Treating an HIV/AIDS Patient’s PTSD and Medication Nonadherence With Cognitive-Behavioral Therapy: A Principle-Based Approach

HIV/AIDS patients with medication adherence problems are vulnerable to developing drug resistance, immune system degradation, and opportunistic infections. Poor adherence to antiretroviral medication regimens can be aggravated by psychiatric problems, including depression and posttraumatic stress disorder. This article presents the case study of a patient with HIV/AIDS who was unable to adhere to his antiretroviral medication regimen primarily because of PTSD and depressive symptoms resulting from a sexual assault that had caused his seroconversion. Exposure-based cognitive-behavioral therapy was instrumental in helping the patient overcome his PTSD and depressive symptoms so that he could tolerate his HIV medications. The patient’s symptom relief was evidenced by improved scores on the Impact of Event Scale and Beck Depression Inventory. The article discusses the importance of accurate assessment, therapist flexibility, and principle-based treatment versus strict adherence to manual-based protocols.     

Women and Counseling: A Vision for the Future

The authors who worked to prepare this special issue on women and counseling (N. L. Kees, L. A. Carlson, R. Parmley, P. Dahlen, K. Evans, A. F. Marbley, et al., 2005) offer a vision for a just, equitable, and sustainable future for all. Recommendations for individual and systemic change needed to realize this future vision are offered. Implications for the American Counseling Association and members of the counseling profession are highlighted.     

Suppression and hypothesis testing: does suppressing stereotypes during interactions help to avoid confirmation biases?

Recent work indicates that trying not to think in stereotypical terms increases the accessibility of stereotypical information, which paradoxically results in more stereotypical judgments. The present study translated the colour‐blindness ideology in general and stereotype suppression research in particular into an hypothesis testing setting. Participants who were asked to suppress their stereotypes when selecting a set of questions were indeed less guided by ambient stereotypes than control participants, thereby showing a reduction of the classical confirmation orientation in question preferences. Still, compared to control participants, suppressors also later reported more polarized impressions such that consistent targets were seen as more stereotypical and inconsistent ones as more counter‐stereotypical. Moreover, group evaluations were more stereotypical for suppressors than for controls indicating that suppression had led to stronger activation of the stereotypical representation. Results are discussed in light of the prevailing belief regarding the benefits of political correctness and colour‐blindness. Copyright © 2003 John Wiley & Sons, Ltd.     

FILM REVIEW: Dogville: A parable on perversion1

The authors approach Lars Von Trier's fi lm Dogville in the light of contemporary psychoanalytic concepts on perversion. The perverse functioning appears at three levels in the fi lm. First of all in the content of the story: a seemingly masochistic victim stirs up the sadism of the people around her before the scenario turns full circle. As for the formal aspects, the producer subtly hides some data with the result that our perception of reality is distorted. Finally, the viewer is led fi rst to identify with a moral position before becoming, through identifi cation, an accomplice of the sadistic triumph of the so‐called victim.     

Types of errors by referees and perception of injustice by soccer players: a preliminary study

This study investigated the effect of referees' errors on players' perceived injustice in soccer. The conditions investigated were Referee Decision, with three types: Correctly Called a foul vs Wrongly Called a foul vs Did not Call a foul and Repetition of the Situation, with two types: Isolated vs Repeated. Male soccer players at regional and departmental levels of practice (N = 95, M(age) = 23.2, SD = 5.1) were asked to rank six hypothetical situations according to the perceived injustice. Analysis indicated significant effects of Referee Decisions and Repetition of the Situation on the perception of injustice, but showed no differences between the types of error. However, age and years of soccer experience were associated with perception of injustice when the referee correctly called a foul.     

Odor enrichment increases interneurons responsiveness in spatially defined regions of the olfactory bulb correlated with perception

Odor enrichment enhances rats’ ability to discriminate between chemically similar odorants. We show here that this modulation of olfactory perception is accompanied by increases in the density of local inhibitory interneuron expressing Zif268 in response to olfactory stimuli. These changes depend on the overlap of the olfactory bulb activation patterns induced by the enrichment odorants with those induced by the testing odorants, in a manner similar to changes in perception. Moreover, we show that enrichment leads to an alteration of the pattern of Zif268 expression, dependent on the odors used for the enrichment indicating a restructuring of odor representation in the olfactory bulb.     

Comparing detailed and less detailed pre-lineup instructions

It is generally agreed that proper pre-lineup instructions can reduce the rate of mistaken identifications of innocent suspects. However, the exact nature of these instructions has not been empirically established. We compared the effects of the detailed pre-lineup instructions recommended by the US Department of Justice to a simple instruction that the perpetrator may or may not be present. Both forms of unbiased instructions significantly reduced mistaken identifications when compared with biased instructions. Comparison of performance using the utility-based analysis deviation from perfect performance demonstrated that unbiased instructions are to be preferred under assumptions of low base rates or high costs of mistaken identifications and do as well as biased instructions under assumptions of high base rates or low cost of misidentification.     

Learning from others in 9‐18‐month‐old infants

The use of an adult as a resource for help and instruction in a problem solving situation was examined in 9, 14, and 18‐month‐old infants. Infants were placed in various situations ranging from a simple means‐end task where a toy was placed beyond infants' prehensile space on a mat, to instances where an attractive toy was placed inside closed transparent boxes that were more or less difficult for the child to open. The experimenter gave hints and modelled the solution each time the infant made a request (pointing, reaching, or showing a box to the experimenter), or if the infant was unable to solve the problem. Infants' success on the problems, sensitivity to the experimenter's modelling, and communicative gestures (requests, co‐occurrence of looking behaviour and requests) were analysed. Results show that older infants had better success in solving problems although they exhibited difficulties in solving the simple means‐end task compared to the younger infants. Moreover, 14‐ and 18‐month‐olds were sensitive to the experimenter's modelling and used her demonstration cues to solve problems. By contrast, 9‐month‐olds did not show such sensitivity. Finally, 9‐month‐old infants displayed significantly fewer communicative gestures toward the adult compared to the other age groups, although in general, all infants tended to increase their frequency of requests as a function of problem difficulty. These observations support the idea that during the first half of the second year infants develop a new collaborative stance toward others. The stance is interpreted as foundational to teaching and instruction, two mechanisms of social learning that are sometime considered as specifically human. Copyright © 2006 John Wiley & Sons, Ltd.