Choosing Assessment Instruments for Posttraumatic Stress Disorder Screening and Outcome Research

Effect‐size results from Erford et al.'s ( 2016 ) meta‐analysis for the treatment of posttraumatic stress disorder (PTSD) were used to compare 6 instruments' usefulness in measuring counseling treatment outcomes. Effect‐size comparisons indicated equivalent overall effect sizes using the Clinician‐Administered PTSD Scale, the Impact of Event Scale–Revised, the Posttraumatic Stress Diagnostic Scale, the PTSD Checklist, and the Structured Interview for PTSD. The Mississippi Scale for Combat‐Related PTSD yielded significantly more conservative (i.e., lower) effect‐size comparisons.     

Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression

The accessibility and efficacy of two Internet-supported interventions for depression: conventional cognitive behavioral therapy (C-CBT) and religious CBT (R-CBT) were investigated. Depressed participants (N = 79) were randomly assigned to either active treatment or wait-listed control group. Self-report measures of depression, anxiety, and life quality were collected before, immediately after, and 6 months after the intervention. Significant differences among the three conditions emerged at post-intervention with medium to large effect sizes (Cohen’s d between 0.45 and 1.89), but no differences between the R-CBT and C-CBT were found. However, the addition of religious components to CBT contributed to the initial treatment appeal for religious participants, thus increasing the treatment accessibility.     

Economic Impact of Third-Wave Cognitive Behavioral Therapies: A Systematic Review and Quality Assessment of Economic Evaluations in Randomized Controlled Trials

The term third-wave cognitive behavioral therapy (CBT) encompasses new forms of CBT that both extend and innovate within CBT. Most third-wave therapies have been subject to randomized controlled trials (RCTs) focused on clinical effectiveness; however, the number and quality of economic evaluations in these RCTs has been unknown and may be few. Evidence about efficiency of these therapies may help support decisions on efficient allocation of resources in health policies. The main aim of this study was to systematically review the economic impact of third-wave therapies in the treatment of patients with physical or mental conditions. We conducted a systematic literature search in PubMed, PsycINFO, EMBASE, and CINALH to identify economic evaluations of third-wave therapies. Quality and Risk of Bias (RoB) assessment of economic evaluations was also made using the Drummond 35-item checklist and the Cochrane Collaboration’s tool for assessing risk of bias, respectively. Eleven RCTs were included in this systematic review. Mindfulness-Based Cognitive Therapy (MBCT), Mindfulness-Based Stress Reduction (MBSR), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and extended Behaviour Activation (eBA) showed acceptable cost-effectiveness and cost-utility ratios. No study employed a time horizon of more than 3 years. Quality and RoB assessments highlight some limitations that temper the findings. There is some evidence that MBCT, MBSR, ACT, DBT, and eBA are efficient from a societal or a third-party payer perspective. No economic analysis was found for many third-wave therapies. Therefore, more economic evaluations with high methodological quality are needed.     

Additional free reinforcers increase persistence of problem behavior in a clinical context: A partial replication of laboratory findings

Behavioral momentum theory is a quantitative framework used to characterize the persistence of behavior during response disruptors as a function of baseline stimulus–reinforcer relations. Results of several investigations have shown that alternative reinforcement can increase the resistance to change of a target response during extinction. In the present study, concomitant variable‐interval fixed‐time schedules of reinforcement for problem behavior were employed to simulate naturalistic situations involving the superimposition of response‐independent reinforcers on a baseline schedule of reinforcement for problem behavior, as in the common use of noncontingent reinforcement treatments. Resistance to change of problem behavior was assessed during postsession periods of extinction by comparing response rates in extinction following sessions with and without additional reinforcer deliveries arranged by fixed‐time schedules. For 2 out of 3 participants, problem behavior tended to be more resistant to extinction following periods in which additional fixed‐time reinforcers were delivered. These results are discussed in terms of potential effects of noncontingent reinforcement on problem behavior when the intervention is discontinued or implemented without good treatment integrity.     

Effects of Considering Who and Why the Defendant Attacked1

Some people who are accused of a crime admit to the act, but provide an excuse. The effects of an excuse's self‐inflictedness level (high, moderate, or low) and the type of victim attacked (one partially responsible for the defendant's excusing condition, or innocent victim) were investigated. After a pretest (N= 26) to choose stimuli, participants (N= 220) read a scenario in which a male attacks another and then, once on trial, gives an excuse for his act. Those giving highly vs. less self‐inflicted excuses were more likely to receive a guilty verdict, received higher guilt level ratings, and tended to receive longer sentences; those who hurt an innocent vs. a partially responsible victim were more likely to be found guilty. In addition, the defendant's sentence was influenced by both the type of victim and the self‐inflictedness level of the excuse. The influence of perceived responsibility for an act on jurors' decisions is discussed     

Encouragement and Ethnicity in African American College Students

Encouragement and ethnicity were examined in 112 African American college students attending 2 historically Black colleges and universities (HBCUs) and a predominantly White institution (PWI). Results indicated a positive relationship between Ethnic Pride and View of Others for the HBCU group and positive relationships between Ethnic Pride and the Encouragement Scale for the PWI group. Ethnic Worry was negatively correlated with the Encouragement Scale for both groups. In addition, Ethnic Discrimination was negatively correlated with Openness to Experience for the PWI group. The usefulness of conceptualizing encouragement and ethnicity together for African American college students and practice implications are discussed.     

Bringing Advocacy Counseling to Life: The History,Issues, and Human Dramas of Social Justice Work in Counseling

This article accentuates the human experiences at the heart of social justice work in counseling. The history, counselor attributes, skills, costs, pitfalls, rewards, and ethical issues associated with advocacy counseling are highlighted. This article concludes with a discussion of the personal moral imperatives that inspire social activism and the challenge of discovering a personal advocacy style.