Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency

The aim of the present study was to assess the effectiveness of an Acceptance and Commitment Therapy group intervention program for adults who stutter (N = 20). The program consisted of 2-h therapeutic sessions conducted weekly for eight consecutive weeks. It was an integrated program designed to improve: (a) psychosocial functioning, (b) readiness for therapy and change, (c) utilisation of mindfulness skills and psychological flexibility, and (d) frequency of stuttering. The findings provide innovative evidence for Acceptance and Commitment Therapy as an effective intervention with statistically significant improvements in psychosocial functioning, preparation for change and therapy, utilisation of mindfulness skills, and overall speech fluency. Follow-up data collected at three months post-treatment revealed that therapeutic gains were successfully maintained over time. These findings enhance the understanding of the impact of stuttering on psychological wellbeing and offer a new perspective on what might constitute successful stuttering treatment. Further, clinical research support is provided for Acceptance and Commitment Therapy delivered in a group format as a promising and novel intervention for adults who stutter.Educational objectives: The reader will be able to: (a) appreciate the potential for Acceptance and Commitment Therapy for adults who stutter; (b) identify the improvements participants experienced in psychosocial functioning and frequency of stuttered speech; (c) appreciate the six core processes of Acceptance and Commitment Therapy; and (d) appreciate the differences between an ACT model of intervention for adults who stutter compared to a CBT approach.     

Bitter reproach or sweet revenge: cultural differences in response to racism

Culture has been shown to influence response styles. The authors conducted two studies to test the notion that African Americans would be more likely to respond to racism directly, whereas Asian Americans would be more likely to respond indirectly and therefore more subtly. Study 1 showed that Black women subjected to a racist comment from a confederate during an online interaction were more likely than Asian women to verbally reproach the perpetrator. These group differences were not present when the outcome measure was indirect responding--administration of good/bad jellybeans. Study 2 used an online format to demonstrate that Asian women were more likely than Black women to say they would not respond directly to a racist comment. This group difference in unwillingness to confront was significantly mediated by a goal of maintaining peace with their interaction partner. Implications of these findings for the study of discrimination, coping, and well-being are discussed.     

Positive Traits Linked to Less Pain through Lower Pain Catastrophizing

The present study examined the association between positive traits, pain catastrophizing, and pain perceptions. We hypothesized that pain catastrophizing would mediate the relationship between positive traits and pain. First, participants (n = 114) completed the Trait Hope Scale, the Life Orientation Test-Revised, and the Pain Catastrophizing Scale. Participants then completed the experimental pain stimulus, a cold pressor task, by submerging their hand in a circulating water bath (0 °C) for as long as tolerable. Immediately following the task, participants completed the Short-Form McGill Pain Questionnaire (MPQ-SF). Pearson correlation found associations between hope and pain catastrophizing (r = −.41, p < .01) and MPQ-SF scores (r = −.20, p < .05). Optimism was significantly associated with pain catastrophizing (r = −.44, p < .01) and MPQ-SF scores (r = −.19, p < .05). Bootstrapping, a non-parametric resampling procedure, tested for mediation and supported our hypothesis that pain catastrophizing mediated the relationship between positive traits and MPQ-SF pain report. To our knowledge, this investigation is the first to establish that the protective link between positive traits and experimental pain operates through lower pain catastrophizing.     

Perfectionistic self-presentation, socially prescribed perfectionism, and suicide in youth: a test of the perfectionism social disconnection model

The role of interpersonal components of perfectionism in suicide outcomes among youth was assessed and the Perfectionism Social Disconnection Model (PSDM) was tested by determining whether the links between socially prescribed perfectionism (SPP) and perfectionistic self-presentation (PSP) and suicide outcomes are mediated by experiences of social disconnection, as indicated by social hopelessness and being bullied. PSP, trait perfectionism, suicide outcomes, and experiences of being bullied and social hopelessness were measured in 152 psychiatric outpatient children and adolescents. Correlational tests confirmed that PSP and SPP were associated with suicide outcomes and these interpersonal perfectionism components were associated significantly with bullying and social hopelessness. Support was also obtained for the PSDM. The relationship between the PSP facets, particularly nondisplay of imperfections, and suicide outcomes were mediated by being bullied. Additionally, the relationship between all interpersonal components of perfectionism and suicide risk was mediated by social hopelessness. Theoretical and clinical implications of interpersonal components of perfectionism and social disconnection in suicide outcomes for youth are discussed.     

Deontic and epistemic reasoning in children

It is widely accepted that adults show an advantage for deontic over epistemic reasoning. Two published studies (Cummins, 1996b; Harris and Núñez, 1996, Experiment 4) found evidence of this “deontic advantage” in preschool-aged children and are frequently cited as evidence that preschoolers show the same deontic advantage as adults. However, neither study has been replicated, and it is not clear from either study that preschoolers were showing the deontic advantage under the same conditions as adults. The current research investigated these issues. Experiment 1 attempted to replicate both Cummins’s and Harris and Núñez’s studies with 3- and 4-year-olds (N = 56), replicating the former with 4-year-olds and the latter with both 3- and 4-year-olds. Experiment 2 modified Cummins’s task to remove the contextual differences between conditions, making it more similar to adult tasks, finding that 4-year-olds (n = 16) show no evidence of the deontic advantage when no authority figure is present in the deontic condition, whereas both 7-year-olds (n = 16) and adults (n = 28) do. Experiment 3 removed the authority figure from the deontic condition in Harris and Núñez’s task, again finding that 3- and 4-year-olds (N = 28) show no evidence of the deontic advantage under these conditions. These results suggest that for preschoolers, the deontic advantage is reliant on particular contextual cues such as the presence of an authority figure, in the deontic condition. By 7 years of age, however, children are reasoning like adults and show evidence of the advantage when no such contextual cues are present.     

Diffusing the Clash of Otherness in Projective and Complex-Discharging Fields

Journal of Religion and Health - Given the frequent tendencies of our institutional structures to undergo splitting, how does analytical psychology give us some pointers in knowing how to diffuse...     

Biased Self-Perceptions,Peer Rejection,and Aggression in Children

This study examined whether children’s biased self-perceptions of peer acceptance are associated in a linear or curvilinear fashion with aggression, whether associations are moderated by peer rejection status, and whether associations apply uniquely to reactive aggression. Children in the 4th through 7th grades completed a self-report measure on their social functioning (SPPC; Harter 1982), and teachers reported on children’s social functioning and aggression. Self-perceptual bias was operationalized as the standardized residual difference between children’s self-perceptions and their teachers’ perceptions of their peer acceptance. Rejected status moderated associations between biased self-perceptions and reactive aggression. Among non-rejected children, biased perceptions were not significantly associated with reactive aggression. In contrast, among peer-rejected children, reactive aggression was elevated in those who greatly underestimated as well as in those who even modestly overestimated their peer acceptance. This pattern was observed whether or not proactive aggression was statistically controlled. In contrast, biased self-perceptions were not associated with proactive aggression for rejected or nonrejected children. Implications are discussed with regard to future research and potential interventions for aggressive children.     

Competences and occupational standards for systemic family and couples therapy

This article reports on the recent government initiative of 2007–2010 to delineate, for the major forms of psychological therapy, expected professional standards of practice and conduct in workplaces (the national occupational standards) and to specify expected levels of competent practice (the competences). The article focuses on the processes and outcomes of this initiative for systemic therapy and its clinical and political relevance. The rationale, research and consultation processes by which these formulations were achieved are described and the outcomes of the work are reported. We also discuss their wider implications, including the various ways in which these achievements might be used and their potential value for the field of systemic family and couples therapy.