Acceptance of Structured Diagnostic Interviews for Mental Disorders in Clinical Practice and Research Settings

The objective of this study was to investigate the acceptance of structured diagnostic interviews in clinical practice, as well as research, settings. Using the Diagnostisches Interview bei Psychischen Störungen (the modified and extended German version of the Anxiety Disorders Interview Schedule for DSM-IV), 10 certified interviewers conducted 183 structured interviews in different inpatient, outpatient, and research settings in Switzerland and Germany. After each interview, patients and interviewers filled out a questionnaire asking for their evaluation of the interview. Patients' and interviewers' reactions to the interview were highly positive. On a scale measuring overall satisfaction with the interview (0 = not at all satisfied, 100 = totally satisfied) the mean patient rating was 86.55 (SD = 13.18), and the mean interviewer rating was 85.82 (SD = 12.84). The procedure used by the interviewer was rated by 142 (78.5%) patients as being helpful, and 176 (96.7%) rated the relationship as being positive. Less than 16% of the interviews were described as exhausting by the patients and interviewers. A majority of the interviewers (92.6%) indicated that during the interview they could respond adequately to the patient. The results of this study indicate that structured diagnostic interviews are highly accepted by interviewers and patients in a variety of settings. These findings, together with the existing evidence of the reliability and validity of structured interviews, should encourage their use in the diagnostic process, in outpatient and inpatient clinical settings as well as in research studies.     

Aggressive and prosocial children's emotion attributions and moral reasoning

Aggressive and prosocial children's emotion attributions and moral reasoning were investigated. Participants were 235 kindergarten children (M=6.2 years) and 136 elementary-school children (M=7.6 years) who were selected as aggressive or prosocial based on (kindergarten) teacher ratings. The children were asked to evaluate hypothetical rule violations, attribute emotions they would feel in the role of the victimizer, and justify their responses. Compared with younger prosocial children, younger aggressive children attributed fewer negative emotions and were more likely to provide sanction-oriented justifications when evaluating rule violations negatively. Furthermore, age-, gender- and context-effects in moral development occurred. The context-effects included both effects of transgression type (i.e., prosocial morality vs. fairness) on emotion attributions and moral reasoning and the effects of the context of moral evaluation and emotion attribution on moral reasoning. Findings are discussed in terms of the role of emotion attributions and moral reasoning as antecedents of children's aggressive and prosocial behavior.     

The Relationship of the Racial Identity Attitudes of Black Men to Perceptions of “Parallel” Counseling Dyads

The perceptions that Black men (N = 52) have of “parallel” dyads involving a Black male client and a White male counselor were examined in a vicarious participation analogue design. As defined by Helms (1984b), parallel dyad involves a client and counselor who share similar racial identity attitudes (i.e., attitudes about themselves relative to Blacks and Whites as reference groups). Multiple regression analyses were used to investigate whether racial identity attitudes predicted participants' reactions to the session and their perceptions of the counselors' cross-cultural competence and credibility. The results of the study indicated that racial identity attitudes significantly predicted participants' immediate reactions to the counselor. We used Helms's (1984b) interaction model to discuss the results and their implications for counseling practice and research.     

Children of Incarcerated Mothers

We review the literature on children whose mothers are incarcerated in jails or prisons. These children typically experience a great many risk factors besides their mothers' incarceration, including poverty, drug and alcohol problems in their families, community violence, and multiple changes in caregivers. Children's lives are greatly disrupted when mothers are arrested, and most children show emotional and behavioral problems. The impact this has depends on the age of the child, the alternate caregiving arrangements, and the course of the mother's incarceration. Children of incarcerated mothers experience internalizing (fear, withdrawal, depression, emotional disturbance) and externalizing (anger, fighting, stealing, substance abuse) problems, as well as heightened rates of school failure and eventual criminal activity and incarceration. Research in this area is scarce and often of poor quality. A research agenda which is guided by a transactional, ecological, and developmental model, and which examines children's well-being over the course of the mothers' incarceration is suggested.     

Using prayer in psychotherapy: applying Sue's differential to enhance culturally competent care

In this article, the authors discuss the application of Sue's cultural competence differential of hypothesis testing, dynamic sizing, and cultural specific expertise as a model for considering cultural factors in the treatment of an African American family. Three cultural dimensions are highlighted: spirituality, womanism, and community exposure to trauma. Given the centrality of spirituality for this African American family, prayer is used to facilitate the therapeutic process. Discussion from a womanist perspective highlights the spiritual, communal, and personal dimensions that the aunt faces as an African American woman. Consideration of the community context and potential exposure to trauma and loss allows for a fuller appreciation of the psychosocial context of the nephew. Sue's differential guides the case discussion.     

Superimposition and withholding of edible consequences as treatment for automatically reinforced stereotypy

The delivery and subsequent withholding of tangible consequences has been previously investigated as an intervention for stereotypic behavior. The current investigation sought to extend previous research by evaluating its effectiveness and durability as treatment for stereotypy of 2 children who had been diagnosed with autism. Nonsocial functions for stereotypic behavior were identified via functional analysis. Edible items were then delivered contingent on stereotypy and were withheld in a subsequent condition. When the superimposition procedure failed to reduce stereotypy, environmental enrichment was implemented and was found to reduce the stereotypy of both participants.     

Gender differences in object location memory in a real three-dimensional environment

In this preliminary study we investigate gender differences in object location memory. Our purpose is to extend the results about object location memory obtained in laboratory settings to a real 3-D environment and to further distinguish the specific components involved in this kind of memory by considering the strategies adopted to perform the task. To do this, we join the three-level model of spatial representations (landmark, route, and survey) proposed by Siegel and White (1975) with the three subcomponents of spatial memory (what, where, and what + where) identified by Postma and De Haan (1996). We adopted the object relocation task devised by Postma and De Haan (1996), adapted to a real environment. Seven common objects were placed on the floor of a cylindrical room. Sixty-four males and 64 females were asked to memorize the spatial layout. Next, the experimenter moved the objects to a different position along with seven new objects and the participants had to relocate the original objects to their initial positions. In line with Postma, Izendoorn, and De Haan (1998), we found no gender difference in object recognition, and in recalling absolute distance and categorical spatial relations; however males were better than females in recalling the distance between objects and the size of the layout. Overall, the data show a male advantage in some components of spatial cognition closely linked to the encoding of the metric structure of the spatial relationships at both route and survey level.     

Stress, Rewards, and Change in the Centrality of Women’s Family and Work Roles: Mastery as a Mediator

Although research suggests that stress and rewards experienced in a social role are associated with changes in the centrality (or personal importance) of that role over time, little attention has been given to the mechanisms that account for this relationship. This study was conducted to examine change in role mastery as a mediator in the relationship between changes in role experiences (stress and rewards) and changes in centrality among 195 women who simultaneously occupied the roles of parent care provider, mother, wife, and employee. Regression analyses indicated that increases in parent care, mother, and employee stress eroded mastery in those roles. In addition, increases in rewards were associated with a bolstered sense of mastery in each of the four roles. Mastery was found to be a mediating mechanism in the relationship between stress/rewards and centrality in one of the four roles examined, the employee role. However, changes in womens perceptions of mastery were unrelated to the extent to which women changed the importance of their three family roles. These findings extend prior research by demonstrating that mastery is a mechanism through which stress and rewards are associated with centrality in the employee role.