The value of forgetting suicidal thoughts and behavior

This is a prospective longitudinal study examining recollections of suicidal content and correlates of accurate and inaccurate recollection. A primarily at-risk group of young adults (N = 78) who were initially assessed for suicidal ideation and behavior in adolescence, were asked to recall whether they had reported sui- cidal ideation or behavior about six years earlier. In recalling the previous inter- view, the majority of the participants provided consistent reports. However, with regard to those who had previously reported suicidal ideation or behavior, 38% failed to recall prior adolescent suicidal reports. Those who provided accurate reports of prior suicidal content were more symptomatic and were functioning more poorly than those who failed to recall past suicidal content. The implications for clinical assessment practices, research, and theory development are discussed.     

Does rapid response to two group psychotherapies for binge eating disorder predict abstinence?

Objective

Extend understanding of a rapid response (RR) to treatment by examining its prognostic significance at end-of-treatment (EOT) and 1 year follow-up within two group treatments for binge eating disorder (BED): Dialectical Behavior Therapy for BED (DBT-BED) and an active comparison group therapy (ACGT).

Methods

101 adults with BED randomized to 20-weeks DBT-BED versus ACGT (Safer, Robinson, & Jo, 2010). RR defined as ≥65% reduction in the frequency of days of binge eating by week 4. RR across and within treatment conditions used to predict binge eating abstinence and secondary outcomes (e.g., binge eating pathology, treatment attrition) at EOT and 1 year follow-up.

Results

(1) Significantly higher binge eating abstinence for rapid responders (RR; n = 41) vs. non-rapid responders (non-RRs; n = 60) at EOT (70.7% vs. 33.3%) and 1 year follow-up (70.7% vs. 40.0%), respectively, as well as improvement on most secondary measures (2) Significantly less attrition among RRs vs. non-RRs (3) Significantly higher binge eating abstinence rates at both time points for DBT-RRs vs. DBT-non-RRs, but not for ACGT-RRs vs. ACGT-non-RRs.

Conclusions

Current study extends prognostic significance of RR to 1 year follow-up. RR more prominent for those randomly assigned to DBT-BED than ACGT. Implications discussed.     

The Protective Value of Hardiness on Military Posttraumatic Stress Symptoms

This study examined the protective effects of hardiness (dispositional resilience) on self-reported posttraumatic stress disorder (PTSD) symptoms in a sample of postdeployed service members. Hardiness was negatively related to PTSD symptoms. Time in the military, number of deployments, and total time spent on deployment were all positively related to PTSD symptoms. Hardiness moderated the effects of time in the military on PTSD symptoms, such that time in the military had no effect on those who were high in hardiness. Hardiness did not moderate the effects of either deployment measure. Suggestions to modify current military resilience training programs to most effectively enhance the benefits of hardiness are discussed.     

Individual differences in misremembering pre-psychotherapy distress: personality and memory distortion

In 2 studies, clients were asked, after terminating psychotherapy, to complete a measure of symptomatic distress exactly as they had in their pre-therapy assessment. Most clients overestimated their pre-therapy distress, which may lead to an illusion of positive change. A 3rd study found no overestimation of previously reported distress in a control sample. The degree of overestimation for psychotherapy clients was positively correlated with anxiety, depression, and neuroticism, and negatively correlated with ego strength, self-deception, and lying. Distress levels at termination mediated these effects of individual differences. Individual differences were also correlated with specific types of recall error, such as adding to, exaggerating, omitting, and minimizing previously reported symptoms. Misremembering prior emotions may both reflect and create individual differences.     

A behavioral program for disruptive junior high school students: Results and follow-up

The 5-year annual and 4-year follow-up results of a collaborative community mental health center-junior high school program for disruptive students are presented. The program is a comprehensive, behavioral, in-school, regular education project characterized by a token economy, parent contracting, major subjects taught in the morning, small class enrollment, small group and individualized instruction, an early release from school contingency option and frequent parent-school communications. Annual controlled outcome results revealed that the program led to significant and consistent reductions in expulsions, suspensions, and grade failure, and variable, often significant, gains in attendance and achievement. Follow-up findings indicated that former program students in senior high school achieved a significantly higher entry rate, greater attendance, better classroom conduct, and a lower frequency of withdrawal from school.One second cohort student had been advanced a grade and was thus added to the original first cohort of 14 students.     

