A comparison of attachment outcomes in enactment-based versus therapist-centered therapy process modalities in couple therapy

Attachment issues are viewed by many therapists as lying at the heart of couple distress. It is critical to empirically validate therapy processes that facilitate couples in responding to each other's attachment needs. This study examined enactments as a therapy process and change mechanism to promote secure attachment in couple therapy. Sixteen couples were randomly assigned to 1 of 2 experimental groups--1 group received 3 therapist-centered sessions followed by 3 enactment-based sessions, and a second group received 3 enactment-based sessions followed by 3 therapist-centered sessions. To measure between-session and within-session change, each spouse completed presession and postsession measures of attachment security each week. Results showed that couples who received enactment-based sessions first reported greater increases in attachment security than those receiving therapist-centered sessions first. These same couples continued to show improvement after switching to the therapist-centered sessions. Conversely, couples who received therapist-centered sessions first did not increase attachment after switching to enactment-based sessions. For wives, enactment-based sessions produced the greatest improvement in attachment, yet both therapy process modalities led to some improvement. Conversely, for husbands, attachment improved only when they received enactment-based sessions first. Enactment-based sessions may therefore be more important for husbands than wives. Overall, with some qualification it appears that enactment-based therapy process may improve attachment more than a therapist-centered process. These observed trends and findings are generally consistent with previous research supporting use of enactments in couple therapy.     

Clinical perfectionism and eating psychopathology in athletes: The role of gender

Clinical perfectionism is considered to be a core psychopathological mechanism involved in the aetiology and maintenance of eating disorders. Recent clinical evidence suggests pathological self-criticism, which underlines clinical perfectionism, exerts a greater influence on eating disordered symptoms than high standards perfectionism. However, little attention has been paid to this line of research within the athletic population. The current study examined the association between various advocated measures of clinical perfectionism and eating psychopathology among athletes, and the moderating effect of gender in such association. A total of 192 competitive level athletes completed self-report measures assessing perfectionism and eating psychopathology. Results revealed self-critical perfectionism as the only independent predictor of athletes’ eating psychopathology. Such relationship was found to be moderated by gender, with increases in self-critical perfectionism resulting in increases in eating psychopathology for female athletes only. The present findings further reinforce self-critical perfectionism as a robust contributor of eating psychopathology.     

Dimensions of movement specific reinvestment in practice of a golf putting task

ObjectivesThis study aimed to investigate the role of the two dimensions of movement specific reinvestment (conscious motor processing and movement self-consciousness) in performance of a complex task early and later in practice. Furthermore, the study also examined the underlying kinematic mechanisms by which conscious motor processing and movement self-consciousness influence performance in practice.MethodsTrait measures of conscious motor processing and movement self-consciousness were obtained from participants using the Movement Specific Reinvestment Scale. Participants (n = 30) with no prior golf putting experience practiced 300 golf putts over the course of two days. Putting proficiency (number of putts holed) and variability of movement kinematics (SD impact velocity and SD putter face angle at impact) were assessed early and later in practice.ResultsMovement self-consciousness positively influenced putting proficiency early and later in practice by reducing variability of impact velocity and putter face angle at impact. Conscious motor processing positively influenced putting proficiency early in practice by reducing variability of impact velocity and putter face angle at impact. Later in practice, conscious motor processing was not associated with putting proficiency.ConclusionThe findings suggest that higher propensity for movement self-consciousness potentially influences performance early and later in practice by reducing variability of impact velocity and putter face angle at impact. A higher propensity for conscious motor processing benefits performance in a similar manner as movement self-consciousness early in practice but it does not seem to influence performance later in practice. The findings of the current study suggest that movement self-consciousness and conscious motor processing differentially influence performance at different stages in practice of a complex motor skill, suggesting that they might depict different types of conscious processing.     

