Relational frame theory: A new paradigm for the analysis of social behavior

Recent developments in the analysis of derived relational responding, under the rubric of relational frame theory, have brought several complex language and cognitive phenomena within the empirical reach of the experimental analysis of behavior. The current paper provides an outline of relational frame theory as a new approach to the analysis of language, cognition, and complex behavior more generally. Relational frame theory, it is argued, also provides a suitable paradigm for the analysis of a wide variety of social behavior that is mediated by language. Recent empirical evidence and theoretical interpretations are provided in support of the relational frame approach to social behavior.     

At the crossroads: managed mental health care,the ethics code,and ethnic minorities

Mental health clinicians are facing an increasing number of ethical problems related to the delivery of managed mental health care services to ethnic minorities. The authors argue that (a) economic pressures have led to the development of the managed health care movement; (b) the combination of such economic pressures and the development of that managed care movement have influenced the promulgated ethical standards of the American Psychological Association; and (c) those influences may have a negative impact on the mental health services available to ethnic minority individuals and communities. The authors review some of the specific potential threats to mental health services for minorities in the face of such health management policy and psychologists' professional standards.     

‘Liars are less detailed’ …So what? Comparing two recall instructions to detect deception within-subject

Most deception research provides between-subject results (e.g., liars give on average less detailed accounts), which might be of limited value for professionals evaluating credibility on an individual basis. This study examines the optimal instructions of a within-subject multiple recalls strategy to detect deception. A total of 110 participants, divided into a Lie and Truth group, were randomly placed into four interview conditions: two Basic report-everything instructions (1), a Basic recall followed by an Open depth instruction (2), a Basic recall followed by the Verifiability Approach and Information Protocol (3), and two recalls with the Verifiability Approach and Information Protocol (4). All recalls were coded for total details and verifiable details. Group (lie and truth) × Recall (first and second) was only significant in condition 3, with truth tellers providing more verifiable details in the second recall than the first. A simple within-subject decision rule was derived, allowing a 76.9% discrimination rate. Professionals can optimally evaluate credibility using two recalls (Basic recall followed by Verifiability Approach and Information Protocol) and observing the evolution of verifiable details.     

“Not Tied Up Neatly with a Bow”: Professionals’ Challenging Cases in Informed Consent for Genomic Sequencing

As the use of genomic technology has expanded in research and clinical settings, issues surrounding informed consent for genome and exome sequencing have surfaced. Despite the importance of informed consent, little is known about the specific challenges that professionals encounter when consenting patients or research participants for genomic sequencing. We interviewed 29 genetic counselors and research coordinators with considerable experience obtaining informed consent for genomic sequencing to understand their experiences and perspectives. As part of this interview, 24 interviewees discussed an informed consent case they found particularly memorable or challenging. We analyzed these case examples to determine the primary issue or challenge represented by each case. Challenges fell into two domains: participant understanding, and facilitating decisions about testing or research participation. Challenges related to participant understanding included varying levels of general and genomic literacy, difficulty managing participant expectations, and contextual factors that impeded participant understanding. Challenges related to facilitating decision-making included complicated family dynamics such as disagreement or coercion, situations in which it was unclear whether sequencing research would be a good use of participant time or resources, and situations in which the professional experienced disagreement or discomfort with participant decisions. The issues highlighted in these case examples are instructive in preparing genetics professionals to obtain informed consent for genomic sequencing.     

Posttraumatic Stress Related to Hyperglycemia: Prevalence in Adults with Type I Diabetes

Prevalence of hyperglycemia-related posttraumatic stress (PTS) was assessed in 239 adults with type 1 diabetes using the posttraumatic stress diagnostic scale (PDS; Foa, Posttraumatic stress diagnostic scale manual, National Computer Systems, Inc., Minneapolis, 1995) by an anonymous online survey. Additionally, this study aimed to identify variables related to hyperglycemia-related PTS. Over 30 % of participants reported symptoms consistent with PTSD related to hyperglycemia with standard PDS scoring, and 10 % with more conservative scoring. Hierarchical multiple regression analyses indicated that diabetes self-management behavior and perceived helplessness about hyperglycemia predicted PTSD with standard scoring. Perceived death threat, self-management behavior, helplessness about hyperglycemia, and severity of hypoglycemia in past month predicted PTSD using more conservative scoring. Perceived helplessness, hypoglycemia severity, perceived death-threat, HbA1c, and self-management behavior predicted PTS severity. When fear, helplessness, and perceived death-threat were combined to represent an overall cognitive appraisal factor, this variable was the strongest predictor of PTSD and PTS severity. Scores for PTSD symptom clusters appeared similar to data on hypoglycemia-related PTS.     

Can SMART Training Really Increase Intelligence? A Replication Study

A burgeoning research stream supports the efficacy of a novel behavior-analytic intervention, known as SMART training, in raising general intelligence by training a set of crucial cognitive skills, referred to as relational skills. A sample of Irish secondary school students (n?=?26) was divided into two IQ matched groups, with the experimental group receiving 12 weeks of SMART training delivered in bi-weekly 45-min sessions. WASI IQ assessments were administered at baseline and follow-up to all participants by blind testers. For each of the three WASI IQ indices and the four IQ subtests, significant follow-up rises were found for the experimental group only. Analyses of variance indicated a significant effect of training on Verbal IQ, Matrix Reasoning and Vocabulary scores. Results lend further support for the efficacy of the SMART training program in enhancing intellectual skills.     

Touch Precision Modulates Visual Bias

The sensory precision hypothesis holds that different seen and felt cues about the size of an object resolve themselves in favor of the more reliable modality. To examine this precision hypothesis, 60 college students were asked to look at one size while manually exploring another unseen size either with their bare fingers or, to lessen the reliability of touch, with their fingers sleeved in rigid tubes. Afterwards, the participants estimated either the seen size or the felt size by finding a match from a visual display of various sizes. Results showed that the seen size biased the estimates of the felt size when the reliability of touch decreased. This finding supports the interaction between touch reliability and visual bias predicted by statistically optimal models of sensory integration.