Book Review: Cultural Psychotherapy: Working with Culture in the Clinical Encounter. By Karen M. Seeley. New Jersey: Jason Aronson,Inc, 2000, 266 pp., ISBN 0-7657-0224-X

Pastoral Psychology -     

The Heart of the Matter: An Essay about the Effects of Managed Care on Family Therapy with Children*

This essay is based on a pilot study that examined the effects of managed care on the treatment of children and families, with special attention to community mental health. We embarked on the pilot study to test the accuracy and generalizability of our impression that family therapy and other systemic practices have been marginalized in ordinary clinics and agencies, and to understand the reasons why. We interviewed managed care providers, researchers, family therapy trainers, and clinicians in the Northeast. Our findings led to seven themes that support our impression that, even though there is a consensus about the need for coordinated family-based services, there is a disconnection between state policies, contractual requirements and what is actually occurring at the implementation level. This study suggests that our knowledge of human systems may be in danger of being disqualified and lost, with damaging consequences for the care of children. Yet, as systemic thinkers and practitioners, it is our belief that ethical and effective treatment need not be at odds with care that is cost-efficient. The direction of our future research will be to study whether the involvement of all stakeholders at all levels of planning and training leads to systemic family-based practices that consistently save costs and provide high-quality care.     

The relationship of undershooting (anticipation) error in space localization to spatial dimension and spatial category width

In this study I explored whether the degree of anticipation/habituation (undershooting/overshooting) varies with the dimension to be localized, when the method of adjustment is used in space localization. In this study, undershooting occurred for both the vertical (Group 1) and the horizontal (Group 2) dimensions, but was significant only for verticality. The magnitude of undershooting observed for verticality was significantly greater than that for horizontality. A secondary issue regarding the possible relationship between spatial category width and undershooting/overshooting was examined. It was hypothesized that greater degree of spatial category width would be associated with greater undershooting. The opposite was found: Spatial category width was negatively related to undershooting. Finally, within each group, very high consistency of magnitude of spatial category width was observed (rs greater than .90), despite the fact that spatial category width showed shrinkage over the course of the study.     

DIMENSIONS COGNITIVES ET COMPORTEMENTALES CHEZ LES JOUEURS RÉGULIERS ET OCCASIONNELS AU BLACKJACK

Empirical studies in the psychology of gambling have revealed at least two well supported findings: (1) irrational cognitions outnumber rational cognitions during gambling (Gaboury and Ladouceur, 1987; Ladouceur, Gaboury, Dumont and Rochette 1988); (2) risk-taking behavior increases as a function to exposure to gambling activities (Ladouceur, Mayrand and Tourigny 1987; Ladouceur, Tourigny and Mayrand 1986). The present study compared regular and occasional gamblers on cognitive and behavioral measures during a blackjack session using the thinking aloud method. The results confirmed that regular players emitted more irrational thoughts than occasional gamblers. The theoretical and practical implications of those results are discussed within the general context of the psychology of gambling.     

A COMPARISON OF PEER-DIRECTED AND TEACHER-DIRECTED EMPLOYMENT INTERVIEW TRAINING FOR MENTALLY RETARDED ADULTS

Interview skills deficits may limit employment prospects of mentally retarded adults. Although numerous papers highlight the importance of interview skills, few have validated effective strategies for use with mentally retarded persons. Further, there has been a lack of research contrasting rival interview skills training strategies. The present study was conducted with two mentally retarded young adults. It contrasted peer-directed instruction, in which both participants were equally deficient in the target skills, with teacher-directed instruction. Results of the investigation indicated that instruction, rehearsal, and feedback may be effective strategies regardless of who provides instruction. Comparisons of teacher-directed and peer-directed instruction indicated little or no difference in the effectiveness of the two procedures. However, the peer-directed procedure involved considerably less staff time than did the teacher-directed procedure.     

The assessment of child abuse potential and the prevention of child abuse and neglect: A policy analysis

A frequently advocated strategy for increasing the efficiency of child abuse prevention programs is to deliver prevention services to "high-risk" populations. This article critically reviews procedures for the reliable and valid assessment of child abuse potential within an ecological perspective. Factors that limit the usefulness of child abuse risk assessment are discussed. These factors include the uncertain criteria of child abuse and neglect, the low base rate of the phenomenon, and the financial and social costs of such procedures. Finally, the prevention implications of the current and future state of the art in child abuse risk assessment are considered and preventive interventions that do not depend on individual case risk screening are advocated.     

Processing resources and age differences in working memory

This study investigated the performance of young and old subjects on a modified version of the working memory task developed by Baddeley and Hitch (1974). Subjects were required to verify a set of sentences of varying complexity while they repeated aloud zero, two, or four words. The older subjects took longer to verify the sentences, especially when the sentences were grammatically complex, but the effect of concurrent memory load on verification latency was the same in both groups. These results cast doubt on the notion that there is an age-related decline in one general pool of processing resources. They also suggest that older people have greater difficulty with the active processing aspects, rather than with the passive holding aspects, of working memory tasks.     

Maternal depression and its relationship to life stress,perceptions of child behavior problems,parenting behaviors,and child conduct problems

This study examined the relationship of reported maternal depression to prior and current life stressors, and to mother perceptions of child adjustment, parenting behaviors, and child conduct problems. Forty-six depressed mothers and 49 nondepressed mothers and their clinic-referred children (aged 3-8 years) participated. Depressed mothers were more critical than nondepressed mothers, but the behavior of children of depressed and nondepressed mothers showed no significant differences. Depressed mothers were more likely to have experience child abuse, spouse abuse, or more negative life events than nondepressed mothers. Maternal reports of stress related to mother characteristics and to negative life events were the most potent variables discriminating depressed from nondepressed mother families.