Acceptance and Commitment Therapy in Genetic Counselling: A Case Study of Recurrent Worry

I present a case study where the mother of a child with 22q11 deletion disorder appeared to be experiencing recurrent, intrusive worry associated with the inherent uncertainty of this highly variable condition. Counselling sessions are summarised followed by an in-depth reflection about the case with reference to the main therapeutic tenets of Acceptance and Commitment Therapy (ACT). Specific techniques which may have been of great benefit to the client and potential application in the genetic counselling setting are explored in the context of ACT.     

Self-Construing In Former Child Soldiers

This article presents a repertory grid study of young people who had experienced civil war in Sierra Leone, some as child soldiers and others as noncombatants. Unexpected findings included that the former combatants viewed themselves more favorably than did noncombatants. The findings are discussed in terms of individual and social construing processes, drawing on narratives and interview and focus group responses obtained from the participants in the larger investigation of which this study was part. Particular consideration is given to the role of forgiveness.     

Personal Construction of Family Relationships: The Relation of Commonality and Sociality to Family Satisfaction for Parents and Adolescents

This study tested the hypothesis that family members showing greater commonality (similarity) and sociality (predictive accuracy) in their construing of family relationships would display greater satisfaction with those relationships than would individuals in families whose relational construing was more discrepant and unpredictable. Forty-seven family triads participated in the study, including a mother, father, and adolescent from each family. Measures of commonality and sociality in the construction of family relationships derived from a family relationships grid were compared to measures of family structure, including the Family Cohesion and Adaptability Evaluation Scale (FACES-II) (Olson, Portner, & Bell, 1982) and the Parent-Adolescent Communication Scale (PACS) (Barnes & Olson, 1982). The findings suggest that members' perceptions of the family as emotionally close, flexible, and communicative may not represent independent aspects of the family structure, at least within the present nonclinical sample. Comparison of the family relationship grids with the FACES-H and PACS demonstrated that commonality and sociality among family members was highly related to mothers' and adolescents' family satisfaction, but was much less predictive of that of the father.     

Training Addiction Counselors to Implement an Evidence-Based Intervention: Strategies for Increasing Organizational and Provider Acceptance

One barrier to widespread public access to empirically supported treatments (ESTs) is the limited availability and high cost of professionals trained to deliver them. Our earlier work from 2 clinical trials demonstrated that front-line addiction counselors could be trained to deliver a manualized, group-based cognitive behavioral therapy (GCBT) for depression, a prototypic example of an EST, with a high level of adherence and competence. This follow-up article provides specific recommendations for the selection and initial training of counselors, and for the structure and process of their ongoing clinical supervision. We highlight unique challenges in working with counselors unaccustomed to traditional clinical supervision. The recommendations are based on comprehensive feedback derived from clinician notes taken throughout the clinical trials, a focus group with counselors conducted 1 year following implementation, and interviews with key organization executives and administrators.     

Book Review

Repetition priming is one of the most robust phenomena in cognitive psychology, but participants vary substantially on the amount of priming that they produce. The current experiments assessed the reliability of repetition priming within individuals. The results suggest that observed differences in the size of the repetition priming effect across participants are largely reliable and result primarily from systematic processes. We conclude that the unreliability of semantic priming observed by Stolz, Besner, and Carr (2005) is specific to uncoordinated processes in semantic memory, and that this unreliability does not generalize to other processes in visual word recognition. We consider the implications of these results for theories of automatic and controlled processes that contribute to priming. Finally, we emphasize the importance of reliability for researchers who use similar paradigms to study individual and group differences in cognition.     

