On the mechanisms and effects of feedback in group psychotherapy

Group psychotherapists commonly see feedback as one of the primary mechanism that furthers the goals of the group. This paper will summarize the research that has been done on the mechanisms leading members to produce feedback, the factors that induce members to accept feedback (for example, feedback valence and timing), and the effects of feedback on outcome and aspects of group process such as group cohesion. The article will address the practical implications of these findings for the interventions of the group psychotherapist. As will be discussed, the emphasis on the importance of feedback in the interpersonal group psychotherapy literature exceeds the programmatic research that has been done on basic questions. This paper will identify major lines of future investigation that could yield findings critical to the delivery of effective group psychotherapy such as the information processing sequences that underlie feedback delivery and reception.     

Participant loss due to "fussiness" in infant visual paradigms: a review of the last 20 years

One hundred and one published articles that used visual habituation or violation-of-expectation techniques with infants of 12 months or younger were surveyed. Information was compiled on the number of infants who failed to complete experimental procedures due to "fussiness" or other factors. Also noted for each experiment was whether or not infants as a group demonstrated differential responding to the test display. On average 13.7% (range 0-62%) of infants failed to complete these visual procedures as a result of fussiness. There was no correlation between experimental outcome and infant attrition due to fussiness or to any other factor. We thus found no evidence to suggest that differential exclusion rates systematically influence experimental outcomes. However, we urge researchers to provide operational definitions of "fussiness."     

Evaluation of the Dispositional Hope Scale in injury survivors

Hope is a higher-order cognitive construct that encompasses the belief in one’s ability to accomplish personal goals. Hope has been conceptualised as consisting of two constructs – Pathways (the individual’s perceived means available to achieve goals) and Agency (belief in ones ability to succeed in using the identified Pathways). This study aimed to validate a measure of hope, the Dispositional Hope Scale (DHS: [Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigman, S. T., et al. (1991). The will and the ways: Development and validation of an individual differences measure of hope. Journal of Personality and Social Psychology, 60(4), 570–585]) in a large sample of traumatic injury survivors (N = 1025). The findings support the psychometric properties of the scale, as well as the two-factor structure of Agency and Pathways, in this population. This study provides support for the use of the DHS as a measure of hope in traumatised populations.     

Provision of Genetic Services for Hearing Loss: Results from a National Survey and Comparison to Insights Obtained from Previous Focus Group Discussions

Hearing loss is a common sensory deficit and more than 50% of affected individuals have a genetic etiology. The discovery of 40 genes and more than 100 loci involved in hearing loss has made genetic testing for some of these genes widely available. Genetic services for deafness are also being sought more often due to the early identification of hearing loss through newborn screening services. The motivations for pursuing genetic testing, and how genetic services are provided to the client may differ among individuals. Additionally, information obtained through genetic testing can be perceived and used in different ways by parents of deaf children and deaf adults. This study aimed to follow up on focus group studies published earlier with a quantitative survey instrument and assess the preference of consumers for provision of genetic services. We conducted a national survey of hearing and deaf parents of children with hearing loss and of deaf adults. Data was compared and analyzed by hearing status of the participant, their community affiliation and the genetic testing status using nominal logistic regression. Consistent with our focus group results, the survey participants thought that a genetic counselor/geneticist would be the most appropriate professional to provide genetics services. Statistically significant differences were noted in the preferred choice of provider based on the genetic testing status. Parents preferred that genetic evaluation, including testing, occur either immediately at or a few months after the audiologic diagnosis of hearing loss. This data should help providers in clinical genetics keep patient preferences at the helm and provide culturally competent services.     

Spoken and gestural production in a naming task by young children with Down syndrome

Lexical production in children with Down syndrome (DS) was investigated by examining spoken naming accuracy and the use of spontaneous gestures in a picture naming task. Fifteen children with DS (range 3.8-8.3 years) were compared to typically developing children (TD), matched for chronological age and developmental age (range 2.6-4.3 years). Relative to TD children, children with DS were less accurate in speech (producing a greater number of unintelligible answers), yet they produced more gestures overall and of these a significantly higher percentage of iconic gestures. Furthermore, the iconic gestures produced by children with DS accompanied by incorrect or no speech often expressed a concept similar to that of the target word, suggesting deeper conceptual knowledge relative to that expressed only in speech.     

Feminist directions in medical ethics

I explore some new directions—suggested by feminism—for medical ethics and for philosophical ethics generally. Moral philosophers need to confront two issues. The first is deciding which moral issues merit attention. Questions which incorporate the perspectives of women need to be posed—e. g., about the unequal treatment of women in health care, about the roles of physician and nurse, and about relationship issues other than power struggles. “Crisis issues” currently dominate medical ethics, to the neglect of what I call “housekeeping issues.” The second issue is how philosophical moral debates are conducted, especially how ulterior motives influence our beliefs and arguments. Both what we select—and neglect—to study as well as the “games” we play may be sending a message as loud as the words we do speak on ethics.     

The psychological growth of women in a short-term inpatient group

This paper identifies ways in which a short-term inpatient group can support psychological growth of women. A four-stage developmental model of women's work in an inpatient group is described. In each stage, women achieve greater comfort in new modes of relating. Women also gain greater appreciation of their interpersonal strengths. In the first stage, women face issues related to autonomy and connection. In the second stage, women focus upon conflictual feelings in relation to authority. In the third stage, women address obstacles to the achievement of satisfying, intimate, peer-based relationships. In the fourth stage, women focus upon the issues of separation and loss that are precipitated by the termination of the group. At each stage, the developmental tasks women perform are contrasted with related but nonidentical tasks performed by men.The author wishes to thank Drs. Joan Cooper and Francine Deutsch for their comments on an earlier draft of this paper.     

Distributional theories of impression formation

This paper examines theories of impression formation which represent stimulus information as distributions on subjective dimensions rather than points along a continuum. These theories explain why unfavorable information often overrides favorable information. Subjects were asked to imagine hypothetical persons described by single adjectives or adjective combinations and to estimate the probability that each person would have various degrees of likeableness. Three models were considered to describe how the likeableness distribution for the adjective combination depends on the distributions of the single adjectives. All three models assume that the mean of the distribution for the adjective combination is described by the equal probability criterion which, for symmetric distributions, implies a weighted average of the single adjective means with weights inversely proportional to their standard deviations. The models can be distinguished on the basis of the standard deviations of the adjective combinations. Estimated standard deviations of the single unfavorable adjectives were smaller than those for the single favorable adjectives. Furthermore, the standard deviation associated with an adjective combination tended to fall between the standard deviations of the single adjectives, consistent with the horizontal averaging model.