The role of perfectionism in cognitive behaviour therapy outcomes for clinically anxious children

The main aim of this study was to determine whether pre-treatment levels of child perfectionism impacted on anxiety treatment outcomes for school-aged children. In addition, it was investigated whether child perfectionism decreased following treatment for anxiety. Participants were sixty-seven clinically anxious children aged 6–13 years (female = 34; majority Caucasian) who were enrolled in a group-based cognitive behaviour therapy program, and their parents. They completed self-report questionnaires on anxiety and depressive symptoms and were administered a diagnostic interview to determine the type and clinician rated severity of anxiety and related disorders pre- and post-treatment and at 6-month follow-up. Self- and parent-rated perfectionism were also measured pre-treatment, while a subset of children completed perfectionism measures post-treatment as well. Self-Oriented Perfectionism, but not Socially Prescribed Perfectionism, predicted poorer self-reported treatment outcome (higher levels of anxiety symptoms) immediately following treatment and at 6-month follow-up when using a multi-informant approach. Additionally, both Self-Oriented and Socially Prescribed child perfectionism significantly reduced immediately following treatment. Despite reductions in child perfectionism following anxiety treatment, higher Self-Oriented Perfectionism may impact negatively on child anxiety treatment outcome.     

French Philosophy Over the Last Decade

The controversy between Popper and Adorno at the conference held by the German Sociological Association at Tübingen in 1961, brought into focus issues that had been simmering for some years, and which were to go far beyond methodological dispute, into the foundational question of the relation between theory and society. The concept of totality and its concomitant totalitarian moral implications provide the initial focus, and it is argued that the apparent incommensurability of the two attitudes towards this concept derives not merely from substantive theoretical differences, but from distinct modes of theorizing through language. This in turn, has implications for the understanding of their respective constructions of, and relations to, reality. A comparative analysis of statements made by both men reveals the essentially monologic nature of one orientation.     

Two-and-a-Half-Year-Olds’ Memory for Sources of Actions: Contextual Support Facilitates Recall

This research examines the early emergence of source-monitoring abilities. Previous research has consistently demonstrated that children as young as 3 to 4 years of age do well on simple versions of action-based source-monitoring tasks. Research on even younger children, however, remains lacking. In this study we examined whether 2½-year-olds could accurately recall source on a simplified task. For the procedure, we used an action-based task in which children collaborate with an experimenter to build a model farm. During construction, the child and the experimenter took turns placing items on the farm. After construction, children were administered a source memory test in which they were asked to recall who had placed each item. To more closely examine factors that influence source accuracy in this young population, we included two conditions that varied in terms of contextual support. In the no-context-cues condition, in line with typical source-monitoring tasks, children were asked the source test question while items were presented individually and the farm was not in view. In the context-cues condition, the original spatial array of farm items was left intact to provide additional cues for children's source decisions. The main finding was that children in both conditions showed high levels of source accuracy at test indicating a surprisingly early age of emergence for this ability. Also, as predicted, children in the context-cues condition were the most accurate in attributing source.     

Positive and negative affect,depression, and cognitive processes in the Cognition in the Study of Tamoxifen and Raloxifene (Co-STAR) Trial

ABSTRACT

Objectives: This study examined the relationship between positive and negative affect, depressive symptoms, and cognitive performance. Methods: The sample consisted of 1479 non-demented, postmenopausal women (mean age = 67 years) at increased risk of breast cancer enrolled in the National Surgical Adjuvant Breast and Bowel Project’s Study of Tamoxifen and Raloxifene. At each annual visit, women completed a standardized neuropsychological battery and self-report measures of affect and depression. Data from three visits were used in linear mixed models for repeated measures using likelihood ratio tests. Separate analyses were performed to relate positive/negative affect and depression to each cognitive measure. Results: Higher positive affect was associated with better letter fluency (p = .006) and category fluency (p < .0001). Higher negative affect was associated with worse global cognitive function (p < .0001), verbal memory (CVLT List B; p = .002), and spatial ability (p < .0001). Depressive symptoms were negatively associated with verbal knowledge (p = .004), figural memory (p < .0001), and verbal memory (p’s ≤ .0001). Discussion: Findings are consistent with some prior research demonstrating a link between positive affect and increased verbal fluency and between depressive symptoms and decreased memory. The most novel finding shows that negative affect is related to decreased global cognition and visuospatial ability. Overall, this research in a large, longitudinal sample supports the notion that positive affect is related to increases and negative affect to decreases in performance on distinct cognitive measures.     

