Stress in Clinical Psychology Trainees: Current Research Status and Future Directions

The purpose of this article is to present the current status of the literature related to stress in clinical psychology trainees (CPTs), and to offer research directions for investigating stress in this population and ways to enhance self‐care in these individuals. The following conclusions emerge from the review: (1) CPTs are vulnerable to elevated stress; (2) undue stress can negatively impact CPTs' personal and professional functioning and, in turn, result in less than optimal standards of care for clients; (3) there is a dearth of studies on stress in this population and no published intervention studies; (4) incorporating self‐care strategies into clinical psychology training is recommended; and (5) “third‐wave” cognitive behaviour therapy stress management interventions have been efficacious in comparable populations. In view of the potential costs of elevated stress to trainees themselves and their clients, research on stress and stress management in this population is of a high priority. Broad research agendas are proposed for these two domains. Modifications to clinical training programmes to reduce trainee stress are required and should be evidence‐based and systematically revaluated.     

Self-reflection and feelings of self-worth: When Rosenberg meets Heisenberg

The more people think about their attitude toward some issue, the stronger their attitude becomes. The present research examined whether this strengthening effect also applies to self-evaluative attitudes. In four studies, we had some participants complete a self-evaluation measure before rating their momentary feelings of self-worth (Studies 1, 2, and 4) or implicit self-feelings (Study 3). In all four studies, evaluative self-reflection led low self-esteem participants to feel worse about themselves and high self-esteem participants to feel better about themselves. We did not find this self-esteem polarization effect when more general emotions of happiness and sadness were measured (Study 2) or when participants reflected on non-evaluative aspects of themselves (Study 4). These findings suggest that evaluative self-reflection has different consequences for low self-esteem people than for high self-esteem people, and that order effects in personality research may represent actual changes in self-feelings rather than methodological confounds.     

The power of generosity to change views on social power

Intergroup helping behavior by high status group members typically functions to support and further entrench systems of social hierarchy (Nadler, 2002). This research examined whether the virtue of generosity could increase support for more egalitarian group relations, as indexed by reduced social dominance orientation (SDO; Pratto, Sidanius, Stallworth, & Malle, 1994). Pilot testing (N = 367) revealed a negative relationship between self-reported generosity and SDO. In Study 1, two long-term experimental manipulations of generosity in 110 college students reduced SDO. One manipulation involved a nine week community service learning project, and the other involved a five-part reflection paper assignment on generous individuals. In Study 2, a brief generosity prime in 58 college students reduced SDO scores. The potential benefits of targeting SDO directly, and the importance of examining the motives behind generosity are discussed.     

Seeking the boundary of boundary extension

Boundary extension (BE) is a remarkably consistent visual memory error in which participants remember seeing a more wide-angle image of a scene than was actually viewed (Intraub & Richardson, Journal of Experimental Psychology: Learning, Memory, and Cognition 15:179–187, 1989). Multiple stimulus factors are thought to contribute to the occurrence of BE, including object recognition, conceptual knowledge of scenes, and amodal perception at the view boundaries (Intraub, Wiley Interdisciplinary Reviews: Cognitive Science 3:117–127, 2012). In the present study, we used abstract scenes instead of images of the real world, in order to remove expectations based on semantic associations with objects and the schematic context of the view. Close-angle and wide-angle scenes were created using irregular geometric shapes rated by independent observers as lacking any easily recognizable structure. The abstract objects were tested on either a random-dot or a blank background in order to assess the influence of implied continuation of the image beyond its boundaries. The random-dot background conditions had background occlusion cues either present or absent at the image border, in order to test their influence on BE in the absence of high-level information about the scenes. The results indicate that high-level information about objects and schematic context is unnecessary for BE to occur, and that occlusion information at the image boundary also has little influence on BE. Contrary to previous studies, we also found clear BE for all conditions, despite using scenes depicting undetailed objects on a blank white background. The results highlighted the ubiquitous nature of BE and the adaptability of scene perception processes.     

