Do Cognitive Behaviour Therapies Validate Cognitive Models of Mood Disorders? A Review of the Empirical Evidence

The efficacy of Cognitive Behaviour Therapy (CBT) in the treatment of depression is now established. However, explanations for the efficacy of CBT are mixed. The evidence needed to support the explanation advanced by cognitive theory is lacking. This paper critically reviews the available empirical evidence. Forty-four outcome or process studies of therapy with depression are reviewed and 21 of these are subjected to a meta-analysis to investigate the relationship between change in cognitions and change in level of depression during different kinds of therapy. Our analysis shows that: (1) change in cognitive style occurs in all four categories of treatment: CBT, Drug Therapy, Other-Psychological Therapy, and Waiting List; (2) there was a significant difference between Waiting List and all the active treatments in change in cognitions, but not between active treatments; (3) the degree of change in cognitive style is significantly related to change in depression as measured by the Beck Depression Inventory (BDI), but not the Hamilton Rating Scale for Depression (HRS-D); and (4) the relationship between cognitive change and depression is not unique to CBT. Our findings show that CBT does provide some support for the cognitive models of depression but the relationship between cognitive change and recovery from depression is not unique to CBT.     

Coping Strategies as Predictors of Distress in Survivors of Single and Multiple Sexual Victimization and Nonvictimized Controls

This study investigated the relationship between coping strategies and distress symptomatology in survivors of sexual revictimization. Coping strategies were assessed with the revised Ways of Coping Scale (Aldwin & Revenson, 1987). Distress symptoms included global distress, depression, anxiety, and somatization. Subjects were 44 survivors of sexual victimization in both childhood and adulthood; 54 survivors of a single incident of sexual victimization in childhood; and 256 nonvictimized individuals. All were drawn from a subject pool of female undergraduate students. Multivariate analysis of variance revealed significant differences between groups on reported symptomatology and coping strategies. Victimized groups reported more distress than did the nonvictimized group. The multiple victimization group indicated greater use of coping strategies than did the nonvictimized group, and both victimized groups reported greater use of the escapism strategy than did the nonvictimized group. Multiple backward regression analysis found that coping strategies were predictive of distress symptomatology in all three groups, with escapism as the most potent predictor of distress for each group. Coping strategies were the most powerful predictors of distress in the multiply victimized group. The results of this study provide strong support for the importance of addressing coping strategies in clinical intervention of distress, particularly with survivors of multiple sexual victimization.     

Evaluating the Impact of a National AIDS Prevention Radio Campaign in St. Vincent and the Grenadines1

Based on extensive formative research in the three Eastern Caribbean countries of St. Lucia, St. Vincent and the Grenadines, and Grenada (Fishbein, Middlestadt, & Trafimow, 1993; Fishbein, Trafimow, et al., 1993), a three-nation, mass media, condom use campaign was developed. In order to assess the impact of the campaign, a follow-up survey was conducted in St. Vincent and the Grenadines. This paper examines the effectiveness of the campaign by comparing responses on this survey by respondents who were or were not exposed to the campaign. A statistically significant impact of exposure to the campaign was obtained, indicating that a well-designed, empirically based, mass media campaign can be an effective tool in the battle to prevent the spread of AIDS.     

Defiant spirituality: Care traditions in the black churches

Conclusion I have tried to demonstrate that black church defiant spirituality is a complex, multi-dimensional phenomenon. In essence it represents the quest of exiled African peoples to experience ontological harmony with God and all of creation. In the context of a racist society, it has adapted itself to the exigencies of survival and gradual liberation. Specifically, it has sought to reconstruct reality by religiously affirming God's sovereignty over the just and unjust. Also, it has negated black invisibility, subverted political anemia, and now struggles to resist and conquer an encroaching spiritual despair in post-industrial society.I have identified three basic treasures which the black church may offer to other cultures, namely, that care and discipline are the responsibility of every Christian, that authentic Christian worship nurtures commitments to individual and social transformation and it offers a full sensory experience. I close with words from one of America's greatest twentieth century poets, Langston Hughes (1974)—entitled Mother to Son: Well, son, I'll tell you: Life for me ain't been no crystal stair. It's had tacks in it, And splinters, And boards torn up, And places with no carpet on the floor—Bare. But all the time I'se been a-climbin' on, And reachra' landin's, And turnin' corners, And sometimes goin' in the dark Where there ain't been no light. So boy, don't you turn back. Don't you set down on the steps 'Cause you finds it's kinder hard. Don't you fall now —For I'se still goin', honey, I'se still climbin', And life for me ain't been no crystal stair. (p. 187)     

