Self and external management compared with psychotherapy in the control of obesity

Seventy-four obese TOPS (Take Off Pounds Sensibly) members were assigned to one of five conditions: delayed treatment control, insight psychotherapy, self-management training plus external reinforcement, self-management training only, or external reinforcement only. The latter four groups met once per week for ten weeks and were seen at three and six months and followup. It was hypothesized that self-management plus external reinforcement would be superior to other conditions at both post-treatment and followup, and that this condition alone would produce continuing weight losses. Analysis of covariance on body weight, with pretreatment weight as covariate, indicated that self-management plus external reinforcement, self-management only, and external reinforcement only, did not differ in mean body weight at post-treatment. These three groups differed significantly from control and psychotherapy conditions, which did not differ from one another. Self-management plus external reinforcement produced better performance of techniques. At three and six month followup, differences between the four treatment conditions were no longer significant. Results are discussed in terms of evaluation of psychotherapy and behavior modification and durability of results.     

The effect of adult influence on children's preferences: Compliance versus opposition

The present study examined the effects of adult influence on the choice preferences of first and fifth grade girls and boys. It was found that when the adult directed the children as to which choice alternative to choose, all children (both grades and both sexes) preferred that alternative advocated by the adult. When, however, the adult's influence attempt was followed by another adult's stating that the child should choose whatever he/she wanted, first graders displayed oppositional behavior (preferring the alternative not urged by the first adult), while fifth graders continued to comply with the first adult's influence. These results suggested that oppositional behavior in first grade children may occur as a function of conflict between adults regarding adult control over the child.The author would like to thank the staff and students at the Price's Fork Elementary School, Blacksburg, Virginia, for their invaluable assistance in conducting this study. The author is indebted to Marie Kerwan, Twila Stephenson, and Jeanne Warren for their excellent work as experimenters.     

Conceptual Models in Organizational Consultation

Human organizations are potentially very complex systems operating in even more complex environments. Fundamental to the consultant's effectiveness is his or her ability to conceptualize among these complexities. Several general conceptual models that facilitate the consultant's conceptual work are reviewed. Also, fundamental to the effectiveness of consultation is the consultant's ability to empower consultees conceptually. Several principles related to achieving this objective are presented and discussed. The authors conclude with a discussion targeted to the objective of integrating conceptual models in consultation practice.     

The discourse of being ‘triggered’: Uses and meanings among counselling students

Despite the initial understanding of the word ‘triggered’ as relating to the clinical phenomenon of post-traumatic stress disorder (PTSD), this language has become a common part of the vernacular today, used by many people to apply to a wide variety of experiences and events. Counselling students are particularly sensitised to trauma, as well as identity politics, and are familiar with trigger warnings at college. They themselves have experienced trauma at high rates. Therefore, we were interested to understand how they might be using the word and interpreting the experience of being ‘triggered’, whether different sources of being triggered are related to emotional reactions, and whether a discourse analysis might indicate how and why the term has become useful and for what other experiences it might be serving as a stand-in. In this mixed-methods study, 79 counselling students from around the country shared their definitions and experiences of being ‘triggered’. Participants completed surveys and wrote narratives, which, via thematic qualitative analysis, were coded into five themes. The quantitative analysis focused on the relationship of feelings to themes and the relationship between anger suppression and coping with each theme. Discourse analysis explored how individuals wrote about responsibility and anger. It was discovered that those who wrote about being triggered from a past sexual assault did not discuss anger, nor the responsibility of others to protect them (as those who wrote about microaggressions did), but positioned themselves as overreactors. Results are discussed with regard to training and practice.     

Developing Black Mental Health Provision: Challenging Inequalities in Partnership

This article describes and comments upon the process of developing the Sanctuary project in London, a project that will provide two community-based crisis support services for African and African-Caribbean women and men in mental crisis and distress. This initiative is informed by the extensive research documenting the ways in which mainstream, mental health services fail Black people, and by evidence suggesting that innovations in service provision for Black people are often vulnerable and limited in their impact. In an effort to avoid replicating these problems, considerable emphasis has been given to developing the project in partnership with the main stakeholders—in this instance statutory and Black voluntary sector agencies as well as Black users, carers and community members. Within this context, issues relating to inequalities can be proactively addressed, thereby reducing the risk that they undermine the effectiveness of service provision at a later stage. However, working in partnership can also hinder or delay service developments if discussions between stakeholders become protracted or conflicts unresolved. The author draws on experience gained from this project to identify the potential as well as the difficulties of using a partnership approach to developing effective Black mental health provision. The author's role in the development of these projects has been as representative of one of the partners, the King's Fund Centre for Development.     

Update and Review: Supernumerary Marker Chromosomes

Supernumerary marker chromosomes (SMCs) are found in individuals with normal and abnormal clinical phenotypes. Correlations between karyotype and phenotype have been made in only a few circumstances. This article summarizes the most recent information regarding supernumerary marker chromosomes, including genetic counseling issues.     

Complications travel: A cross‐cultural comparison of the proportion of complications as a verbal cue to deceit

Verbal lie detection tools are almost exclusively examined in Western Europe and North America, but practitioners worldwide show interest in such tools. Because cultural differences in the efficacy of such tools may occur, it is important to examine their efficacy in different cultures. In this article, we focus on proportion of complications, which in previous research was more diagnostic than “total details” in two British samples and in three samples that each included Hispanic, Russian, and South Korean participants. In the present article, we merged the three non‐British samples and analysed the data by presenting them for each cultural group separately. Truth tellers disclosed the details of a trip away they had made, whereas liars fabricated such details. Proportion of complications discriminated truth tellers from liars in all three groups and was consistently a better indicator of veracity than total details. Implications of the findings are discussed.     

The need for parent education: A survey of mothers in maternity wards

Parenting needs of 296 mothers in maternity wards were surveyed and examined on the basis of mother's age and employment status, number of previous children, and family social position. Half of the mothers felt they lacked sufficient information on parenting and nearly all indicated a desire for more information. The majority had obtained information on parenting from relatives. The information sources to be used in the future varied as a function of family social position and mother's employment status. A large majority of mothers indicated a desire for parent education programs in maternity wards and felt high school classes on parenting should be required for both girls and boys.     

Parents' and teachers' perceptions of adolescent storm and stress: relations with parenting and teaching styles

The purpose of this study was to determine if parents and teachers differed in their views of adolescent storm and stress, and to examine the relations of these reported perceptions with parenting and teaching behaviors. Subjects were parents and teachers of middle and high school students in three school districts in the Midwest. Storm and stress beliefs were identified as parents' and teachers' perceptions of conflict, moodiness, and risk-taking behavior. Scales assessing classic/conforming and positive adolescent behaviors also were included. Self-report assessments of parenting and teaching were administered as well. Results indicated that whereas both parents and teachers held storm and stress beliefs, teachers maintained stronger perceptions than parents. Teachers also endorsed higher classic/conforming and lower positive behaviors than did parents. The results further indicated that parents' perceptions of storm and stress were related to their degree of parental responsiveness; but teachers' perceptions were not related to their teaching style. These results suggest that stereotypic beliefs of the adolescent period continue to be maintained, and that these may influence how adults interact with adolescents.