Adapting Group Therapy to Address Real World Problems: Insights from Groups Offered in the Bahamas

This article presents a cultural adaptation of a group therapeutic approach that is being offered in the Bahamas. “The Family: People Helping People” project was designed as an intervention to improve socialization in New Providence, the Bahamian capital and its most heavily populated city. “The Family” group model offers support and training to improve communication in relationships and to encourage constructive emotional expression. This article will provide an overview of “The Family,” address key elements of this approach that are culturally tailored, and offer clinical examples and note implications for group therapy training. This cultural adaptation offers helpful insights for addressing community problems, such as violence and societal fragmentation, and may inform the development of community-based group interventions in other settings.     

Enhanced Cognitive Behavior Therapy: A Single Treatment for All Eating Disorders

Eating disorders are serious mental illnesses affecting a significant proportion of women and a smaller number of men. Approximately half of those with an eating disorder (ED) will not meet the criteria for anorexia or bulimia nervosa, and will be diagnosed with an eating disorder not otherwise specified (EDNOS). Until recently, there were no recommended treatments for EDNOS. This article provides an overview of enhanced cognitive behavior therapy, a validated treatment for all forms of EDs.     

Parent Participation Within Community Center or In-Home Outreach Delivery Models of the Early Risers Conduct Problems Prevention Program

A variety of predictors of parent participation in prevention programming have been identified in past research, but few studies have investigated how those predictors may vary by implementation context. Patterns of parent participation were examined in the Early Risers Conduct Problems Prevention Program using two family-focused service delivery models: a community center model (Center) and an in-home outreach-based model (Outreach). An ethnically diverse sample of Kindergarten through second grade students (n = 246) displaying elevated levels of aggression were recruited for the study and randomly assigned to either the Center (n = 121) or Outreach (n = 125) models. In both delivery models, participants and their families completed an assortment of baseline measures and received family skills and child skills intervention components and family- and school-based case management. Parents in the Center model demonstrated greater overall participation in family-focused components of the intervention. Parent motivation with parent-focused expectancies for the intervention represented the strongest predictor of parent participation across both delivery models. Family income differentially predicted parent participation across the two models, with low income predicting greater participation in the Center model and lower participation in the Outreach model. A qualitative finding emerged showing that parents receiving parent skills in the Center model via groups preferred to learn skills related to facilitating overall family relationships, whereas parents receiving parent skills via individual Outreach meetings preferred to improve a child’s behavior and emotion skills. Implications are discussed for the design of prevention programming in order to maximize parent participation in high risk populations.     

Electrophysiological evidence of different loci for case-mixing and word frequency effects in visual word recognition

Do word frequency and case mixing affect different processing stages in visual word recognition? Some studies of online reading have suggested that word frequency affects an earlier, perceptual-encoding stage and that case mixing affects a later, central decision stage (e.g., Reingold, Yang, & Rayner, Journal of Experimental Psychology: Human Perception and Performance 36:1677-1683 2010); others have suggested otherwise (e.g., Allen, Smith, Lien, Grabbe, & Murphy, Journal of Experimental Psychology: Human Perception and Performance 31:713-721 2005; Besner & McCann, 1987). To determine the locus of the word frequency and case-mixing effects, we manipulated word frequency (high vs. low) and case type (consistent lower case vs. mixing case) in a lexical-decision paradigm. We measured two event-related-potential components: the N170 (an early peak occurring 140-240 ms after stimulus onset, related to structural encoding) and the P3 (a late peak occurring 400-600 ms after stimulus onset, related to stimulus categorization). The critical finding was that the N170 amplitude was sensitive to case mixing, but the P3 amplitude was sensitive to word frequency and lexicality. These results suggest that case mixing affects an earlier processing stage than does word frequency, at least with respect to lexical-decision processes.     

Geometric orientation by humans: angles weigh in

Human participants were trained to navigate to two geometrically equivalent corners of a parallelogram-shaped virtual environment. The unique shape of the environment combined three distinct types of geometric information that could be used in combination or in isolation to orient and locate the goals: the angular amplitudes of the corners, the relative wall length relationships, and the principal axis of symmetry. In testing, participants were placed in manipulated versions of the training environment that tested which types of geometry they had encoded and how angular information weighed in against the other two geometric properties. The test environments were (a) a rectangular environment that removed the angular information, (b) a rhombic environment that removed wall length information and drastically reduced the principal axis, and (c) a reverse-parallelogram-shaped environment that placed angular information against both wall length and principal axis information. Participants chose accurately in the rectangular and rhombus environments, despite the removal of one of the cues. In the conflict test, participants preferred corners with the correct angular amplitudes over corners that were correct according to both wall length relationships and the principal axis. These results are comparable to recent findings with pigeons and suggest that angles are a salient orientation cue for humans.     

