Modifications of Yalom's interactional group therapy model as a mode of treatment for alcoholism

As a result of a review of the literature and especially Brown and Yalom's (1977) clinical report, it is suggested that the preferred mode of treatment for alcoholism is group psychotherapy. The group's ability to provide support, structure and reinforcement for abstinence make it a powerful catalyst in the recovery process. In measures of time, efficacy and recovery, group psychotherapy generally succeeds where other treatment modalities frequently fail.     

Lexical decomposition of complex Kanji characters in Japanese readers

Summary The study investigates the question whether during recognition of a complex Kanji character readers also access the meaning of opaque components of the character. The experiment used a speeded semantic-categorization task of two characters, in which readers were requested to decide whether two characters represented words related in meaning or not. The control pairs consisted of (a) graphically similar, but semantically unrelated, characters, and (b) a simple character and a complex character, of which the simple character was a component (part-whole relation), the two characters being again semantically unrelated. The critical pairs consisted of two characters unrelated in meaning, one of which contained an opaque component element related in meaning to the other character. A corresponding trial with English and its alphabetic system would be to ask a subject to decide whether boycott is related in meaning to girl or not. In this condition the subject is expected to give a No response, but if the pseudocomponent boy is activated, interference could occur. (If boy is recovered during recognition of the pseudocompound boycott, the appropriate No response for boycott-girl could become more difficult to take.) The result of the experiment indicated interference in all three conditions (graphically similar characters, part-whole related characters, and opaque-component related characters. Thus, in an analogous task with alphabetic material, it would be more difficult to say No about the existence of a semantic relation between (a) tree and free, (b) boy and boycott, and (c) boycott and girl. The last result can be interpreted as offering evidence for the activation of the opaque component upon recognition of the complex character.This account is somewhat oversimplified. It is not always easy to determine which is a radical in a complex character. A higher radical can in fact be a combination of a lower radical with the addition of one or more strokes.     

Gist-based memory for prices and “better buys” in younger and older adults

Ageing typically leads to various memory deficits which results in older adults’ tendency to remember more general information and rely on gist memory. The current study examined if younger and older adults could remember which of two comparable grocery items (e.g., two similar but different jams) was paired with a lower price (the “better buy”). Participants studied lists of grocery items and their prices, in which the two items in each category were presented consecutively (Experiment 1), or separated by intervening items (Experiment 2). At test, participants were asked to identify the “better buy” and recall the price of both items. There were negligible age-related differences for the “better buy” in Experiment 1, but age-related differences were present in Experiment 2 when there were greater memory demands involved in comparing the two items. Together, these findings suggest that when price information of two items can be evaluated and compared within a short period of time, older adults can form stable gist-based memory for prices, but that this is impaired with longer delays. We relate the findings to age-related changes in the use of gist and verbatim memory when remembering prices, as well as the associative deficit account of cognitive ageing.     

Breast Cancer Risk Assessment at the Time of Screening Mammography: Perceptions and Clinical Management Outcomes for Women at High Risk

The purpose of this study was to evaluate the utility of a breast cancer risk assessment (BCRA) at the time of screening mammogram. Women whose BCRA indicated a high risk for cancer received a letter with instructions for breast health care and genetic counseling if appropriate. After 6 months this group received surveys to evaluate their risk perception and their recall of, and compliance with, recommendations. We also explored the impact of other variables such as a recommendation for genetic counseling and physician communication with the women. After the BCRA, the majority of high risk women reported no change in their perceived risk of cancer. A woman’s perceived risk of cancer after a BCRA was significantly associated with her recall of recommendations for breast health care, but not with compliance. A recommendation for genetic counseling was not significantly related to women’s perceived risk of cancer after the BCRA. Ten percent of women who should have obtained genetic counseling actually completed an appointment. Women who discussed their BCRA results with their physicians were more compliant with a six month breast exam with a doctor (53% vs 17%, p = 0.018). Overall, women felt that the BCRA was helpful and did not cause undue stress or anxiety. Although the cohort’s compliance with recommendations was suboptimal, physicians’ interactions with their patients may have a positive influence on their compliance.     

Ethical Orientations and Attitudes of Hispanic Business Students

The purpose of this paper is to investigate the attitudes and orientations of Hispanic business students regarding ethical and unethical actions as well as what rewards or punishments are considered appropriate for specific scenarios. A survey was developed using a 2 × 2 randomized experimental design to measure students’ ethical orientations and 38 items were developed to measure students’ attitudes regarding factors that can influence the decision to cheat or not to cheat. The results suggest that Hispanic business students are predominantly concerned with the ethical dimension of an act relative to the outcome of the act. Also, contrary to previous studies findings, some Hispanic business students are likely to cheat on any type of graded work based on the reason for cheating rather than the type of graded work. The paper utilizes an established framework for measuring ethical attitudes and orientations. The study offers a preliminary inductive path towards a more in depth understanding of Hispanic business students which is a rapidly growing population segment whose influence will become more widespread in the coming decades. Some of the findings are not consistent with previous research that examined student bodies as a whole. This might suggest that student ethics researchers may be missing valuable information regarding differences between student body segments that can further inform our understanding of students’ ethical views. Further, this insight may provide an avenue for a more effective approach to guiding the ethical development of students.     

Impact of Spina Bifida on Parental Caregivers: Findings from a Survey of Arkansas Families

The well-being of caregivers of children with spina bifida and other conditions is an important topic. We interviewed the primary caregivers of 98 children aged 0–17 years with spina bifida sampled from a population-based birth defects registry in Arkansas and the caregivers of 49 unaffected children. Measures of caregiver well-being were compared between the groups and by level of lesion (sacral, lower lumbar, and upper lumbar/thoracic). We performed linear and logistic regression analysis to test the associations controlling for other characteristics. Among caregivers of children with spina bifida, the average number of hours of sleep was significantly less than reported by other caregivers and was associated with lesion level among children less than 7 years of age. Significant associations, often varying by child age, were also found for the caregiver’s reports of lower Quality of Well-Being (QWB) score, often feeling blue, rarely feeling happy, fair or poor health, lack of leisure days, and not hosting friends, but no significant association was found with not visiting friends. The intensive long-term care required by children with spina bifida, particularly by those with higher lesions, can negatively impact caregiver health and well-being. Support for these caregivers is needed.     

Questions and reflections: the use of motivational interviewing microskills in a peer-led brief alcohol intervention for college students

The purpose of this study was to examine the association between peer facilitator adherence to motivational interviewing (MI) microskills and college student drinking behavior. First year students (N=67) took part in a Brief Alcohol Screening and Intervention for College Students (BASICS) led by peer facilitators trained in MI and BASICS. Participants were assessed pre- and 2 weeks post-intervention on contemplation to change, as well as, pre- and 3 months post- intervention on drinking quantity. Independent coders used the Motivational Interviewing Treatment Integrity scale (MITI, Moyers, Martin, Manuel, & Miller, 2003) to evaluate therapist MI adherence. Peer facilitators met beginning proficiency in MI on scores of empathy, the ratio of MI adherent behaviors to non-adherent behaviors and the ratio of open questions to total questions as defined by the MITI. Results indicated that a higher number of closed questions was related to less contemplation and a higher number of open questions was related to more contemplation post intervention. A higher number of simple reflections was associated with increased drinking at the 3 month assessment, however, complex reflections were found to attenuate the effect of simple reflections on changes in drinking. These findings highlight the importance of competent reflective listening skills and the need for continual training and supervision for peer facilitators.