Time to contemplate change? A framework for assessing readiness to change with offenders

An improved understanding of offenders' readiness to change would enhance our ability to assess and engage such readiness. This paper provides a critique of the Stages of Change Model (SCM) which is widely used to assess readiness to change with offenders. We argue that the SCM does not provide a sound theoretical basis for understanding offender readiness to change. We highlight problems measuring constructs with the SCM accurately and question the theoretical coherence and level of explanation of readiness to change offered by the model.The second section of the paper presents the Readiness to Change Framework (RCF) as an alternative theoretical framework for understanding readiness to change. The RCF has been designed as a generic framework for understanding readiness to change for multiple behaviors. The two models within the framework are described, and examples of how they may be useful to practitioners working in the area of readiness to change are presented. Finally, strengths, limitations, and potential further developments of the framework are discussed.     

Which Horse do You Ride? Trauma from a Relational Perspective. Discussion of Prince's “The Self in Pain: The Paradox of Memory. The Paradox of Testimony”

Discussing Dr. Robert Prince's clinical case example, the author presents a relational psychoanalytic perspective on working with the traumatized patient. She considers the presentation of his work with a Holocaust survivor from a relational perspective with particular attention to the dyadic interaction, the intersubjectivity and co-creations of patient and analyst, and finally, addresses the role of the “witness” in psychoanalytic work. The idea of the witness has particular currency in contemporary psychoanalytic thinking. The author briefly examines the dimensions of the “witness” from a relational point of view. Consideration is also given to the necessary distinction between adult onset and childhood onset trauma and the repercussions of each for the analytic couple.     

The lived experience of alopecia areata: A qualitative study

This study explored experiences of individuals living with alopecia areata (AA) and alopecia universalis (AU) and investigated their accounts of adjusting to, and coping with, such conditions. Whilst previous research has primarily focused on the adverse psychosocial impact of alopecia, this investigation used Interpretive Phenomenological Analysis to provide a more holistic perspective. Biographical interviews were undertaken with 12 participants (7 women; 5 men) diagnosed with alopecia for periods ranging between 2 and 49 years. Results revealed that strategies used by participants evolved over time and that there were clear gender differences. In the early stages, participants did not want to contemplate that their hair loss would be lasting and managed the condition via concealment. Later coping strategies reflected an embodied acceptance with participants managing the effects of AA/AU and becoming more optimistic about living with the condition. Limitations of the study are discussed as well as implications for patient care.     

Zur Differenzierung zwischen unsicheren und aggressiven Teilnehmern beim Gruppentraining Sozialer Kompetenzen (GSK) im Straf- und Maßregelvollzug

The cognitive-behavioural group training for social competence “GSK” [16] has proven to also be effective in the penal system [28]. The present study examines if a targeted differentiating assessment prior to the intervention and a thereon based homogeneous group composition with regard to insecure and aggressive behaviour patterns can enhance the effectiveness of the “GSK” in the penal system and in a forensic hospital unit. Altogether 48 male delinquents across both settings were therefore divided into a “homogeneous insecure” group, a “homogeneous aggressive” group and a “heterogeneous” group. Pre-post-comparisons show that the intervention is effective for all three groups and also in both settings, the penal system and the forensic hospital unit. The “homogeneous aggressive” group revealed the strongest intervention effects.     

Genetic analysis of “Spontaneous” intermale aggression in mice

“Spontaneous” intermale aggression was investigated in seven inbred strains of mice. A positive interstrain correlation and cross-correlation was found for two indices of fighting intensity, ie, accumulated attacking time and number of attacks. The strain aggressiveness level (percent of mice fighting in each strain) does not correlate with the intensity of aggressive behavior. It has been shown by using a genetical analysis performed on C57BL/6 and BALB/c strains, their reciprocal F₁ hybrids, and back-crosses that these indices of intermale aggression are under different genetic control. Aggressive behavior intensity depends on the additive effects of genes. The control of strain aggressiveness level revealed that a high level of aggressiveness was dominant. No reciprocal effects were found. The level of aggressiveness and the intensity of fighting seem to represent different aspects of aggression and may be controlled by different genetic mechanisms.     

