Counseling Supervisors' Assessment of Race,Racial Identity,and Working Alliance in supervisory Dyads

The authors investigated the role of race, racial identity attitudes and working alliance in counseling supervision using data obtained from supervisors in supervisory dyads. Results revealed the strongest working alliance for supervisor‐supervisee pairs with high racial identity development and the weakest working alliance for pairs with low racial identity development. Los autores investigaron el papel que juegan la raza, las actitudes de identidad racial y la alianza de trabajo en la supervisión de consejería, empleando datos obtenidos de supervisores involucrados en diadas de supervisión. Los resultados revelaron que la alianza de trabajo más sólida se da en parejas de supervisor‐supervisado con un desarrollo alto de identidad racial, y la alianza de trabajo más débil en parejas con un desarrollo bajo de identidad racial.     

Characteristics and reversibility of dementia in Normal Pressure Hydrocephalus

Studies of the cognitive outcome after shunt insertion for treatment of Normal Pressure Hydrocephalus have reported widely mixed results. We prospectively studied performance of 60 patients with Normal Pressure Hydrocephalus on a comprehensive battery of neuropsychological tests before and after shunt surgery to determine which cognitive functions improve with shunt insertion. We also administered a subset of cognitive tests before and after temporary controlled drainage of cerebrospinal fluid to determine if change on this brief subset of tests after drainage could predict which patients would show cognitive improvement three to six months after shunt insertion. There was a significant improvement in learning, retention, and delayed recall of verbal memory three to six months after surgery (using paired t-tests). The majority (74%) of patients showed significant improvement (by at least one standard deviation) on at least one of the memory tests. Absence of improvement on verbal memory after temporary drainage of cerebrospinal fluid had a high negative predictive value for improvement on memory tests at 3-6 months after surgery (96%; p=0.0005). Also, the magnitude of improvement from Baseline to Post-Drainage on few specific tests of learning and recall significantly predicted the magnitude of improvement after shunt surgery on the same tests (r2=0.32-0.58; p=0.04-0.001). Results indicate that testing before and after temporary drainage may be useful in predicting which patients are less likely to improve in memory with shunting.     

The Influence of Affect on Goal Choice and Task Performance

The present study investigated the influence of mood on self-set goals and task performance. Results from 2 studies suggest a restricted view of mood effects in which affective state influences the level of self-set goals or task performance, but not both. Study 2 reveals asymmetrical mood effects on task performance, with positive- and negative-mood participants exceeding the baseline performance of neutral mood participants. Evidence indicates that goal-setting instructions may alter how individuals interpret motivational implications of mood. Although theory implies an inclusive view in which mood has both direct and indirect (through goal-setting) performance effects, the conflicting influences of affect infusion at different points of the goal-striving process may diminish the likelihood of observing inclusive effects.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

Symbolic control of visual attention: Semantic constraints on the spatial distribution of attention

Humans routinely use spatial language to control the spatial distribution of attention. In so doing, spatial information may be communicated from one individual to another across opposing frames of reference, which in turn can lead to inconsistent mappings between symbols and directions (or locations). These inconsistencies may have important implications for the symbolic control of attention because they can be translated into differences in cue validity, a manipulation that is known to influence the focus of attention. This differential validity hypothesis was tested in Experiment 1 by comparing spatial word cues that were predicted to have high learned spatial validity (“above/below”) and low learned spatial validity (“left/right”). Consistent with this prediction, when two measures of selective attention were used, the results indicated that attention was less focused in response to “left/right” cues than in response to “above/below” cues, even when the actual validity of each of the cues was equal. In addition, Experiment 2 predicted that spatial words such as “left/right” would have lower spatial validity than would other directional symbols that specify direction along the horizontal axis, such as “←/→” cues. The results were also consistent with this hypothesis. Altogether, the present findings demonstrate important semantic-based constraints on the spatial distribution of attention.     

Two pathways to stimulus encoding in category learning?

Category learning theorists tacitly assume that stimuli are encoded by a single pathway. Motivated by theories of object recognition, we evaluated a dual-pathway account of stimulus encoding. The part-based pathway establishes mappings between sensory input and symbols that encode discrete stimulus features, whereas the image-based pathway applies holistic templates to sensory input. Our experiments used rule-plus-exception structures, in which one exception item in each category violates a salient regularity and must be distinguished from other items. In Experiment 1, we found discrete representations to be crucial for recognition of exceptions following brief training. Experiments 2 and 3 involved multisession training regimens designed to encourage either part- or image-based encoding. We found that both pathways are able to support exception encoding, but have unique characteristics. We speculate that one advantage of the part-based pathway is the ability to generalize across domains, whereas the image-based pathway provides faster and more effortless recognition.     

A systematic examination of different parameters of presession exposure to tangible stimuli that maintain problem behavior

We examined the effects of three different presession conditions on tangibly maintained problem behavior for 2 students with autism, using individual-participant multielement designs. First, an analogue functional analysis demonstrated that problem behavior was maintained by access to tangible items. Next, topographies of item rejection were identified. Finally, students were exposed to (a) brief access, (b) no access, and (c) satiation to the tangible items prior to tangible sessions. The results demonstrated high levels of problem behavior following the brief-access and no-access presession conditions and low levels of problem behavior following the satiation condition. The findings are discussed in the context of how satiation might best be defined for these sorts of evaluations.