Breaching of family generation boundaries by schizophrenics,disturbed, and normals

This study tested the hypothesis that the breaching of generational boundaries, whereby the child assumes mate-like or parent-like role relations with parents, is one of the dysfunctional family processes linked to schizophrenia. Presence of child-as-mate and parentification fantasies was systematically assessed in individual and conjoint projective stories of young adults and their parents in schizophrenic (N=23), disturbed non-schizophrenic (N=19), and normal (N=20) comparison groups. The variable parentification was not found to discriminate groups. Child-as-mate fantasies strongly differentiated the schizophrenic group. Significantly more than controls, schizophrenics and their parents failed to see generationally appropriate family relationships between parent-like and child-like figures, instead projecting mate-like bonds, often explicitly sexual and usually involving a love triangle. In the conjoint family process, although members were equally likely to communicate a child-as-mate fantasy, those introduced by parents received more agreement and less disagreement in response. Methodological and conceptual issues are discussed.This study was part of a comprehensive schizophrenia research program conducted jointly by the Departments of Psychiatry of Michael Reese Hospital and the University of Chicago, R. R. Grinker, Sr., Principal Investigator, supported in part by USPHS grant MH05519-14. Cohler, William Henry, Roy Grinker, Sr., and Martin Harrow for support and consultation.     

Revitalizing Academic Advisement

Academic advisement has traditionally been thought of as limited to such routine functions as course registration and academic record-keeping. Advisement, however, should be redefined so that developmental functions are central. It would then perform a much-needed service in higher education, for students need assistance in planning academic programs and integrating academic, career, and life goals. Faculty and advisors will need to learn some unaccustomed roles (counselor, advocate, and guardian) as well as some new skills. With appropriate support, however, acceptance of developmental advising will be possible.     

Concurrent validity of Holland's theory for college degreed working women

The study was designed to explore two areas: (1) the concurrent validity of Holland's theory for employed college degreed women using two different operational definitions (Vocational Preference Inventory and the Self-Directed Search) of vocational orientation; and (2) the relationships among same named scales across the VPI and the SDS. Concurrent validity was studied by administering the VPI and the SDS to 179 women workers in occupational environments consistent with Holland's six vocational environments. In general, the findings indicate that the VPI and SDS scales tend to effectively discriminate among the occupational groups consistent with Holland's theoretical framework. In addition, the correlation coefficients for same named scales for the two inventories were all found to be significant. In sum, the results of the study lend some support to the concurrent validity of Holland's theory for employed college degreed women.     

Alliance-Outcome Associations in a Community-Based Social Skills Intervention for Youth With Autism Spectrum Disorder

Although the alliance is a consistent predictor of treatment outcomes in psychosocial interventions, few studies have examined this association among youth with autism spectrum disorder (ASD). In particular, youth-therapist alliance has never been examined in social skills interventions (SSIs), a common modality for this population. In this study, thirty-four youth with ASD (M_age = 12.41; 79% male) participated in a community-delivered, group-based SSI in a summer camp format led by eight Head Therapists (M_age = 32.12; 50% male). Early alliance and change in alliance over the course of the treatment were assessed via self- and observer-reported measures. Both self- and observer-rated alliance were associated with positive treatment outcomes as reported by parents (decreased problem behaviors) and other peers in the group (reciprocated friendship and social preference). These results provide the first evidence of the role of the alliance in an SSI for youth with ASD and add to the growing body of literature that demonstrates the importance of assessing and addressing the alliance in treatment for this population.     

Human social defeat and approach–avoidance: Escalating social-evaluative threat and threat of aggression increases social avoidance

Basic research on avoidance by Murray Sidman laid the foundation for advances in the classification, conceptualization and treatment of avoidance in psychological disorders. Contemporary avoidance research is explicitly translational and increasingly focused on how competing appetitive and aversive contingencies influence avoidance. In this laboratory investigation, we examined the effects of escalating social-evaluative threat and threat of social aggression on avoidance of social interactions. During social-defeat learning, 38 adults learned to associate 9 virtual peers with an increasing probability of receiving negative evaluations. Additionally, 1 virtual peer was associated with positive evaluations. Next, in an approach–avoidance task with social-evaluative threat, 1 peer associated with negative evaluations was presented alongside the peer associated with positive evaluations. Approaching peers produced a positive or a probabilistic negative evaluation, while avoiding peers prevented a negative evaluation (and forfeited a positive evaluation). In an approach–avoidance task with social aggression, virtual peers gave and took money away from participants. Escalating social-evaluative threat and aggression increased avoidance, ratings of feeling threatened and threat expectancy and decreased ratings of peer favorableness. These findings underscore the potential of coupling social defeat and approach–avoidance paradigms for translational research on the neurobehavioral mechanisms of social approach–avoidance decision-making and anxiety.     

Apathy is Associated with Critical Psychological Determinants of Medication Adherence in HIV Disease

Apathy is common in HIV, separable from depression, and has been associated with non-adherence to antiretroviral therapy (ART). We examined the associations between apathy and critical psychological determinants of ART adherence, as per the information-motivation-behavioral model, in 85 persons living with HIV. Apathy was measured using a composite of the apathy subscale of the Frontal Systems Behavioral Scale and the vigor-activation scale of the Profile of Mood States. Independent of major depressive disorder, apathy was related at small-to-medium effect sizes with motivation to adhere and self-efficacy for health-related decision-making and medication management, but not with HIV knowledge or medication management skills. These findings suggest that apathy plays a unique role in several critical health adherence determinants and support the importance of assessment and management of apathy to maximize health outcomes among individuals with HIV disease.

     

Dialectical Behavior Therapy and Motivational Interviewing: Conceptual Convergence,Compatibility, and Strategies for Integration

Dialectical behavior therapy (DBT) and motivational interviewing (MI) are two widely used and efficacious psychosocial interventions. An immense and growing number of studies examine DBT, MI, or adaptations of these approaches across diverse treatment contexts and across various clinical populations. Because DBT and MI are in high demand, it is probable that trainees and established practitioners will encounter one or both treatments over the course of their careers. Although MI and DBT initially evolved in distinct contexts for different populations, these approaches share a number of common fundamental principles. Each provides distinct and complementary strategies for enhancing clients’ motivation and ability to change. For some, an integrative or sequenced application of MI and DBT may enhance client care. The present article highlights areas of divergence, convergence, and opportunities for integration, and offers practical tips for applying DBT and MI in conjunction.     

Grandparental role-meaning types: A critical evaluation

Robertson (1977), in a study of the meaning of grandparenthood, identified four distinct grandparental role-meaning types that were determined through factor analytic techniques. The purpose of the current study was to determine the usefulness of Robertson's scale and typology in assessing the meaning of grandparenthood to women and men about to assume the role. The responses of 146 subjects were analyzed, and the two factors defined by Robertson were confirmed. Subjects were categorized into Apportioned, Symbolic, Individualized, and Remote role-meaning types. Contrary to Robertson's findings, these types were not related to life style variables, such as education or age, and they did not differ in expectations for role behaviors with the grandchild. This may be due in part to the fact that before the birth of their grandchild, all four types of “expectant” grandparents must relate to the grandchild in a symbolic manner and, therefore, they may rely on normative information to predict future behavioral interactions.