The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to

Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.     

Program Evaluation: The Accountability Bridge Model for Counselors

The accountability and reform movements in education and the human services professions have pressured counselors to demonstrate outcomes of counseling programs and services. Evaluation models developed for large‐scale evaluations are generally impractical for counselors to implement. Counselors require practical models to guide them in planning and conducting counseling program evaluations. The authors present the Accountability Bridge Counseling Program Evaluation Model and discuss its use in evaluating counseling services and programs     

Bedroom design and decoration: gender differences in preference and activity

This investigation examined gender differences in niche-building preference and activity among 238 8th and 9th grade boys and girls. A questionnaire was developed to measure both the actual and preferred bedroom content, bedroom design activity, and the level of perceived influence by the immediate and extended family, friends, and social institutions. Gender differences were identified for preference, activity, and influence in bedroom design and decoration. Girls and boys differed in the type of items contained in their bedrooms. Girls' rooms contained stuffed animals and pictures of people, including themselves, more frequently than the boys' rooms. In contrast, boys' rooms contained sports-related items, and things for building or that they had built themselves. Although bedroom design activity for both boys and girls was influenced by older teens, friends, media, and popular culture, boys (but not girls) were also influenced by their mothers, fathers, girlfriends, and activities such as sports, Boy or Girl Scouts, and music lessons.     

Gender Differences in a Comparison of Two Tested Etiological Models of Cigarette Smoking Among Elementary School Students1

The theory of reasoned action (TRA), theory of planned behavior (TPB), and a revised TPB were evaluated using manifest variable structural equation modeling among 4^th‐ through 6^th‐grade students for effectiveness in predicting lifetime cigarette use. TRA was an adequate model for female students, but not male students. TPB resulted in improved model fit over TRA for both male and female students, and a revised TPB model improved fit marginally among female students. Tests for differences across gender indicated that the relationship between intention to use and lifetime cigarette use was stronger among female compared to male students. The results indicate that the TPB is an effective model for predicting lifetime cigarette use among late elementary‐school‐aged children.     

Parametrically Dissociating Speech and Nonspeech Perception in the Brain Using fMRI

Candidate brain regions constituting a neural network for preattentive phonetic perception were identified with fMRI and multivariate multiple regression of imaging data. Stimuli contrasted along speech/nonspeech, acoustic, or phonetic complexity (three levels each) and natural/synthetic dimensions. Seven distributed brain regions' activity correlated with speech and speech complexity dimensions, including five left-sided foci [posterior superior temporal gyrus (STG), angular gyrus, ventral occipitotemporal cortex, inferior/posterior supramarginal gyrus, and middle frontal gyrus (MFG)] and two right-sided foci (posterior STG and anterior insula). Only the left MFG discriminated natural and synthetic speech. The data also supported a parallel rather than serial model of auditory speech and nonspeech perception.     

Motivational Interviewing as an Adjunct to Cognitive Behavior Therapy for Anxiety Disorders: A Critical Review of the Literature

Cognitive behavior therapy (CBT) is efficaciously and effectively used in the treatment of anxiety disorders; however, as CBT for anxiety routinely utilizes exposure components, clients often experience ambivalence about treatment and their clinicians often must deal with resistance. Motivational Interviewing (MI) is a therapeutic strategy that addresses ambivalence about change in clinical interventions. MI has been applied as an adjunct for treatments such as CBT in order to increase motivation for and commitment to the intervention, especially when components of the treatment may be challenging (e.g., exposure, cognitive restructuring). Though researchers have commented specifically on the use of MI as a supplement to CBT for anxiety disorders, no comprehensive review has systematically assessed the strengths and limitations of extant literature on the topic, nor across anxiety disorders. Findings are summarized from 6 case studies and uncontrolled trials and 11 randomized controlled trials published through March 2016. An integrated critique of this literature also is offered. Limitations and the preliminary nature of the work in this area notwithstanding, it appears that it is feasible to supplement or integrate CBT with MI and that doing so has the potential to improve treatment initiation and engagement, as well as clinical outcomes. A number of directions for future research are addressed, such as determining which MI approaches to implement, with whom, when, and in what contexts.     

Prospective relations between social support and depression: differential direction of effects for parent and peer support?

The authors tested whether deficits in perceived social support predicted subsequent increases in depression and whether depression predicted subsequent decreases in social support with longitudinal data from adolescent girls (N = 496). Deficits in parental support but not peer support predicted future increases in depressive symptoms and onset of major depression. In contrast, initial depressive symptoms and major depression predicted future decreases in peer support but not parental support. Results are consistent with the theory that support decreases the risk for depression but suggest that this effect may be specific to parental support during early adolescence. Results are also consonant with the claim that depression promotes support erosion but imply that this effect may only occur with peer support during this period.     

Individual differences in working memory capacity and dual-process theories of the mind

Dual-process theories of the mind are ubiquitous in psychology. A central principle of these theories is that behavior is determined by the interplay of automatic and controlled processing. In this article, the authors examine individual differences in the capacity to control attention as a major contributor to differences in working memory capacity (WMC). The authors discuss the enormous implications of this individual difference for a host of dual-process theories in social, personality, cognitive, and clinical psychology. In addition, the authors propose several new areas of investigation that derive directly from applying the concept of WMC to dual-process theories of the mind.     

Paradoxes in Double Extension Set Theories

Three systems of double extension set theory have been proposed by Andrzej Kisielewicz in two papers. In this paper, it is shown that the two stronger systems are inconsistent, and that the third, weakest system does not admit extensionality for general sets or the use of general sets as parameters in its comprehension scheme. The parameter-free version of the comprehension principle of double extension set theory is also shown to be inconsistent with extensionality. The definitions of the systems and a self-contained exposition of their properties is given, sufficient to develop the inconsistency proofs.