A preliminary investigation of acceptance and commitment therapy as a treatment for chronic skin picking

The effectiveness of a deliberately limited version of Acceptance and Commitment Therapy (ACT) for chronic skin picking was evaluated in a pair of multiple baseline across participants designs. Self-monitoring of skin picking showed that four of the five participants reached near zero levels of picking by post-treatment, but these gains were not fully maintained for three of the four participants at follow-up. The findings of the self-reported skin picking were generally corroborated by ratings of photographs of the damaged areas and by ratings on a validated measure of skin picking severity. All participants rated the intervention as socially acceptable, and reductions were found on measures of anxiety, depression, and experiential avoidance for most participants as a result of the intervention. Results support the construction of more comprehensive ACT protocols for skin picking.     

Acceptance and commitment therapy: model, processes and outcomes

The present article presents and reviews the model of psychopathology and treatment underlying Acceptance and Commitment Therapy (ACT). ACT is unusual in that it is linked to a comprehensive active basic research program on the nature of human language and cognition (Relational Frame Theory), echoing back to an earlier era of behavior therapy in which clinical treatments were consciously based on basic behavioral principles. The evidence from correlational, component, process of change, and outcome comparisons relevant to the model are broadly supportive, but the literature is not mature and many questions have not yet been examined. What evidence is available suggests that ACT works through different processes than active treatment comparisons, including traditional Cognitive-Behavior Therapy (CBT). There are not enough well-controlled studies to conclude that ACT is generally more effective than other active treatments across the range of problems examined, but so far the data are promising.     

Student-athletes’ dual commitment to school and sport: Compatible or conflicting?

There is general agreement that for collegiate student-athletes to thrive in academics and athletics these individuals must develop and maintain quality commitments to both school and sport throughout college. Yet, limited research has investigated student-athletes’ concurrent negotiation of their discrete commitments to school and sport, and its consequences for these individuals' academic, athletic, and general lives. The purpose of the present study was threefold: (a) identify distinct profiles representing collegiate students-athletes’ dual commitment to school and sport, (b) detect whether these dual commitment profiles demonstrated compatibility versus conflict, and (c) examine the relationships between dual commitment profiles and student-athletes’ academic, athletic, and general life outcomes. A sample of 248 NCAA Division I student-athletes (Mage = 19.87 years, SD = 1.33 years) completed measures of commitment, engagement, and burnout in school and sport, as well as global psychological well-being indices (i.e., life satisfaction and subjective vitality). Using latent profile analyses, results supported a four-profile solution comprising dual commitment profiles with unique configurations of enthusiastic (EC) and constrained (CC) commitment to school and sport: Weak CC-Dominant: School/Strong EC-Dominant: Sport (n = 43), Weak CC-Dominant: School/Strong CC-Dominant: Sport (n = 71), Moderate Commitment: School & Sport (n = 91), and Strong EC-Dominant: School & Sport (n = 43). Dual commitment profiles characterized by enthusiastic-dominant commitment patterns were associated with higher levels of school/sport engagement and global psychological well-being, as well as lower levels of school/sport burnout. Overall, our findings established that collegiate student-athletes are tied to school and sport for various reasons and speak to a potential need for enhanced support networks and services catered to student-athletes’ academic role in the United States.     

The combined influence of affective, continuance and normative commitment on employee withdrawal

In a sample of 288 hospital nurses, commitment profiles were compared to turnover intentions, job search behavior, work withdrawal (absenteeism and lateness) and job stress. Five empirically-derived commitment profiles emerged: highly committed, affective-normative dominant, continuance-normative dominant, continuance dominant, and uncommitted. Results indicated that the most positive work outcomes were associated with the affective-normative dominant profile which included lower turnover intentions and lower levels of psychological stress. There were no differences among the commitment groups for lateness, and unexpectedly, the continuance-normative dominant group had the lowest levels of absenteeism. It was suggested that future research focus on the combined influence of commitment on work outcomes.     

