Who drops-out? Do measures of risk to self and to others predict unplanned endings in primary care counselling?

Aims: Unplanned endings, where clients unilaterally end therapy, are of concern for psychological therapy services generally as they raise questions about the appropriateness of the treatment and it's delivery for some clients. Limited available data indicates that those who drop-out often have more severe symptoms at entry, and have poorer clinical outcomes. This raises further questions about risk to self and others for those clients who leave therapy prematurely and how these clients might be identified and kept engaged. Method: This paper uses a large dataset of CORE data collected routinely in a primary care counselling service between 2000 and 2003. Logistic regression was utilised to consider different measures of risk and other client characteristics recorded at assessment to predict drop-out from the service. Results: These indicate that younger age, greater psychological distress at assessment, an addiction problem and greater risk to others, are associated with an unplanned ending. However, no reliable logistic regression model could be produced. This may be partly due to data quality issues or important characteristics not being available in the data. Implications for practice: The paper concludes that counsellors should actively seek to minimise unplanned endings, as amongst them may be represented the more distressed and risky clients referred to primary care counselling.     

Training sequence effects on emergent conditional discriminations: Replication and extension to selection-based training

We examined the replicability and generality of a previously reported training sequence effect on emergent conditional discriminations in the intraverbal naming task. In Experiment 1, a tact–intraverbal (TI) group learned first to vocally label 6 visual patterns and then to intraverbally relate pairs of verbal labels, whereas an intraverbal–tact (IT) group received the same training in the opposite sequence. Emergent conditional discriminations among pattern stimuli were assessed in match-to-sample (MTS) format. Experiment 2 was identical, except vocal tact and intraverbal training were replaced with selection-based training in which the verbal labels were text stimuli. Compared to the IT sequence, the TI sequence resulted in greater mean accuracy at test (Experiment 1), higher yields (Experiment 2), and shorter reaction times (Experiment 2). Experiment 2 data suggested the TI group's performance might be less dependent on intact intraverbal relations relative to the IT group, but related to participants' reports of visualization during intraverbal training. The results suggest the sequence effect is replicable and occurs in experimental preparations commonly used to study derived stimulus relations. They also provide novel support for the hypothesis that participant behavior during training alters sources of stimulus control available at test.     

Justice and power: when will justice concerns encourage the advantaged to support policies which redistribute economic resources and the disadvantaged to willingly obey the law?

Two studies are presented which test whether justice can motivate support for government policies and authorities even when such support is not in people's obvious personal or group interest. In the first study, White San Francisco Bay area residents' attitudes toward Congressionally-authored affirmative action policies and anti-discrimination laws were investigated. In the second study, African-American San Francisco Bay area residents' feelings of obligation to obey the law were investigated. The results from both studies show a significant relationship between evaluations of social justice and respondents' political attitudes. More importantly, a significant relationship between relational evaluations of Congress and political attitudes is found in both studies. This relationship suggests how justice can motivate policy and government support even if such support does not yield direct personal or group benefits. Finally, the results from both studies indicate when instrumental and relational concerns will be related to political attitudes. If people identified with their particular advantaged or disadvantaged group, instrumental concerns were more strongly related to their political attitudes, but if people identified with a superordinate category that included both potential outgroup members and relevant superordinate authorities, relational concerns were more strongly related to their political attitudes.     

Working and long-term memory deficits in schizophrenia: is there a common prefrontal mechanism?

This study tested the hypothesis that dorsolateral prefrontal cortex deficits contribute to both working memory and long-term memory disturbances in schizophrenia. It also examined whether such deficits were more severe for verbal than nonverbal stimuli. Functional magnetic resonance imaging was used to assess cortical activation during performance of verbal and nonverbal versions of a working memory task and both encoding and recognition tasks in 38 individuals with schizophrenia and 48 healthy controls. Performance of both working memory and long-term memory tasks revealed disturbed dorsolateral prefrontal cortex activation in schizophrenia, although medial temporal deficits were also present. Some evidence was found for more severe cognitive and functional deficits with verbal than nonverbal stimuli, although these results were mixed.