The impact of stigma on behavioral health care utilization among active duty service members

This study assessed the relationship between the stigma of seeking psychological help and use of outpatient behavioral health services over a 2-year period among active duty military service members initially referred for neuropsychological evaluation secondary to their histories of mild traumatic brain injury. Although research has examined how stigma predicts proxies for help-seeking (i.e., attitudes towards/intentions to use services), very little research has looked at actual behavior, and studies that do have largely focused on previous use. In this study, we examined the relationship between participants’ stigma and subsequent behavioral health use. Our results indicated that whereas greater self-stigma (i.e., negative self-judgments for seeking psychological help) was associated with attending fewer behavioral health care sessions, public stigma (i.e., perceptions of public attitudes towards people who seek psychological help) was not associated with service use. These findings support the need for addressing the self-stigma associated with seeking behavioral health care.     

Exploring Correlates and Predictors of Stress in Parents of Children Who are Deaf: Implications of Perceived Social Support and Mode of Communication

Parenting stress has been linked to negative outcomes for both parents and children, including poor attachment, behavior problems, less positive parent–child interactions, and marital dissatisfaction. Given that parents of special needs children often experience excess stress, they may be susceptible to negative outcomes, thus investigations of protective factors are needed. We explored relationships among parenting stress, social support, mode of communication, and child cochlear implant status in parents rearing a deaf child or child with hearing loss. Findings of our exploratory study indicated that parents of children who use sign language only reported more support, while parents of children who use total communication exhibited less self-reported stress. Also, parents with children who use implants did not differ on any of the measures compared to parents of children without implants. Additional findings suggested that higher levels of perceived social support corresponded with lower stress among parents, however, receipt of supportive behaviors did not correlate significantly with parenting stress. In an overall model, perceived social support and mode of communication were significant predictors of parenting stress. Finally, enacted support predicted significantly life satisfaction in parents. Implications and limitations, as well as suggestions for future research, will also be offered.     

Some thoughts on empathy and countertransference

Two aspects of countertransference-namely, the countertransference reaction and empathic understanding-must be distinguished. The term countertransference should be reserved exclusively for the conscious reactions of the analyst emerging from the preconscious by virtue of the patient's current transferences; the term empathy should be used to denote a perspective whereby the analyst employs current countertransference reactions for an understanding of the patient's inner life.     

Recently attended masks are less effective

Much work has been done to investigate participants' ability to detect repeated targets, but the presentstudy examined the influence of recently attended stimuli on target masking. Participants performed a target identification task in which the item that masked the target was either a recently attended item or a novel item. When it was identical to a previously attended stimulus, the mask was rendered considerably less effective. We have termed this effect a repeated mask reduction (RMR). This simple manipulation resulted in a large, reliable effect on the efficacy of visual masking in a single-target identification paradigm. In Experiments 1, 2, and 3, we demonstrated the basic effect and noted that the RMR increased as task difficulty increased. Experiments 4 and 5 suggested that attention to the first instance of the mask was crucial to this effect by showing that the magnitude of the RMR was unaffected by repetition of nonmask distractors and that the magnitude of the effect was reduced when less attention was paid to the first instance of the mask.     

Implementation intentions do not enhance all types of goals: The moderating role of goal difficulty

Three studies tested whether Gollwitzer and Brandst?tter’s (1997) failure to find an implementation effect for easy goals was due to a ceiling effect, to the moderating effect of previously formed habits, or to a moderating effect of earlier implementation intentions. The studies strongly indicated that easy goals did benefit from forming implementation intentions (i.e., specifying where or when one would perform the action). This suggests that Gollwitzer and Brandst?tter’s failure to find significant implementation effects for easy goals was due to a ceiling effect and not to other moderating effects. However, in the three experiments, we found no positive effect of implementation intentions for the enactment of goal-related behavior corresponding to a certain type of difficult goal. More specifically, when the focus was on the outcome of goal-directed action rather than on the goal-directed actions themselves, implementation intentions specifying when or in what conditions the relevant actions were to be performed did not enhance enactment. When the focus was on the goal-directed actions, we replicated the positive effect of forming implementation intentions. We argue that specifying when or where a goal-directed action should be enacted does not enhance enactment when the actor is not aware of the actions that are required to reach the goal. Possibly, implementation intentions specifying what one should do (rather than where or when) might be more helpful to enhance enactment rates of this type of goal.     

Implementation intentions do not enhance all types of goals: The moderating role of goal difficulty

Three studies tested whether Gollwitzer and Brandstätter’s (1997) failure to find an implementation effect for easy goals was due to a ceiling effect, to the moderating effect of previously formed habits, or to a moderating effect of earlier implementation intentions. The studies strongly indicated that easy goals did benefit from forming implementation intentions (i.e., specifying where or when one would perform the action). This suggests that Gollwitzer and Brandstätter’s failure to find significant implementation effects for easy goals was due to a ceiling effect and not to other moderating effects. However, in the three experiments, we found no positive effect of implementation intentions for the enactment of goal-related behavior corresponding to a certain type of difficult goal. More specifically, when the focus was on the outcome of goal-directed action rather than on the goal-directed actions themselves, implementation intentions specifying when or in what conditions the relevant actions were to be performed did not enhance enactment. When the focus was on the goal-directed actions, we replicated the positive effect of forming implementation intentions. We argue that specifying when or where a goal-directed action should be enacted does not enhance enactment when the actor is not aware of the actions that are required to reach the goal. Possibly, implementation intentions specifying what one should do (rather than where or when) might be more helpful to enhance enactment rates of this type of goal.     

Male Restricted Emotionality and Counseling Supervision

This study attempted to determine (a) if 103 male psychology interns would, in the context of supervision, deal with their socialized restricted emotionality (RE) by using either the turning‐against‐other or the turning‐against‐self defensive style and (b) assess the impact of the sex of the supervisor on this behavior. Results indicated that male supervisees with higher levels of RE evidenced a turning‐against‐self style. Male supervisees working with a male supervisor reported poorer perceptions of the supervisory working alliance.     

Stimulus-Specific Delay Activity in Human Primary Visual Cortex

ABSTRACT— Working memory (WM) involves maintaining information in an on-line state. One emerging view is that information in WM is maintained via sensory recruitment , such that information is stored via sustained activity in the sensory areas that encode the to-be-remembered information. Using functional magnetic resonance imaging, we observed that key sensory regions such as primary visual cortex (V1) showed little evidence of sustained increases in mean activation during a WM delay period, though such amplitude increases have typically been used to determine whether a region is involved in on-line maintenance. However, a multivoxel pattern analysis of delay-period activity revealed a sustained pattern of activation in V1 that represented only the intentionally stored feature of a multifeature object. Moreover, the pattern of delay activity was qualitatively similar to that observed during the discrimination of sensory stimuli, suggesting that WM representations in V1 are reasonable "copies" of those evoked during pure sensory processing.     

Complexity Theory: Predictions Based on the Confluence of Science-Wide and Behavioral Theories

Views of behavioral and science wide complexity theories are briefly summarized. Theory-based predictions for human cognition and behavior based on both theories are advanced.
Streufert (in this special issue) has discussed the confluence of science-wide and behavioral complexity theory. Even though the former attempts to find common processes in all the sciences and the latter theory has, to date, limited itself to human behavior, there are many similarities in approach and in explanations of observed phenomena. Differences between the two theories are minor in comparison to their commonalities. Considering the many similarities, it may be useful to confirm (and possibly extend) behavioral complexity theory. A number of theorems, many familiar, some slightly modified, some new, will be provided at the end of this paper.