Couples therapy: effectiveness of treatment and long‐term follow‐up

Most couples therapy theories are developed and tested in the USA. In this clinical study, we investigated such therapies in a Swedish context. Over 300 couples were enrolled in the study of whom just under half completed the end‐of‐treatment assessment and just over 40 per cent a two‐year follow‐up. At the start, the study group displayed severe problems in marital adjustment, dyadic interactions and psychiatric symptoms. A relatively short treatment was used and 50 per cent of the couples attended less than nine sessions. Outcomes of treatment showed significant improvements in relationship matters, individual mental health and enhanced coping abilities. At long‐term follow‐up, all results remained the same and in some aspects improved for both sexes. This study confirms the effectiveness of such therapies in a Swedish context.     

The PMS Illusion: Social Cognition Maintains Social Construction

This article reports the results of a preliminary study of ways that self-serving biases contribute to the maintenance of the cultural stereotype of the premenstrual woman. Self-serving biases such as illusory optimism and the false uniqueness effect lead individuals to believe that they are better than average and less likely to have negative experiences. Thus, even though individual women’s premenstrual symptoms are mild to moderate, they accept the stereotype because they believe that other women’s symptoms are worse than their own. Participants were 92 undergraduate women from two small colleges in southern New England. They completed measures of optimism, locus of control, and premenstrual symptoms and answered a series of questions about the incidence of PMS. Participants showed a significant tendency to believe that other women’s premenstrual symptoms are worse than their own. In addition, women who were high in optimism were significantly less likely to believe that they could be diagnosed with PMS, and they had significantly lower scores on the pain and behavior change subscales of the Menstrual Distress Questionnaire than did those low in optimism.     

Gender Self‐Definition and Gender Self‐Acceptance in Women: Intersections With Feminist,Womanist, and Ethnic Identities

The author explored the relationships among women's gender identity constructs as well as the relationships of those constructs to ethnic identity. Nine of the 12 hypothesized relationships between gender self‐definition and female identity development statuses and between gender self‐acceptance and female identity development statuses were supported. Gender self‐definition and gender self‐acceptance were also both positively correlated with ethnic identity. Analyses of the Hoffman Gender Scale (R. M. Hoffman, 1996; R. M. Hoffman, L. D. Borders, & J. A. Hattie, 2000) provided additional support for its use as a measure of gender self‐definition and gender self‐acceptance.     

Eliciting Change in Maltreating Fathers: Goals, Processes, and Desired Outcomes

There has been a growing recognition of the need to provide appropriate intervention services to fathers who have been abusive in their families. This paper highlights four specific treatment goals for fathers who maltreat their children, along with therapeutic strategies necessary to accomplish desired outcomes. These goals were developed as part of the Caring Dads: Helping Fathers Value Their Children program and include: (a) developing sufficient trust and motivation to engage men in the process of examining their fathering; (b) increasing men's awareness and application of child-centered fathering; (c) increasing men's awareness of, and responsibility for, abusive and neglectful fathering, including domestic violence; and (d) rebuilding trust with their children and planning for the future. The strategies include a range of approaches, such as motivational interviewing, psychoeducation, cognitive-behavioral techniques, confrontation, and shame work. We describe each goal in terms of desired outcomes and primary therapeutic techniques used by the facilitators, and illustrate each with examples of exercises from the Caring Dads program. Implications for the training of therapists working with maltreating fathers are also highlighted.     

Disease, suffering, and sin: one Anglican's perspective.

This article explores some of the implications of understanding sin as failure of perception. The theological underpinning of the argument is the choice made in the Garden of Eden to eat the fruit of the tree of knowledge rather than the fruit of the tree of life, or wisdom. This has led to distorted perception, in which all things are seen as having separate, independent existences rather than joined together by their common divine source and their deep interrelatedness in the covenant made with God. The article discusses the fascination with the principle of respect for autonomy in the light of this theology. It also looks at perceptions of the HIV/AIDS crisis in Africa. It finishes with a definition of repentance that makes right perception possible.     

The effect of Multi Convergent Therapy on the psychopathology,mood and performance of Chronic Fatigue Syndrome patients: A preliminary study

Objectives: Multi Convergent Therapy combines approaches such as Cognitive Behaviour Therapy and Graded Exercise Therapy in an holistic treatment of Chronic Fatigue Syndrome. Initial follow‐up data showed that patients were benefiting from this individualised form of therapy. The objective of the present study was to evaluate this Multi Convergent approach, developed at a specialised Chronic Fatigue Syndrome Outpatient clinic in Cardiff, and compare it to Relaxation Therapy and control groups using multiple outcome measures. Design: Thirty‐five participants fitting the Centre for Disease Control criteria for Chronic Fatigue Syndrome were recruited from two outpatient clinics and members of our existing patient panel. Patients were assigned to Multi Convergent Therapy (N=12), Relaxation Therapy (N=14) or recruited as controls (N=9). Methods: Each patient completed a battery of mood and performance tasks along with comprehensive set of questionnaires at baseline, post‐treatment and at six‐month follow‐up. These measures had been validated in previous studies on untreated patients and matched healthy controls. Results: Patients attending the Multi Convergent Therapy clinic showed statistically significant improvements in many of our measures. Most importantly we have produced data indicating that Multi Convergent Therapy provides improvements in objective measures of psychomotor performance and cognition. Discussion: The outcomes of this small study are encouraging. Multi Convergent Therapy has not only produced results indicating significant improvements in standardised questionnaire based measures but also in objective cognitive performance tasks. The next step would be to assess Multi Convergent Therapy at the primary medical care level, with a greater number of patients to further evaluate its efficacy as a treatment for Chronic Fatigue Syndrome.     

The Norwegian version of the five factor narcissism inventory for vulnerable narcissism and the grandiose narcissism subscale of indifference: Psychometric properties of the long‐ and short‐form versions

In recent years, narcissism has been reconceptualized as a multi‐dimensional feature of human psychology. The Five Factor Narcissism Inventory (FFNI) has been proposed as a measure for two distinguishable dimensions of narcissism: Vulnerable and Grandiose (Glover, Miller, Lynam, Crego & Widiger, 2012). To investigate the role that some of these factors may have in moderating responses to cues of social exclusion, implemented in a connected laboratory experiment, we translated the subscales for Vulnerable Narcissism and the Grandiose Narcissism subscale of Indifference from English into Norwegian and included them in an online survey that was used to recruit and pre‐screen participants for the laboratory experiment. In this paper, we test the psychometric properties of these translated self‐report measures, in what amounted to be a diverse sample of the Norwegian population. We perform reliability tests and confirmatory factor analysis on the long‐ and short‐form versions of FFNI Vulnerable Narcissism and the Grandiose Narcissism subscale of Indifference. We further test the criterion validity of these measures by way of correlational analyses with other theoretically relevant measures. We conclude that the Norwegian short‐form versions of FFNI Vulnerable Narcissism and Grandiose Narcissism subscale of Indifference exhibit good psychometric properties in our data and propose that the translated scales can now be used to explore these constructs in clinical and non‐clinical populations in Norway, and can be easily adapted for use in other Scandinavian countries.     

Understanding and Incorporating God Representations Within Counseling

The religious and spiritual identity of a client may be relevant to the counseling process, and thus counselors should be prepared to integrate these components within treatment. The authors consider the assessment and exploration of God representations (i.e., God images and concepts) to understand and integrate religious and spiritual meanings within the context of a client's presenting concerns. The authors provide examples, strategies, and considerations for how to apply God representations within counseling.