Technical Considerations When Handling Questions in the Initial Phase of Psychotherapy

Responding to patients' questions throughout the therapeutic process can be challenging. Questions posed at the beginning of treatment have unique features which make them especially difficult to negotiate. When handled skillfully and tactfully, questions asked during this phase can provide the therapist with important opportunities to foster engagement in treatment. Questions can provide valuable information about the patient's internal world, afford the opportunity to socialize the patient to the therapeutic process, and aid in rapport-building. This article will focus on ways to understand and handle questions patients ask during the initial phase of treatment. Vignettes will be presented and specific responses therapists can offer to patients will be discussed.     

The Psychometric Properties of the Orthogonal Cultural Identification Scale in Asian Americans

Reliability (internal consistency and test‐retest) and validity (construct and factorial) of the Orthogonal Cultural Identification Scale (OCIS; E. R. Oetting & F. Beauvais, 1990–1991) were evaluated in a sample of Asian American university students. Ethnic identification, measured using the OCIS, and acculturation, measured using the Suinn‐Lew Asian Self‐Identity Acculturation Scale (R. M. Suinn, K. Rickard‐Fugueroa, S. Lew, & P. Vigil, 1987), are hypothesized to measure related but separate constructs. Análisis de fiabilidad (consistencia interna y estabilidad temporal), y de validez (conceptual y factorial) de la Escala Ortagonal de Identificación Cultural (OCIS; E. R. Oetting & F. Beauvais, 1990–1991) fueron evaluados en un grupo de estudiantes universitarios Asiáticos Americanos. La identificación étnica fue medida usando la OCIS, y la aculturación fue medida usando la Escala de Identidad de Ser y Aculturación Asiática de Suinn‐Lew (R. M. Suinn, K. Rickard‐Figueroa, S. Lew, & P. Vigil, 1987). Se presenta la hipótesis que la identificación étnica y la aculturación miden conceptos separados que estan relacionados.     

Reducing depressive intrusions via a computerized cognitive bias modification of appraisals task: Developing a cognitive vaccine

A feature of depression is the distressing experience of intrusive, negative memories. The maladaptive appraisals of such intrusions have been associated with symptom persistence. This study aimed to experimentally manipulate appraisals about depressive intrusions via a novel computerized cognitive bias modification (CBM) of appraisals paradigm, and to test the impact on depressive intrusion frequency for a standardized event (a depressive film). Forty-eight participants were randomly assigned to either a session of positive or negative CBM. Participants then watched a depressing film (including scenes of bereavement and bullying) and subsequently monitored the occurrence of depressive intrusions related to the film in a diary for one week. At one-week follow-up, participants completed additional measures of intrusions – the Impact of Event Scale (IES) and an intrusion provocation task. As predicted, compared to the negative condition, participants who underwent positive CBM showed a more positive appraisal bias. Further, one week later, positive CBM participants reported fewer intrusions of the film and had lower IES scores. Our findings demonstrate that it is possible to manipulate maladaptive appraisals about depressive intrusions via a computerized CBM task. Further, this effect transfers to reducing intrusive symptomatology related to a standardized event (a depressive film) over one week, suggesting novel clinical implications.     

Hierarchical forms processing in adults and children

Two experiments examined child and adult processing of hierarchical stimuli composed of geometric forms. Adults (ages 18-23 years) and children (ages 7-10 years) performed a forced-choice task gauging similarity between visual stimuli consisting of large geometric objects (global level) composed of small geometric objects (local level). The stimuli spatial arrangement was manipulated to assess child and adult reaction times and predisposition toward local or global form categorization under two distinct trial conditions, with varied density of the local forms comprising the global forms. In Experiment 1, children and adults were presented with common, simple geometric shape hierarchical forms composed of ovals and rectangles. In Experiment 2, adults were presented with hierarchical forms composed of the simple geometric shapes, ovals and rectangles, and additional novel complex geometric shapes, “posts” and “arches.” Results show a clear increase of global processing bias across the age ranges of the individuals in the study, with children at 10 years performing similarly to adults on the simple stimuli. In addition, adults presented with the novel complex geometric shapes showed a significant reduction in global processing bias, indicating that form novelty and complexity lead to additional attention to local features in categorization tasks.     

Mindfulness, Big Five personality, and affect: A meta-analysis

Mindfulness is purposefully and nonjudgmentally paying attention to the present moment. The primary purpose of this study is to provide a more precise empirical estimate of the relationship between mindfulness and the Big Five personality traits as well as trait affect. Current research results present inconsistent or highly variable estimates of these relationships. Meta-analysis was used to synthesize findings from 32 samples in 29 studies. Results indicate that, although all of the traits display appreciable relationships with mindfulness, the strongest relationships are found with neuroticism, negative affect, and conscientiousness. Conscientiousness, in particular, is often ignored by mindfulness researchers; results here indicate it deserves stronger consideration. Although the results provide a clearer picture of how mindfulness relates to these traits, they also highlight the need to ensure an appropriate conceptualization and measurement of mindfulness.     

Communication Differences Between Physicians and Their Patients in an Oncology Setting

The physician-patient relationship has critical importance in the quality of medical care, especially in the oncology setting. Of particular interest over the past two decades has been the communication between physicians and their patients. It is understood that communication is related to patient and physician satisfaction as well as other medical outcomes. However, despite this interest and attention, investigators have only recently begun to assess the communication between physicians and patients from the patient's point of view. Additionally, previous investigations have primarily relied upon retrospective reports of the interaction from patients or physicians. The current investigation assessed physician–patient communication in an oncology setting, both as it was occurring and following the interaction. The units of analysis included participant ratings as well as those of trained observers. Findings revealed that physicians and patients disagree as to the valence of the messages which transpired. Additionally, results suggest that it is the patients who distort the messages in the positive direction. Research and clinical implications of this disagreement and positivity bias are discussed.     

