The first to know: A systemic analysis of confidentiality and the therapist's family

Abstract

One of the most common yet unrecognized breaches of confidentiality occurs when family therapists share confidential information with their own families. For many therapists, the boundaries between professional and private seem unclear, especially pertaining to disclosing clients' confidential information. Therapists are encouraged to examine their own practices concerning sharing confidential information with their families. Therapists' families have their own rules, patterns, boundary issues, and power struggles which affect therapists' behaviors. Therapists can discuss this issue with their families and develop postures that insure clients' privacy.     

When a ROWS is a ROSE: Phonological effects in written word comprehension

When skilled readers make speeded categorization judgements about printed words, errors occur to homophones of real category exemplars. In Experiments 1 and 2, for example, subjects incorrectly accepted both the word STEAL (as a member of the category A METAL) and the nonword JEAP (as A VEHICLE) significantly more often than incorrect non-homophonic items matched in orthographic similarity to real exemplars. Experiment 3 demonstrated equivalent error rates for homophone targets differing from real exemplars by various types of single-letter change, but reduced error rates, especially for non-word homophones, when subjects were instructed to accept only correctly spelled instances. Experiments 4 and 5 established that the magnitude of the homophone effect is predicted by the degree of orthographic similarity between homophonic mates but not by spelling-sound regularity of the presented homophone. The results suggest that automatic phonological activation plays a major role in the comprehension of written words.     

Electrophysiological evidence for the time-course of verifying text ideas

We examined how verb factivity influences the ability of readers to detect and resolve the mismatch of receiving false referents in relation to true referents in discourse contexts. Factive verbs (e.g., know), but not nonfactive verbs (believe), entail the truth of their complements. Recent research by Singer [Singer, M. (2006). Verification of text ideas during reading. Journal of Memory and Language, 54, 574-591] suggests that there are pragmatic costs associated with knowing something that is clearly false and only believing something that is clearly true. However, because Singer measured reading times for full sentences, it could not be determined whether these costs were initiated upon the appearance of the critical target word (i.e., the word that validated or invalidated previous text ideas) or at a later point in the sentences. In the present research we recorded event-related brain potentials while people read the same passages for comprehension and analyzed potentials evoked to the critical target words. Our results demonstrate that the brain distinguishes between true and false target words by at least 200ms after their onset, and that the pragmatic costs identified by Singer lead to interactions between verb factivity and truth in both early (P2) and later occurring brain components (late phase of N400 and late frontal positivity). In general, the results suggest readers had greater difficulty integrating false nouns than true nouns following factive than nonfactive verbs, and that detection of this mismatch also occurred earlier following factive verbs. Our results provide insight into the time-course of the processes that underlie the verification of text ideas, and extend neurocognitive research on anaphoric resolution.     

Sexual orientation across the life span: introduction to the special section

What impact does sexual orientation have on human development over the life span? As questions related to sexual orientation have become increasingly topics of public discussion and debate in recent years, psychological study of the issues has also burgeoned. What was once a new frontier for research has matured into a large, complex, and rapidly growing area of knowledge. Important research is being conducted on many issues, by diverse investigators, from a number of theoretical perspectives, in many parts of the world. The articles in this special section provide only a sampling of current research, but they begin to suggest the vitality and excitement of a field that is coming into its own.     

Engagement in Activities Is Associated With Affective Arousal in Alzheimer's Caregivers: A Preliminary Examination of the Temporal Relations Between Activity and Affect

The primary purpose of this study was to examine the synchronous and temporal relations between engagement in activities and the two primary dimensions of affect—namely, positive and negative affect—using an intensive time-series design called concomitant time series analysis (CTSA). Twenty-four dementia caregivers completed 56 diary measures (4 times per day for 2 weeks) assessing their experience of positive and negative affect as well as engagement in a variety of activities. Total number of activities was significantly correlated with positive affect (r = .40), but not negative affect (r = -.12). Obtained pleasure from activities was significantly correlated with both positive (r = .42) and negative affect (r = - .17). These results may help further develop behavioral models of depression by suggesting that behavioral or self-reinforcing activities are associated primarily (or more saliently) with one's experience of positive affect. Future research examining the effect of behavioral interventions on both positive and negative affect is suggested, as is the examination of factors that may be more strongly associated with negative affect.     

