderates a local dominance effect of appearance comparisons in undergraduate women

Body image concerns are pervasive within university environments. In this study, we suggest that high rates of body image concerns among undergraduate women may be due, in part, to a local dominance effect of appearance comparisons. That is, undergraduate women may increasingly make upward social comparisons with a predominantly thin and fit student population, rather than downward or lateral social comparisons with the size-diverse global population. The present research tested for and found evidence of this local dominance effect in Study 1 (N = 50), and tested a construal level manipulation as a moderating factor in Study 2 (N = 421). Results suggest that a concrete mindset leads to a local dominance effect, such that self-evaluations are influenced more by local comparisons than global; however, an abstract mindset appeared to mitigate the harmful effects of appearance comparisons. This research provides preliminary evidence that construal manipulations may serve as an intervention strategy to include in body image interventions in university settings.     

Integrating Internal Family Systems and Solutions Focused Brief Therapy to Treat Survivors of Sexual Trauma

In a recent study 56% of women and 37% of men were survivors of childhood sexual abuse. These individuals who experience sexual trauma may experience depression, anxiety, post-traumatic stress disorder (PTSD) or substance use disorders (Devlin et al., in Fam J 27(4):359–365, 2019). While there are several treatment approaches specifically developed to target trauma and its effects, (e.g., trauma focused cognitive behavioral therapy, and eye movement desensitization and reprocessing) we propose that integrating internal family systems therapy (IFS) and solution focused brief therapy (SFBT) offers a brief, systemic way to improve family relationship patterns in families where one member has experienced sexual trauma. A case vignette is used to show the integration of these two approaches.