Internal approach to external sets and universes

A problem which enthusiasts ofIST, Nelson's internal set theory, usually face is how to treat external sets in the internal universe which does not contain them directly. To solve this problem, we considerBST,bounded set theory, a modification ofIST which is, briefly, a theory for the family of thoseIST sets which are members of standard sets.We show thatBST is strong enough to incorporate external sets in the internal universe in a way sufficient to develop the most advanced applications of nonstandard methods. In particular, we define inBST an enlargement of theBST universe which satisfies the axioms ofHST, an external theory close to a theory introduced by Hrbaek. HST includes Replacement and Saturation for all formulas but contradicts the Power Set and Choice axioms (either of them is incompatible with Replacement plus Saturation), therefore to get an external universe which satisfies all ofZFC minus Regularity one has to pay by a restriction of Saturation. We prove thatHST admits a system of subuniverses which modelZFC (minus Regularity but with Power Set and Choice) and Saturation in a form restricted by a fixed but arbitrary standard cardinal.Thus the proposed system of set theoretic foundations for nonstandard mathematics, based on the simple and natural axioms of the internal theoryBST, provides the treatment of external sets sufficient to carry out elaborate external constructions.Partially supported by AMS grants in 1993 and 1994 and DFG grant in 1994.Presented byRobert Goldblatt     

Internal approach to external sets and universes

In this article we show how the universe ofBST,bounded set theory (a modification ofIST which is, briefly, a theory for the family of those sets inIST which are members of standard sets) can be enlarged by definable subclasses of sets (which are not necessarily sest in internal theories likeBST orIST) so that Separation and Replacement are true in the enlargement for all formulas, including those in which the standardness predicate may occur.ThusBST is strong enough to incorporate external sets in the internal universe in a way sufficient to develop topics in nonstandard analysis inaccessible in the framework of a purely internal approach, such as Loeb measures.Presented byRobert Goldblatt     

Positive modal logic

We give a set of postulates for the minimal normal modal logicK ₊ without negation or any kind of implication. The connectives are simply , , , . The postulates (and theorems) are all deducibility statements . The only postulates that might not be obvious are

Me,us and them: Political identification and the third-person effect in the 1993 Australian federal election

Three days prior to the 1993 Australian federal election 54 Australian university students who identified with one of the two major political parties were surveyed regarding their perceptions of media campaign impact on self and others. Results provided evidence of a third-person effect (Davison, 1983) wherein respondents judged others us more influenced by the election campaign than themselves. Consistent with predictions derived from social identity theory and self-categorization theory (e.g. Turner, Hogg, Oakes, Reicher and Wetherell, 1987), political ingroup members were also judged as less injuenced by campaign content than political outgroup members. Respondents who identified strongly with their preferred party judged self and ingroup members as less influenced by campaign content than did other respondents, and showed more evidence of positive intergroup differentiation. At the same time, however, these respondents exaggerated self–ingroup differences, challenging the theoretical assumption that intergroup diferentiation is associated with ingroup assimilation. Judgements of media impact on self and other also depended on the direction of the campaign message. Respondents believed ‘voters in general’ were persuaded in line with the intent of campaign content, while outgroup members were seen to be persuaded by material favouring their own side but to be uninfluenced by counter-attitudinal content. Election propaganda, irrespective of direction, was seen to amplify existing party preferences in self and ingroup members. Hence the relative invulnerability of self to media impact was pronounced when respondents judged the impact of pro-outgroup messages. Results suggest that perceptions of self–other differences in media vulnerability are influenced by the subjectively salient social relationship between self and other, and are governed by motivational needs, such as self-esteem, social-identity, and differentiation from others (cf. Brewer, 1991; Hogs and Abrams, 1993).     

Tropic implicature and context in the comprehension of idiomatic phrases

Research concerned with how people understand idiomatic expressions has focused primarily on lexicalization, familiarity or literalness. In contrast, this study examined the extent to which comprehending idiomatic phrases in context depends upon the words which make up such phrases. Using reading time as a dependent measure and by substituting idiomatic expressions with phrases which retain the equivalent semantic meaning in context, the role of familiarity and literalness were again investigated. The results lend support to the importance of familiarity in comprehending idiomatic expressions (Schweigert, 1991); however, they raise questions about the extent to which idiomatic phrases are syntactically frozen. The findings provide a platform for considering contemporary theories of idiomatic comprehension and related theories of meaning.