Neuroanatomical distribution of five semantic components of verbs: evidence from fMRI

The Simulation Framework, also known as the Embodied Cognition Framework, maintains that conceptual knowledge is grounded in sensorimotor systems. To test several predictions that this theory makes about the neural substrates of verb meanings, we used functional magnetic resonance imaging (fMRI) to scan subjects' brains while they made semantic judgments involving five classes of verbs-specifically, Running verbs (e.g., run, jog, walk), Speaking verbs (e.g., shout, mumble, whisper), Hitting verbs (e.g., hit, poke, jab), Cutting verbs (e.g., cut, slice, hack), and Change of State verbs (e.g., shatter, smash, crack). These classes were selected because they vary with respect to the presence or absence of five distinct semantic components-specifically, ACTION, MOTION, CONTACT, CHANGE OF STATE, and TOOL USE. Based on the Simulation Framework, we hypothesized that the ACTION component depends on the primary motor and premotor cortices, that the MOTION component depends on the posterolateral temporal cortex, that the CONTACT component depends on the intraparietal sulcus and inferior parietal lobule, that the CHANGE OF STATE component depends on the ventral temporal cortex, and that the TOOL USE component depends on a distributed network of temporal, parietal, and frontal regions. Virtually all of the predictions were confirmed. Taken together, these findings support the Simulation Framework and extend our understanding of the neuroanatomical distribution of different aspects of verb meaning.     

An evaluation of a hospital-based trainee counselling psychology practitioner's service

Counselling psychology is in its infancy in the National Health Service. There is a professional need to evaluate what its practitioners do and with what outcomes. This study is of the work of a trainee counselling psychologist, in a clinical psychology department, and covers his work over 30 months from first appointment. Numerical data were accessed from historical records relating to the author's three working areas: a psychiatric hospital's outpatient department; a university's student health service; and a short-contact primary care counselling clinic. A sample of closed-case clients from the hospital outpatients and the student health service was contacted, and sent questionnaires to elicit their views on the service received. Primary care clients were excluded from this part of the study because of service dissimilarity to the other working domains and access problems. Case loads, case types, frequencies and distributions of client attendances and non-attendances were examined, compared and contrasted using tables, graphs and statistical methods. Clients’ questionnaire responses were tabulated and commented on. It was apparent that although the same general pattern of anxiety-clustered cases predominated in each working area, in other respects the service demands were different. The data have relevance for service design, staffing and management.     

Two‐month‐old infants match phonetic information in lips and voice

Infants aged 4.5 months are able to match phonetic information in the face and voice ( Kuhl & Meltzoff, 1982 ; Patterson & Werker, 1999 ); however, the ontogeny of this remarkable ability is not understood. In the present study, we address this question by testing substantially younger infants at 2 months of age. Like the 4.5‐month‐olds in past studies, the 2‐month‐old infants tested in the current study showed evidence of matching vowel information in face and voice. The effect was observed in overall looking time, number of infants who looked longer at the match, and longest look to the match versus mismatch. Furthermore, there were no differences based on male or female stimuli and no preferences for the match when it was on the right or left side. These results show that there is robust evidence for phonetic matching at a much younger age than previously known and support arguments for either some kind of privileged processing or particularly rapid learning of phonetic information.     

‘It all boils down to respect doesn't it?’: Enacting a sense of community in a deprived inner‐city area

Audio recordings of meetings of two community groups in a deprived inner‐city area were analysed, using discursive psychological and conversation analytic techniques to explore situated enactments of ‘community’. Participants situated themselves as members of a geographical community, of an ‘imagined’ community and of other constitutive communities. A sense of community was enacted through five interactional strategies: Affirming moral codes, ‘defending’ other members, distinguishing insiders from outsiders, enacting empowerment and challenging institutions. Participants regularly employed emotional displays and affirmed moral positions, both to constitute ‘community’ and to take action in it. In so doing they worked up social capital and positioned community concerns in ways more reflective of their own situated values than of criminal law or government policy. Copyright © 2011 John Wiley & Sons, Ltd.