Critical Issues in Using Homework Assignments Within Cognitive-Behavioral Therapy for Schizophrenia

Presents an overview of the research findings to date and practical guidelines for the use of homework in cognitive-behavioral therapy for schizophrenia. In particular, the article outlines strategies to combat the common difficulties experienced when using homework with clients with schizophrenia and the types of homework assignments that may be most helpful. The empirical evidence suggests that cognitive-behavioral therapy incorporating homework assignments help clients to improve at least 60% more than those in treatment without homework. Despite that most therapy formulations incorporate homework as an integral component of treatment for schizophrenia, prior research has identified that practitioners consider homework to be less helpful for clients with delusions and hallucinations. Interventions to enhance homework compliance in the treatment of clients with schizophrenia are outlined.     

Attention deficit hyperactivity disorder in adults: Clinical issues. A report from the first NHS clinic in the UK

Since 1994 Maudsley hospital has offered the only NHS-service for adult Attention Deficit Hyperactivity Disorder (ADHD) in the United Kingdom. This paper reports on the development of this service, initial referral patterns and assessment issues. Data from a comparison of the first 96 referrals to the clinic are summarized. ADHD patients were more likely to be young men in their early twenties, to have personality disorder and abused psychoactive substances. Developmental milestones were delayed in the ADHD group. Comorbid anxiety and depression were common in both the ADHD group and non-ADHD group. It is clear that with maturity many ADHD adults have complex problems, yet the need for clinical services for this group is not commonly recognized.     

Comparing the mental health needs of female and male incarcerated juvenile delinquents

The present study was undertaken to survey the prevalence of mental disorder in juvenile justice facilities and to compare the mental health needs for females and males. Girls displayed significantly more mental health needs than boys. The estimated prevalence of mental disorder for boys was 27%, compared with 84% for girls. The difference is highly significant and is discussed in terms of service system issues in juvenile justice that affect males and females differently. ©1997 John Wiley & Sons, Ltd.     

Earwitness Testimony: Never Mind the Variety,Hear the Length

Three aspects of voice recognition were investigated in the study reported here: memory for familiar voices, memory for the words spoken, and the relative effects of length and variation in a voice extract on long- and short-term memory. In Experiment 1, recognition memory for the briefly heard voice of a stranger was superior with longer extracts (p<0.01), but increasing vowel variety did not improve performance. This pattern was repeated for short-term memory (p<0.01) in Experiment 2. Scores for the above task correlated significantly (p<0.05) with scores for recognizing well-known voices. In a further test of well-known voice memory in Experiment 3, a weak and non-significant positive correlation (r=0.29) was found between memory for well-known voices and memory for a once-heard voice. Memory for the words spoken did not correlate significantly with memory for the unknown voice itself. The possibilities of a memory-for-voices general ability, and forensic applications of the findings are discussed. © 1997 by John Wiley & Sons, Ltd.     

Predictors of Media Effects on Body Dissatisfaction in European American Women

This study involved a sample of 81 European American women viewing either appearance-related or non-appearance-related magazine advertisements. Participants completed measures of demographics and objectified body consciousness prior to viewing these images and a measure of body dissatisfaction prior to and after viewing the images. Body dissatisfaction scores worsened after viewing images of women who exemplified cultural standards of the thin beauty ideal. Neither objectified body consciousness nor body mass index predicted degree of change in body dissatisfaction after viewing the images. In other words, the impact of viewing the images was the same for all women, despite varying body mass index levels and varied degrees of objectified body consciousness. Implications are discussed.     

Psychopathic traits and men’s anger response to interpersonal conflict: A pilot study

Psychopathy is associated with emotional dysfunction that impedes the experience of emotions such as fear and sadness and has been purported to facilitate violent behavior. However, findings relative to the association between psychopathy and anger have not been reliably substantiated. Theorists have proposed that psychopathy predisposes one to experience greater frustration and anger, whereas other experts have suggested that there is no convincing evidence for this assertion. In the present study, we tested the relationship between psychopathy subfactors and anger subsequent to conflict or non-conflict interactions. Sixty-eight collegiate-men completed the Self-Report Psychopathy Scale and read vignettes depicting either a conflict or non-conflict scenario and were asked to imagine themselves in the situation. Following presentation of the vignettes, participants completed a lexical-decision-task assessing affective states. Results indicated that the psychopathy subfactors demonstrated strong differential associations, where Factor 1 showed negative and Factor 2 showed positive association with anger activation in response to interpersonal conflict. Findings are discussed in terms of the importance of anger as a facilitator of violence in some psychopathic individuals.     

Growing Pains: How Psychologists Can Help to Meet the Clinical Needs of Clients With Autism Spectrum Disorders

The pervasiveness and the prevalence of the autism spectrum disorders (ASD) are now much more recognized than in years past. The treatment needs of higher functioning people with ASD unfortunately often go unmet, and there is tremendous potential for psychologists to help meet these needs. The four articles in this special series provide current, best practice reviews and recommendations for practicing psychologists who work in this area. They highlight commonalities that cut across ASD and other clinical populations, and offer considerations that are unique to working with clients who have ASD. This commentary emphasizes the need for clinicians and applied psychological scientists to consider some of these issues in their own work.     

A MIMIC Model Approach to Research in Geriatric Neuropsychology: The Case of Vascular Dementia

The goal of the current study is to demonstrate a new methodology that can be used in neuropsychological research concerning differential diagnosis research. The multiple indicators, multiple causes (MIMIC) model is a latent variable methodology which can examine group differences on individual tests while controlling group differences in global cognitive impairment. As a demonstration, neuropsychological data from 217 dementia patients were incorporated into a MIMIC model to examine the influence of cerebrovascular disease (CVD) upon (1) dimensions of global cognitive impairment and (2) upon individual tests after controlling for global impairment. The presence of CVD in dementia (i.e., vascular dementia [VaD]) was not significantly related to dimensions of global impairment. In addition, the presence of CVD within dementia did not significantly contribute to impairment on 9 out of 10 neuropsychological tests/subscales examined after controlling global cognitive impairment. These results are discussed in the context of current vascular dementia research, and are focused primarily upon the MIMIC model methodology and suggestions for its use in future research.     

Wire-bending test as a predictor of preclinical performance by dental students

Traditional Dental Aptitude Test and academic grade point average have been shown to be poor predictors of clinical performance by dental students. To refine predictors of psychomotor skills, a wire-bending test was given to 105 freshmen at the beginning of their dental education. Grades from seven restorative preclinical courses in their freshman and sophomore years were compared to scores on wire bending and the three traditional predictors: GPA, academic aptitude, and perceptual aptitude scores. Wire-bending scores correlated significantly with six out of seven preclinical restorative courses. The predictive power for preclinical performance was doubled when wire bending was added to traditional predictors in stepwise multiple regression analysis. Wire-bending scores identified students of low performance. These preliminary results suggest that the wire-bending test shows some potential as a screening test for identifying students who may hae psychomotor difficulties, early in their dental education.