技术人员的主管承诺现状的研究

本研究以南京市338名技术人员为调查对象,以香港陈振雄的主管承诺量表为研究工具,调查了技术人员的主管承诺现状,并考察性别、受教育水平和所在企业性质在主管承诺上的差异。结果表明,技术人员的主管承诺水平较高(M=3.2329±0.78922);不同性别的技术人员在主管承诺上不存在显著差异(P>0.05);具有大学教育程度的人员主管承诺水平显著低于其他教育水平的人员(P<0.001);国企中的技术人员主管承诺水平显著最高(P<0.001)。     

Effets comportementaux et attitudinaux d’une procédure de Pied-dans-la-porte en entreprise

The present research investigates attitudinal and behavioral effects of a Foot-in-the-door paradigm (Freedman & Fraser, 1966), adapted to a company world. Moreover, it measures the impact of a variable whose integration to the paradigm has been discussed (Joule and Beauvois, 1998; Joule, Py & Bernard, 2004) although its effect has not been experimentally demonstrated: Action Identification (Vallacher and Wegner, 1985). Results show a response rate to the target request and a mean of affective commitment to the organization (Allen & Meyer, 1990) higher in the F.I.T.D. condition, particularly when the level of action identification is taking into account. Results are discussed in terms of commitment theory and action identification theory.     

Evaluation of an integrated fluency and Acceptance and Commitment Therapy intervention for adolescents and adults who stutter: Participant perspectives

PurposeChildhood-onset stuttering is a neurodevelopmental disorder that may cause pervasive negative consequences for adults who stutter. In addition to significant challenges in personal, social, and emotional domains, stuttering has been shown to impose an economic burden on adults who stutter. Intervention for adults who stutter has historically addressed speech fluency more so than the covert psychosocial aspects of the disorder. There is an identified clinical need for holistic, efficacious, and cost-effective stuttering interventions that meet consumer needs. The purpose of the present study is to evaluate a novel, integrated intervention that combined traditional fluency techniques with Acceptance and Commitment Therapy, from the perspective of the adults who stutter who participated in the intervention.MethodTwenty-eight adults who stutter completed the intervention program. Participants were invited to complete an online post-program written survey (including qualitative comments) and a semi-structured interview to explore their evaluations of the program with respect to its authenticity, acceptability, and social validity.ResultsParticipants perceived positive psychosocial changes as a result of the program, and were satisfied with the program overall. Qualitative thematic analyses of the written survey comments and the semi-structured interviews identified two major themes: factors specific to the intervention and factors specific to the therapeutic process. Several important sub-themes were also identified.ConclusionFindings support the authenticity, acceptability, and social validity of an integrated fluency and psychosocial intervention for stuttering. Findings also highlight the need for consideration of the consumer voice in the management of stuttering disorders, in keeping with person-centred care.     

职业院校教师情感承诺与职业倦怠的关系：情感承诺的中介作用和职称的调节作用

通过整群取样法对全国14个省市36所职业院校共1237名专职或兼职专业教师进行测查,探讨心理契约履行对教师职业倦怠的影响作用机制,即情感承诺在其中的中介作用,以及职称对上述关系的调节效应。结果表明：（1）情感承诺在心理契约履行对职业倦怠的影响关系中起了部分中介作用;（2）教师职称对心理契约履行对职业倦怠的影响作用具有调节效果;使用总效应调节模型对情感承诺在心理契约履行对教师职业倦怠的中介效应及教师职称的调节作用进行综合性分析,发现教师职称主要在第一阶段,即心理契约履行对情感承诺的影响作用上调节效果显著。当教师的职称较低时,上述关系及效应也越强。     

SOME FINAL,GULP, “WORDS” ON REBT,ACT &; RFT

After reviewing the target articles of this issue, Hayes and Ellis respectively see less and more possibilities for integration. This concluding article attempts to better elucidate possibilities for integration between second and third wave CBT’s, as exemplified by Rational-Emotive & Cognitive-Behavior Therapy (REBT) and Acceptance and Commitment Therapy (ACT). We suggest that if ACT is going to err, it will be in the direction of being too afraid of talk. If REBT is going to err, it will be in the direction of not being afraid enough. Address correspondence to Hank Robb, 4550 SW Kruse Way, Suite 225 Lake Oswego, OR 97035, USA.