A motivational environment for behaviorally deviant junior high school students

A contingency management program was established in a junior high school to better manage and educate students having histories of severe misconduct. School administrators selected 46 eighth-graders having multiple suspensions for misbehavior. Students (N=32) in two of the schools remained in traditional programs, serving as controls, whereas students (N=14) in the third school participated in a token reinforcement program. Reinforcers provided in the afternoon were contingent upon achievement and discipline during morning academic periods. Home-based reinforcers were established to support school behavior. Compared with the control group, significant reductions in negative school behavior as well as greater increases in academic achievement were obtained for the treatment group, thus supporting the efficacy of contingency management for adolescent school misbehavior.Valuable assistance in developing the reinforcement program and curriculum materials was provided by William Brown, principal of the Anne Arundel County Learning Center. Thanks are also due: Dottie Dpwling and Joe Gentile, the teachers in the program; John Jedlicka, principal of Stemmers Run Junior High; and Donnie Williams, research assistant.     

The Psychology of Referencing in Psychology Journal Articles

ABSTRACT— Citation statistics can affect major professional decisions, but little is known about how important a particular reference is to the citing document. We asked 49 psychologists to rate the importance of every reference in their own empirical paper and to indicate the primary citation reason. References cited for conceptual ideas or to justify methods and data analyses were regarded as more important than references cited for general background, limitations, or future research. The location, frequency, and length of a citation predicted its importance, but such relationships were weaker for self-citations. We make suggestions about referencing for authors, editors, and bibliographic database designers.     

Parenting after Weight Loss Surgery: A Conceptual Model and Two Case Reports

The ways families approach eating, shape, and weight can result in stress for individual family members and challenge the overall functioning of the family. This is further complicated among families with a parent who has history of obesity or undergone weight loss surgery (WLS). Although WLS can positively impact other family members, it can also exacerbate conflicts regarding feeding and weight. Such conflicts can involve uncertainty regarding the extent to which the entire family should make the dietary changes recommended for the post-WLS parent. Conflict might also center on the appropriate level of concern regarding the children’s risk of developing (or maintaining) obesity. This paper uses two case examples to describe the application of a specialized, time-limited intervention: Parent-Based Prevention following Bariatric Surgery (PBP-B). The program was developed to address the unique challenges and concerns that arise after, or are exacerbated by, WLS. Each detailed case example illustrates a common child-feeding challenge and the employment of key PBP-B strategies throughout the course of treatment. In the first case, the parent who had undergone WLS believed the family’s current eating behaviors were the same as those that had led to her own overeating, obesity, and co-occurring psychiatric symptoms, while her husband disagreed. In the second case, both parents were concerned about their son’s weight, yet due to their prior eating histories, they felt unable to construct boundaries around the feeding experience. Both cases follow families through the entire intervention and illustrate key points and challenges. These cases underscore the need for novel treatment modalities to support families following parental WLS.     

Tunnel memory for traumatic events

In four experiments subjects remembered the critical information in a traumatic slide as either more focused spatially than in its original presentation or more focused spatially than information in a matched neutral slide. Subjects comprehend a neutral scene by automatically extending its boundaries and understanding the visual information in a broader external context. However, when subjects are negatively aroused by a scene, they process more elaborately those critical details that were the source of the emotional arousal, and they maintain or restrict the scene's boundaries. ‘Tunnel memory’ results from this greater elaboration of critical details and more focused boundaries. Tunnel memory may explain the superior recognition and recall of central, emotion-arousing details in a traumatic event, as shown in previous research on emotion and memory. © 1998 John Wiley & Sons, Ltd.