I Can Stomach That! Fearlessness About Death Predicts Attenuated Facial Electromyography Activity in Response to Death‐Related Images

Objective measures of suicide risk can convey life‐saving information to clinicians, but few such measures exist. This study examined an objective measure of fearlessness about death (FAD), testing whether FAD relates to self‐reported and physiological aversion to death. Females (n = 87) reported FAD and disgust sensitivity, and facial electromyography was used to measure physiological facial responses consistent with disgust while viewing death‐related images. FAD predicted attenuated expression of physiological death aversion, even when controlling for self‐reported death‐related disgust sensitivity. Diminished physiological aversion to death‐related stimuli holds promise as an objective measure of FAD and suicide risk.     

Assisting Older Women in Combatting Ageist Stereotypes and Improving Attitudes Toward Aging

Ageism is a pervasive force in society that poses a significant threat to the well-being of older women. This article integrates theory, research and practice in an examination of ageism as it relates to therapy with older women. The authors review common stereotypes of older women, and discuss the pervasiveness of these stereotypes using a terror management explanatory framework. Particular attention is also paid to the effects of ageist stereotypes on older women, with especial emphasis on stereotype threat and self-stereotyping concepts. The authors argue that geriatric rehabilitation settings may enhance vulnerability to these negative effects. Finally, strategies for older women to combat ageist stereotypes and develop positive attitudes toward aging are discussed. Implications for therapeutic practice to help older women maintain a satisfying quality of life, despite these stereotypes, are presented throughout the article. The authors recommend interventions embedded in feminist theory, positive psychology, and humanistic and cognitive–behavioral therapies.     

Information Seeking Within Organizations

In this article, both the literature on employee feedback‐seeking behavior and the literature on information seeking by organizational newcomers are reviewed. This review highlights the various motives that affect the decision of whether or not to seek information, shows how the strength of those motives is affected by both characteristics of the individual and characteristics of the organizational context, and reviews evidence that information seeking has beneficial outcomes. The author then offers an integrated model of antecedents, dynamics, forms, and outcomes of employee information seeking and concludes with suggestions for how future research can extend current understanding of employee information seeking.     

Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.