Research in Counseling

This column is based on the belief that research can provide meaningful data to the practicing counselor. While individual studies may not provide sufficient data on which to act, a combination of separate research efforts or a large-scale, long-term research project does have the possibility of providing sufficient data. This column will undertake to provide that data by either reviewing the current research in a specific area or examining the results from a long-term project. The emphasis will be on implications for the counselor, so there will be little if any information on research design or statistical procedures. Readers desiring more detail about a particular study should write directly to the original author(s). Readers who desire to have the results of their research and/or innovative approaches considered for review in this column should send the material to Richard W. Warner, Jr., Counselor Education, 2054 Haley Center, Auburn University, Auburn, Alabama 36830.     

Dividing attention between auditory and visual perception

To what extent is simultaneous visual and auditory perception subject to capacity limitations and attentional control? Two experiments addressed this question by asking observers to recognize test tones and test letters under selective and divided attention. In Experiment 1, both stimuli occurred on each trial, but subjects were cued in advance to process just one or both of the stimuli. In Experiment 2, subjects processed one stimulus and then the other or processed both stimuli simultaneously. Processing time was controlled using a backward recognition masking task. A significant, but small, attention effect was found in both experiments. The present positive results weaken the interpretation that previous attentional effects were due to the particular duration judgment task that was employed. The answer to the question addressed by the experiments appears to be that the degree of capacity limitations and attentional control during visual and auditory perception is small but significant.     

CBT for Anxiety and Associated Somatic Complaints in Pediatric Medical Settings: An Open Pilot Study

Objective To examine the initial feasibility and potential efficacy of a cognitive-behavioral intervention for youth with anxiety disorders and non-medical somatic symptoms. Background Based on a strong relationship between somatic complaints and anxiety disorders, screening youngsters seeking medical care due to physical symptoms with no organic basis may enhance the recognition of anxiety disorders and facilitate access to appropriate services. Method Seven boys and girls, ages 8 through 15, with medically unexplained gastrointestinal complaints and anxiety disorders received a 12-session cognitive-behavioral intervention targeting anxiety and physical symptoms. Assessments were conducted at baseline and following treatment. Results All participants were classified as treatment responders. Three of the seven participants no longer met diagnostic criteria for their principal anxiety disorder. Children’s physical discomfort decreased from a moderate to minimal level based on self- and parent-reports. Conclusions Our modified cognitive-behavioral approach has promise for reducing anxiety and somatic symptoms in children seeking medical care.     

PHILOSOPHY AND LITERATURE: YESTERDAY, TODAY AND TOMORROW

Plato's rhetorical gesture invoking a 'quarrel' between philosophy and poetry points to a deep problem in our conception of rational discourse, often obscured or displaced in the history of philosophy's relations with imaginative literature, especially with respect to analytic philosophy in the first half of the twentieth century. Recent developments have helped focus attention on the overlap between philosophy and literature, which the contemporary retreat from philosophy's 'narrative turn' does little to undermine. Further work in the philosophy of language, the logic of the imagination, and the relations between dialectic and rhetoric promise to throw light on that ancient problem.     

Gender Bias in the Personality Disorders Criteria: An Investigation of Five Bias Indicators

This study examined possible gender bias in personality disorder criteria by considering a number of potential empirical indicators of bias: prevalence differences in a nonclinical sample; the implications of gender differences as perceived by nonprofessionals; the internal consistency of criteria as a function of gender; and the gender-normativeness of criteria. One hundred one participants familiar with the DSM-IV completed questionnaires assessing the presence of each criterion, and the perceived implications of the criteria for men and women. Results showed that the global mean self-rating for the criteria did not differ as a function of gender although there were some differences for individual criteria. Criteria that were more prevalent in one gender appeared to be viewed as a greater problem for that gender. The criteria also appeared to be measuring abnormal rather than gender-normative behaviors. Twelve criteria demonstrated differential convergence with other indicators of disorder as a function of gender, with most converging better for men than for women.     

Whither “Confucian Management”?

This article asks whether “Confucian Management” may be seen as the dominant influence in contemporary China. The philosophical legacy of Confucius on modern management theory and practice has received a good deal of attention in recent times, and here I attempt to assess its possible continuity. In order to carry out this task, I apply a bibliometric analysis called the “Culturomics” approach, looking at the literature on “Chinese Management” published in Mandarin in the last century, from 1900 onwards. After the presentation of the empirical data, the discussion section is set out, followed by the article’s conclusions.     

CAREGIVER–CHILD INTERACTION,CAREGIVER TRANSITIONS,AND GROUP SIZE AS MEDIATORS BETWEEN INTERVENTION CONDITION AND ATTACHMENT AND PHYSICAL GROWTH OUTCOMES IN INSTITUTIONALIZED CHILDREN

This report describes a secondary analysis of data from a comprehensive intervention project which included training and structural changes in three Baby Homes in St. Petersburg, Russian Federation. Multiple mediator models were tested according to the R.M. Baron and D.A. Kenny ( 1986 ) causal‐steps approach to examine whether caregiver–child interaction quality, number of caregiver transitions, and group size mediated the effects of the intervention on children's attachment behaviors and physical growth. The study utilized a subsample of 163 children from the original Russian Baby Home project, who were between 11 and 19 months at the time of assessment. Results from comparisons of the training and structural changes versus no intervention conditions are presented. Caregiver–child interaction quality and number of caregiver transitions fully mediated the association between intervention condition and attachment behavior. No other mediation was found. Results suggest that the quality of interaction between caregivers and children in institutional care is of primary importance to children's development, but relationship context may play a less direct mediational role, supporting caregiver–child interactions.     

The Baby Blanket or the Briefcase: The Impact of Evangelical Gender Role Ideologies on Career and Mothering Aspirations of Female Evangelical College Students

This study examines the relationship between the Evangelical gender role ideologies termed Complementarianism and Egalitarianism and mothering and career aspirations among Evangelical female college students. We surveyed 134 women from two colleges in the United States, one in the Midwest and one in the South. Using a cross-sectional, self-report survey design, we examined the interaction between career aspirations and mothering aspirations as well as the impact of Evangelical gender role ideologies on both types of aspirations. Results indicated that career and home aspirations were negatively correlated. Mothering aspirations were shown to be significantly affected by conservative gender role ideology. These findings suggest that aspirations for one’s mothering role may be influenced by ideological positions.     

An Innovative Treatment Approach for Children With Anxiety Disorders and Medically Unexplained Somatic Complaints

Anxiety disorders in children and adolescents are largely undetected and the majority of youth do not receive services. Given the deleterious consequences of anxiety disorders, early identification and intervention have public health implications. In order to increase identification and treatment of anxious youth, expansion to nonpsychiatric settings (i.e., pediatric medical settings, schools) is necessary. Pediatric medical offices represent ideal settings for detection and intervention for several reasons: (1) access to large numbers of children, (2) high prevalence of unrecognized anxiety disorders in medical settings, and (3) an association between anxiety disorders and medically unexplained somatic symptoms. This paper describes a cognitive-behavioral intervention for youth who present to pediatric medical settings with nonmedical somatic symptoms and undiagnosed anxiety disorders. We explain the rationale for and focus of our treatment approach, present two case studies illustrating the treatment process, and conclude with a discussion of implementation considerations.