Feedback Informed Treatment: Evidence‐Based Practice Meets Social Construction

This article explores the challenges presented by the mandate for evidence‐based practice for family therapists who identify with the philosophical stance of social construction. The history of psychotherapy outcome research is reviewed, as are current findings that provide empirical evidence for an engaged, dialogic practice. The authors suggest that the binary between empiricism and social construction may be unhinged by understanding empiricism as a particular discursive frame (i.e., a particular way of talking, acting, and being in the world), one of many available as a way of understanding and talking about our work. Through a case vignette, the authors introduce the evidence‐based practice of Feedback Informed Treatment as an elaboration of social construction, and as an example of bridging the gap between the discursive frames of empiricism and social construction.     

An Auto‐Ethnographic Study of “Open Dialogue”: The Illumination of Snow

This auto‐ethnographic study describes the changes in the author's thinking and clinical work connected to her first‐hand experience of Open Dialogue, which is an innovative, psychosocial approach to severe psychiatric crises developed in Tornio, Finland. In charting this trajectory, there is an emphasis on three interrelated themes: the micropolitics of U.S. managed mental health care; the practice of “dialogicality” in Open Dialogue; and the historical, cultural, and scientific shifts that are encouraging the adaptation of Open Dialogue in the United States. The work of Gregory Bateson provides a conceptual framework that makes sense of the author's experience and the larger trends. The study portrays and underscores how family and network practices are essential to responding to psychiatric crises and should not be abandoned in favor of a reductionist, biomedical model.     

An especial skill: Support for a learned parameters hypothesis

We tested the ‘learned parameters’ hypothesis as an explanation of the ‘especial skill effect’. Outcome attainment and movement kinematics were recorded for 10 expert and 10 novice players performing basketball free-throw shots at five distances (11-19 ft) with a regular and heavy weight basketball. As predicted, experts performed better than expected relative to the regression equation at the 15 ft, free-throw line with the regular basketball, supporting the ‘especial skill effect’. This effect was not present for the experts when shooting with the heavy ball. Novices did not show an advantage at the free-throw line when performing with either ball. Although the outcome attainment scores support the ‘learned parameters’ hypotheses, kinematic analysis failed to identify differences in the movement pattern for the especial skill, suggesting that these skills (i.e., shooting at different distances) are not governed by separate motor programs.     

Applied Roles and the Future of Community Psychology

The roles for community psychologists have changed over the past several decades. These changes have implications for training, traditional academic roles, and the capacity of the field to maintain its integrity and further development. Changes in the scope of community psychology as a field as well as the roles of community psychologists are described with consideration of how they may affect participation in the field, retention of membership in SCRA, and potential directions for training.     

No dual-task practice effect in Alzheimer's disease

Diagnosis of Alzheimer's disease (AD) requires evidence of progressive decline in cognitive function. However, many tests used to assess cognitive function suffer from considerable practice effects, reducing their reliability. Several studies have reported that the ability to do two things at once, or dual tasking, is impaired in AD, but unaffected by healthy ageing. The apparent specificity of this impairment suggests that this assessment may be particularly useful in the early diagnosis of AD, but the reliability of this assessment remains unknown. Therefore, this study investigated simultaneous performance of digit recall and tracking tasks across six testing sessions in eight people with AD, eight healthy older adults and eight healthy younger adults. The results found that dual-task performance was unaffected by healthy ageing, but significantly impaired in AD, with no effect of repeated exposure. The absence of any improvements in performance despite increased familiarity with the task's demands suggests that not only is the dual-task assessment well suited for monitoring progression over time, but also that dual tasking involves a specific cognitive function which is impaired in the AD brain.     

The Evaluation of Psychoanalytical Practice in Stockholm

The authors discuss several surveys that cover the practices of psychoanalysts and psychotherapists in the Stockholm region. They compare these practices with other psychiatrists in both the private and the public sector. In addition, they discuss the results from an attempt towards continuous evaluation of psychoanalytical practices and their treatment standards including an evaluation of the development of individual psychoanalytical processes.     

