A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

The Experiences of Indigenous Australian Psychologists at University

Disparities exist between Indigenous Australians and non‐Indigenous Australians on indicators of life expectancy, alcohol and drug use, adult and juvenile incarceration, and rates of hospitalisation for self‐harm, suicide, and mental and behavioural disorders due to psychoactive substance use. Psychology is a discipline that can assist in remedying these issues, yet disparities are evident in Indigenous participation in higher education generally, as well as within tertiary psychology education specifically. Ten Indigenous Australian psychologists were interviewed to investigate possible barriers and enablers for Indigenous students studying psychology at university. Hermeneutic phenomenology guided the research and its analysis, whereby the data went through a process known as the “hermeneutic circle”; data were analysed in itself, as well as part of the whole, leading to the world views of the participant and researcher converging into a “horizon of meaning.” Sources of support for Indigenous students included family support, financial assistance, and Indigenous student support centres. Potential barriers to university study of psychology were negative conceptions of higher education and psychology by the Indigenous community, “culture shock” upon relocating to the metropolitan area, a lack of Indigenous content and staff, and culturally insensitivity by staff members. Efforts should be made to address these barriers to participation, as well as to support those structures and services that were supportive for students.     

Trauma,personality disorders and chronic depression – the role of the conversational model of psychodynamic psychotherapy in treatment resistant depression

Objective: To report preliminary data describing the interim treatment outcome of 44 patients referred with treatment-resistant depression (TRD), comorbid personality disorders and histories of early childhood trauma using the Conversational Model (CM) of psychodynamic psychotherapy. Method: Patients (N = 44), 13 males and 31 females with long histories of depression ranging from 2 to 30 years, resistant to multiple trials of treatment, were referred by mental health practitioners, including psychiatrists. They were treated with twice weekly CM psychotherapy by multidisciplinary trainees and supervised by experienced trained clinicians. Questionnaires were administered at assessment and at 12 months to assess symptoms, functioning, self-esteem, history of trauma, personality functioning and suicidality. In this preliminary study, there was no separate control group, and patients served as their own controls. Results: Patients with TRD were found to have comorbid severe personality disorders and histories of early childhood trauma. Significant improvement in symptoms, self-esteem, functioning and suicidality was noted after 12 months. Conclusion: Patients responded with symptomatic and functional improvement to twice weekly CM therapy.     

Experiences of Families Transmitting Values in a Rapidly Changing Society: Implications for Family Therapists

Intergenerational value transmission affects parent–child relationships and necessitates constant negotiation in families. Families with adolescents from rapidly changing societies face unique challenges in balancing the traditional collectivistic family values that promote harmony with emerging values that promote autonomy. Using modern Turkey as an example of such a culture, the authors examine the transmission process in families that hold more traditional and collectivistic values than their adolescent children. Special consideration is given to generational and cultural differences in the autonomy and relatedness dimensions.     

Positive Contact with Feminist Women as a Predictor of Feminist Solidarity,Gender Privilege Awareness,and Public and Domestic Support for Gender Equality in Straight Men

Men can play an important role in supporting gender equality. In the present research, we draw on Intergroup Contact Theory to examine positive intergroup contact with feminist women as one factor that can encourage men to support gender equality. In one cross-sectional study (N?=?170) and one half-longitudinal panel study (N?=?240), we found that straight men who reported more positive contact with feminist women also reported greater feminist solidarity. Cross-sectional results indicated that straight men’s solidarity with feminists, in turn, predicted more support for gender equality in public and domestic spheres and greater awareness of their gender privilege. The longitudinal results also supported the association between solidarity with feminists and gender privilege awareness, but not public and domestic support for gender equality. Decades of research has shown that positive intergroup contact can change attitudes. Our research suggests that, when it comes to gender equality, positive contact with feminist women may also encourage men to identify with feminists and raise their gender consciousness.

     

Stable Causal Relationships Are Better Causal Relationships

We report three experiments investigating whether people's judgments about causal relationships are sensitive to the robustness or stability of such relationships across a range of background circumstances. In Experiment 1, we demonstrate that people are more willing to endorse causal and explanatory claims based on stable (as opposed to unstable) relationships, even when the overall causal strength of the relationship is held constant. In Experiment 2, we show that this effect is not driven by a causal generalization's actual scope of application. In Experiment 3, we offer evidence that stable causal relationships may be seen as better guides to action. Collectively, these experiments document a previously underappreciated factor that shapes people's causal reasoning: the stability of the causal relationship.     

The spatial distribution of attention within and across objects

Attention operates to select both spatial locations and perceptual objects. However, the specific mechanism by which attention is oriented to objects is not well understood. We examined the means by which object structure constrains the distribution of spatial attention (i.e., a "grouped array"). Using a modified version of the Egly et al. object cuing task, we systematically manipulated within-object distance and object boundaries. Four major findings are reported: 1) spatial attention forms a gradient across the attended object; 2) object boundaries limit the distribution of this gradient, with the spread of attention constrained by a boundary; 3) boundaries within an object operate similarly to across-object boundaries: we observed object-based effects across a discontinuity within a single object, without the demand to divide or switch attention between discrete object representations; and 4) the gradient of spatial attention across an object directly modulates perceptual sensitivity, implicating a relatively early locus for the grouped array representation.     

Experience-dependent attentional tuning of distractor rejection

Irrelevant salient distractors often capture attention, but given a sufficiently specific search template, these salient items no longer capture attention. In the present experiments, we investigated whether specific target templates are sufficient to resist capture, or whether experience with the salient distractors is also necessary. To test this hypothesis, observers completed four blocks of trials, each with a different-colored irrelevant singleton present on half of the trials. Color singletons captured attention early within a block, but after sufficient experience with the irrelevant singletons, those singletons no longer captured attention in the second halves of the blocks. This result suggests that to resist capture, a specific target template must be accompanied by experience-dependent attentional tuning to distractor properties.