Situational countertransference

Situational Countertransference refers to those responses on the part of the therapist that are generated primarily by severe, though temporary, distresses in the therapist's personal life. It has been this writer's experience that many patients are quite attuned to the inner turmoil of their therapist, and that they will react to it in a variety of ways, which will be described. Moreover, a comparison of the level of functioning of two similar therapy groups over the course of nine months found that the group which had inadvertently learned the source of their therapist's distress functioned significantly better than the group which ostensibly knew nothing about it.     

Juror decision making: A case of attitude change mediated by authoritarianism

For a jury to reach a unanimous decision, certain individuals must change their attitudes with regard to the defendant's guilt during deliberations. Because these changers are the key to the group decision-making process, they were carefully scrutinized to ascertain demographic or personality characteristics which might be mediating their behavior. In three experiments, two using college students as subjects and one using Philadelphia Court of Common Pleas jury pool members, it was found that authoritarians changed their attitude with regard to the defendant's guilt more than equalitarians. Further, most of these “changers” were aware they had changed their attitude. There was no generalizable evidence for the proposition that authoritarians are more likely to favor a guilty verdict.     

Race,Gender, and Sexual Orientation in the HIV/AIDS Epidemic: Evaluating an Intervention for Leaders of Diverse Communities

This article discusses the implementation and evaluation of an HIV/AIDS educational intervention for college student leaders in African-American, Latino, feminist, and gay and lesbian campus organizations.     

The Impact of Computerized Performance Monitoring and Prior Performance Knowledge on Performance Evaluation1

Despite claims that computerized performance monitoring (CPM) systems provide objective performance data and thus foster accurate employee evaluations, few research studies have examined the impact of CPM data on the performance appraisal process. A laboratory experiment was conducted to assess the impact of prior performance level on requests for computerized performance information, and the influence of both prior performance level and requested information on performance evaluation. Forty-four male and female undergraduates electronically monitored four simulated employees whose prior performance was either high or low and whose performance during the monitoring period was either high or low. Results indicated that prior performance level and employee performance during the monitoring period independently influenced both current and future performance ratings. Further, when the simulated employee performed at a level incongruent with her prior performance, subjects requested more data about the employee's performance, were less certain about their ratings of the employee's current and future performance, and rated the employee's current performance as more variable than when the employee performed at a level congruent with prior performance. These results indicate that use of CPM systems that allow on-line access to employee performance and that record requested information may increase performance evaluation accuracy by facilitating the implementation of search strategies best suited to specific appraisal tasks and minimizing memory-related biases. However, such systems may not eliminate the effects of attention/encoding biases.     

Words may not be enough! No increased emotional Stroop effect in obsessive-compulsive disorder

Conflicting evidence has been obtained whether or not patients diagnosed with obsessive-compulsive disorder (OCD) share an attentional bias towards disorder-related stimuli. Some of these inconsistencies can be accounted for by suboptimal stimuli selection. In consideration of the heterogeneity of OCD, we investigated Stroop interference effects for two classes of OCD items (i.e., washing and checking) in 23 OCD patients and 23 healthy controls. In order to cover prevalent OCD concerns, item compilation was based on experts' appraisals. Patients neither displayed greater immediate as well as delayed Stroop interference nor any bias for OCD and subtype-congruent stimuli. On the contrary, for washing-related items, OCD patients, and here especially washers, displayed facilitation relative to healthy controls. Although the present study at first sight refutes the notion of an attentional bias in OCD in contrast to other anxiety disorders, several potential moderators need to be considered before this account is ultimately dismissed. In particular, an attentional bias may only be elicited using visual material that is more attention-grabbing than verbal stimuli. Finally, blockwise instead of random item administration and greater consideration of individual relevance may be crucial prerequisites for the effect to emerge.     

Kosteneffektivität ambulanter Psychotherapie

Background

There is a lack of cost-effectiveness analyses (CEA) of psychotherapeutic treatments.

Material and methods

Cost-effectiveness analysis was applied to a sub-sample of 122 psychotherapy outpatients who participated in a large longitudinal study on outpatient psychotherapy (TRANS-OP study). Participants received either psychodynamic psychotherapy (PD, n=69) or cognitive behavioral therapy (CBT, n=53). Effectiveness (change in symptomatic impairment over 2 years) was assessed via the German version of the Outcome Questionnaire (OQ-45.2). Direct health care costs during a 2-year period (psychotherapy and other health care utilizations) were obtained from health insurance claims. Cost-effectiveness analysis methods included incremental cost-effectiveness ratios (ICER) and the net benefit regression approach.

Results

Cost-effectiveness analyses showed no significant differences between the two treatments, neither head-to-head, nor with regard to advantages in certain subgroups of psychotherapy outpatients. A slight dominance of CBT in costs was not maintained after controlling for covariates.

Conclusion

Provided that pivotal covariates such as treatment need are taken into account, cost-effectiveness analyses can contribute to a more equitable distribution of psychotherapeutic resources.     

No Retrieval-Induced Forgetting Under Stress

ABSTRACT— Stress affects memory, yet no study has investigated the effects of stress on memory inhibition: Remembering not only facilitates later recall, but also inhibits retrieval of related material, a phenomenon known as retrieval-induced forgetting. We investigated the effects of stress on this mechanism, which is thought to adaptively guide memory selection. Participants learned categorized lists and were then exposed to either a psychosocial laboratory stressor or a cognitively challenging control treatment. They then actively retrieved parts of the previously learned material. Finally, memory for all initially learned items was tested. In the stress group, unlike in the control group, intervening retrieval practice did not impair final recall. Moreover, salivary cortisol levels increased and psychological well-being decreased in the stress group only. Thus, psychosocial stress abolishes retrieval-induced forgetting. This effect may result from stress-induced hormone release from the hypothalamic-pituitary-adrenal (HPA) axis and may have implications for educational, legal, and clinical issues.     

Auditory location negative priming: A case of feature mismatch

In an auditory four-alternative forced choice localization task, participants had to localize one of two simultaneously presented sounds while ignoring the location of the second sound. Negative priming—that is, sloweddown responses to a location that had to be ignored in the previous trial—was found only when the sound at the repeated location changed between prime and probe. There was also no increase in prime response errors to the probes of ignored repetition trials. These findings allow for the conclusion that auditory location priming is caused by feature mismatch only and that other mechanisms, such as inhibition of ignored locations or episodic retrieval of transfer-inappropriate prime information, do not play a role. The research reported in this article was supported by a grant from the Deutsche Forschungsgemeinschaft (Ma 2610/2-1).