Where's the Action? Understanding What Works and Why in Relationship Education

The field of couples relationship education has come to a critical junction. We have generally demonstrated that our interventions work (at least in the short run) but to what extent have we shown that the skills and processes we teach are in fact responsible for the success of the intervention? In this paper we review progress made in understanding mechanisms of change in relationship education, explore limitations of this body of research, explicate the barriers that interfere with progress in understanding mechanisms of change in intervention research, and present recommendations on how to proceed from here. Although our goal in this paper is to focus more on issues in the field rather than to present a comprehensive review of the literature, we provide overarching research summaries to illustrate some of our points. We conclude with offering recommendations for the next generation of research in the couples relationship education field.     

Passive coping response to depressive symptoms among low-income homebound older adults: Does it affect depression severity and treatment outcome?

Due to their homebound state, lack of financial resources, and/or other life demands, a significant proportion of depressed, low-income homebound older adults experience depression. Because of their limited access to psychotherapy, most of these older adults self-manage their depressive symptoms. The purposes of this study were to examine (1) the relationship between homebound older adults' coping responses to depressed mood and the severity of their depressive symptoms at baseline (n = 121), and (2) the moderating effect of passive coping responses on the relationship between participation in problem-solving therapy (PST: in-person or telehealth delivery) and depressive symptoms at 12- and 24-week follow-ups. Controlling for the effects of demographic and disability characteristics, cognitive passive coping was significantly associated with baseline depressive symptoms, while behavioral passive coping was not. The main effect of baseline cognitive passive coping response was also significant in mixed-effects regression analysis, but the interaction between coping pattern and group was not significant. The results point to a possibility that cognitive passive copers may have benefited as much from PST as the rest of the PST participants. Further research needs to examine the moderating effect of coping responses to depressive symptoms on treatment efficacy of PST and other psychosocial interventions for late-life depression.     

Disagreement and causal learning: Others' hypotheses affect children's evaluations of evidence

When children evaluate evidence and make causal inferences, they are sensitive to the social context in which data are generated. This study investigated whether children learn more from evidence generated by an agent who agrees with them or from one who disagrees with them. Children in two age groups (5- and 6-year-olds and 9- and 10-year-olds) observed the functioning of a machine that lit up and played music in the presence of certain objects. After endorsing one of two plausible causal hypotheses, children observed a puppet either agree or disagree with their own hypotheses. The puppet then generated a further piece of evidence that confirmed, disconfirmed, or was neutral with respect to the children's hypotheses. When they were later asked to make causal inferences about objects they did not directly observe, children in both age groups responded differentially to identical evidence depending on whether the agent agreed or disagreed, and they often drew stronger inferences in response to disagreement. In addition, older children were particularly sensitive to disagreement when the evidence was ambiguous. Our results suggest that children consider the relationship between their own and others' hypotheses when evaluating evidence that others generate. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Working with Low-income Families: Lessons Learned from Basic and Applied Research on Coping with Poverty-related Stress

Poverty and low socioeconomic status create tremendous amounts of physical and psychosocial stress that compromise health and well-being. This paper explores how the stressors created, exacerbated, and maintained by living in poverty lead to compromised mental health, and at the same time present significant challenges to participating in and benefitting from traditional psychotherapy. This paper summarizes the strong research evidence supporting the causal role of poverty-related stress in contributing to mental (and physical) health problems, discusses the physiology that underlies this process and how it affects clients’ ability to make use of psychotherapy, and presents recommendations for incorporating a multi-faceted approach to coping in clinical work with low-income clients and families. Addressing the pernicious effects of economic stress with a multi-step approach to effective coping can serve to prepare low-income clients to better engage in and get the most out of psychotherapy.     

Prolonged exposure therapy for combat-related posttraumatic stress disorder: comparing outcomes for veterans of different wars

There is significant support for exposure therapy as an effective treatment for posttraumatic stress disorder (PTSD) across a variety of populations, including veterans; however, there is little empirical information regarding how veterans of different war theaters respond to exposure therapy. Accordingly, questions remain regarding therapy effectiveness for treatment of PTSD for veterans of different eras. Such questions have important implications for the dissemination of evidence based treatments, treatment development, and policy. The current study compared treatment outcomes across 112 veterans of the Vietnam War, the first Persian Gulf War, and the wars in Afghanistan and Iraq. All subjects were diagnosed with PTSD and enrolled in prolonged exposure (PE) treatment. Veterans from all three groups showed significant improvement in PTSD symptoms, with veterans from Vietnam and Afghanistan/Iraq responding similarly to treatment. Persian Gulf veterans did not respond to treatment at the same rate or to the same degree as veterans from the other two eras. Questions and issues regarding the effectiveness of evidence based treatment for veterans from different eras are discussed.     

Mental rotation: An event-related potential study with a validated mental rotation task

Event-related potentials (ERPs) were recorded while subjects performed a validated mental rotation task, taken from the cognitive psychology literature. These ERPs show a late posterior negativity relative to a baseline condition requiring all of the same perceptual and cognitive processes except for the mental rotation itself. Our tentative identification of this posterior negativity with mental rotation is further supported by the finding that it varies systematically with the amount of mental rotation required on a trial by trial basis in the experimental task. We conclude that this late negativity is an ERP marker of the mental rotation process, and that this process engages primarily posterior brain regions.     

GROUP TRAINING OF CONSERVATION SKILLS WITH CHILDREN FROM A NON-TECHNOLOGICAL CULTURE*

Group training of conservation of length was undertaken with primary school children in Botswana. Each group contained 10 subjects of mixed academic ability. Three methods of training were used: (1) teacher demonstration accompanied by responsive group recitation, (2) limited manipulation of training materials by students, (3) full manipulation of training materials by students. The three training methods were effective in producing learning, retention, and generalization of conservation. The results are discussed in terms of Piaget's views on the role of environmental influences and the function of action in the development of cognitive structures. The value of Piagetian concepts for non-technological societies also is discussed.     

Ego development in adult women

Ego development in adult women was studied using Loevinger's Sentence Completion Test of Ego Development (SCT). The subjects were 163 women in a university nurse practitioner training program. Ego development scores were correlated with scores from personality tests and with interview data. Higher ego levels were related to personal adjustment, nurturance, responsibility, tolerance, enjoyment of children, inner control, capacity for status, and age. Improvement in ego level scores was found only for those at, or below, the self-aware level. The SCT, as scored for women, seems to be particularly sensitive to differences in responsible caring in relationships, an aspect of personality development often neglected by other tests.     

Evaluation of sex-typed tasks by black men and women

Two studies examined the relationship of sex of subject, sex-typing of tasks, and prior task experience on self-confidence ratings of Black men and women. In both investigations, women's self-confidence tended to vary as a function of task type, while men's self-confidence remained relatively stable across all tasks. Prior experience with the task was highly correlated with self-confidence ratings for men and women and moderated the effects. The variations in the findings of Studies I and II and implications for future research are discussed.Portions of this study were reported at the Eastern Psychological Association Convention, 1983.