Development of the near-death phenomena knowledge and attitudes questionnaire

In the first study of nurses' knowledge of and attitudes toward near-death phenomena and patients who have experienced them (NDErs), 20 registered nurses in Intensive or Cardiac Care Units completed a questionaire containing 29 true/false/undecided statements about near-death phenomena (alpha reliability .83), 29 Likert items concerning attitudes toward such phenomena (alpha .84), and 25 Likert items concerning attitudes toward care of NDErs (alpha .81). The revised questionnaire has high levels of content and construct validity, and acceptable levels of internal consistency, and is therefore a valid and reliable tool.This paper was derived in part from her M.S.N. thesis submitted to the University of Cincinnati, and was based on a study conducted at the University of Cincinnati Medical Center.     

Accuracy and differentiation in social prediction: A developmental perspective1

Two studies examined the accuracy and differentiation of 4–5-yearolds‘, 8–9-year-olds’, and undergraduates' predictions of the preferences of peers and nonpeers. In Study 1 each subject was presented with separate arrays of snacks, meals, and activities depicted on cards and were asked to select their own preferences and the preferences of peers and nonpeers (“grown-ups” for the children, and “4- to 5-year-olds” for the undergraduates). In Study 2 each subject selected his or her own preference, the preference of peers, and the preferences of both older nonpeers (“grown-ups”) and younger nonpeers (“2-year-olds”). For all age groups, including 4–5-year-olds: (1) the preference predictions differentiated peers from nonpeers, as well as older nonpeers from younger nonpeers; (2) it was very rare for a subject to select his or her own preferences for the preference predictions of both peers and nonpeers. There were no consistent developmental differences either in the tendency to select one's own preferences when predicting the preferences of others or in the tendency to differentiate predictions for peers and nonpeers. In contrast, there was a clear developmental increase in predictive accuracy, with 4–5-year-olds being relatively inaccurate in predicting the preferences of nonpeers. The inadequacy of constructs such as “assumed similarity” and “egocentrism” as explanations for the general accuracy in predicting peers' preferences and the 4–5-year-olds' inaccuracy in predicting nonpeers' preferences is discussed. Possible alternative variables underlying developmental increases in judgmental accuracy, such as “social reference,”“self reference,” and “social category knowledge,” are then proposed.     

Reflections on the Evaluation of a Cambodian Youth Dance Program

Evaluating a youth program whose goals are to provide instruction in Cambodian dance, increase awareness and pride in Cambodian culture, promote healthy behaviors, and create linkages within the community has been a challenge. A primary source of conflict was incorporating evaluation methods that were required of all funded programs with our own specifically tailored measures. One of our concerns was that the required tools were not culturally appropriate for our participants. Our experiences reinforce the importance of forming partnerships that embrace principles of respect, equity, and empowerment among all involved before establishing a research agenda. The choices we made and did not make contributed to our struggles and frustration and also to the insight that was gained. Our analysis examines the importance of clear communication, cultural awareness, tailoring evaluation, and meaningful participation. We believe that the lessons we learned will help facilitate the conduct of culturally sensitive community-based research.     

Product involvement: an application in clothing

• The paper examines the dimensionality of involvement with clothing. The extant literature is reviewed to show the origins, application and classification of involvement. The discussion focuses on enduring, situational and response involvement, emphasising the dimensionality of the construct. The research examines enduring involvement with clothing, using a scale of 15 Likert‐type statements to operationalise the concept. The findings suggest that involvement with clothing stems from: (1) pleasure and enjoyment derived from shopping and (2) the importance consumers attach to the product, which relates to the symbolic nature of clothing as a means of self‐expression.

Copyright © 2006 John Wiley & Sons, Ltd.