Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency

The aim of the present study was to assess the effectiveness of an Acceptance and Commitment Therapy group intervention program for adults who stutter (N = 20). The program consisted of 2-h therapeutic sessions conducted weekly for eight consecutive weeks. It was an integrated program designed to improve: (a) psychosocial functioning, (b) readiness for therapy and change, (c) utilisation of mindfulness skills and psychological flexibility, and (d) frequency of stuttering. The findings provide innovative evidence for Acceptance and Commitment Therapy as an effective intervention with statistically significant improvements in psychosocial functioning, preparation for change and therapy, utilisation of mindfulness skills, and overall speech fluency. Follow-up data collected at three months post-treatment revealed that therapeutic gains were successfully maintained over time. These findings enhance the understanding of the impact of stuttering on psychological wellbeing and offer a new perspective on what might constitute successful stuttering treatment. Further, clinical research support is provided for Acceptance and Commitment Therapy delivered in a group format as a promising and novel intervention for adults who stutter.Educational objectives: The reader will be able to: (a) appreciate the potential for Acceptance and Commitment Therapy for adults who stutter; (b) identify the improvements participants experienced in psychosocial functioning and frequency of stuttered speech; (c) appreciate the six core processes of Acceptance and Commitment Therapy; and (d) appreciate the differences between an ACT model of intervention for adults who stutter compared to a CBT approach.     

Brain activity in adults who stutter: similarities across speaking tasks and correlations with stuttering frequency and speaking rate

Many differences in brain activity have been reported between persons who stutter (PWS) and typically fluent controls during oral reading tasks. An earlier meta-analysis of imaging studies identified stutter-related regions, but recent studies report less agreement with those regions. A PET study on adult dextral PWS (n = 18) and matched fluent controls (CONT, n = 12) is reported that used both oral reading and monologue tasks. After correcting for speech rate differences between the groups the task-activation differences were surprisingly small. For both analyses only some regions previously considered stutter-related were more activated in the PWS group than in the CONT group, and these were also activated during eyes-closed rest (ECR). In the PWS group, stuttering frequency was correlated with cortico-striatal-thalamic circuit activity in both speaking tasks. The neuroimaging findings for the PWS group, relative to the CONT group, appear consistent with neuroanatomic abnormalities being increasingly reported among PWS.     

Personality and Legislative Politics: The Big Five Trait Dimensions Among U.S. State Legislators

The impact of personality traits on people's attitudes and behaviors is widely recognized, yet systematic attention to personality in large‐N research on elected officials has been rare. Among psychologists, five‐factor frameworks that focus on openness to experience, conscientiousness, extraversion, agreeableness, and emotional stability have gained tremendous prominence in the past two decades. Applications of these frameworks to the study of mass political behavior have been highly fruitful, but corresponding applications in the study of legislators have been rare. In an effort to assess the utility of a Big Five approach in the study of legislative politics, this article addresses three questions: whether elected officials will be willing to provide personality self‐assessments, whether any data they do provide will exhibit meaningful variance, and whether the Big Five trait dimensions will correspond with patterns in respondents' attitudes and behaviors. These questions are addressed using data from members of the state legislatures in Arizona, Connecticut, and Maine. Results provide considerable grounds for optimism regarding the likely utility of more extensive applications of the Big Five in research on elected officials.     

Exploring programmatic moderators of the effectiveness of marriage and relationship education programs: a meta-analytic study

This study uses meta-analytic methods to explore programmatic moderators or common factors of the effectiveness of marriage and relationship education (MRE) programs. We coded 148 evaluation reports for potential programmatic factors that were associated with stronger intervention effects, although the range of factors we could code was limited by the lack of details in the reports. Overall, we found a positive effect for program dosage: moderate-dosage programs (9-20 contact hours) were associated with stronger effects compared to low-dosage programs (1-8 contact hours). A programmatic emphasis on communication skills was associated with stronger effects on couple communication outcomes, but this difference did not reach statistical significance for the relationship quality/satisfaction outcome. There was no evidence that institutionalized MRE programs (formal manuals, ongoing presence, formal instructor training, multiple evaluations) were associated with stronger effects. Similarly, there was little evidence of differences in program setting (university/laboratory vs. religious). We discuss possible explanations for these findings and implications for program design and evaluation.     

