Estimated Intelligence Moderates Cognitive Processing Therapy Outcome for Posttraumatic Stress Symptoms

Although patient intelligence may be an important determinant of the degree to which individuals may comprehend, comply with, and ultimately benefit from trauma-focused treatment, no prior studies have examined the impact of patient intelligence on benefit from psychotherapies for PTSD. We investigated the degree to which educational achievement, often used as a proxy for intelligence, and estimated full scale intelligence quotient (FSIQ) scores themselves moderated treatment outcomes for two effective psychotherapies for PTSD: Cognitive Processing Therapy (CPT) and Written Exposure Therapy (WET). Participants, 126 treatment-seeking adults with PTSD (52% male; mean age = 43.9, SD = 14.6), were equally randomized to CPT and WET; PTSD symptom severity was measured at baseline and 6-, 12-, 24-, 36-, and 60-weeks following the first treatment session. Multilevel models revealed that participants with higher FSIQ scores experienced significantly greater PTSD symptom reduction through the 24-week assessment in CPT but not WET; this effect did not persist through the 60-week assessment. Educational achievement did not moderate symptom change through either 24- or 60-weeks. Individuals with higher FSIQ who are treated with CPT may experience greater symptom improvement in the early stages of recovery.     

Internal and External Validity of Self-Report and Parent-Report Measures of Sluggish Cognitive Tempo in South Korean Adolescents

This study evaluated the internal and external validity of self-report and parent-report measures of sluggish cognitive tempo (SCT) in South Korean adolescents. Adolescents (N =?469, ages 13–17 years; 50.2% boys) completed self-report measures of SCT and attention-deficit/hyperactivity disorder inattention (ADHD-IN) in addition to measures of internalizing and externalizing psychopathology, social problems, and grades. Parents rated adolescents on SCT, ADHD-IN, internalizing and externalizing psychopathology, and social problems. Using adolescent self-report, 11 of 15 SCT symptoms showed convergent and discriminant validity with ADHD-IN. Using parent-report, all 15 SCT symptoms showed convergent and discriminant validity with ADHD-IN. For within source analyses, SCT showed unique and stronger associations than ADHD-IN with internalizing psychopathology whereas ADHD-IN showed unique and stronger associations than SCT with externalizing psychopathology. SCT and ADHD-IN showed similar unique associations with social problems, whereas ADHD-IN was more strongly related than SCT to grades. Across source analyses also supported the differential unique associations of SCT and ADHD-IN with internalizing and externalizing psychopathologies. This study provides initial evidence for the internal and external validity of SCT with South Korean adolescents, extending support for the transcultural validity of SCT to the important developmental period of adolescence.

     

Belief in Hell and Parenting Priorities Concerning Child Independence and Obedience: Does Economic Context Matter?

This study examines the ways that belief in hell is associated with parental goals concerning child independence and obedience. Further, it assesses how this association is contingent upon economic circumstances of a nation, reflected by a country's Gross Domestic Product (GDP) per capita. Multilevel analyses with data from the sixth wave of the World Values Survey (2010-2014) show that belief in hell is associated with a greater likelihood of opposing independence and endorsing obedience. Yet, these observed associations differ across national economic context. Specifically, the negative association between belief in hell and parental endorsement of independence is greater in countries that are more economically developed. Similarly, the positive association between belief in hell and parental endorsement of obedience is greater in countries that are more economically developed. The theoretical implications of these findings are discussed regarding the interplay of religion, parental values about child socialization, and social context.     

Validity of the multiple-stimulus without replacement preference assessment for edible items

Studies have shown that the multiple-stimulus without replacement (MSWO) preference assessment is an effective assessment format for identifying preferred items. However, it is possible that factors other than reinforcer quality might influence selections by some individuals when the MSWO array consists of edible items. The validity of the MSWO results was evaluated by comparing items identified as most and least preferred by the MSWO assessment in a concurrent-schedule (CS) format. Varying edible items were used in each study. The MSWO format accurately identified the higher quality edible item for most participants across studies (76%); however, the MSWO format did not predict the highest quality edible item in the CS assessment for 20% to 30% of participants in each study.     

Infant clinical assessment procedure: Its applications for diagnosis and treatment in the second and third year

This article reports on some clinical applications in the 9 to 30 month age range of a new structured paradigm. The Infant Clinical Assessment Procedure (ICAP) is not a test, but an assessment technique. It is particularly aimed at the evaluation and ongoing monitoring of problems in the emotional development of infants. Its eight episodes represent a wide array of effective, social, and cognitive stimuli. The primary focus of these episodes is on the infant, with the exception of the mother-infant task that specifically gauges the mother-infant ralationship. It is suggested through case vignettes that the ICAP may be useful for the documentation of the efficacy of treatment.     

Non-organic failure-to-thrive: Deprivation or distortion?

Infants diagnosed non-organic failure-to-thrive (NOFT) show arrested physical development. The cause of the growth delay and of the accompanying behavioral anomalies is not known, but generally is attributed to maternal deprivation. This study investigated the hypothesis that family hostility was also a contributing factor. NOFT families were compared with maltreating and adequate families and found to be larger and more intact, but characterized by extremely distressed interpersonal relationships and family violence. This result was interpreted as suggesting that NOFT resulted from the stress of both insufficient and inappropriate treatment of the infant. The source of the stress was observed to include the entire family, the members of which were displaying other psychosomatic manifestations of stress.     

The Past Guides the Future: Implementing the Multicultural and Social Justice Counseling Competencies

The authors describe the ways in which the Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) can be viewed from a human rights framework and as the latest iteration in the long history of the multicultural and social justice counseling competency movement. MSJCC implementation and integration are explored, and recommendations for innovating the MSJCC are described.     

Mothers and fathers and mothers and babies: Interrelationship among relationships

The relationship between perceived marital satisfaction and early mother-infant interaction was investigated. Seventeen mothers and their three-day-old infants served as subjects. Dyads were observed via a modified time-sampling technique during a hospital feeding session. Then mothers completed a questionnaire concerning their perceptions of the marital relationship. Correlational analyses revealed a significant covariance of positive perceptions of the expressive aspects of the marital relationship and heightened social interaction for mother and infant. An interrelationship was observed between mother-neonate social-visual communication and maternal reports of planned pregnancies, time spent talking with spouse, general ratings of “getting along with spouse,” and positive overall evaluations of the material relationship. Also observed was the interrelationship of mother holding infant away from close bodily contact with reports of decreased love felt toward spouse, less optimal perceptions of ease of emotional expression and spousal interest in maternal daily activities, and less optimal overall ratings of the relationship. Implications of the results and the need for further research are discussed.     

The goal as process: music and the search for the Self

This paper explores and compares the processes of music and analysis from the author's experience as a musician, piano teacher and analyst. It explains how the use of music improvisation in analysis (with simple percussion instruments) can powerfully enhance the dialogue between the unconscious and conscious psyche, as well as deepen the relationship between analyst and analysand. This is connected theoretically to Jung's active imagination and Winnicott's concept of play within the analytic encounter. Finally, the question is raised whether analytic trainings could do more to expose trainees to the possibility of using music within the analytic encounter. This touches on the more basic and controversial issue (which often separates analytical psychology and psychoanalysis) of whether expressive therapy should be used in analysis at all.