“Being human”: A grounded theory approach to exploring how trainers on clinical psychology doctorate programmes decide whether or not to disclose personal experiences of psychological distress to clinical psychology doctorate trainees

Objective

Recent research and guidelines recommend that trainers on clinical psychology doctorate training programmes consider disclosing personal experiences of psychological distress to trainees. Disclosure is thought to promote cultures of openness, validate and normalise trainee distress, encourage trainee disclosure and help-seeking and challenge stigmatising narratives. However, little is known about how trainers decide whether, what or how to disclose. This study aims to address that gap by exploring the processes and factors involved in trainers deciding whether or not to disclose personal experiences of psychological distress to trainees, generating findings of relevance across counselling, psychotherapy and psychology training courses.

Methods

In-depth interviews were conducted with nine trainers on UK clinical psychology doctorate programmes from around the country and analysed in accordance with constructivist grounded theory methods.

Results

Findings indicated that participants valued disclosure personally and professionally but were wary of the dangers of disclosure. Disclosure decisions were made by judging the context against internally held criteria. If criteria were not met, then disclosures were not made. Outcomes, whether positive or negative, served to reinforce the value of disclosure and the importance of managing risks, creating a positive feedback loop.

Conclusions

The findings of this study suggest factors that are important for trainers to consider when deciding whether or not to disclose. The six-factor framework developed may be useful for trainers to consider within reflective practice, supervision or during guided self-reflection in order to make safe, helpful and ethical decisions.     

Lifespan normative data (18–89 years) for Raven's Advanced Progressive Matrices Set I

Raven's Advanced Progressive Matrices (APM) Set I is a validated and brief test of fluid intelligence, ideal for use in busy clinical settings. However, there is a dearth of normative data allowing an accurate interpretation of APM scores. To address this, we present normative data from across the adult lifespan (18–89 years) for the APM Set I. Data are presented in five age cohorts (total N = 352), including two older adult cohorts (65–79 years and 80–89 years), which allows age-standardized assessment. We also present data from a validated measure of premorbid intellectual ability, which was absent from previous standardizations of longer forms of the APM. In line with previous findings, a striking age-related decline was noted, beginning relatively early in adulthood and most marked amongst lower-scoring individuals. Older adults did not demonstrate difficulty with specific test items or make an increased proportion of specific errors. Sex was not a significant predictor of performance. The data set is of particular use in the neuropsychological assessment of older adults, given the known susceptibility of fluid intelligence to both the effects of normal ageing and acquired brain injury in older age. The results are discussed in light of theories of neurological ageing.     

Aggression as a reinforcer: operant behavior in the mouse-killing rat

Two experiments examined mouse killing as a reinforcer of key pressing by rats that killed mice. In Experiment I, mouse-killing rats performed the key-pressing response when each press was reinforced with presentation of a mouse. Offered a choice between a key that yielded presentation of mice and one that did not, the rats preferred the key that yielded mice. When the contingency was reversed, the rats preferred the other key and continued to kill mice. In Experiment II, mouse-killing rats that did not kill rat pups performed a key-pressing response reinforced with presentation of mice on a variable-interval schedule. In tests for responding reinforced on that schedule with presentation of normal mice, anesthetized mice, dead mice, or rat pups, these rats that killed mice but not rat pups exhibited a decline in response rate when rat pups were the reinforcer. Altering the condition of the mice did not significantly affect performance.     

The development of stimulus control with and without a lighted key

In two experiments, the effect of an illuminated response key on the acquisition of stimulus control by an airflow stimulus was assessed. In the first experiment, pigeons were given nondifferential training with airflow emerging from behind the response key in one of three conditions of illumination: trained to peck a lighted key, trained to peck an unlighted key with a houselight present, trained to peck a key in total darkness. After 10 days of training on a variable-interval schedule of reinforcement, all subjects were given a generalization test on airflow velocity. The gradients for subjects trained in the dark were sharp, while those for subjects trained in lighted conditions were shallow. In the second experiment, the effect of an irrelevant keylight on the acquisition of an airflow velocity discrimination was assessed. Two groups of pigeons were trained to discriminate two airflow velocities. One group was trained with a lighted response key and the other was trained to peck the response key in total darkness. The dark-trained subjects acquired the discrimination more rapidly. The results demonstrate that the acquisition of stimulus control by airflow with either a differential or nondifferential training procedure can be overshadowed by keylight.     

Successive luminance difference thresholds and brightness as a function of the interstimulus interval and durations of successive flashes

Monocular,successive luminance difference thresholds (ΔI) and brightness matches (PSE) were obtained by the method of constant stimuli for two flashes successively presented to the same retinal area. Variations in interstimulus interval first-flash duration,and second-flash duration were the independent variables investigated. ΔI decreased as a function of ISI,while PSE remained relatively uninfluenced. An intensity-duration reciprocity was observed with increases in either first- or second-flash duration. Equal increases in duration of both flashes led to a constant value of ΔI. A Broca-Sulzer effect was also noted. In another study, a 10-msec, variable-luminance Standard was followed after 500 msec by either a 10-msec or a 320-msec test flash that was compared to the Standard. The results indicated that the rate of change of brightness with changes in luminance of the Standard was faster for the 10-msec flash than for the 320-msec flash. The rate-of-change hypothesis would predict that the 10-msec flash should have the smaller ΔI. The results for two Ss indicated the opposite: AI was smaller for 320-msec than for 10-msec flashes. A modification of the hypothesis was suggested such that it may be the energy increment (Δlt) required for detection that is related to the rate at which brightness changes with energy.     

Orientation of letters and errors in their recognition

Subjects named alphabetic characters that had been rotated, reflected, or inverted. Inversions induce more errors than mirror reflections and reflections induce more than rotations. In a significant number of mistakes a transformed character was assumed to be normally oriented, but in most a transformed character was confused with the mirror image of the original. The data suggest the existence of an “orientation set” in which the identiflcation of ambiguous characters depends largely on their anticipated orientation. The individuality of the data for the different orientations suggests that different transformations are compensated for in part by different mechanisms.