Cross-fertilization versus transmission: Recommendations for developing a bidirectional approach to psychotherapy dissemination research

Psychotherapy researchers are increasingly engaged in collaborations with clinical practitioners and mental health administrators. Each party brings its own perspectives, values, and agendas to bear in these encounters. Viable research—practice collaborations depend on understanding and negotiating some of the tensions in these relationships. In this article, we discuss the contexts that prevail for various participants in a psychotherapy dissemination study as well as the values, goals, costs, and benefits related to research participation. This article is a collaboration among the researchers, mental health administrators, therapists, and clients involved in an ongoing treatment dissemination study. Our recommendations for research—practice collaborations are based on our experiences and dialogues over the course of this study.     

A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

Consumer Perception and Evaluation of Waiting Time: A Field Experiment

We varied telephone waiting times for a commercial service in 2 different experiments. In the 1st experiment, the telephone rate was either 0 or fixed at Dfl 1 (approximately $0.40) per minute. Consumer perceptions of waiting times could be described best by a psychophysical power function. Furthermore, wait evaluations were mainly influenced by the difference between the consumers’ acceptable and perceived waiting times. The negative effect of perceived waiting time on wait evaluations was increased by the monetary costs of waiting. In the 2nd experiment, the waiting times were filled in different ways: with music, queuing information, and information about expected waiting time. Information about the expected waiting time significantly reduced the overestimation of waiting time, although it increased the negative effect of perceived waiting time on wait evaluations.     

Effects of Organizational Level and Gender on Stress in the Workplace

Occupational stress adversely affects productivity, absenteeism, and job turnover, and contributes to health-related problems. The effects of organizational level and gender on the specific sources of occupational stress assessed by the Job Stress Survey (JSS) were evaluated for a heterogeneous sample of 1,791 working adults (860 males, 931 females) employed in 2 industrial companies and a large state university. Significant main or interactive effects of organizational level and/or gender were found for the JSS Item Index, Severity and/or Frequency scores of 29 of the 30 JSS items. Organizational level effects were both more numerous and larger in magnitude than gender effects. Employees at higher organizational levels reported that they experienced stress more often while making critical decisions and dealing with crisis situations than did workers at lower levels, for whom inadequate salary and lack of opportunity for advancement were more stressful. For males, work stress was more strongly related to concerns about their role in the power structure of an organization, whereas female employees reported experiencing more severe stress when there was a conflict between job requirements and family relationships.     

Overcoming Barriers to Collaboration Between Basic Behavioral Scientists and Public Health Scientists in Research on Mental Disorders

The behavioral and public health sciences both have a long and rich history supporting basic, translational, and applied research aimed at improving human lives and reducing human suffering. Through the complementary expertise of these disciplines, investigators have contributed to significant, worldwide improvements in mental and physical health. Further gains can be achieved through collaborative research among scientists in these 2 fields. Unfortunately, there are a number of barriers to such collaboration originating in different intellectual traditions, research methods, and the structure and values of academia. We identify these barriers and potential strategies for overcoming them. Several areas for future collaborative research appear promising, especially comorbid mental and physical disorders, adherence to interventions, stigma, and emotional processes. Theory-guided preventive interventions may represent especially fertile areas of collaborative effort.     

Internalizing and Externalizing Problems as Correlates of Self-Reported Attachment Style and Perceived Parental Rearing in Normal Adolescents

The current study examined relationships between attachment style, parental rearing behaviors, and symptoms of internalizing and externalizing in a large sample of nonreferred adolescents (N = 742). Adolescents completed (a) a single-item measure of attachment style, (b) the child version of the EMBU, a questionnaire measuring perceptions of parental rearing behaviors, and (c) the Youth Self-Report, an index of severity of internalizing and externalizing symptoms. Results showed that attachment style was related to internalizing as well as externalizing symptoms. More specifically, adolescents who classified themselves as avoidantly or ambivalently attached displayed higher levels of internalizing and externalizing symptoms than adolescents who classified themselves as securely attached. Furthermore, perceived parental rearing behaviors were also associated with internalizing and externalizing symptoms. That is, low levels of emotional warmth and high levels of rejection and overprotection were accompanied by high levels of psychopathological symptoms. Finally, both attachment and parental rearing behaviors accounted for a unique proportion of the variance in internalizing symptoms. Yet, when predicting externalizing symptoms, only parental rearing behaviors declared a significant proportion of the variance.     

Fairness and Discounts: The Subjective Value of a Bargain

In this work, we examined the surprising value consumers attach to getting a bargain. Past research has largely understood this phenomenon in terms of the impact discounts have on perceptions of fairness. However, the evidence for this explanation is inconclusive due to a number of viable alternatives as well as issues relating to construct and external validity. The experiments we report here provide clearer evidence for the basic assertion that discounts increase purchase satisfaction due to the nonfinancial rewards that are associated with perceptions of fairness. Furthermore, current notions of fairness in the promotion literature are extended by showing that social cues such as the relative size of the discount received by another customer and the loyalty status of that customer can also have an important impact on fairness and purchase satisfaction. We suggest an integration of transaction utility theory (Thaler, 1985) and equity theory (Bagozzi, 1975) to account for these findin     

Driving experience, attentional focusing, and the recall of recently inspected events

How does a driver’s perception of roadway events change with experience? A laboratory study addressed this question by comparing novice and experienced drivers as they watched video recordings taken from a moving vehicle. While watching the recordings, the drivers had their eye movements monitored. When the recording was paused, memory for immediately prior events was tested, and recall performance related to what the viewer had been inspecting. The recordings were taken from a vehicle as it travelled along a series of roads, and questions were asked about other road users and about roadway features. The experiment asked about the relationship between driving experience and attentional capture, and about the recall of events recently seen. What attracted attention were objects of central interest such as other road users appearing close to the camera, and moving objects. When the memory test was administered immediately after a hazardous event had occurred, such as a pedestrian stepping into the path of the camera vehicle, then there was evidence of attentional focussing and reduced availability of details about incidental objects. Recall performance generally reflected the pattern of eye fixations, but viewers did not always recall details about fixated objects, and were sometimes able to recall information about objects that were not fixated. Experienced drivers recalled more of the incidental events than the novices, but they were similar in their recall of central events. This supports the association between driving experience and the extent of the effective perceptual field.