Authenticity as meaning validation: An empirical investigation of iconic and indexical cues in a context of “green” products

Authenticity judgments involve how individuals distinguish what appears to be real versus fake, genuine versus phony. In this investigation, we bring authenticity into the laboratory to assess it in a manner quite different from most extant approaches. Taking a Peircian semiotic view in a context of environmentally conscious consumption, we develop and test a set of hypotheses concerning the effects of indexical and iconic cues to an authentic “green” product meaning. Results suggest that effects of these indicators of authenticity can be induced in a controlled manner with products being assessed as more or less “green” on the basis of particular cue arrangements. Furthermore, the effectiveness of these semiotic cues is moderated by a basic distinction among products. Taken together, the results provide evidence supporting a meaning validation process as the basis of authenticity judgments and suggest new directions for theory building in a domain where there is substantial practitioner interest. Copyright © 2012 John Wiley & Sons, Ltd.     

Synthesizing single-case studies: A Monte Carlo examination of a three-level meta-analytic model

Numerous ways to meta-analyze single-case data have been proposed in the literature; however, consensus has not been reached on the most appropriate method. One method that has been proposed involves multilevel modeling. For this study, we used Monte Carlo methods to examine the appropriateness of Van den Noortgate and Onghena's (2008) raw-data multilevel modeling approach for the meta-analysis of single-case data. Specifically, we examined the fixed effects (e.g., the overall average treatment effect) and the variance components (e.g., the between-person within-study variance in the treatment effect) in a three-level multilevel model (repeated observations nested within individuals, nested within studies). More specifically, bias of the point estimates, confidence interval coverage rates, and interval widths were examined as a function of the number of primary studies per meta-analysis, the modal number of participants per primary study, the modal series length per primary study, the level of autocorrelation, and the variances of the error terms. The degree to which the findings of this study are supportive of using Van den Noortgate and Onghena's (2008) raw-data multilevel modeling approach to meta-analyzing single-case data depends on the particular parameter of interest. Estimates of the average treatment effect tended to be unbiased and produced confidence intervals that tended to overcover, but did come close to the nominal level as Level-3 sample size increased. Conversely, estimates of the variance in the treatment effect tended to be biased, and the confidence intervals for those estimates were inaccurate.     

Evidence for the Effectiveness of an Alternative Multisource Performance Rating Methodology

Despite persistent concerns as to the quality of performance information obtained from multisource performance ratings (MSPRs), little research has sought ways to improve the psychometric properties of MSPRs. Borrowing from past methodologies designed to improve performance ratings, we present a new method of presenting items in MSPRs, frame‐of‐reference scales (FORS), and test the efficacy of this method in a field and lab study. The field study used confirmatory factor analysis to compare the FORS to traditional rating scales and revealed that FORS are associated with increased variance due to dimensions, decreased overlap among dimensions, and decreased error. The laboratory study compared rating accuracy associated with FORS relative to frame‐of‐reference training (FORT) and a control group and demonstrated that FORS are associated with higher levels of accuracy than the control group and similar levels of accuracy as FORT. Implications for the design and implementation of FORS are discussed.     

Negative effects of item repetition on source memory

In the present study, we explored how item repetition affects source memory for new item-feature associations (picture-location or picture-color). We presented line drawings varying numbers of times in Phase 1. In Phase 2, each drawing was presented once with a critical new feature. In Phase 3, we tested memory for the new source feature of each item from Phase 2. Experiments 1 and 2 demonstrated and replicated the negative effects of item repetition on incidental source memory. Prior item repetition also had a negative effect on source memory when different source dimensions were used in Phases 1 and 2 (Experiment 3) and when participants were explicitly instructed to learn source information in Phase 2 (Experiments 4 and 5). Importantly, when the order between Phases 1 and 2 was reversed, such that item repetition occurred after the encoding of critical item-source combinations, item repetition no longer affected source memory (Experiment 6). Overall, our findings did not support predictions based on item predifferentiation, within-dimension source interference, or general interference from multiple traces of an item. Rather, the findings were consistent with the idea that prior item repetition reduces attention to subsequent presentations of the item, decreasing the likelihood that critical item-source associations will be encoded.     

Is the Positive Illusory Bias Illusory? Examining Discrepant Self-Perceptions of Competence in Girls with ADHD

It has been claimed that excessively positive self-perceptions of competence are a key risk factor for concurrent and subsequent impairments in youth with attention-deficit/ hyperactivity disorder (ADHD). We examined whether girls with ADHD demonstrate positive illusory self-perceptions in scholastic competence, social acceptance, and behavioral conduct domains. We then tested, across a five-year longitudinal span, whether (a) such self-perceptions versus (b) the constituent informant ratings or test scores were more strongly predictive of adolescent impairment and positive adjustment. Participants included an ethnically diverse sample of 140 girls with ADHD and 88 comparison girls, aged 6-12 at baseline (M?=?9.0, SD?=?1.7). Girls with ADHD rated themselves as more positive than indicated by external ratings, but these self-reports were still in a negative direction (comparison girls rated themselves as less positive than these indicators). ADHD subtypes were not related to discrepancy scores. Higher rates of depression symptoms were associated with attenuated discrepancy scores. Crucially, measures of actual competence were more strongly associated with adolescent impairment and positive adjustment than were "illusory" self-perceptions for girls with ADHD. Our findings challenge the view that, at least in girls with ADHD, overly positive and "illusory" appraisals of competence are strongly associated with future impairment and adjustment. The key psychometric point is that, in difference or discrepancy scores, the individual components of such scores should be separately examined.