Redemptive processing of impactful COVID-19 experiences predicts well-being among older but not younger adults

People engage in autobiographical reasoning to make sense of major life events. This study examined whether younger and older adults utilized different autobiographical reasoning strategies to make sense of highly emotional and impactful experiences during the COVID-19 pandemic. We hypothesized that older adults would show higher levels of redemptive processing, younger adults would show higher levels of exploratory processing, and that these respective processes would be associated with well-being for each group. Two samples of younger (n = 245; ages 17–22) and older (n = 224; ages 55–83) adults provided written narratives about their most impactful positive and negative experiences from the COVID-19 pandemic and responded to a questionnaire assessing well-being. We found that younger and older adults did not differ in their use of exploratory and redemptive processing. Redemptive processing was uniquely predictive of well-being among older adults, although this relationship disappeared when positive and negative events were considered independently. These results suggest that the ability to positively reframe COVID-related events could be particularly important for the well-being of older adults.     

Acculturation,Language Use,and Demographic Variables as Predictors of the Career Self-Efficacy of Latino Career Counseling Clients

A sample of 95 Latino career counseling clients of a social services agency voluntarily completed a demographic questionnaire, the American-International Relations Scale (Sodowsky & Plake, 1991), and a questionnaire designed to assess career self-efficacy (Bandura, 1977, 1986; Betz & Hackett, 1981). Acculturation and English language use predicted career self-efficacy, unlike years of residence in the United States, age, and educational level (p < .05). The Implications of the results to career counseling for Latinos are discussed.     

Prevention of depression with primary care patients: A randomized controlled trial

The prevention of major depression is an important research goal which deserves increased attention. Depressive symptoms and disorders are particularly common in primary care patients and have a negative impact on functioning and well-being comparable with other major chronic medical conditions. The San Francisco Depression Prevention Research project conducted a randomized, controlled, prevention trial to demonstrate the feasibility of implementing such research in a public sector setting serving low-income, predominantly minority individuals: 150 primary care patients free from depression or other major mental disorders were randomized to an experimental cognitive-behavioral intervention or to a control condition. The experimental intervention group reported a significantly greater reduction in depressive levels. Decline in depressive levels was significantly mediated by decline in the frequency of negative conditions. Group differences in the number of new episodes (incidence) of major depression did not reach significance during the 1-year trial. We conclude that depression prevention trials in public sector primary care settings are feasbile, and that depressive symptoms can be reduced even in low-income, minority populations. To conduct randomized prevention trials that can test effects on incidence with sufficient statistical power, subgroups at greater imminent risk have to be identified.     

Frontal brain asymmetry in depression with comorbid anxiety: a neuropsychological investigation

The approach-withdrawal model posits that depression and anxiety are associated with a relative right asymmetry in frontal brain activity. Most studies have tested this model using measures of cortical brain activity such as electroencephalography. However, neuropsychological tasks that differentially use left versus right frontal cortical regions can also be used to test hypotheses from the model. In two independent samples (Study 1 and 2), the present study investigated the performance of currently depressed individuals with or without a comorbid anxiety disorder and healthy controls on neuropsychological tasks tapping primarily left (verbal fluency) or right (design fluency) frontal brain regions. Across both samples, results indicated that comorbid participants performed more poorly than depressed only and control participants on design fluency, while all groups showed equivalent performance on verbal fluency. Moreover, comorbid participants showed "asymmetrical" performance on these two tasks (i.e., poorer design [right frontal] relative to verbal [left frontal] fluency), whereas depressed only and control participants showed approximately symmetrical profiles of performance. Results from these two samples suggest an abnormal frontal asymmetry in neurocognitive performance driven primarily by right frontal dysfunction among anxious-depressed individuals and highlight the importance of considering comorbid anxiety when examining frontal brain functioning in depression.     

Iraq and Afghanistan Veterans’ Experiences Living with their Parents after Separation from the Military

When military service members separate from the military, many return to their families of origin, living with their parents for a period of several weeks to years. While research with veterans and their spouses has documented the particular strain of this reintegration period on veterans and their partners, little research to date has examined veterans’ experiences living with their parents. The present study sought to fill this research gap by investigating veterans’ experiences living with their parents using qualitative, in-depth interviews with Iraq and Afghanistan veterans in California. Overall, veterans appreciated the instrumental and emotional support their parents provided when they separated. However, in some cases, living with parents also produced conflict and strain. In situations where adult veteran children had difficulty with the transition to civilian life or returned with mental health problems, parents were often the first to identify these problems and to support their children in accessing appropriate care. We analyze these findings in light of family systems theory, identifying ways in which adult veteran children continue a process of differentiation while living with their parents and maintaining emotional connectedness. We suggest ways that clinicians can better support veterans and their parents through the reintegration period and recommend that programming for military families explicitly include parents of service members in addition to conjugal families.     

Psychotherapy with compulsively striving professional women 2: Clinical issues

In a previous paper I described the common characteristics of seventeen women between the ages of 22 and 42 with whom I had worked over the past few years in private psychotherapy practice, and who, I suggest, constitute a specific patient group, which I call ‘compulsively striving professional women’. I went on to explore the developmental, theoretical, cultural and systemic context of this group. In this paper I consider the challenging clinical issues raised in working with them.