Perceptions of the Limitations of Confidentiality Among Chinese Mental Health Practitioners,Adolescents and Their Parents

The present study aims to (a) survey Chinese mental health professionals’ attitudes toward therapeutic confidentiality with adolescent patients in specific clinical situations, and (b) compare Chinese adolescents’ and parents’ beliefs about when most mental health professionals would breach confidentiality. A sample of 36 mental health practitioners, 152 parents, and 164 adolescents completed a survey to assess their opinions about when confidentiality should be breached in 18 specific clinical situations (e.g., an adolescent tells his or her therapist that he or she smoked a cigarette, had unprotected sex, or attempted suicide). Nearly half of the parents (46%) and adolescents (41%) and 78% of the therapists in our sample selected “yes” in response to the question of whether the principle of confidentiality applies to adolescents. However, 49% of parents indicated “no,” and 53% of adolescents indicated “not sure.” Compared to adolescents, parents were significantly more likely to believe that therapists would breach confidentiality for the high-breach-likelihood items. For the low-breach-likelihood items, adolescents and parents were significantly more likely than therapists to believe confidentiality should be breached. Results from this study provide data to inform the development, refinement, practical implementation, and communication of guidelines and recommendations specific to adolescents receiving psychotherapy in China.     

How accurate are time-use reports? Effects of cognitive enhancement and cultural differences on recall accuracy

In order to assess the accuracy of time-use reports, 80 young adults were observed for 2-hour periods, and were interviewed about their activities by a different person the following day. Two experiments were performed. In the first, three different levels of cognitive enhancement were used to improve recall accuracy. Subjects were 60 California college students, 20 per group. In the second study the maximum enhancement condition was replicated with 20 Guatemalan subjects, similar in age, sex and level of education to the California subjects. Both the accuracy of their recall of specific activities, and the accuracy of their time-duration estimates were calculated. Results indicated that the enhancement conditions in Study 1 significantly increased both the number of activities recalled accurately (from 40 to 63 per cent) and the amount of time accurately recalled (from 58 to 70 per cent). In Study 2 the Guatemalans recalled 60 per cent of their activities accurately, and recalled as much time accurately as the Californians. The Guatemalans were significantly more likely to underestimate their time. In other words, when they made errors, these were almost always underestimations. Most of the recall error could be accounted for by forgetting an activity altogether, rather than by estimating its time inaccurately.     

Constructing comparative sentences: Linguistic marking and affect

Past research has demonstrated a greater naturalness of comparative constructions with the unmarked adjective. Not only do subjects typically create sentences of the form A is longer than B more frequently than B is shorter than A, but such constructions are also more quickly verified. One explanation for this preference is in terms of Linguistic Marking (e.g., Clark, 1969a, b). Because the semantic featural coding hypothesized for unmarked adjectives is simpler than that of marked adjectives, the observed facilitation effects would be expected. However, an equally viable explanation is in terms of the greater positive affect of the unmarked adjective (see Osgood et al., 1957). Since linguistic marking and affect are typically confounded in past research (the unmarked adjective is also the most affectively positive), the present experiment discriminates between these two interpretations by providing also contexts in which linguistic marking and affect are not confounded. Here, analysis of the comparatives constructed by 96 subjects revealed the preference for the unmarked adjective only where it was also the most affectively positive. Where the marked was the more positive, the reverse was observed, as predicted by Osgood (et al., 1957).     

The effects of covert and overt modeling on assertive behavior

Three modeling therapy formats (overt modeling with a standard hierarchy of situations. covert modeling with the standard hierarchy, and covert modeling with a self-tailored hierarchy) were compared to assess their relative efficacy in developing assertive skills. Half the subjects in each treatment condition received or did not receive generalization training. Significant within-group improvement was indicated on four self-report measures. Overall, the results suggest that covert modeling was as effective as overt modeling or covert modeling plus self-tailoring for instating assertion among nonassertive college women.     

The comparability of verbal and nonverbal semantic differential scales in a joint semantic space

As an alternative to the verbal Semantic Differential (SD) measure of affective meaning systems, a nonverbal instrument-the Graphic Differential (GD)-has been developed for subject populations who have difficulty in verbal ratings. However, the factor structures of the pictographic scales have never been examined in a joint-verbal and nonverbal-semantic space as to whether their structures are equivalent to the affective systems defined by the verbal markers. The present study assessed this issue by reanalyzing the French (1977) data. The results indicated that when verbal SD and nonverbal GD scales were factor-analyzed separately, the three-dimensional structures of Evaluation (E), Potency (P), and Activity (A) were recaptured in both domains. However, when they were analyzed simultaneously in a joint semantic space, only the E and A dimensions were congruent. The GD P scales carried the meanings of denotative Heaviness, rather than the affective Potency. For future investigation, suggestion was made to systematically study both the affective and denotative semantic features within the contexts of nonverbal communciations.The authors made equal contributions toward the completion of the present research.     

Posed and spontaneous communication of emotion via facial and vocal cues1

Subjects' facial expressions were videotaped without their knowledge while they watched two pleasant and two unpleasant videotaped scenes (spontaneous facial encoding). Later, subjects' voices were audiotaped while describing their reactions to the scenes (vocal encoding). Finally, subjects were videotaped with their knowledge while they posed appropriate facial expressions to the scenes (posed facial encoding). The videotaped expressions were presented for decoding to the same subjects. The vocal material, both the original version and an electronically filtered version, was rated by judges other than the original senders. Results were as follows: (a) accuracy of vocal encoding (measured by ratings of both the filtered and unfiltered versions) was positively related to accuracy of facial encoding; (b) posing increased the accuracy of facial communication, particularly for more pleasant affects and less intense affects; (c) encoding of posed cues was correlated with encoding of spontaneous cues and decoding of posed cues was correlated with decoding of spontaneous cues; (d) correlations, within encoding and decoding, of similar scenes were positive while those among dissimilar scenes were low or negative; (e) while correlations between total encoding and total decoding were positive and low, correlations between encoding and decoding of the same scene were negative; (f) there were sex differences in decoding ability and in the relationships of personality variables with encoding and decoding of facial cues.     

Group aversion by imaginal, vicarious and shared recipient-observer shocks

Sixty college students completed waiting control or alternative group aversion conditions, matched for severity and chronicity of nail-biting. Treatments spanned four sessions. Imaginai aversion (covert sensitization) clients visualized shocks to themselves. Vicarious aversion clients observed shocks to a trained model. A ‘hotseat’ format randomized a few actual shocks to each client with observing peers shocked on remaining trials. The predominant pattern of outcome and subjective impact results was as follows: Hotseat consistently best; vicarious typically second; imaginal usually third; controls worst. Clinical and conceptual issues are raised.