Religious imagery of a schizotypal patient

Psychotherapists are increasingly challenged to become more effective with religiously oriented patients. In this article I summarize a recent stage model of psycho-religious functioning that was developed to help psychotherapists work with religious material in clinical practice. Following this brief introduction, I describe how the paradigm guided my clinical understanding of a young man suffering from a severe personality disorder. The case study depicts the entanglement of his religious thinking with his core psychological and emotional conflicts and supports the assertion that nonjudgmental exploration of religious imagery may be a vital component of psychotherapy with intensely religious patients.     

Secular Psychotherapists and Religious Clients: Professional Considerations and Recommendations

Traditional psychotherapy has often failed to meet the needs of religiously committed clients. Because many potential clients have religious as well as secular concerns, secular psychotherapists must become more empathic and competent in treating religious individuals. In this article the author argues that efforts toward consciousness raising as well as fundamental changes in professional training programs are necessary to accomplish this goal. Recommendations are offered for counselor educators and mental health service providers.     

Fathers’ and Mothers’ Involvement with Their Adolescents

We explored mothers’ and fathers’ time spent with their adolescents and found that mothers reported spending more time with their adolescents than did fathers. Developmental patterns were found for some aspects of time involvement, with both mothers and fathers reporting higher involvement with younger adolescents. Ratings of time-spent were not associated with adolescents’ self-reported emotional/behavioral problems. Both mothers and fathers agreed that mothers had more responsibility for adolescents’ discipline, daily care, and recreational activities. Mothers and fathers reported comparable levels of satisfaction with this arrangement. Mothers, and to a lesser extent fathers, reported greater satisfaction with the division of labor when fathers showed higher levels of responsibility for adolescents’ activities. Satisfaction with the division of labor was inversely related to interparental conflict. Few differences were found based on adolescent gender for any of these variables. Results are discussed within the context of mother–child and father–child relationships and family functioning.     

What Happens After the Demonstration Phase? The Sustainability of Canada's At Home/Chez Soi Housing First Programs for Homeless Persons with Mental Illness

This research examined the sustainability of Canada's At Home/Chez Soi Housing First (HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five‐site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, HF staff, and persons with lived experience) to understand sustainability outcomes and factors that influenced those outcomes. Also, a self‐report HF fidelity measure was completed for nine HF programs that continued after the demonstration project. A cross‐site analysis was performed, using the five sites as case studies. The findings revealed that nine of the 12 HF programs (75%) were sustained, and that seven of the nine programs reported a high level of fidelity (achieving an overall score of 3.5 or higher on a 4‐point scale). The sites varied in terms of the level of systems integration and expansion of HF that were achieved. Factors that promoted or impeded sustainability were observed at multiple ecological levels: broad contextual (i.e., dissemination of research evidence, the policy context), community (i.e., partnerships, the presence of HF champions), organizational (i.e., leadership, ongoing training, and technical assistance), and individual (i.e., staff turnover, changes, and capacity). The findings are discussed in terms of the implementation science literature and their implications for how evidence‐based programs like HF can be sustained.     

Timing of dietary change in response to a telephone counseling intervention: evidence from the WHEL study

OBJECTIVE: Little is known about temporal patterns of diet change within interventions, nor about predictors of early and sustained successful change. Social-cognitive theory asserts that early successes in achieving behavior change increase self-efficacy, leading to longer-term success. DESIGN: The authors conducted exploratory cluster analyses using dietary data from the first month of the telephone counseling intervention of the Women's Healthy Eating and Living (WHEL) Study. MAIN OUTCOME MEASURE: Change in dietary pattern at three early intervention timepoints. RESULTS: Three clusters were identified: Cluster 1 (25%) was close to meeting study goals at baseline, but still made major changes; Cluster 2 (49%) and Cluster 3 (26%) were not achieving study goals at baseline, but Cluster 2 made substantial immediate changes, while Cluster 3 changed their diet more gradually. Baseline demographic and behavioral variables were associated with cluster membership; however, the strongest predictors of cluster were self-efficacy, motivation, and approaches to study goals. Cluster membership predicted dietary pattern at 12 months. CONCLUSION: These data suggest that a one-on-one telephone counseling intervention that is intensive in the early weeks may maximize the level of change achieved in a study.     

Mental model construction in linear reasoning: Evidence for the construction of initial annotated models

According to the mental model theory, reasoners build an initial model representing the information given in the premises. In the context of relational reasoning, the question arises as to which kind of representation is used to cope with indeterminate or multimodel problems. The present article presents an array of possible answers arising from the initial construction of complete explicit models, partial explicit models, partial implicit models, a single "isomeric" model, or a single annotated model. Predictions generated from these views are tested in two experiments that vary the problem structure and the number of models consistent with the premises. Analyses of the premise processing times, answering times and accuracy show that the annotated model yields the best fit of the data. Implications of these findings for the mental model theory as developed for relational reasoning are discussed.     

Locus of control and achievement in child psychiatric inpatients

The relationship between the Nowicki-Strickland Locus of Control Scale for Children (Nowicki & Strickland, 1973) and academic achievement was examined in a sample of 66 child psychiatric inpatients. Previous studies had suggested that this measure correlated with achievement in normal samples (Nowicki & Strickland, 1973) but not in populations of male juvenile offenders (Little & Kendall, 1978). The product-moment correlation between the Nowicki-Strickland Scale and the Peabody Individual Achievement Test was significant. However, when the effect of IQ was controlled for in a partial correlation, there was no significant correlation. Discussion focuses on the relationship between these results and other findings in the area of locus of control, intelligence, and achievement.     

Family demographics of clinically referred children: What we know and what we need to know

Published empirical studies were reviewed to establish family demographics of clinically referred children and adolescents. Data on parental marital status were collected from studies of referred and nonreferred children and adolescents in six empirical journals. Data on family socioeconomic status (SES) and child race or ethnicity were also collected. Based on 86 studies that presented parental marital status, 56.4% of clinically referred children and adolescents live with both their biological mother and biological father. Family SES data were difficult to summarize because of the different methods of presenting this information. When considering race and ethnicity, 86% of the children and adolescents in the clinical samples were Caucasian American. Of the studies that were originally reviewed, 80.4% did not include parental marital status and 36. 7% did not include SES, race, or ethnicity of the participants. There were no significant differences between journals in the rates of inclusion of family demographic data. In addition to revealing family demographic information about children and adolescents who participate in clinical research, these data highlight the lack of consistency in the presentation of family demographic data in published research. Suggestions are provided to help researchers colled and present meaningful family demographic data in clinical and nonclinical research with children and adolescents.This study was completed with support from the Division of Sponsored Research at the University of South Florida and preparation of this article was supported in part by National Institute of Mental Health Grant R29 49601-02 to the first author. We express our gratitude to Georgetta Bosco and Tracy Burbine for their diligent data collection in the library.     

What makes depressed people feel worse?

Fifty English-speaking adults were asked in a brief open-ended interview, ‘When you're feeling depressed, what sorts of things can make you feel worse?’ Their responses were subjected to content analysis and frequency counts. The most frequent replies were: being alone (mentioned by 24% of Ss), inactivity (20%) and thinking about the problem that was getting them down (18%). The results are discussed from phenomenological, theoretical, historical, methodological and clinical points of view.