Effectiveness of an Individualized Case Formulation-Based CBT for Non-responding Youths with Anxiety Disorders

The study examined the effectiveness of an individualized case formulation-based cognitive behavior therapy (CBT) for youths (9–17 years) with anxiety disorders and their parents after unsuccessful treatment with a manualized group CBT program (the Cool Kids). Out of 106 participant youths assessed at a 3-month follow-up after manualized CBT, 24 were classified as non-responders on the Clinical Global Impression-Improvement scale (CGI-I), and 14 of 16 non-responders with anxiety as their primary complaint accepted an offer for additional individual family CBT. The treatment was short-term (M sessions = 11.14) and based on a revised case formulation that was presented to and agreed upon by the families. At post-treatment, nine youths (64.3 %) were classified as responders on the CGI-I and six (42.9 %) were free of all anxiety diagnoses, while at the 3-month follow-up 11 (78.6 %) had responded to treatment and nine (64.3 %) had remitted from all anxiety diagnoses. Large effect sizes from pre- to post-individualized treatment were found on youths’ anxiety symptoms, self-reported (d = 1.05) as well as mother-reported (d = .81). There was further progress at the 3-month follow-up, while treatment gains remained stable from post-treatment to the 1-year follow-up. Results indicate that non-responders to manualized group CBT for youth anxiety disorders can be helped by additional CBT targeting each family’s specific needs.     

Reliability, validity and normative data for the Danish Beck Youth Inventories

This study examines reliability and validity and establish Danish norms for the Danish version of the Beck Youth Inventories (BYI) ( Beck, Beck & Jolly, 2001 ), which consists of five self-report scales; Self-Concept (BSCI), Anxiety (BAI), Depression (BDI), Anger (BANI) and Disruptive Behavior (BDBI). A total of 1,116 school children and 128 clinical children, aged 7–14, completed BYI. Internal consistency coefficients were high. Most test-retest correlations were >0.70. A test-retest difference was found for BAI. Exploratory and confirmatory factor analysis indicated that the five factor structure of the instrument was justified. The BSCI, BAI and BDI discriminated moderately between the norming sample and the clinical group, and the latter group included more children who exceeded the 90th percentile of the norming sample. Diagnostic groups scored higher on relevant scales than norms. Only BSCI and BDI differentiated between diagnostic groups. The BYI showed acceptable internal consistency and test-retest stability, except for BAI. The BYI did not adequately differentiate between internalizing disorders.     

THE PROBLEM OF NATURAL DIVINE CAUSATION AND THE BENEFITS OF PARTIAL CAUSATION: A RESPONSE TO SKOGHOLT

In this article, I defend my previous argument that natural divine causation suffers under the problem of causal overdetermination and that it cannot serve as a line of demarcation between theistic evolution (TE) and intelligent design (ID). I do this in light of Christoffer Skogholt's critique of my article. I argue that Skogholt underestimates the naturalistic ambitions of some current thinkers in TE and fails, therefore, to adequately respond to my main argument. I also outline how partial causation better serves as a model for the relationship between God's providence and evolution.     

Social proximity in early mother–infant interactions: implications for gender differences?

In an exploratory study, we investigated degrees of social proximity between mothers and their 9-month-old children. Twenty-four Swedish mother–infant dyads (12 boys and 12 girls) were observed during a brief free play episode. Social proximity was measured through nine items focusing on both communication and social interaction. Overall, we found that mother–daughter dyads displayed significantly higher degrees of social proximity than mother–son dyads. More specifically, mothers with daughters displayed more physical and visual contact, and were also rated as more sensitive than mothers with sons. It was also found that girls were judged as being more compliant than boys. ©1997 John Wiley & Sons, Ltd.     

Alliance rupture and repair processes in borderline personality disorder: A case study using dialogical sequence analysis

Objective: This study examined alliance rupture and repair processes in borderline personality disorder (BPD) and how the content of sessions interacts with the quality of the alliance.

Design: A mixed methods single case study design was employed incorporating quantitative and qualitative measures of process and outcome.

Methods: This case study examined a 22-year-old female with BPD who received 16 sessions of Cognitive Analytic Therapy. Measures of alliance, symptoms and global functioning were taken across multiple time-points. Selected sessions were analysed using dialogical sequence analysis (DSA), a theory-driven method of psychotherapy research that analyses utterances according to their author, addressee and referential object.

Results: Quantitative data indicated symptom reduction without functional improvement. DSA demonstrated that the first exchanges in therapy were reflective of key relational themes. The case suggests that, rather than simply negotiating tasks and goals, repairing ruptures involves systematically linking the manifest topic to the client’s core problems.

Conclusions: This case study points to the mediating role that the content of sessions has on alliance quality. Results underline the importance of the therapist stance, the need for a shared formulation to make sense of relational processes and the use of responsively timed interventions to decrease desperation and improve self-reflection.     

THE RELEVANCE OF EMERGENCE THEORY IN THE SCIENCE–RELIGION DIALOGUE

In this article, I call into question the relevance of emergence theories as presently used by thinkers in the science–religion discussion. Specifically, I discuss theories of emergence that have been used by both religious naturalists and proponents of panentheism. I argue for the following conclusions: (1) If we take the background theory to be metaphysical realism, then there seems to be no positive connection between the reality of emergent properties and the validity of providing reality with a religious interpretation, though one could perhaps construe an argument for the positive ontological status of emergence as a negative case for a religious worldview. (2) To be considered more plausible, religious naturalism should interpret religious discourse from the perspective of pragmatic realism. (3) Panentheistic models of divine causality are unable to avoid ontological dualism. (4) It is not obvious that emergent phenomena and/or properties are nonreducible in the ontological sense of the terms; indeed, the tension between weak and strong emergence makes it difficult for the emergentist to make ontological judgments. My general conclusion is that the concept of emergence has little metaphysical significance in the dialogue between science and theology.     

The memorability of names and the divergent effects of prior experience

Pre-experimental familiarity can have paradoxical effects on episodic memory. Knowledge of the stimulus domain usually enhances memory, but word frequency—a presumed correlate of prior experience—is negatively related to recognition accuracy. The present study examined episodic recognition of names and its relation to two measures of pre-experimental knowledge, name frequency, and fame. Frequency was operationalised as the number of hits in a national telephone directory, and fame as hits on national mass media websites. Recognition accuracy was increased by fame, but diminished by frequency. Four experiments confirmed the findings, using yes/no recognition, ROC curves, and remember-know paradigms. Hit rates were consistently more strongly influenced by fame than by frequency, whereas the reverse was true for false alarm rates. These dissociations suggest that two different forms of semantic memory, specific and nonspecific knowledge, interact with episodic memory in separate ways.     

Effect of Age,Feedback, and Practice on Ability to Respond Within a Fixed Time Interval

Accuracy and consistency of response within a fixed time interval as a function of age and practice with feedback were investigated. The task was pressing a telegraph key within a given interval following the last release of the key. The interval was empty and was pre-set at 2.75-3.24 sec. One piece of candy was dispensed for each inter-response-interval (IRI) which was correct. For both number of correct IRIs and SD of IRI significant effects were noted for Age, Feedback, and Practice. In addition, for SD of IRI, Age and Feedback interacted significantly. Magnitudinal feedback appeared to be more confusing than either specific or directional feedback and resulted in less improvement than either of the latter.