Changing Me,Changing Us: Relationship Quality and Collective Efficacy as Major Outcomes in Systemic Couple Therapy

We examine the sensitivity to change in the Evaluation of Social Systems (EVOS) scale, which assesses relationship quality and collective efficacy. In Study 1 we conducted a waitlist‐control, short‐term couple therapy RCT study (N = 43 couples) with five systemic therapy sessions treating communication and partnership problems; our intent was to provide high external validity. Construct validity of EVOS was assessed by comparison with additionally applied scales (Family Scales; Outcome Questionnaire, OQ‐45.2). In Study 2, N = 332 individuals completed an experiment with high internal validity in order to verify sensitivity to change in three different social contexts. Results from Study 1 revealed a significant increase in relationship quality in the treatment group directly after treatment, as compared to the control group. Sensitivity to change was slightly better for EVOS than for other measures. While this positive change could not be fully sustained between posttreatment and a 4‐week follow‐up, EVOS score did not fall below baseline and pretreatment levels, supporting moderate‐to‐large sensitivity to change. Study 2 supported high sensitivity to change in EVOS for couple relations, family relations, and work‐team relationships. Therefore, EVOS can be used as an outcome measure to monitor the process of systemic interventions focusing on relationship quality and collective efficacy. Due to its sensitivity to change, EVOS can provide evidence for treatment success with regard to relationship aspects.     

Treatment Efficacy of Multiple Family Therapy for Chinese Families of Children with Attention Deficit Hyperactivity Disorder

The treatment efficacy of multiple family therapy (MFT) for Chinese families of children with attention deficit hyperactivity disorder (ADHD) has not been studied in the past. In this paper, the effect of MFT on different aspects of the lives of the parents in the experimental group (n = 61) was compared with the effect of only the psychoeducational talks on parents in the control group (n = 53). The results of a MANOVA have shown that by the time they reached the posttreatment phase, the parents who had completed the full 42 hours of the MFT program perceived their children's ADHD symptoms as being less serious and less pathological than they had originally thought compared to the parents in the control group. The effect of MFT on parent–child relationships, parenting stress, parental efficacy, hope, and perceived social support was statistically insignificant. Contributions and limitations of our study are discussed.     

Individual differences in self-initiated processing at encoding and retrieval: A latent variable analysis

The current study examined individual differences in self-initiated processing (SIP) in memory tasks. Participants performed four memory tasks that varied the amount of SIP required at encoding, retrieval, or both as well as cognitive ability measures. It was found that the correlation between recall performance and cognitive abilities changed as a function of the amount of SIP required. Additionally, it was found that although both free and cued recall measures accounted for variance in cognitive abilities, only the free recall accounted for unique variance in cognitive abilities. It is suggested that the predictive power of a task is determined in part based on the amount of SIP required.     

Individual differences in spatial mental imagery

In this article, we report a new image-scanning paradigm that allowed us to measure objectively individual differences in spatial mental imagery—specifically, imagery for location. Participants were asked to determine whether an arrow was pointing at a dot using a visual mental image of an array of dots. The degree of precision required to discriminate “yes” from “no” trials was varied. In Experiment 1, the time to scan increasing distances, as well as the number of errors, increased when greater precision was required to make a judgement. The results in Experiment 2 replicated those results while controlling for possible biases. When greater precision is required, the accuracy of the spatial image becomes increasingly important—and hence the effect of precision in the task reflects the accuracy of the image. In Experiment 3, this measure was shown to be related to scores on the Paper Folding test, on the Paper Form Board test, and on the visuospatial items on Raven's Advanced Progressive Matrices—but not to scores on questionnaires measuring object–based mental imagery. Thus, we provide evidence that classical standardized spatial tests rely on spatial mental imagery but not object mental imagery.     

Individual differences in autistic trait load in the general population predict visual working memory performance

Prior studies have reported instances of both intact and impaired working memory (WM) performance in people with autism spectrum disorder (ASD). In order to investigate the relation between autistic traits that extend into the normal population and WM, 104 normal college-aged students who varied in their levels of autistic traits were tested. The loading of ASD-associated traits in the normal population leads to differing predictions about WM performance. ASD traits related to a local processing style (or “attention to detail”) might enhance WM while ASD-associated traits related to difficulty switching attention and reorienting focus (or “social interaction”) might impair WM performance. To assess these predictions, participants filled out the Autism Spectrum Quotient (AQ) and performed a working memory task with both visual and verbal variants. AQ scores were then broken into “attention to detail” and “social interaction” factors, as proposed by Hoekstra and colleagues. The results showed that AQ scores did not predict verbal WM performance but they did predict visual WM performance. The social interaction and attention to detail factors of the AQ had opposing relationships with visual WM performance: A higher level of social difficulty was associated with significantly poorer visual WM performance while a higher level of attention to detail was associated with enhanced visual WM performance. Further investigation of the relation between AQ and WM using the original five-factor model proposed by Baron-Cohen and colleagues (2001) revealed an association between impoverished imagination and visual WM overall.     

