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.     

Misalignment Between Research Hypotheses and Statistical Hypotheses: A Threat to Evidence-Based Medicine?

Topoi - Evidence-based medicine frequently uses statistical hypothesis testing. In this paradigm, data can only disconfirm a research hypothesis’ competitors: One tests the negation...     

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.