Can Psychoanalysis Become Empirically Supported?

The article discusses the application of the ideas of evidence-based medicine or empirically supported treatment to the field of psychoanalysis. The author argues that empirical support is gradual rather than categorical, and that the randomized clinical trial (RCT), which is commonly heralded as the appropriate method of support, confounds patient suitability factors with treatment 'as such'. As a consequence of the exclusive reliance on the RCT, empirical validation of psychological treatments has generally favoured cognitive-behavioural treatments, although there is ample evidence - albeit non-RCT - for the beneficial effects of short-term and long-term psychoanalytic treatment. The author argues for a suitability matching approach to empirical validation, where each treatment is tested, as powerfully as feasible, on samples based on selfselection (patient's choice, clinical assignment, suitability judgments etc.). The paper concludes by referring to two recent studies, indicating that there is reason to evaluate alleged empirical support with caution.     

Reliability and plasticity of response inhibition and interference control

This study investigated the internal reliability, temporal stability and plasticity of commonly used measures of inhibition-related functions. Stop-signal, go/no-go, antisaccade, Simon, Eriksen flanker, Stroop and Continuous Performance tasks were administered twice to 23 healthy participants over a period of approximately 11 weeks in order to assess test–retest correlations, internal consistency (Cronbach’s alpha), and systematic between as well as within session performance changes. Most of the inhibition-related measures showed good test–retest reliabilities and internal consistencies, with the exception of the stop-signal reaction time measure, which showed poor reliability. Generally no systematic performance changes were observed across the two assessments with the exception of four variables of the Eriksen flanker, Simon and Stroop task which showed reduced variability of reaction time and an improvement in the response time for incongruent trials at second assessment. Predominantly stable performance within one test session was shown for most measures. Overall, these results are informative for studies with designs requiring temporally stable parameters e.g. genetic or longitudinal treatment studies.     

Capital Possession: a comparative approach to 'New Age' and control of the means of possession

This paper reconsiders academic representations of religious phenomena that have been called New Age through contextualised comparison of social practice and discourse. This challenges both the replication of emic models of a New Age in terms that are abstract, classed and racialised, and the way in which the New Age is represented as a social phenomenon unrelated to other contemporary religious forms throughout the world. By identifying spirit possession as a central practice within what is called ‘non-formative religion’, comparisons are drawn with Pentecostalism and Shamanism, documenting their growth under common conditions of neoliberal globalisation across the world. To examine reasons for such resurgence, attention is drawn to what is called the ‘means of possession’: the social contexts in which possession occurs and is controlled. The ambiguity by which control of the means of possession is exercised is explored in terms of a broader social context in which self-authority is both denied and demanded.     

Improved intertask coordination after extensive dual-task practice

This study examines whether an improved intertask coordination skill is acquired during extensive dual-task training and whether it can be transferred to a new dual-task situation. Participants practised a visual–manual task and an auditory–vocal task. These tasks were trained in two groups matched in dual-task performance measures before practice: a single-task practice group and a hybrid practice group (including single-task and dual-task practice). After practice, the single-task practice group was transferred to the same dual-task situation as that for the hybrid practice group (Experiment 1), both groups were transferred to a dual-task situation with a new visual task (Experiment 2), and both groups were transferred to a dual-task situation with a new auditory task matched in task difficulty (Experiment 3). The results show a dual-task performance advantage in the hybrid practice group over the single-task practice group in the practised dual-task situation (Experiment 1), the manipulated visual-task situation (Experiment 2), and the manipulated auditory-task situation (Experiment 3). In all experiments, the dual-task performance advantage was consistently found for the auditory task only. These findings suggest that extended dual-task practice improves the skill to coordinate two tasks, which may be defined as an accelerated switching operation between both tasks. This skill is relatively robust against changes of the component visual and auditory tasks. We discuss how the finding of task coordination could be integrated in present models of dual-task research.