Effect of verbalization and two different modes of experiencing on pupil size

Pupil size was continuously monitored during responses to a series of taped instructions which were used to elicit verbalization, silence, random thinking, continuous internal reference, reference to positive affects and reference to negative affects. The resuits indicated that verbalization produced relative dilation, that continuous internal reference produced relative constriction, and that internal reference involving positive affect was accompanied by larger pupil size than internal reference involving negative affect.     

Depression in Primary Care: Comorbid Disorders and Related Problems

Identifying and treating depression has been a major focus in primary care over the last decade. Unfortunately, treatments have not been as successful as originally hoped. The current study investigated factors that may contribute to poor outcomes in a sample of VA primary care patients. Results indicate that 15.5% of the patients in this investigation had significant symptoms of depression. The vast majority (89.6%) of these patients also had significant symptoms of at least one additional comorbid psychiatric condition. Furthermore, an association between depression and unhealthy behaviors (smoking, not exercising) was demonstrated. Finally, sexual dysfunction and chronic pain were more frequently observed in individuals with depressive symptoms. These findings illustrate that depression is only one of many problems for most primary care patients identified with depression. A multidisciplinary team in primary care is recommended to provide a coordinated approach to the treatment of depression and its associated problems.     

Bilateral coordination in human infants: stepping on a split-belt treadmill

A motorized treadmill often elicits locomotor-like alternate stepping in 7-month-old infants who normally perform few, if any, stepping movements. The step cycle duration is a function of the speed of the treadmill. When infants were held so that each leg was on a separate treadmill belt, each of which was driven at a different speed, the overall cycle duration was intermediate between the cycle durations at the fast or slow speeds alone. Infants shortened the stance on the slow belt and increased the stance on the fast belt to maintain regularly alternating steps. Even before voluntary locomotion, both legs acted in a cooperative manner, with the dynamic status of one limb affecting the timespace behavior of the opposite limb.     

Developmental Career Assessment and Counseling: The C-DAC Model

The C-DAC model seeks to implement current development theory and to use innovative assessment measures together with improved counseling methods to improve vocational and life career counseling. At this stage, the project pays more attention to assessment, partly because if one is to counsel with career maturity in mind, one must understand the developmental status of the counselee. In career counseling, facts as well as feelings are important. Therefore, in this article the authors deal with the assessment of career development in detail, treating interests (measured by the Strong) and expressed preferences as basic status data to be viewed in the light of career maturity, the salience of life roles, and the values sought in life as moderator variables. The instruments are described and their use shown in a sample profile for assessment and checking by the reader in another readily available published source.     

A projective measure for the concept of locus of control

The construction and validation of a projective type I-E Scale was devised to measure locus of control. This scale was designed specially to suit the age and culture of a population of school-going children in Sri Lanka. Results indicate that the general feeling of being in control of one's circumstances rather than that of being controlled by outside factors is related to the attitudes one brings to bear on academic achievement and on other achievement related situations. In addition, there was an overall tendency among these subjects towards greater internality. This was interpreted to support the concept of the moral value and the efficacy of effort and hard work.     

Career Concerns for People Living With HIV/AIDS

The purpose of this study was to identify the career concerns of people living with HIV/AIDS. The authors used qualitative research methodology to ask participants to discuss the impact their diagnosis has had on their career development concerns and their career goals. Based on participants' interview responses, the authors classified their concerns as relating to career or workplace issues, medical issues, or coping resources. Career counseling implications for each category are discussed.     

Randomized controlled trial of expressive writing for psychological and physical health: the moderating role of emotional expressivity

The current study assessed main effects and moderators (including emotional expressiveness, emotional processing, and ambivalence over emotional expression) of the effects of expressive writing in a sample of healthy adults. Young adult participants (N=116) were randomly assigned to write for 20 minutes on four occasions about deepest thoughts and feelings regarding their most stressful/traumatic event in the past five years (expressive writing) or about a control topic (control). Dependent variables were indicators of anxiety, depression, and physical symptoms. No significant effects of writing condition were evident on anxiety, depressive symptoms, or physical symptoms. Emotional expressiveness emerged as a significant moderator of anxiety outcomes, however. Within the expressive writing group, participants high in expressiveness evidenced a significant reduction in anxiety at three-month follow-up, and participants low in expressiveness showed a significant increase in anxiety. Expressiveness did not predict change in anxiety in the control group. These findings on anxiety are consistent with the matching hypothesis, which suggests that matching a person's naturally elected coping approach with an assigned intervention is beneficial. These findings also suggest that expressive writing about a stressful event may be contraindicated for individuals who do not typically express emotions.     

Cognitive Mediators of Treatment for Social Anxiety Disorder: Comparing Acceptance and Commitment Therapy and Cognitive-Behavioral Therapy

Objective

To assess the relationship between session-by-session mediators and treatment outcomes in traditional cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) for social anxiety disorder.

Method

Session-by-session changes in negative cognitions (a theorized mediator of CBT) and experiential avoidance (a theorized mediator of ACT) were assessed in 50 adult outpatients randomized to CBT (n = 25) or ACT (n = 25) for DSM-IV social anxiety disorder.

Results

Multilevel modeling analyses revealed significant nonlinear decreases in the proposed mediators in both treatments, with ACT showing steeper decline than CBT at the beginning of treatment and CBT showing steeper decline than ACT at the end of treatment. Curvature (or the nonlinear effect) of experiential avoidance during treatment significantly mediated posttreatment social anxiety symptoms and anhedonic depression in ACT, but not in CBT, with steeper decline of the Acceptance and Action Questionnaire at the beginning of treatment predicting fewer symptoms in ACT only. Curvature of negative cognitions during both treatments predicted outcome, with steeper decline of negative cognitions at the beginning of treatment predicting lower posttreatment social anxiety and depressive symptoms.

Conclusions

Rate of change in negative cognitions at the beginning of treatment is an important predictor of change across both ACT and CBT, whereas rate of change in experiential avoidance at the beginning of treatment is a mechanism specific to ACT.