Supervision in Community Mental Health: Understanding Intensity of EBT Focus

The goal of the present study was to examine clinician, supervisor, and organizational factors that are associated with the intensity of evidence-based treatment (EBT) focus in workplace-based clinical supervision of a specific EBT, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Supervisors (n = 56) and clinicians (n = 207) from mental health organizations across Washington State completed online self-report questionnaires. Multilevel modeling (MLM) analyses were used to examine the relative influence of nested clinician and supervisor factors on the intensity of EBT focus in supervision. We found that 33% of the variance in clinician report of EBT supervision intensity clustered at the supervisor level and implementation climate was the only significant factor associated with EBT supervision intensity. While individual clinician and supervisor factors may play a role in EBT coverage in supervision, our results suggest that an implementation climate that supports EBT may be the most critical factor for improving intensity of EBT coverage. Thus, implementation efforts that address the extent to which EBTs are expected, rewarded, and supported within an organization may be needed to support greater coverage of EBT during workplace-based supervision.     

“Castration Anxiety” Revisited: Especially “Female Castration Anxiety”

ABSTRACT

I find the term castration anxiety a still relevant and important key body fearful fantasy in males, especially expressing fear of the father; as is female castration anxiety an equivalent key fear of the ablation of the sexual and reproductive organs of females, especially by the avenging mother. Freud’s and his followers’ version of the female anxiety, however, has repetitively been shown to be askew since the 1930s, yet it keeps appearing again, as if still worthy of serious argument. To demonstrate its utter blindness to an emotional or imaginative appreciation of female body reproductive functioning, a detailed critique is offered of the once classic paper, “The Body as Phallus” by Bertram Lewin (1933). I recommend that a straightforward sense of female castration is helpful in exploring female body anxieties as a more defined bodily referent than can be encompassed by separation anxieties that are currently more popular.     

A Randomized Controlled Trial of the Impact of a Family-Based Adolescent Depression Intervention on both Youth and Parent Mental Health Outcomes

This paper presents findings from a multi-centre, double-blind, randomized controlled trial that tested the hypothesis that parent and youth mental health improvements would be superior in a family-based intervention for adolescent depression (BEST MOOD) compared to a treatment-as-usual supportive parenting program (PAST). Eligible participants were families with a young person aged between 12 and 18 years who met diagnostic criteria for a depressive disorder (major, minor or dysthymic). Participating families (N = 64; 73.4% of youth were female) were recruited in Victoria, Australia and allocated to treatment condition using a block randomization procedure (parallel design) with two levels of blinding. This paper reports on the trial’s secondary outcomes on youth and parent mental health. General linear mixed models were used to examine the longitudinal effect of treatment group on outcome. Data were analyzed according to intention-to-treat; 31 families were analyzed in BEST MOOD, and 33 families in PAST. Parents in the BEST MOOD group experienced significantly greater reductions in stress and depressive symptoms than parents in the PAST group at 3-month follow-up. A greater reduction in parental anxiety was observed in the BEST MOOD group (d = 0.35) compared with PAST (d = 0.02), although the between-group difference was not significant. Both groups of youth showed similar levels of improvement in depressive symptoms at post-treatment (d = 0.83 and 0.80 respectively), which were largely sustained at a 3-month follow-up. The family-based BEST MOOD intervention appeared superior to treatment-as-usual (PAST) in demonstrating greater reductions in parental stress and depression. Both interventions produced large reductions in youth depressive symptoms.     

The sociocultural conceptualisations of schizophrenia and patterns of help seeking in south-east Nigeria

Socioculturally influenced interpretations of mental illness play decisive roles on the time and choice of treatment. These often result in significant delays before patients present at the psychiatric services, with consequent worsening of the prognosis. The aim was to assess the association between sociocultural factors, choice of treatment and treatment delay among patients with schizophrenia. A cross-sectional study of 360 patients with schizophrenia, without previous contact with any statutory psychiatric services, was done. Of this, 75.8% of the participants had visited traditional/faith healers as the first treatment option and have attributed schizophrenia to magico-supernatural causation, despite 70.0% of the participants being educated, while 24.2% of them believed in the natural causation of the illness and presented early to psychiatric hospital. There is a need for community-based psychiatric services that would have mental health education as one of their core mandates; and collaborations with traditional and faith-based healers aimed to reduce delay in their facilities.     

The role of awareness in delay and trace fear conditioning in humans

Expression of conditional fear without awareness has been previously demonstrated during delay conditioning, a procedure in which the conditioned stimulus (CS) and unconditioned stimulus (UCS) overlap. However, less is known about the role of awareness in trace fear conditioning, where an interval of time separates the CS and UCS. The present study assessed skin conductance response (SCR) and UCS expectancy during delay and trace conditioning. UCS predictability was varied on a trial-bytrial basis by presenting perithreshold auditory CSs. Differential UCS expectancies were demonstrated only on perceived delay and trace trials. Learning-related SCRs were observed during both perceived and unperceived delay CSs. In contrast, differential SCRs were demonstrated only for perceived trace CSs. These data suggest that awareness is necessary for conditional responding during trace, but not delay, fear conditioning.     

