Research as a family therapy intervention technique

The utilization of the research process as an intervention has recently been described in the family therapy literature. However, it is important to draw a distinction between research as intervention and research as a unique family therapy intervention technique. From a family systems perspective, research as an intervention technique may make therapy more palatable for some families. A case study is presented in which this technique created the context for change for a family involved in a chronic illness research project.The author would like to thank Dr. Wendy L. Watson for her participation as a member of the clinical team and Drs. Fabie Duhamel and Wendy L. Watson for their helpful critiques on earlier drafts of this paper.Supported by a grant from the Albert Foundation for Nursing Research.     

Difficulty and instrumentality of imminent behavior as determinants of goal attractiveness

Subjects were presented with an easy or moderately difficult memorization task and told they could earn either a very low or very high chance of obtaining a modest prize if they did well. A measure of goal attractiveness was taken during an interval immediately preceding the task performance period. As expected, anticipatory goal attractiveness ratings were higher in the moderately difficult condition than in the easy condition when the probability of goal attainment (given success) was high, but were low in both task conditions when the probability of goal attainment (given success) was low. Results are discussed in terms of Brehm's recent theory of motivation.     

An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes.     

Route choices, anticipated forgetting, and interface design for on-line reference documents

Preference and usability are imperfectly correlated when choice among procedures depends on anticipating cognitive difficulties. Navigation choices were explored by offering 2 routes through an on-line price catalog. The harder route never varied, but interface features of the easier route varied across readers. In Experiment 1, readers chose the easier route (82% trials) when it was visually salient but otherwise preferred the harder route from the active window. This suggested that visual factors influenced decisions. Experiment 2 equated visual factors, but choice of the easier route fell significantly when it needed an activation click. Navigating the harder route increased readers' use of an on-line notebook (i.e., people more often anticipated forgetting prices while reading). People choose easier procedures unless interface design miscues anticipated effort. Thus, usability evaluation needs to include factors influencing choices among methods.     

Psychological masculinity-femininity via the gender diagnosticity approach: heritability and consistency across ages and populations

Several aspects of the Gender Diagnosticity (GD) approach of Lippa (1995) to measuring the psychological trait of masculinity-femininity within sexes were explored in four samples ranging from 363 to 5,859 individuals, including Swedish and Australian adults, U.S. elderly, and Australian adolescents. Two ways of deriving GD scales yielded highly similar results. Moderate stability of individual differences was found across ages 12 to 16 among adolescents, but substantial shifts over age occurred in relationships with Eysenck scales. Considerable generality of GD scales was obtained across languages and populations. Substantial heritabilities (about 40%) and minimal effects of shared family environments suggest that within-sex masculinity-femininity behaves as a fairly typical personality trait. Cross-age continuity appeared mainly to reflect the influence of the genes.     

Forward association, backward association, and the false-memory illusion

In the Deese-Roediger-McDermott false-memory illusion, forward associative strength (FAS) is unrelated to the strength of the illusion; this is puzzling, because high-FAS lists ought to share more semantic features with critical unpresented words than should low-FAS lists. The authors show that this null result is probably a truncated range artifact. When FAS and its complement, backward associative strength (BAS), were independently manipulated in factorial designs, they both affected illusion strength. Moreover, their effects did not interact and were of comparable magnitude. Conjoint-recognition analyses were used to pinpoint the influence of BAS and FAS on retrieval processes that support or suppress false-memory responses. Although the variables affected both types of processes, their effects on suppressive processes were larger and more consistent. This research also provided the first clear evidence that subjects often use suppressive processes inappropriately to reject studied items that preserve the gist of experience.     

Learning processes in matching and oddity: the oddity preference effect and sample reinforcement

Eight pigeons learned either matching (to sample) or oddity (from sample) with or without reward for sample responding. The training stimuli were coarse-white, fine-black, or smooth-mauve gravels in pots with buried grain as the reinforcer. Oddity without sample reward was learned most rapidly, followed by matching with sample reward, oddity with sample reward, and matching without sample reward. Transfer was related to acquisition rate: The oddity group without sample reward showed full (equal to baseline) color and texture transfer; the matching group with sample reward showed partial texture transfer; other groups showed no transfer. Sample reward was shown to determine rate of acquisition of matching and oddity and the oddity preference effect. The results are discussed in terms of item-specific associations operating early in learning prior to any relational learning between sample and comparison stimuli.