Establishing Treatment Fidelity in Evidence-Based Parent Training Programs for Externalizing Disorders in Children and Adolescents

The current review evaluates the use of treatment fidelity strategies in evidence-based parent training programs for treating externalizing disorders. We used a broad framework for evaluating treatment fidelity developed by the National Institutes of Health Treatment Fidelity Workgroup that includes the aspects of treatment design, treatment delivery, training providers, and assessment of participant receipt of treatment and enactment of treatment skills. Sixty-five articles reporting outcome trials of evidence-based parent training programs met inclusion criteria and were coded for treatment fidelity strategies. The mean adherence to fidelity strategies was .73, which was higher than two previous review studies employing this framework in the health literature. Strategies related to treatment design showed the highest mean adherence (.83), whereas training of providers and enactment of treatment skills had the lowest (.58). In light of an increasing emphasis on effectiveness and dissemination trials, the broader treatment fidelity framework as applied in this review focuses needed attention on areas often overlooked in fidelity practices, such as training providers and generalization of treatment skills. We discuss the strengths and limitations of fidelity practices in parent training studies, implications of these findings, and areas for future research.     

The impact of aging and hearing status on verbal short-term memory

The aim of this study is to assess the impact of hearing status on age-related decrease in verbal short-term memory (STM) performance. This was done by administering a battery of verbal STM tasks to elderly and young adult participants matched for hearing thresholds, as well as to young normal-hearing control participants. The matching procedure allowed us to assess the importance of hearing loss as an explanatory factor of age-related STM decline. We observed that elderly participants and hearing-matched young participants showed equal levels of performance in all verbal STM tasks, and performed overall lower than the normal-hearing young control participants. This study provides evidence for recent theoretical accounts considering reduced hearing level as an important explanatory factor of poor auditory-verbal STM performance in older adults.     

Facial Affect Recognition and Psychopathy: A Signal Detection Theory Perspective

Though emotional processing deficits are often conceptualized as a core feature of psychopathy, the common assessment of these deficits using the percentage correct (or hit rate) on affect recognition tasks may not provide a full or accurate picture of facial affect recognition in psychopathic individuals. Signal detection theory (SDT) provides a more informative statistical approach by providing independent measures of perceptual sensitivity (d’) and willingness to report perceiving a signal or response criterion (c). The current study employed signal detection methods to test the predictions of the integrated emotion systems and hostile attribution bias perspectives, two theoretical perspectives that make specific predictions regarding facial affect recognition. These perspectives were tested in a sample of 280 adult male incarcerated offenders who were assessed for psychopathy using the Psychopathy Checklist-Revised and who completed a novel test of facial affect recognition presenting 324 digital morphs of faces reflecting systematic combinations of pixels from neutral and affective face images (displaying six different types of emotion) as expressed by four different actors. The findings were generally not consistent with either of these perspectives. Psychopathy was negatively associated with d` for anger. Results also indicated an effect of psychopathy on response criterion for fear and effects of psychopathy on response criterion for anger and surprise that were evident only for some actors. The implications of these findings are considered through the lenses of several theoretical perspectives, and theoretical and methodological limitations of the current study are considered.

     

Criterion and Incremental Validity of the MMPI-3 Eating Concerns Scale in a University Sample

The purpose of the current study was to evaluate the validity of scores on the Eating Concerns (EAT) scale on the recently released Minnesota Multiphasic Personality Inventory-3 (MMPI-3), which aims to assess for problematic eating behaviours. It was hypothesised that the EAT scale scores would be correlated with binge eating, purging, restrictive eating, weight and body shape concerns. Participants were 396 university students, who completed a series of well-validated eating disorder measures. The EAT scale scores evidenced moderate to large correlations with many symptom dimensions of EDs, including binge eating, purging, restrictive eating and weight and shape concern, thus, supporting the hypotheses and showing evidence for criterion validity. Hierarchical regression analyses also revealed incremental validity for the EAT scale above and beyond other MMPI-3 Specific Problems scale scores. Overall, scores on the new MMPI-3 EAT scale were associated with positive support for validity in a university population and seem promising as a good screening measure for eating pathology.