East–West cultural differences in context‐sensitivity are evident in early childhood

Accumulating evidence suggests that North Americans tend to focus on central objects whereas East Asians tend to pay more attention to contextual information in a visual scene. Although it is generally believed that such culturally divergent attention tendencies develop through socialization, existing evidence largely depends on adult samples. Moreover, no past research has investigated the relation between context‐sensitivity and other domains of cognitive development. The present study examined children in the United States and Japan (N = 175, age 4–9 years) to investigate the developmental pattern in context‐sensitivity and its relation to executive function. The study found that context‐sensitivity increased with age across cultures. Nevertheless, Japanese children showed significantly greater context‐sensitivity than American children. Also, context‐sensitivity fully mediated the cultural difference in a set‐shifting executive function task, which might help explain past findings that East Asian children outperformed their American counterparts on executive function.     

The role of religion in moderating the impact of life events on material life goals: some evidence in support of terror management theory

How would religion and a life event carrying an existential threat (LEET) jointly impact a person's life goals of becoming wealthy and successful in one's career? Goal reprioritisation, socioemotional selectivity, and gerotranscendence theories predict a shift away from material goals following a LEET, independent of the effect of religion. However, terror management theory (TMT) predicts that the effect of death thoughts depends on one's prevailing cultural values. As religion can be regarded as a culture, it is possible that Christians' and non-believers' material life goals would be differentially altered by LEET. Data from 1259 young Chinese adults reveal no main effect of LEET, but a strong effect of religion. Moreover, there was an interaction effect between LEET and religion on material life goals: LEET weakened material goals for Christians but not for non-believers. These findings suggest that TMT is more suitable than the other theories for predicting life goal changes.     

Duties to Make Friends

Why, morally speaking, ought we do more for our family and friends than for strangers? In other words, what is the justification of special duties? According to partialists, the answer to this question cannot be reduced to impartial moral principles. According to impartialists, it can. This paper briefly argues in favour of impartialism, before drawing out an implication of the impartialist view: in addition to justifying some currently recognised special duties, impartialism also generates new special duties that are not yet widely recognised. Specifically, in certain situations, impartial principles generate duties to take actions and adopt attitudes in our personal lives that increase the chance of new or different special relationships being formed—new or different friendships, family-like relationships, relationships akin to co-nationality, and so on. In fact, even if one thinks partialism is the best justification of the duties we have once in special relationships, impartialist justifications for taking steps to form such relationships should have some sway. Moreover, a little reflection shows that these duties are not as demanding or counterintuitive as one might expect.     

Protecting and respecting the vulnerable: existing regulations or further protections?

Scholars and policymakers continue to struggle over the meaning of the word “vulnerable” in the context of research ethics. One major reason for the stymied discussions regarding vulnerable populations is that there is no clear distinction between accounts of research vulnerabilities that exist for certain populations and discussions of research vulnerabilities that require special regulations in the context of research ethics policies. I suggest an analytic process by which to ascertain whether particular vulnerable populations should be contenders for additional regulatory protections. I apply this process to two vulnerable populations: the cognitively vulnerable and the economically vulnerable. I conclude that a subset of the cognitively vulnerable require extra protections while the economically vulnerable should be protected by implementing existing regulations more appropriately and rigorously. Unless or until the informed consent process is more adequately implemented and the distributive justice requirement of the Belmont Report is emphasized and operationalized, the economically disadvantaged will remain particularly vulnerable to the harm of exploitation in research.     

Attachment Theory as a Framework for Understanding Responses to Social Exclusion

We argue that attachment theory may provide a useful framework for understanding individuals' reactions to social exclusion. Attachment theory suggests that social exclusion should prompt an individual to seek comfort from an accepting attachment figure. However, most experimental studies constrain individuals from seeking out an attachment figure to quell their distress, and may interfere with the process of recruiting internalized attachment figures. When the goal of recruiting attachment figure support is blocked, individuals may adopt deactivating strategies, such as emotional numbing, to reduce their distress. Alternatively, individuals may adopt hyperactivating strategies, such as ingratiating behaviors, to seek proximity to attachment figure substitutes. We conclude with recommendations for future avenues of exclusion research stemming from attachment theory.