Editorial

Addressing the issues of intersubjectivity and hermenutics and their relevance for psychoanalysis, the author presents a model for interpreting inspired by the existential hermeneutics of Martin Heidegger. This analysis is then applied to the clinical reality of the psychoanalytical situation. The author discusses the matrix of transference, the analytical dialogue as a form of reflection, the functions of hope and faith, and lastly, truth as faithfulness in the hermeneutic context.     

An integrative conceptual framework of disability. New directions for research

Advances in research on disability and rehabilitation are essential to creating equal opportunity, economic self-sufficiency, and full participation for persons with disabilities. Historically, such initiatives have focused on separate and specific areas, including neuroscience, molecular biology and genetics, gerontology, engineering and physical sciences, and social and behavioral sciences. Research on persons with disabilities should examine the broader context and trends of society that affect the total environment of persons with disabilities. This article examines the various disability paradigms across time, assessing the relative contribution of the socioecological perspective in guiding research designed to improve the lives of persons with disabilities. The authors recommend new research directions that include a focus on life span issues, biomedicine, biotechnology, the efficacy and effectiveness of current interventions, an emphasis on consumer-driven investigations within a socioecological perspective of disability, and the implications for research and practice.     

A practice-based exploration of therapeutic change in a charitable,community-based person-centred counselling service using routine outcome measures of anxiety and depression. I: Statistical and clinically significant change

Background

Establishing the value of differing treatments for depression and anxiety is crucial in a climate of delimited spending and increased demand. Drawing from a well-founded, diverse evidence base is salient to constructive evaluation and any subsequent recommendations being fit for purpose.

Design

This study employed a practice-based quantitative design to explore therapeutic gains in adult counselling clients attending person-centred therapy (n = 301), delivered in a charitable, community-based UK service.

Measures

Outcome measures PHQ-9 and GAD-7 were used from three time points: initial assessment (IA), first ongoing session and last or 6th ongoing appointment (whichever occurred first; T1, T2 and T3).

Analysis

Repeated measures ANOVA, CSI, RI and RCSI calculations were used to consider significant change in clients.

Findings

Reductions in PHQ-9 and GAD-7 outcome measures were observed over time (between T2 & T3 and T1 & T3) and were all statistically significant (p = <0.001). By T3: CSI was achieved by 48.1% of clients on PHQ-9 and 50.8% of clients on GAD-7, RI was achieved by 47.8% of clients on PHQ-9 and 60.5% of clients on GAD-7, and RCSI was achieved by 32.6% of clients on PHQ-9 and 41.2% of clients on GAD-7.

Conclusions

The treatment observed resulted in effective outcomes equivalent to other therapies reviewed in the literature for clients' symptoms of anxiety and depression as measured by GAD-7 and PHQ-9.     

Analyzing Individual Status and Change with Hierarchical Linear Models:Illustration with Depression in College Students

ABSTRACT A recently developed class of multilevel or hierarchical linear models (HLM) provides an intuitive and efficient way to estimate individual growth or change curves. The approach also models the between-subjects variation of the individual change curves with treatment factors and individual attributes. Unlike other repeated measures analysis methods common in the behavioral sciences, HLM allows the fit of data with unequal numbers of repeated observations for each subject, variable timing of observations, and missing data, features which are often characteristic of data from field studies. The application of HLM for the analysis of repeated psychological measures is discussed and illustrated here with depression data for college students. Strengths and limitations of the approach are discussed.     

Descartes on Hatred

This paper examines Descartes’ account of hatred. Descartes holds that individuals should not hate, because hatred separates us from goods, causes sadness, and produces vicious character traits. Although some scholars argue that hatred is necessary to protect the body, I argue that Descartes holds that hatred is not necessary to protect the body, because there are other means of protecting the body that do not involve hatred. I conclude this paper by showing the place of hatred in Descartes’ broader moral theory, especially his emphasis on the wellbeing of the soul and the virtue of generosity.     

From Boulder to Stockholm in 70 Years: Single Case Experimental Designs in Clinical Research

The Psychological Record - With the objective of increasing the magnitude of treatment effects in behavioral health, there is steadily growing interest in tailoring assessments and interventions to...     

The Effect of Abolishing Operations on Mand Acquisition During Functional Communication Training

Journal of Behavioral Education - Previously applied research has shown independent manding is not likely to emerge when functional communication training (FCT) is implemented in conjunction with...     

The ��Problem of Number�� Revisited: The Relative Contributions of Psychosocial, Experiential, and Evolutionary Factors to the Desired Number of Sexual Partners

Three studies (N?=?329) using U.S. community samples examined the relative contributions of self-reported ??sex,?? gender identity, and actual number of sexual partners to the question how many sexual partners individuals desire over the lifetime. In Study 1, the more ??feminine?? a participant identified, not self-reported sex, was significantly related to the desired number of sexual partners. Study 2a showed that a person??s actual number of sexual partners also correlated with the desired number. In Study 3, Bem Sex Role Inventory (BSRI) (Bem Psychological Review, 88: 354?C364 1981) femininity scores and actual number of sexual partners significantly predicted desired number of sexual partners separately for men and women. These results suggest that non-evolutionary variables drive the ??problem of number?? in mate preference.     

Yawning: no effect of 3-5% CO2, 100% O2, and exercise

Using human college-age subjects, the present study tested the commonly cited but previously untested hypothesis that yawning is facilitated by higher than normal levels of CO2 or lower than normal levels of O2 in the blood by comparing the effect on yawning of breathing 100% O2 and gas mixtures with higher than normal levels of CO2 (3 or 5%) with compressed air, the control condition. If yawning is a response to heightened blood CO2, the CO2 mixtures should increase yawning rate and/or duration. If low blood O2 produced yawning, breathing 100% O2 should inhibit yawning. The CO2/O2 hypothesis was rejected because breathing neither pure O2 nor gases high in CO2 had a significant effect on yawning although both increased breathing rate. A second study found that exercise sufficient to double breathing rate had no effect on yawning. The two studies suggest that yawning does not serve a primary respiratory function and that yawning and breathing are triggered by different internal states and are controlled by separate mechanisms.     

Doubly Bound: The Impact of Gender and Race on the Politics of Black Women

Gender has been thought to be less salient than race among black women. Data from two national surveys of black Americans, conducted in 1984 and 1996, show that black women identify as strongly on the basis of their gender as their race, and that these gender and racial identities are mutually reinforcing. Nevertheless, among black women, their identification with their race more powerfully affected their political attitudes than did their identification on the basis of gender, except in instances where the interests of blacks directly conflict with the interests of women. These empirically based findings speak to the issue of why the attitudes of black women toward contemporary gender issues can sharply diverge from those of white women.