The place of words and numbers in psychiatric research

In recent decades, there has been widespread debate in the human and social sciences regarding the compatibility and the relative merits of quantitative and qualitative approaches in research. In psychiatry, depending on disciplines and traditions, objects of study can be represented either in words or using two types of mathematization. In the latter case, the use of mathematics in psychiatry is most often only local, as opposed to global as in the case of classical mechanics. Relationships between these objects of study can in turn be explored in three different ways: 1/ by a hermeneutic process, 2/ using statistics, the most frequent method in psychiatric research today, 3/ using equations, i.e. using mathematical relationships that are formal and deterministic. The 3 ways of representing entities (with language, locally with mathematics or globally with mathematics) and the 3 ways of expressing the relationships between entities (using hermeneutics, statistics or equations) can be combined in a cross-tabulation, and nearly all nine combinations can be described using examples. A typology of this nature may be useful in assessing which epistemological perspectives are currently dominant in a constantly evolving field such as psychiatry, and which other perspectives still need to be developed. It also contributes to undermining the overly simplistic and counterproductive beliefs that accompany the assumption of a Manichean “quantitative/qualitative” dichotomy. Systematic examination of this set of typologies could be useful in indicating new directions for future research beyond the quantitative/qualitative divide.     

Reinvigorating the Study of Careers

Before discussing how to innovate the study of career development using insights from life-span psychology and life course sociology, researchers might benefit from reconsidering whether they are studying careers or studying vocational behavior. While the word “career” seems ubiquitous in vocational psychology research, there are important differences between the study of vocational behavior, occupational roles, and career development. In this article, I urge researchers to (a) reconsider the meaning of career and research on career development, (b) adopt prospective, longitudinal research designs, and (c) concentrate first on processes of development and then on the content of careers. Considering these suggestions may ready vocational psychology for true innovations such as studying human development through work and relationships.     

Predicting Men's Rape Perceptions Based on the Belief That "No" Really Means "Yes"

This study tested men's perceptions of rape based on the belief that women use token resistance to sex—that they say "no" to sex when they really mean "yes." Participants were 131 male undergraduates who completed the Token Resistance to Sex scale and responded to evaluative statements regarding 1 of 3 scenarios: rape, consent, or ambiguous. Results supported the hypothesis that men with a weaker belief in token resistance would have stronger perceptions of rape when a woman said "no" to sex than when a woman said "yes," and that men with a stronger belief in token resistance would have weak perceptions of rape in both situations. These findings implicate miscommunication as a potential contributing factor in date rape.     

Developmental Accounts of Intentionality: Toward Integration

A variety of developmental accounts of intentionality, arising from disparate theoretical perspectives, can now be found in the literature. This paper argues that this diversity is undermining the ability of developmental psychologists to construct a coherent developmental account of the capacity and that it would be more productive to pursue an integrated approach. To this end, the dominant theoretical positions on the development of intentionality are reviewed and evaluated: intentionality as goal-directedness, a result of parental scaffolding, an innate capacity for intersubjectivity, and behavioral object-directedness. Particular attention is given to comparing three key features of each position: the definition of intentionality adopted, the types of behaviors considered to be evidence of intentionality, and the proposed developmental sequence. The possibility of constructing an integrated approach based on these components is explored.     

The Interrelations of Agency,Depression, and Suicidal Ideation Among Older Adults

The high rates of suicide among older men are cause for concern, and have prompted the investigation of factors that might explain these elevated rates. The current research examined whether the gender role construct agency was associated with depression and suicidal ideation among older adults. The results, based on self‐report data from a sample of older Australian men (n = 69) and women (n = 90), indicated that depression mediated the relation between agency and suicidal ideation. In addition, for older men only, agency moderated the depression‐suicidal ideation relation. The results suggest that older adults, and particularly men, with low levels of agency should be the targets for interventions aimed at increasing levels of agency and improving mental health.