Variables Associated with Therapy Attendance in Runaway Substance Abusing Youth: Preliminary Findings

Service providers and researchers note that youth with substance abuse problems are difficult to engage in treatment and, when engaged, often drop out early. Estimates of the alcohol and drug abuse rate of runaway youth range from 70% to 95%. This study evaluated predictors of therapy attendance in a sample of substance abusing youth recruited through two southwestern runaway shelters. Runaway youth and their families (N = 36) were engaged into a 15-session ecologically-based family therapy (EBFT) intervention. Fewer days between the pretreatment assessment and the first therapy session, as well as less perceived parental care, predicted more therapy sessions attended. No relationship was found between level of substance use and treatment attendance. The findings highlight the importance of engaging families in therapy soon after the youth's arrival to the shelter, as treatment motivation may decrease as the crisis lessens.     

Resisting anorexia/bulimia: Foucauldian perspectives in narrative therapy

Foucault's analysis of unseen power as it operates in discourses that construct 'practices of discipline' and 'technologies of the self' has been a central conceptual resource in the development of narrative therapy. Narrative therapists take the view that 'unseen' aspects of power work to construct both how a person understands their situation, and how their relation to 'the situation' they find themselves in has been constructed through the discursive resources available to them. If the consequences of the operation of these discursive resources can be brought into view, then new resources may be mobilised to resist the problems that have been created by the 'power' of the discursive resources that are available in the status quo of people's cultural milieu. Narrative therapists work to disentangle the person from the problem, against the grain of the common constructions available in the resources of Occidental cultures that work to identify the person as 'the problem'. This is demonstrated in the assistance they offer to people in finding ways to resist anorexia, by identifying anorexia as the problem, and not the person as anorexic. In this perspective, other apparent tactics of resistance—such as the tactic termed 'pro-ana'—are revealed as counterfeit, and ultimately supportive of the problem situation.     

Individual difference factors and beliefs in medical and political conspiracy theories

This study examined the relationship between a series of individual difference measures and belief in political and medical conspiracy theories. Participants (N = 323) rated 20 conspiracy theories (10 medical, 10 political) and completed a set of questionnaires. Belief in political conspiracies was strongly positively correlated with belief in medical conspiracies. Belief in both conspiracy types was correlated with low self‐esteem, low Conscientiousness, more right‐wing political views, younger age, and greater belief in the benefits of Alternative Medicine. It was also correlated with religiousness and gender. Low Emotional Stability and Agreeableness were also correlated with belief in political conspiracies, and higher education level was correlated with belief in medical conspiracies. The findings generally demonstrated support for a monological belief system. Implications and limitations are discussed.     

The Impact of Performance-Contingent Rewards on Perceived Autonomy and Competence

Two studies examined the impact of performance-contingent rewards on perceived autonomy, competence, and intrinsic motivation. Autonomy was measured in terms of both decisional and affective reports. The first study revealed an undermining effect of performance-contingent rewards on affective reports of autonomy among university students, and an increase in reports of competence. Decisional autonomy judgements were unaffected by rewards. The second study replicated this pattern of findings among elementary school children. These results help resolve Cognitive Evaluation Theory's (E. L. Deci & R. M. Ryan, 1985; R. M. Ryan, V. Mims, & R. Koestner, 1983) and Eisenberger, Rhoades, et al.'s (R. Eisenberger, L. Rhoades, & J. Cameron, 1999) divergent positions on the impact of performance-contingent rewards on autonomy. The studies also included measures of intrinsic motivation.     

Comparing Individual Behavior Plans from Schools With and Without Schoolwide Positive Behavior Support: A Preliminary Study

School-wide positive behavior support (SWPBS) has been proposed as a proactive and preventive method to reduce problematic behavior in schools. Under this approach, educators and administrators seek to create a school environment that fosters prosocial behavior and attempts to systematically deter problem behaviors before they happen. To date, the relationship between SWPBS and individualized positive behavior support (PBS) plans has not been examined. Specifically, it is unclear whether an atmosphere of SWPBS facilitates the functional behavioral assessment process and the design of PBS plans for students exhibiting severe behavior problems. The purpose of the present study was to investigate whether behavior support plans created in schools employing SWPBS systems were more technically adequate than support plans created in schools utilizing traditional approaches to behavior problems. Results indicated that support plans created at schools with SWPBS systems were more technically adequate than support plans produced at non-SWPBS schools as measured by the Behavior Support Plan-Quality Evaluation (BSP-QE). However, support plans from schools with SWPBS systems were still considered underdeveloped. Limitations and future research are discussed.     

