Effectiveness of the intensive group process-retreat model in the treatment of bulimia

The present study examined the effectiveness of a short-term, intensive, group process-retreat treatment model for bulimia. The multicomponent, two-day treatment and follow-up booster session focused primarily on the interpersonal deficits associated with the disorder. A sample of 24 subjects who met the DSM-III criteria for bulimia and who binged-purged at least one time per week participated in the study. Compared to a control group (N=12), the women who received the group treatment (N=12) evidenced significant improvements in self-esteem and severity of binge eating. The frequency of binge-purge episodes and dysfunctional eating attitudes were also significantly reduced. The results of this study suggest that the intensive group-process retreat model is an effective adjunct in the treatment of bulimia.     

Inpatient cognitive therapy: Detours,potholes, and roadblocks along the routes of progress

Developing innovative treatment approaches for psychiatric inpatient settings is an emerging area of interest. This paper delineates the detours and circuitous paths treatment with difficult patients often takes. Differences between typical outpatient and inpatient care are described and the obstacles to cognitive therapy that inpatients present are discussed. The role of case conceptualization is emphasized as a way to promote increased effectiveness. Finally, methods for maximizing therapeutic opportunities with inpatients are suggested.Robert D. Friedberg, Ph.D. is a staff psychologist on the Cognitive Therapy Unit at Mesa Vista Hospital and is an adjunct faculty member at the California School of Professional Psychology.Raymond A. Fidaleo, M.D. is the Clinical Director of the Cognitive Therapy Unit at Mesa Vista Hospital. He is also the Medical Director of the Cognitive Therapy Institute as well as an Associate Professor of Psychiatry at the University of California-San Diego School of Medicine. Dr. Fidaleo engages in private practice in San Diego, CA.Michele M. Mikules, M.A. is a predoctoral psychology intern with the United States Navy at Balboa Hospital, San Diego, CA.     

Acceptability of behavioral interventions: Perceptions of superintendents of public residential facilities

The acceptability of behavioral procedures has been examined with many groups of individuals that have significant roles in the lives of persons with mental retardation. However, for those individuals that live in public residential facilities, one critical person in the decision making process is the superintendent. The purpose of this study was to assess the acceptability of treatments to superintendents of public residential facilities. Using the Treatment Evaluation Inventory (Kazdin, 1980), superintendents rated the acceptability of five treatments (DRO, Time-out, medication, overcorrection and contingent shock) applied to a mild and severe behavior problem. The results showed a significant main effect for treatment and problem and a problem by treatment interaction. Acceptability was inversely related to treatment restrictiveness and, except for differential reinforcement of other behaviors (DRO), all treatments were more acceptable for the severe problem than for the mild problem.     

Counting the stitches that count: Preventive intervention promises and public health

Continued public support for the design, implementation, and dissemination of preventive interventions depends on achievement of four major criteria: (a) Reductions in the incidence or prevalence rates of diagnosable emotional and behavioral disorders, (b) reductions in the need for mental health services through effective primary and secondary interventions, (c) enhancement of the effectiveness of obtained services as screening and early detection efforts are implemented, and (d) reductions in the nation's health care costs associated with emotional and behavioral dysfunctions. Strategies including risk reduction, risk avoidance, health promotion, empowerment, and resource development are preventive insofar as they contribute to achievement of the aforementioned outcomes.     

Cognitive beliefs about male sexuality: The impact of gender roles and counselor perspectives

Two studies are presented which examine stereotypie beliefs about males and their sexuality through the use of the Stereotypes About Male Sexuality Scale (SAMSS). In the first study, the relationship between the SAMSS and two gender role measures were examined. The results revealed that the restrictive emotionality aspect of the masculine role was strongly associated with stereotypic beliefs about male sexuality. Other gender role preferences and behaviors were also found to be positively associated with conventional performance approaches to male sexuality. In the second investigation, counseling trainees were asked to describe how mentally healthy adult men and women would respond to the Stereotypes About Male Sexuality Scale. The responses of both male and female intraining counselors indicated that they expected mentally healthy males: (a) to reject inhibited, control, and constant readiness approaches to the expression of male sexuality and (b) to express greater disagreement toward defining male sexuality exclusively in terms of sexual intercourse and toward viewing males as inherently knowledgeable about sex. These results thus provide evidence for the importance of the SAMSS and a cognitive approach to the study of male sexuality.William E. Snell, Jr., Ph.D. is an assistant professor of psychology in the College of Liberal Arts at Southeast Missouri State University. Sharyn S. Belk is a Ph.D. candidate in social-personality psychology at the University of Texas at Austin. Raymond C. Hawkins II, Ph.D., is a clinical psychologist at the Austin Regional Clinic in Austin, Texas.Portions of these data were presented at the annual meeting of the Southwestern Psychological Association, New Orleans, Louisiana, and at the XXIII International Congress of Psychology, Acapulco, Mexico.     

A comparative outcome study of four cognitive therapies in the treatment of social anxiety

This clinical outcome study compared four separate cognitive behavioral and one behavioral treatment for reducing social anxiety with a waiting list control. Subjects were adults who responded to advertisements for treatment. In the cognitive-behavioral conditions, subjects were trained to modify their disruptive cognitions and/or emit adaptive cognitions relevant to interpersonal behavior with the specific content and techniques determined by the particular cognitive therapy. In the behavioral condition, subjects modeled and rehearsed appropriate social interpersonal behaviors. Subjects were assessed pre and post-treatment on self-report measures of social anxiety, measures of general anxiety, clinical scales of anxiety, depression and hostility, and behavioral, and physiological concomitants of social anxiety. Subjects in all active treatment conditions showed improvement on the measures of social anxiety and the behavioral measure. However, only those in the cognitive treatment conditions, demonstrated treatment effects on general anxiety and the clinical scales. The results indicate the efficacy of both cognitive and behavioral approaches to the reduction of social anxiety. However, they fail to demonstrate clear distinctions between the various cognitive therapies.     

Sex,wage-earner status,occupational level,and job satisfaction

This study attempted to investigate the relationship between wage-earner status, occupational level, and job satisfaction. It was proposed that wage-earner status was a more important determinant of job satisfaction than sex. However, the findings of this study suggested that sex was a more important determinant of job satisfaction than wage-earner status, and occupational level was a better predictor of job satisfaction than either sex or wage-earner status.     

Anxiety management training in the treatment of essential hypertension

The study was conducted to assess the efficacy of Anxiety Management Training as an adjunctive treatment for essential hypertension. Twenty-one patients with essential hypertension, all but one of whom were on antihypertension medication, were randomly assigned either to an Anxiety Management Training condition or a waiting-list control condition. At the time of a posttest assessment session, compared to subjects in the control condition, subjects in the Anxiety Management Training condition manifested a decrease in resting systolic and diastolic blood pressure and a decrease in systolic and diastolic blood pressure following a stressful task. At the time of a follow-up assessment session, subjects in the Anxiety Management Training condition not only manifested good maintenance of reduced blood pressure but also exhibited a further decrease in resting systolic blood pressure and a decrease in systolic blood pressure during the stressful task.