Re-examining the home disadvantage in professional ice hockey

Occurrence of the home disadvantage in professional ice hockey was examined by analyzing shootout data from 2005 through 2008. Results indicated that teams involved in shootouts playing at their home arenas did not lose significantly more games at home than on the road. Results did not support the hypotheses that emphasize the roles of physical contact and diffusion of responsibility in accounting for past failures to find the home disadvantage in professional ice hockey.     

Perspectives from the Second Generation of Pastoral Counselors

The author, representing the second generation of pastoral counselors, reviews and responds to Susan E. Myers-Shirk’s book on the early history of the pastoral counseling movement, entitled, Helping the Good Shepherd: Pastoral Counselors in a Psychotherapeutic Culture 1925–1975. Among other observations, the author comments on the importance and lasting influence of Howard Clinebell and the relationship between pastoral counseling and Christian counseling.     

Coping with Daily Stress: The Role of Conscientiousness

The current study examined how specific coping strategies mediate the relationship between Conscientiousness (C) and positive affect (PA) in a large, multiethnic sample. Using an internet-based daily diary approach, 366 participants (37.6% Caucasian, 30.6% Asian American, 20.7% Hispanic, 9.1% African American) completed measures that assessed daily stressors, coping strategies used to deal with those stressors, and PA over the course of five days. In addition, participants completed a measure of the Five-Factor Model of Personality. Problem-Focused coping partially mediated the relationship between C and PA. Individuals higher in C used more problem-focused coping, which, in turn, was associated with higher PA. The findings of the current study suggest C serves as a protective factor from stress through its influence on coping strategy selection. Other possible mediators in the C-PA relationship are discussed.     

The flip side of vanity sizing: How consumers respond to and compensate for larger than expected clothing sizes

Vanity sizing has become a popular retail trend and recent work shows it has a favorable impact on consumers. However, as the current research demonstrates, significant variations in sizing standards across retailers mean that consumers are as likely to encounter larger sizes as they are smaller, “vanity” sizes when shopping, highlighting the importance of understanding how consumers react to this potential threat in the marketplace. Across five studies we demonstrate that larger sizes result in negative evaluations of clothing and show that these effects are driven by consumers' appearance self-esteem. Importantly, we also find that instead of unilaterally lowering purchase intent as one might assume, larger sizes can actually increase spending, as consumers engage in compensatory consumption to help repair their damaged self-esteem. In so doing, this research reveals a dynamic and complex relationship between consumers and sizing labels, where shopping can serve to build, strengthen, threaten, and/or repair appearance self-esteem.     

Group critical incident stress debriefing with emergency services personnel: a randomized controlled trial

Although single-session individual debriefing is contraindicated, the efficacy of group psychological debriefing remains unresolved. We conducted the first randomized controlled trial of critical incident stress debriefing (CISD) with emergency workers (67 volunteer fire-fighters) following shared exposure to an occupational potentially traumatic event (PTE). The goals of group CISD are to prevent post-traumatic stress and promote return to normal functioning following a PTE. To assess both goals we measured four outcomes, before and after the intervention: post-traumatic stress, psychological distress, quality of life, and alcohol use. Fire brigades were randomly assigned to one of three treatment conditions: (1) CISD, (2) Screening (i.e., no-treatment), or (3) stress management Education. Controlling for pre-intervention scores, CISD was associated with significantly less alcohol use post-intervention relative to Screening, and significantly greater post-intervention quality of life relative to Education. There were no significant effects on post-traumatic stress or psychological distress. Overall, CISD may benefit broader functioning following exposure to work-related PTEs. Future research should focus on individual, group, and organizational factors and processes that can promote recovery from operational stressors. Ultimately, an occupational health (rather than victim-based) approach will provide the best framework for understanding and combating potential threats to the health and well-being of workers at high risk for PTE exposure.     

You’re Better Respected When You Carry Yourself as a Man: Black Men’s Personal Accounts of the Down Low “lifestyle”

Although the notion of a down low life style, called various things at various times, has a long history in the black community, the past few years have been marked by an exponential increase in attention of this phenomenon in both the mainstream press and scholarly work. However, much of this work has focused on exploring whether men on the down low present a unique threat for HIV infection to black women. Currently, there exist very few scholarly works exploring the lives of black men who have sex with men and women that specifically address their own experiences living on the down low or how these men personally define what it means to be on the down low. In this article, we explore why black men who have sex with men and black men who have sex with men and women, including those who self-identify as gay, bisexual or as being on the down low, come to use the down low label and what it means to them to be on the down low.