WAIS-III task perception and performance as a function of stopwatch display

Examiner's instructions for the Wechsler Adult Intelligence Scale-Third Edition indicate that stopwatch display is optional. Since verbal instructions do not consistently inform examinees whether a subtest is timed, examinees may rely upon the visual cue of the stopwatch. Furthermore, examinees' understanding of the actual subtest demands may affect their performances. In the present study, 58 volunteers were randomly assigned to two groups, one in which the examiner displayed the stopwatch and one in which the stopwatch was concealed. Participants were administered the first five subtests. Predictions were that (1) participants to whom the stopwatch was displayed would more accurately perceive whether the subtests were timed, and (2) participants who accurately understood the demands of subtests would score higher than those who did not. Results supported the first hypothesis for three subtests out of five, one remaining inconclusive due to a ceiling effect. The second hypothesis was not supported. Both the implications and limitations of the present study are discussed.     

Transforming the culture of the academy through "Preparing Future Faculty" programs

Preparing Future Faculty programs were developed as an alternate way to prepare doctoral students for academic careers. The author discusses experiences of faculty of color in institutions of higher education. The article describes the original University of Georgia Preparing Future Faculty in Psychology program with its emphasis on students of color. Lessons learned and implications for training are discussed.     

Individual differences in event-based prospective memory: Evidence for multiple processes supporting cue detection

The multiprocess view proposes that different processes can be used to detect event-based prospective memory cues, depending in part on the specificity of the cue. According to this theory, attentional processes are not necessary to detect focal cues, whereas detection of nonfocal cues requires some form of controlled attention. This notion was tested using a design in which we compared performance on a focal and on a nonfocal prospective memory task by participants with high or low working memory capacity. An interaction was found, such that participants with high and low working memory performed equally well on the focal task, whereas the participants with high working memory performed significantly better on the nonfocal task than did their counterparts with low working memory. Thus, controlled attention was only necessary for detecting event-based prospective memory cues in the nonfocal task. These results have implications for theories of prospective memory, the processes necessary for cue detection, and the successful fulfillment of intentions.     

Self-Care as Key to Others' Care: The Perspectives of Globally Situated Experienced Senior-Level Sport Psychology Practitioners

Engaging in self-care has been proposed as a means of counteracting work–life stress that can negatively impact efforts by sport psychology practitioners (SPPs) to effectively and ethically care for their clients. Utilizing Hill's Consensual Qualitative Research methodological approach, researchers examined the perceptions, experiences, and meanings that 20 internationally located, experienced, senior-level SPPs attributed to their self-care. The researchers identified 3 main domains: (a) defining self-care for SPPs, (b) describing the self-care challenges SPPs faced, and (c) identifying the strategies used to overcome those challenges. The experienced and senior-level practitioners participating in this study recognized a need to sustain a relatively balanced approach in their professional and personal lives. They presented a perspective of self-care as necessary to effectively support and provide care for clients. The SPPs identified self-care as an important contributor to their sport psychology professional quality of life. Study findings have implications for the well-being of both novice and more experienced SPPs.     

The Theoretical Aspect of Psychology

Abstract

Arlitt, A. S. Psychology of Infancy and Early Childhood. New York: McGraw-Hill, 1928. Pp. 228. $2.00.

Gesell, A. Infancy and Human Growth. New York: Macmillan, 1928, Pp. 418. $3.50.

Watson, J. B. Psychological Care of Infant and Child. New York: Norton, 1928. Pp. 195. $2.00. Reviewed by C. J. Warden

Taylor, W. S. Morton Prince and Abnormal Psychology. New York: Appleton, 1928. Pp. xi + 137. Reviewed by Edmund S. Conklin

De Sanctis, S. Religious Conversion: A Bio-psychological Study. Translated by Helen Augur. New York: Harcourt, Brace, 1927. Pp. 324. Reviewed by Edmund S. Conklin

Freud, S. The Ego and the Id. Translation by Joan Riviere. London: Hogarth Press, 1927. Pp. 88. Reviewed by Edmund S. Conklin

Burrow, T. The Social Basis of Consciousness. New York: Harcourt, Brace, 1927. Pp. xviii + 256. $4.00. Reviewed by Edmund S. Conklin

Brousseau, K., &; Brainerd, H. G. Mongolism: A Study of the Physical and Mental Characteristics of Mongolian Imbeciles. Baltimore: Williams &; Wilkins, 1928. Pp. 210. $4.50. Reviewed by Myra W. Kuenzel