Citalopram for social anxiety disorder: an open-label pilot study in refractory and nonrefractory patients

There is limited systematic data assessing alternate pharmacotherapy of social anxiety disorder in patients failing to tolerate or fully respond to initial treatment; no data specifically address the efficacy of citalopram in this scenario. We present a prospective open-label trial of citalopram in 10 patients with generalized social anxiety disorder, 6 of 10 of whom had not responded to or not tolerated a prior treatment intervention for the disorder. Citalopram, at a mean dose of 55 mg (SD+/-12.7 mg) was well tolerated, and patients improved significantly on all outcome measures. Results of this study suggest that citalopram may be a safe and effective treatment for generalized social anxiety disorder, including patients who have failed to tolerate or respond to a prior treatment trial.     

Influence of Racial/Ethnic Membership and “Therapist Culture” on Therapists' Worldview

The authors investigated 2 competing hypotheses related to therapists' worldview and therapists' race/ethnicity: (a) whether therapists of different racial/ethnic groups differed on worldview reflecting group membership, and (b) whether therapists were similar to each other on worldview reflecting membership in a “therapist culture.” Results indicated that therapists shared similar worldviews regardless of group membership, and differences found between therapists based on racial/ethnic membership were minimal.     

Observers' Perceptions of a Counselor's Treatment of a Religious Issue

How a counselor treats a client's religious beliefs may affect perceptions of the counselor. Participants (N =102) of either high or low Christian commitment rated a videotaped excerpt from counseling in which a client's religious belief was either supported, ignored, or challenged. Participants' religious beliefs did not affect participants' ratings of the counselor. Results suggested, however, that most college students expect counselors to support a client's religious beliefs or attend to psychological (rather than religious) beliefs rather than challenge a client's religious beliefs.     

College Students' Perceptions of a Psychotherapist's Treatment of a Religious Issue: Partial Replication and Extension

A study of the influence of a counselor's treatment of a client's religious values, observers' religiosity, and their interaction on observers' perceptions of counseling (Morrow, Worthington, & McCullough, 1992) was partially replicated and extended. Religious beliefs were differentiated from religious values as determinants of observers' perceptions of counseling. Student observers (N = 148) viewed one of two videotaped counseling interactions in which a counselor either supported or challenged a client's religious values. Dividing observers into high and low levels of Christian belief did not result in their perceiving religiously supportive or challenging counseling differently. Dividing observers into high and low levels of religious values produced consistent differences in how they perceived religiously supportive and challenging counseling. Findings supported the theory that people with strong religious values perceive counseling differently than people with weaker religious values.     

Development, reliability, and validity of the Measure of Sexual Identity Exploration and Commitment (MOSIEC)

Four studies were conducted on the development and validation of the Measure of Sexual Identity Exploration and Commitment (MoSIEC). Exploratory factor analysis of an initial item pool yielded a 22-item measure with 4 distinct factors assessing commitment, exploration, sexual orientation identity uncertainty, and synthesis/integration. Exploratory factor analysis findings support the argument that sexual identity is a broad, multidimensional construct and that the MoSIEC assesses the construct of sexual identity in a manner consistent with J. E. Marcia's (1966) model of identity development. Confirmatory factor analyses demonstrated the stability of the MoSIEC factor structure, providing evidence of construct validity. Test-retest stability, internal consistency, and validity coefficients supported the use and continued development of the MoSIEC. Significant differences in levels of exploration and sexual orientation identity uncertainty were found among different sexual orientation identity groups, establishing the criterion-related validity of the MoSIEC. Implications for further development and use of the MoSIEC are discussed.     

Actor–partner interdependence of humility and relationship quality among couples transitioning to parenthood

The transition to parenthood is a challenging experience that often strains relationships, but perceiving one’s partner as humble (actor relational humility) and being perceived by one’s partner as humble (partner relational humility) were hypothesized to benefit couples during this transition. Married couples (N = 69) were tracked from the third trimester of pregnancy through 21 months postpartum. Husbands and wives provided ratings of relational humility and dyadic adjustment. Actor–partner interdependence models tested actor and partner effects of relational humility on dyadic adjustment across the transition. Although couples declined in dyadic adjustment over the transition at the same rate regardless of relational humility (counter to Hypothesis 2), those higher in relational humility reported greater dyadic adjustment at each time point during the transition (consistent with Hypothesis 1). These findings support the benefits of relational humility to relationship quality, and we call for further research into humility’s benefits during times of relationship transition.     

Family therapy and soiling: an audit of externalizing and other approaches

This is a retrospective audit of the therapy outcome of 108 children with soiling and their families. Fifty-four children were treated by externalizing and 54 comparison children and families were treated by the usual methods in the same clinic. The results from the externalizing group were better and compared favourably with standards derived from previous studies of soiling. Externalizing was rated as much more helpful by parents at follow-up.     

The development of an autonomy scale

The purpose of this study was to develop a valid and relaible instrument to measure four areas of autonomy. The instrument is composed of four subscales that measure the following constructs of autonomy: (a) family loyalty autonomy, (b) value autonomy, (c) emotional autonomy, and (d) behavioral autonomy. A detailed four-step procedure was used to provide the scale with construct, content, and predictive validity. Presented here is the four-stage process used to develop the Autonomy Scale, data supporting the validity and reliability of the scale, and the final version of the instrument.This article is based on dissertation research in partial fulfillment of degree requirements at Texas Woman's University.