Book reviews

God, Reason, and Religions: new essays in the philosophy of religion. Eugene Thomas Long (Ed.), 1995. Dordrecht Kluwer Academic. 228 pp., hb. £67.50, ISBN 07 923333 810 3

Christians and Muslims: from double standards to mutual understanding. Hugh Goddard, 1995. London, Curzon Press. 200 pp., pb. £14.99, ISBN 0 7007 0364 0

Al‐Bayanat al‐Masihiyya al‐Islamiyya al‐Mushtaraka. Juliette Haddad (Ed.), 1995. Beirut, Dar al‐Mashriq. 207 pp., pb. n.p., ISBN 2 7214 5005 0

Muslim Writers on Judaism and the Hebrew Bible, from Ibn Rabban to Ibn Hazm. Camilla Adang, 1996. Leiden, E. J. Brill. 321 pp., hb. NLG140, ISBN 90 04 10034 2

Abū Ya qūb al‐Sijistani: intellectual missionary. Paul E. Walker, 1996. London, I. B. Tauris. 132 pp., rib. £35, ISBN 1 85043 921 4

The Cambridge Survey of World Migration. Robin Cohen (Ed.), 1995. Cambridge, Cambridge University Press. 570 pp., hb. n.p. ISBN 0 521 44405 5

Musulmans en Europe occidentals bibliographic commentée. Muslims in Western Europe: an annotated bibliography. Felice Dassetto & Yves Conrad (Eds), 1996. Paris, Editions L'Harmattan. 202 pp., pb., n.p., ISBN 2 7384 4126 2

Muslim Politics. Dale F. Eickelman & James Piscatori, 1996. Princeton, NJ, Princeton University Press. 235 pp., pb. n.p., ISBN 0 691 00870 1

Islam and the Myth of Confrontation: religion and politics in the Middle East. Fred Halliday, 1996. London, I. B. Tauris. 255 pp., £12.95, ISBN 1 85043 959 1

Nine Parts of Desire: the hidden world of Islamic women. Geraldine Brooks, 1995. New York, Doubleday. 255 pp. hb. £22.95, ISBN 0 385 47576 4

Aunt Safiyya and the Monastery. Bahaa’ Taher, 1996. Translated from the Arabic by Barbara Romaine. Berkeley, University of California Press. 124 pp., pb. n.p., ISBN 0 520 20075 6

Dreams of Trespass: tales of a harem girlhood. Fatima Mernissi, 1994. Reading, MA, Addison‐Wesley. 242 pp. pb., ISBN 0 201 62649 7

Lettres et message d'Algérie. P. Claverie, 1996. Paris, Karthala. 222 pp., pb. 120FF, ISBN 2 86537 657 5

Islamic Resurgence and Islamization in Malaysia. S. Batumalai, 1996. Perak, Malaysia. 279 pp., pb. RM 25/‐, no ISBN

Christian‐Muslim Relations: a case study of Sarawak, East Malaysia. Theodore Gabriel, 1996. Aldershot, Avebury. xiv, 133 pp., n.p., ISBN 1 85972 325 X

Muslim Communities in the New Europe. Gerd Nonneman, T. Niblock & B. Sjajkowski (Eds), 1996. Reading, Ithaca Press. 356 pp., hb. £35.00, ISBN 0 86372 192 3

Al‐Mughtaribun: American law and the transformation of Muslim life in the United States. Kathleen M. Moore, 1995. Albany, State University of New York Press. 211 pp., pb. $16.95, ISBN 0 7914 2580 0

The Landscape of Belief: encountering the Holy Land in nineteenth‐century American art and culture. [The Princeton Series in Nineteenth‐Century Art, Culture, and Society]. John Davis, 1996. Princeton, Princeton University Press. 264 pp., hb. $65.00, ISBN 0 691 04373 6     

A Study of Gender Differences in Autobiographical Memory: Broken Down by Age and Sex

Data from 40 older adults who produced autobiographical memories to word cues and to the request to list five important memories, and data from 60 older adults who answered factual multiple-choice questions for events spread across their lives, were analyzed for gender differences. In spite of considerable statistical power, there were no gender differences in the distribution of autobiographical memories over the lifespan, in the distribution of important memories, in various ratings provided to these memories, or in the distribution of knowledge for events. The only gender difference found was that men performed better on factual questions about current events and baseball. Thus, counter to what might be expected from Darwinian theory and some behavioral data, gender differences were minimal.     

Die Perestrojka in der heutigen sowjetischen Philosophie

The situation in Soviet philosophy has changed radically in the course of the last 4 years. Gone is the attitude according to which philosophers fall into two camps; genuine developments are discernible in the direction of alternative thinking. Signs of the latter include the growing number of round-table discussions published in the main philosophical journals, the conversations among philosophers broadcast on television, the new textbook, with its stress on the history of philosophy, including a new look at the classics, especially Marx. In general, Marxist-Leninist doctrine is now relativized to the status of a moment in the history of philosophy, and is no longer regarded as the culmination of philosophical truth.The main questions occupying philosophers today cluster around the nature of the person: individual freedom, democracy, universal values, as well as the central importance of law in civil society and a legally sanctioned State. The revival of interest in Russian religious philosophy has to be approached with care as it involves several dimensions: the question of Russia's spiritual character as compared with the West, the confrontation with the heretofore reigning materialist view of the world in relation to the vexed question of human creativity, as well as the religious affirmation of the unity of humanity in opposition to the Marxist conception of difference and struggle. The situation in Soviet philosophy is still ambiguous so long as ideological attitudes persist which could hinder the development of autonomous philosophical thought.