From “4Rs and 2Ss” to “Amaka Amasanyufu” (Happy Families): Adapting a U.S.-based Evidence-Based Intervention to the Uganda Context

In Uganda, one in five children presents mental health challenges, including disruptive behavior disorders (DBDs). DBDs can persist through adulthood and result in negative outcomes. Effective interventions for DBDs have been developed and tested in high-poverty communities in developed countries. Yet, most African countries, such as Uganda, lack such interventions. This paper describes the adaptation process of an evidence-based intervention of U.S. origin to optimize fit to context with intervention fidelity, as part of a randomized trial conducted with youth that exhibit behavioral challenges and their caregivers in 30 schools in Uganda. The process involved: initial meetings with headteachers and teachers to introduce the study and the main concepts of the intervention; initial manual review focusing on 4Rs and 2Ss content by the Uganda team; engagement of community stakeholders for additional feedback on content and cultural relevance; final revision of the manual; and collection of children’s drawings for the illustration of the manual. This paper describes both similarities and differences between the original and adapted intervention content and methods of delivery. The findings also highlight the importance of involving community stakeholders in the adaptation process.     

Psychoanalytic patients in the U.S., CANADA,and Australia: I. DSM-III-R disorders,indications, previous treatment,medications, and length of treatment

To determine the demographics, DSM-III-R disorders diagnosed, indications used in recommending psychoanalysis, previous treatment histories, use of medication, and length of treatment in patients in psychoanalysis in the U.S., Canada, and Australia, a mail survey of practice was sent to every other active member of the American Psychoanalytic Association and every member of the Australian Psychoanalytical Society. This supplemented an earlier survey sent to all Ontario psychoanalysts. The response rates were 40.1 % (n = 342) for the U.S., 67.2% (n = 117) for Canada, and 73.9% (n = 51) for Australia. Respondents supplied data on 1,718 patients. The employment rate for patients increases as analysis progresses (p < .0001). The mean number of concurrent categories of disorders (Axis I, Axis II, and Disorders First Evident in Childhood) per patient at the start of treatment is 5.01 (SD = 3.66; median = 4; mode = 3). There are no statistically significant differences across countries. Mood, anxiety, sexual dysfunction, and personality disorders are most common. American Psychiatric Association / American Psychoanalytic Association peer review criteria for indicating psychoanalysis are followed for 86.5% of patients. Over 80% of patients in all three countries had undergone previous treatments prior to analysis. In the U.S., 18.2% of analysands are on concurrent psychoactive medication; in Australia, 9.6%. The mean length of analyses conducted in the U.S. is 5.7 years, in Australia 6.6, and in Canada 4.8. Psychoanalytic patients in all three countries have similar rates of DSM-III-R psychopathology, and many indications of chronicity.     

Cohesion and outcome in short-term psychodynamic groups for complicated grief

This study used two measures of cohesion for the process analysis of 12 short-term, time-limited groups for complicated grief. The measures had similar theoretical definitions but differed in terms of rater source (member vs. observer), measurement score (mean of items vs. global rating), and rating unit (individual vs. group). We examined the relationship between the measures, assessed the development of cohesion over the life of the group, and evaluated each measure's relationship to outcome. A principal components analysis with each measure yielded one cohesion component, which supported a unidimensional model; however, the two cohesion components were independent of each other, which supported a multidimensional model. Repeated measures analyses indicated that observer-rated cohesion developed in a quadratic manner (v pattern) across sessions, while member-rated cohesion developed in a linear manner. The object focus (the group, other members, the therapist) of the members' ratings determined whether cohesion increased or decreased across sessions. No significant relationships between cohesion and outcome were identified. Implications of the findings for the understanding of group cohesion are considered.     

On the bias of Huffcutt and Arthur's (1995) procedure for identifying outliers in the meta-analysis of correlations

This study documents how the use of A. I. Huffcutt & W. A. Arthur's (1995) sample adjusted meta-analytic deviancy (SAMD) statistic for identifying outliers in correlational meta-analyses results in inaccuracies in mean r. Monte Carlo simulations found that use of the SAMD resulted in the overidentification of small relative to large correlations as outliers. Furthermore, this tendency to overidentify small correlations was found to increase as the magnitude of the population correlation increased and resulted in mean rs that overestimated the population correlation. The implications for meta-analysts are discussed, and 2 possible solutions are offered.     

Mood and sex of participant in perception of happy faces

The influences of mood-state and sex of subject were examined for ratings of the emotional intensity of videotaped facial expressions of happiness. 102 subjects who were classified by sex and their scores on the Beck Depression Inventory provided ratings of the faces. A significant sex by mood-state interaction indicated that ratings of intensity by men and women were influenced differently by mood-state, and these findings are interpreted within the framework of the Affect Infusion Model. The results support our hypothesis that men and women tend to rely preferentially on low and high affect infusion strategies, respectively. The findings further suggest that the cognitive effect of affect infusion on the magnitude of perceived intensity of facial affect could be influenced by mood-state via differences in cognitive effort subjects employ when in a dysphoric or nondysphoric mood.     

A measurement theory of illusory conjunctions

Illusory conjunctions refer to the incorrect perceptual combination of correctly perceived features, such as color and shape. Research on the phenomenon has been hampered by the lack of a measurement theory that accounts for guessing features, as well as the incorrect combination of correctly perceived features. Recently, several investigators have suggested using multinomial models as a tool for measuring feature integration. The authors examined the adequacy of these models in 2 experiments by testing whether model parameters reflect changes in stimulus factors. In a third experiment, confidence ratings were used as a tool for testing the model. Multinomial models accurately reflected both variations in stimulus factors and observers' trial-by-trial confidence ratings.     

Fight the power: the limits of empiricism and the costs of positivistic rigor

A summary of the influence of positivistic philosophy and empiricism on the field of psychology is followed by a critique of the empirical method. The dialectic process is advocated as an alternative method of inquiry. The main advantage of the dialectic method is that it is open to any logical argument, including empirical hypotheses, but unlike empiricism, it does not automatically reject arguments that are not based on observable data. Evolutionary and moral psychology are discussed as examples of important fields of study that could benefit from types of arguments that frequently do not conform to the empirical standards of systematic observation and falsifiability of hypotheses. A dialectic method is shown to be a suitable perspective for those fields of research, because it allows for logical arguments that are not empirical and because it fosters a functionalist perspective, which is indispensable for both evolutionary and moral theories. It is suggested that all psychologists may gain from adopting a dialectic approach, rather than restricting themselves to empirical arguments alone.     

Anxiety and the prediction of task duration: a preliminary analysis

In this study the author explored the relationship between anxiety and predicting task duration. He hypothesized that individuals scoring high on anxiety would predict that more time would be needed to complete a task. Students (N = 198; 80 men and 118 women) enrolled in psychology classes completed the State-Trait Anxiety Inventory-State (STAI; C. C. Spielberger, 1983) and estimated the amount of time needed to complete a reading passage. A multiple regression analysis indicated that higher anxiety was associated with a prediction that more time would be needed to complete a task. Directions for future research are offered.