Effects of hearing and vision impairments on the Montreal Cognitive Assessment

Many standardized measures of cognition include items that must be seen or heard. Nevertheless, it is not uncommon to overlook the possible effects of sensory impairment(s) on test scores. In the current study, we investigated whether sensory impairments could affect performance on a widely used screening tool, the Montreal Cognitive Assessment (MoCA). Three hundred and one older adults (mean age = 71 years) completed the MoCA and also hearing and vision tests. Half of the participants had normal hearing and vision, 38% impaired hearing, 5% impaired vision, and 7% had dual-sensory impairment. More participants with normal sensory acuity passed the MoCA compared to those with sensory loss, even after modifying scores to adjust for sensory factors. The results suggest that cognitive abilities may be underestimated if sensory problems are not considered and that people with sensory loss are at greater risk of cognitive decline.     

Predictors of complicated grief

Abstract

This study examined whether process variables predict an outcome of complicated grief. A turbulent and prolonged grief was predicted to occur after the death of a spouse in subjects who had self-blame, used the deceased for an extension of self, had ambivalence toward the deceased, or overcontrolled emotional responses. Ninety subjects were examined at 6, 14, and 25 months after the loss via a self-report battery of process variables and a structured clinical interview designed to assess symptoms. Subjects with complicated grief were compared with those with normative grief. Predictions were supported only in tertiary data analyses; they were not supported well in the primary and secondary statistical analyses. The authors concluded that either self-reports of process variables are inadequate measures or the theory that led to these measures and predictions is in need of revision.     

Speed of Eating as a Determinant of the Bulimic Desire to Vomit

ABSTRACT

A single-case controlled study found that a bulimic's desire to vomit was virtually eliminated by slowed eating, but not by rapid eating. The present study attempted to determine whether this same relation was exhibited by a larger number (N = 6) of bulimics who were instructed to eat at a fast or a slow rate in a between-subjects reversal design. For all 6 participants, the urge to vomit was found to be greater during fast versus slow eating after comparable amounts of food intake. Clinically, these results suggest that eating slowly might be incorporated into treatment for bulimic vomiting.     

Professional Counseling in Taiwan: Past to Future

Because of the recent introduction of a licensure law, professional counseling has grown rapidly in Taiwan after decades of slow development. The authors provide a historical review of the development of professional counseling in Taiwan and discuss the current status and future trajectory of professional counseling in Taiwan.     

Shame in Sexual Minorities: Stigma,Internal Cognitions,and Counseling Considerations

Theorists, clinicians, and researchers have suggested that shame is a central concern in the lives of sexual minority individuals. Cognitive theorists believe that shame occurs when a person fails to achieve his or her standards, which are often based on social, cultural, and spiritual values. Although it is asserted that stigma causes shame among members of a sexual minority, the empirical evidence suggests that negative internal cognitions are partly responsible. By targeting negative beliefs, counselors can help sexual minorities reduce their sense of shame, particularly around issues related to sexual identity. The authors offer counseling strategies for reducing shame in sexual minority clients.     

Race-Based Stress in White Adults: Exploring the Role of White Racial Identity Status Attitudes and Type of Racial Events

The impact of racial experiences on Whites has been underresearched and has rarely been considered traumatic. To understand these experiences, it is important to consider variation in one's orientation to their racial group (i.e., racial identity) and the type of racial encounter. Using a White adult sample and hierarchical cluster analysis, the authors found that reactions to race-based encounters were associated with varying levels of psychological distress and well-being and racial identity statuses. Clinical implications are discussed. El impacto de las experiencias raciales en personas blancas no ha sido suficientemente investigado y en raras ocasiones ha sido considerado traumático. Para comprender estas experiencias, es importante considerar la variación en la orientación de cada individuo hacia su grupo racial (es decir, la identidad racial) y el tipo de encuentro racial. Usando una muestra de personas adultas blancas y un análisis jerárquico de clústeres, los autores hallaron que las reacciones a los encuentros raciales estaban asociadas a niveles variables de malestar psicológico, así como de estados de bienestar e identidad racial.     

Implicit Coping Responses to Racism Predict African Americans' Level of Psychological Distress

African Americans report experiencing discrimination on a frequent basis, and these experiences have been linked to psychological distress. Coping responses to racism have been suggested to mediate the relationship between discrimination and distress. This study introduces the first measure of African Americans' implicit emotional and coping responses to racism and examines the measure's ability to predict psychological distress. The Go/No-Go Association Task (Nosek &; Banaji, 2001 Nosek , B. A. , &; Banaji , M R. ( 2001 ). The go/no-go association task . Social Cognition , 19 , 625 – 664 .[Crossref], [Web of Science ®] , [Google Scholar]) was adapted to assess African Americans' implicit association of racial prejudice with each of four coping and two emotional responses. Anxiety and general psychological distress were assessed with the Brief Symptom Inventory. Greater implicit association between prejudice and “seeking support” was found to predict lower anxiety and general distress, demonstrating the potential utility of implicit measures in assessing coping responses to racism and their consequences.     

In search of clarity: self-esteem and domains of confidence and confusion

To date, research suggests that self-concept clarity is a monolithic construct: Some people have clearly defined self-concepts in all domains, whereas others do not. The authors argued that self-concept clarity is instead multifaceted and varies across trait domains. The authors predicted that social commodities (SCs; e.g., looks, popularity, social skills) would show less self-concept clarity than would communal qualities (CQs; e.g., kindness, warmth, honesty), due to domain differences in observability, ambiguity, and controllability. Results replicated past findings that self-esteem predicts self-concept clarity but also demonstrated that participants' SC self-views were less clear than their CQ self-views. Moreover, people showed greater clarity about traits that were lower in observability and higher in ambiguity and controllability. These findings suggest that everyone, regardless of self-esteem, has self-concept domains of relative confidence and confusion.