Can CBT Be Effective for Aboriginal Australians? Perspectives of Aboriginal Practitioners Trained in CBT

The objective of the study was to investigate whether high and low intensity versions of cognitive behaviour therapy (CBT) might be an effective therapeutic approach for enhancing the mental health of Aboriginal Australians. Five university‐educated Aboriginal counsellors received in‐depth training in CBT. Over the following year, they used CBT strategies with their clients, and met 10 times as a participatory action research group. The group addressed three key questions: (a) Does CBT appear to be useful for Aboriginal Australians? (b) If so, what elements of CBT are perceived to be effective? (c) What adaptations might be made to CBT to enhance its effectiveness with Aboriginal Australians? The resulting qualitative data were transcribed and analysed. Counsellors perceived CBT to be very useful for their Aboriginal clients and for themselves. They reported that it enhanced their clients' well‐being, their own clinical skills, and their own well‐being, and it reduced burnout. The qualities of CBT that were perceived to be effective were its adaptability, pragmatic here‐and‐now approach, capacity for low‐intensity interventions, safe containing structure, promotion of self‐agency, and valuable techniques. It was suggested that the prime requirement for adaptations to CBT were that they would need to fit different social and cultural contexts.     

Self-monitored motives for smoking among college students.

College student smokers (N = 50) were asked to carry electronic diaries for 14 days and record smoking events (n = 1,139). They indicated why they were smoking each cigarette on a checklist of potential motives. Results suggest that a desire to reduce craving (62.8% of occasions) and habit/automatic processes (42.8%) were the most frequent motives. More dependent and daily smokers were especially likely to endorse smoking to reduce craving and for habit/automatic reasons and were less likely to cite coping with negative emotion as a reason for smoking. Dependent and daily smokers were more likely to endorse at least 1 dependence-like motive and were less likely to exclusively attribute smoking to nondependence motives. Self-monitored motives appeared valid, according with conceptually related states, activities, and events in the diary records. Diary-recorded motives were compared with smokers' responses to a retrospective motives questionnaire administered at baseline. The 2 assessment modes produced discrepant estimates of the most influential motivational processes. Questionnaire responses incompletely forecast conceptually similar diary-reported motives. Dependence and daily smoking showed a different pattern of associations with diary-based versus retrospective motives measures.     

A Situational Model of Sexual Assault Prevention through Bystander Intervention

Bystander intervention is a potentially potent tool in the primary prevention of sexual assault but more information is needed to guide prevention programs (Banyard 2008). Undergraduates (378 women and 210 men, primarily White) at a central coast California university completed an anonymous questionnaire measuring five barriers identified by the situational model of bystander intervention (Latane and Darley 1970) and bystander intervention behavior. As expected, the barriers were negatively correlated with intervention, were greater for men than for women, and intervention likelihood was affected by perceptions of victim worthiness, especially for men. Hypotheses predicting a positive relationship between having a relationship with the potential victim or perpetrator and intervention were supported. Implications for sexual assault bystander intervention programming are provided.     

Increasing Community Recycling with Persuasive Communication and Public Commitment

Persuasive communication and public commitment were used to encourage recycling in a citywide program. The persuasive communication was a combination of factors which have been found by laboratory researchers to produce attitude and/or behavior change. The public commitment manipulation involved signing a statement supportive of recycling. Households which did not recycle during a 6-week baseline period were selected for experimental study. Trained Boy Scouts made an oral informational statement and then gave each of 201 experimental households one of three treatments (a written persuasive communication, public commitment, or both). A control group of 132 homes received no treatment. Recycling was observed for 6 weeks following delivery of all treatments. Results indicated that the three treatment groups recycled significantly more than the control group but did not differ significantly from each other. Future directions for applied work in this domain are discussed.     

The effects of choice-making on the problem behaviors of high school students with intellectual disabilities

This investigation was conducted in an effort to systematically extend the emerging data base having to do with choice-making opportunities and the behavior of students with disabilities. In particular, the current analyses examined the effects of choice-making on the problem behavior and task engagement of three high school students with intellectual disabilities as the students performed domestic and vocational activities. Multiple baseline and reversal designs demonstrated that the choice conditions reduced problem behaviors and increased task engagement for all participants. Data having to do with student affect and task productivity were less consistent. The findings on the relationship between choice making and problem behavior replicate and extend a growing literature on the desirable effects of choice-making for individuals with disabilities. The results are discussed in terms of recent developments in behavioral support, as well as the need for ongoing conceptual and applied research.     

Childhood tomboyism and adult androgyny

Female university and community college students (N =194) completed the Bem Sex-Role Inventory and a 12-item tomboyism index. Subjects were predominantly Euro-American (71%). A multiple regression analysis was used to test the prediction that androgyny and masculinity would significantly predict tomboyism scores. The proportion of variance in tomboyism accounted for by masculinity was significant, but once masculinity was entered, no additional predictive value was added by the entry of androgyny or femininity. Tomboyism was not related to the development of expressive qualities such as compassion and sensitivity to the needs of others. However, tomboyism was positively related to some desirable instrumental qualities such as assertiveness and self-reliance. Tomboyism was common and generally declined at puberty due to social pressure. To whom correspondence and reprint requests should be addressed at Department of Psychology & Human Development, California Polytechnic State University, San Luis Obispo, CA 93407.The second and third authors were senior undergraduates at Cal Poly San Luis Obispo when this research was conducted.     

Prepubertal social gender transitions: What we know; what we can learn—A view from a gender affirmative lens

ABSTRACT

?Background: This article provides a review and commentary on social transition of gender-expansive prepubertal youth, analyzing risks, and benefits based on a synthesis of research and clinical observation, highlighting controversies, and setting forth recommendations, including the importance of continued clinical research.

Methods: This article involved: (1) a review and critique of the WPATH Standards of Care 7th edition guidelines on social transition; (2) a review and synthesis of empirical research on social transition in prepubertal children; (3) a discussion of clinical practice observations; (4) a discussion of continuing controversies and complexities involving early social transition; (5) a discussion of risks and benefits of social transition; and (6) conclusions and recommendations based upon the above.

Results: Results suggest that at this point research is limited and that some of the earliest research on young gender-expansive youth is methodologically questionable and has not been replicated. Newer research suggests that socially transitioned prepubertal children are often well adjusted, a finding consistent with clinical practice observations. Analysis of both emerging research and clinical reports reveal evidence of a stable transgender identity surfacing in early childhood.

Discussion: The authors make recommendations to support social transitions in prepubertal gender-expansive children, when appropriate, as a facilitator of gender health, defined as a child's opportunity to live in the gender that feels most authentic, acknowledging that there are limitations to our knowledge, and ongoing research is essential.