Interactive Genetic Counseling Role-Play: A Novel Educational Strategy for Family Physicians

Background Family physicians (FPs) are increasingly involved in delivering genetic services. Familiarization with aspects of genetic counseling may enable FPs to help patients make informed choices. Purpose Exploration of interactive role-play as a means to raise FPs’ awareness of the process and content of genetic counseling. Methods FPs attending two large Canadian family medicine conferences in 2005 were eligible—93 participated. FPs discussed a case during a one-on-one session with a genetic counselor. Evaluation involved pre and post intervention questionnaires Results FPs’ baseline genetic knowledge was self-rated as uniformly poor. Baseline confidence was highest in eliciting family history and providing psychosocial support and lowest in discussing risks/benefits of genetic testing and counseling process. Post-intervention, 80% of FPs had better appreciation of family history and 97% indicated this was an effective learning experience. Conclusions Role-play with FPs is effective in raising awareness of the process and content of genetic counseling and may be applied to other health disciplines. This research was funded by: The Canadian Institutes of Health Research (CIHR) Institute of Genetics, The Genetics Education Project (funded by the Ontario Women’s Health Council), and GeneSens (funded by a CIHR Interdisciplinary Capacity Enhancement Team Grant).     

Overcoming Negative Aspects of Perfectionism through Group Treatment

The tendency to hold and pursue excessively high standards for oneself and for others can interfere with academic achievement. Counsellors who work in university settings are often presented with students whose capabilities do not reflect their levels of achievement. This study reports on the evaluation of an eight-week group intervention designed to help university students shift from negative and often debilitating perfectionism to positive and enhancing perfectionism. The group treatment focused on changing attitudes, beliefs, feelings, and interpersonal interactions affected by perfectionism using combined cognitive-behavioral and interpersonal approaches. Standardized measures, including the Beck Depression Inventory (Beck et al., BDI-II manual. San Antonio: The Psychological Corporation, 1996), the Beck Anxiety Inventory (Beck and Steer, Beck Anxiety Inventory: Manual. San Antonio: The Psychological Corporation, 1993), and the Multidimensional Perfectionism Scale (Hewitt and Flett, Journal of Personality & Social Psychology, 60, 456–470, 1991a), provided data for pre- and post analysis of a treatment group (n = 30), and comparison groups of students attending group programs on career planning (n = 30) and attending psychology classes (n = 30). Results show that students participating in the treatment group significantly reduced their levels of depression, anxiety, and perfectionism in comparison to students who did not attend the treatment program. Implications of the findings suggest the importance of considering perfectionism on a continuum of negative and positive influences while helping students to address the intrapersonal and interpersonal dimensions of perfectionism.     

Multimodal events and moving locations: eye movements of adults and 6-month-olds reveal dynamic spatial indexing

The ability to keep track of locations in a dynamic, multimodal environment is crucial for successful interactions with other people and objects. The authors investigated the existence and flexibility of spatial indexing in adults and 6-month-old infants by adapting an eye-tracking paradigm from D. C. Richardson and M. J. Spivey (2000). Multimodal events were presented in specific locations, and eye movements were measured when the auditory portion of the stimulus was presented without its visual counterpart. Experiment 1 showed that adults spatially index auditory information even when the original associated locations move. Experiments 2 and 3 showed that infants are capable of both binding multimodal events to locations and tracking those locations when they move.     

Overexpectation: response loss during sustained stimulus compounding in the rabbit nictitating membrane preparation

Rabbits were given reinforced training of the nictitating membrane (NM) response using separate conditioned stimuli (CSs), which were a tone, light, and/or tactile vibration. Then, two CSs were compounded and given further pairings with the unconditioned stimulus (US). Evidence of both overexpectation and summation effects appeared. That is, responding to the individual CSs declined despite their continued pairing with the US on compound trials (overexpectation), and responding on the compound trials was greater than responding to the individual CSs (summation). The response loss appeared regardless of the testing regime, that is, whether the test presentations of the individual CSs were themselves reinforced (Experiment 2), not reinforced (Experiment 1), or deferred until the end of compound training (Experiment 2). The results are discussed with respect to the roles of excitatory versus inhibitory processes, elemental versus configural processes, and the possible roles of cerebellar and hippocampal pathways.     

Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences

Substantial research has compared obese and nonobese persons on body image and psychosocial adjustment. While differences in body satisfaction are often observed, the literature is less clear on other dimensions. Extant differences are typically thought to result from the social stigmatization and maltreatment experienced by obese persons, especially females. The present study of 165 women compared three cohorts who were currently overweight, never overweight, or formerly overweight. Relative to never-overweight women, currently overweight women reported more body dissatisfaction/distress, overweight preoccupation, and dysfunctional appearance investment, as well as more binge eating, lower social self-esteem, and less satisfaction with life. Consistent with the “phantom fat” phenomenon, formerly overweight women were comparable to currently overweight women but worse than never-overweight women on overweight preoccupation and dysfunctional appearance investment. Correlations confirmed that, among overweight but not formerly overweight women, more frequent stigmatizing experiences during childhood, adolescence, and adulthood were significantly associated with currently poorer body image and psychosocial functioning. Scientific and clinical implications of the findings are discussed.