Cognitive and Value Correlates of Health-Related Behavior in Brazilian Middle-class Women

The prevalence of several health-related behaviors was studied in a random sample of 294 Brazilian middle-class women between 25 and 45 years of age. The interrelationships among these behaviors confirmed previous findings in North America and provided the basis for the computation of a composite index of health behavior. The sociodemographic, cognitive, and value correlates of scores on the Health Behavior Index (HBI) were investigated using regression analysis. Women who behave in favor of good health were mothers of more children, had a definition of health as higher level functioning and self-realization, believed that care outweighs chance as a determinant of health, and valued inner harmony as opposed to comfort and independence. These findings verified most aspects of Pender's health promotion model (Pender, Walker, Sechrist, & Stromberg, 1990).     

Trainee psychotherapy effectiveness at a psychodynamic training clinic: a practice-based study

The degree to which clinical experience is a significant factor in predicting positive psychotherapeutic outcomes is an open question. Empirical studies comparing experienced and beginning practitioners on differences in client outcomes have yielded mixed results. While multiple sources have indicated that trainees are generally effective therapists, few of these studies have examined the effectiveness of graduate-level therapists in a psychodynamic training program. In this study, conducted in the United States, we use a practice-based research approach to examine the outcomes of clients working with trainees at a community mental health clinic in the northeast United States. The theoretical orientation identified by the clinic and training program is psychodynamic with an interpersonal and/or relational emphasis. Results indicated that clients working with trainees at this clinic demonstrated improvement across several indicators of symptoms and psychosocial functioning over the time they received treatment. Implications for training and service reimbursement are discussed.     

Relational dynamics between psychotherapy clients and clinic administrative staff: A pilot study

Extensive empirical research has established therapeutic alliance as one of the most stable predictors of psychotherapy outcomes. Nearly all the contemporary empirical literature on therapeutic alliance focuses on the therapist-client dyad without attending to the relational experiences many clients in outpatient clinics have with administrative staff. Literatures from the fields of social work, psychiatric nursing and milieu therapy suggest there are more systemic relational and environmental dynamics that impact treatment beyond the therapist-client dyad, although these issues have been considered primarily in inpatient settings. A relational ecology framework has been developed drawing upon relational psychoanalysis, attachment theory and symbolic anthropology to help conceptualise the broader relational dynamics beyond the therapist-client dyad that may impact a more systemic therapeutic alliance in certain outpatient contexts. In an initial cross-sectional pilot study with a sample of clients (N = 107) receiving psychotherapy at a community mental health clinic in the Northeastern United States, the present study found client ratings of both (a) the therapeutic alliance with their therapists and (b) their alliance with administrative staff each significantly positively predicted client ratings of treatment. Thus, ratings of administrative alliance predicted client ratings of treatment over and above the effects of the therapist-client therapeutic alliance. These findings provide preliminary support for further investigation of the relational ecology of outpatient psychotherapy and suggest that client experiences of relational and environmental dynamics with administrative staff may be important contributors to psychotherapy outcomes. Limitations of the present study and implications for future research and practice are discussed.     

Religious Involvement and Depression: The Mediating Effect of Relational Spirituality

Journal of Religion and Health - Multiple studies have examined the relationship between religious involvement and depression. Many of these investigations reveal a negative correlation between...     

Take a risk or proceed with caution: Prevention motivation moderates responses to near-loss events

A persistently pressing issue identified in the decision-making literature is that people not only fail to recognize the risks entailed in a near-loss event but also subsequently engage in further risk-taking. We contend in this paper that prevention motivation critically regulates decision-makers' responses to a near-loss. Across three studies, we found that high prevention-focused individuals perceive greater risks in a near-loss event and are subsequently less likely to take risks, compared with low prevention-focused individuals. This finding highlights the significance of applying a motivational perspective to studying decision-making and risk.     

THE USE OF PEER MONITORS TO REDUCE NEGATIVE INTERACTION DURING RECESS

The negative interactions of a mildly retarded child, Dennis, were reduced in three daily recess periods, withthe use of a point system. Adult monitors initiatedthe intervention inthe morning recess; reductions achieved during adult monitoring were maintained in that recess during two subsequent conditions: peer monitoring and self-monitoring. Dennis' negative interactions were reduced next inthe afternoon recess by peer monitors. Again, reductions were maintained during a subsequent self-monitoring condition. Finally, duringthe noon recess, Dennis was trained to serve as a peer monitor for Ed, a moderately retarded classmate. Dennis' rate of negative interactions quickly decreased following his appointment as a peer monitor. The results show that a point system, originally designed for adult monitoring, can be adapted without loss of program effectiveness for peer monitoring or self-monitoring. The results also suggest that classmates who serve as peer monitors may benefit significantly from their role. The conditions under which these therapeutic effects occur andthe role that treatment order effects may play in this process require further investigation.