The role of context and functionality in the interpretation of quantifiers

The aim of the three experiments that are reported was to investigate the role of context, especially size and functionality, in the interpretation of quantifiers. The studies all used a task in which participants rated the appropriateness of quantifiers describing the number of balls in a bowl. The size of the balls was found to have an effect: Identical numbers of balls were given different ratings depending on ball size. It was also found that quantifiers were rated as more appropriate when the balls were in their natural functional relationship with the bowl (i.e., contained within the bowl), than when the functional relationship was breached (i.e., the balls overflowed the bowl). Tilting the bowl had surprising effects in that it led to some quantifiers being rated as more appropriate. The results are interpreted as indicating that quantifiers carry little specific meaning in themselves but instead derive their meaning from the context in which they occur.     

Media multitasking predicts unitary versus splitting visual focal attention

Research evidence now suggests that the deployment of multiple attentional foci in noncontiguous locations (i.e., splitting visual focal attention) is possible under some circumstances. However, the exact circumstances under which focal attention might ‘split’ have not been well understood. Here, we examined the possibility that ecological differences arising from our increasingly media-saturated environment result in individual differences in the capacity to demonstrate splitting focal attention. The Media Multitasking Index (MMI) was used to assess the extent to which participants engaged in media multitasking—the consumption of more than one stream of media content at the same time. Capacity to split attention was assessed with a paradigm previously employed by McCormick, Klein, and Johnston. The present data suggest a significant relationship between the behavioural preference for consuming multiple media forms simultaneously and the capacity to employ a split mode of attention. Specifically, High-MMI participants (who tend to consume multiple visual media forms simultaneously) adopted a splitting mode of visual attention, whereas Low-MMI participants (who tend to consume fewer visual media forms simultaneously) adopted a unitary mode of attention. These data advanced our understanding of the circumstances under which visual focal attention might split. Implications and future directions are discussed.     

Training in and implementation of Acceptance and Commitment Therapy for depression in the Veterans Health Administration: Therapist and patient outcomes

ObjectiveThe U.S. Department of Veterans Affairs has implemented a national dissemination and training initiative to promote the availability of Acceptance and Commitment Therapy for depression (ACT-D). This paper reports on therapist and patient outcomes associated with competency-based training in and implementation of ACT-D.MethodTherapist and patient outcomes were assessed on eleven cohorts of therapists (n = 391) and their patients (n = 745).ResultsThree-hundred thirty four therapists successfully completed all requirements of the Training Program. Ninety-six percent of therapists achieved competency by the end of training, compared to 21% at the outset of training. Mixed effects model analysis indicated therapists' overall ACT-D competency scores increased from 76 to 112 (conditional SD = 6.6), p < 0.001. Moreover, training was associated with significantly increased therapist self-efficacy and positive attitudes toward ACT-D. Therapeutic alliance increased significantly over the course of therapy. Mixed effects model analysis revealed that mean BDI-II scores decreased from 30 at baseline assessment to 19 (conditional SD = 5.6) at final assessment, t(367) = ?20.3, p < 0.001. Quality of life scores also increased.ConclusionsTraining in and implementation of ACT-D in the treatment of Veterans is associated with significant increases in therapist competency and robust improvements in patient outcomes.     

The influence of between and within-person hope among emergency responders on daily affect in a stress and coping model

This study reports on daily hope, coping, stress, and affect among 84 fire service members who completed a 21-day diary. Multilevel modeling showed that between-person hope was related to higher positive affect. Three-way interactions were found for within-person hope, stress, and daily coping in the prediction of daily affect. When under high stress and if low in hope, more emotion–expression coping predicted higher next day positive affect whereas if high in hope, more problem-focused coping predicted more positive affect. Within-person hope, stress, and emotion–expression coping interacted to predict negative affect. Findings for the prediction of negative affect necessitate further research to determine if the nature of coping under low hope and low stress is qualitatively distinct from high hope states.     

The efficacy of conjoint behavioral consultation on parents and children in the home setting: Results of a randomized controlled trial

The present study is a large-scale randomized trial testing the effects of a family–school partnership model (i.e., Conjoint Behavioral Consultation, CBC) for promoting behavioral competence and decreasing problem behaviors of children identified by their teachers as disruptive. CBC is a structured approach to problem-solving that involves consultants, parents, and teachers. The effects of CBC on family variables that are commonly associated with important outcomes among school-aged children (i.e., family involvement and parent competence in problem solving), as well as child outcomes at home, were evaluated. Participants were 207 children with disruptive behaviors from 91 classrooms in 21 schools in kindergarten through grade 3 and their parents and teachers. Results indicated that there were significantly different increases in home–school communication and parent competence in problem solving for participants in the CBC relative to control group. Likewise, compared to children in the control group, children in the CBC group showed significantly greater decreases in arguing, defiance, noncompliance, and tantrums. The degree of family risk moderated parents' competence in problem solving and children's total problem behaviors, teasing, and tantrums.