Understanding deliberate practice in preschool-aged children

Deliberate practice is essential for skill acquisition and expertise and may be a direct consequence of episodic foresight. However, little is known about how deliberate practice develops in children. We present two experiments testing children's ability to selectively practise a behaviour that was going to be useful in future and to reason about the role of practice in skill formation. Five-year-olds demonstrated an explicit understanding of deliberate practice both in selectively choosing to practise a future-relevant skill and in predicting skill change in others based on their practice. Four-year-olds showed some capacities, but failed to demonstrate consistent understanding of the relationship between practice and skill improvement. Children's understanding of this relationship was significantly related to their understanding of how information leads to knowledge, suggesting that both may draw on similar cognitive developmental changes.     

Relationship and transfer between mental and written arithmetic

In a first experiment, adults practiced single- and two-digit mental addition over a 6-day period. There was a clear training effect for both types of problems, even if two-digit additions were different from one day to another. Moreover, participants were tested on their written calculation abilities before and after the training programme. We showed that participants who entered the mental arithmetic training programme did not progress more in written arithmetic than participants who did not receive any training between the pre- and the post-tests. Conversely, in a second experiment, participants were trained in multidigit written addition and we examined the effect of such training on single- and two-digit mental addition. Again and trivially, there was a clear effect of training on written addition, but, more importantly, a transfer on mental addition. The implications of these results on the nature of the relationship between mental and written arithmetic are discussed.     

Psychologists in Academic Health Centers: Reflections on Traditions and Innovations in Education,Science, and Practice

In 2007, the Association of Psychologists in Academic Health Centers (APAHC), formerly known as Association of Medical School Psychologists (AMSP), held its first national conference since 1997. At the latter conference, the author of this article [Sheridan (1999) Journal of Clinical Psychology in Medical Settings, 6, 211–218] was asked to present some of the issues that would be important to health care psychologists in the next decade. These issues included the role of psychology in academic health centers, interventions psychologists offer, reimbursements for such treatments, education and training models, and research. This article examines those observations, offers new data, and explores the current challenges and opportunities for psychologists in academic health centers. The presentation also addresses aspirations of psychologists as well as resistances within the profession. Parts of this paper were delivered at the 3rd Conference of the Association of Academic Health Center Psychologists in Minneapolis, Minnesota in 2007.     

心灵观念的祛魅

通过一项疫苗临床试验国际合作项目的实施,讨论了如何在科学研究中贯彻落实GCP。结果表明,ICH提出的13项GCP指导原则在疫苗临床试验中得到了充分的实施。GCP不仅是临床试验的管理和指导原则,同时也保护研究对象的权利、保证资料的可信和自觉遵守标准操作程序（SOP）的意识。     

Within‐session supervision communication in the training of clinical psychologists

There is little research evaluating within‐session supervision communication in the training of clinical psychologists. This study evaluated the perception of 37 interns and 49 patients regarding communication between supervisor and intern during the therapy session. Most supervisors used such communication infrequently. While some interns and patients viewed call‐ins or walk‐ins as intrusive and unhelpful, the majority did not. Indeed, some valued the feedback. No association was found between the use of call‐ins or walk‐ins and patient reports of therapist behaviours or intern reports of supervisory style. It is concluded that within‐session communication is not deemed as necessary by most supervisors, who should remain cautious in their use of such communication, unless patient care is compromised.     

Mathematical psychology: Prospects for the 21st century: A guest editorial

The twenty-first century is certainly in progress by now, but hardly well underway. Therefore, I will take that modest elasticity in concept as a frame for this essay. This frame will serve as background for some of my hopes and gripes about contemporary psychology and mathematical psychology’s place therein. It will also act as platform for earnest, if wistful thoughts about what might have (and perhaps can still) aid us in forwarding our agenda and what I see as some of the promising avenues for the future. I loosely structure the essay into a section about mathematical psychology in the context of psychology at large and then a section devoted to prospects within mathematical psychology proper. The essay can perhaps be considered as in a similar spirit, although differing in content, to previous editorial-like reviews of general or specific aspects of mathematical psychology such as [Estes, W. K. (1975). Some targets for mathematical psychology. Journal of Mathematical Psychology, 12, 263-282; Falmagne, J. C. (2005). Mathematical psychology: A perspective. Journal of Mathematical Psychology, 49, 436-439; Luce, R. D. (1997). Several unresolved conceptual problems of mathematical psychology. Journal of Mathematical Psychology, 41, 79-87] that have appeared in this journal.