Performance of Mental Health Counselors in Integrated Primary and Behavioral Health Care

Integrated primary and behavioral health care (IPBH) is becoming a preferred mode of service delivery in the United States. Integrated care includes the participation of medical and mental health professionals, such as mental health counselors. The clinical outcomes of these professionals need to be studied to determine their effectiveness in such settings. We examined the performance of 10 mental health counselors on the clinical outcome of 1,747 clients treated in an IPBH center. Analyses using growth curve modeling and pre‐post test design revealed that mental health counselors were effective overall, but they differed in client dropout rates and efficiency in reducing clients' initial symptoms. We used the analyses to rank order counselors based on their effectiveness. Counselors who were the most effective varied in their efficiency but demonstrated the lowest client dropout rates. Implications for future research and counseling practice were discussed.     

Functional communication training: From efficacy to effectiveness

Functional communication training (FCT; Carr & Durand, 1985) is a common function‐based treatment in which an alternative form of communication is taught to reduce problem behavior. FCT has been shown to result in substantial reductions of a variety of topographically and functionally different types of problem behavior in children and adults (efficacy). The extent to which these reductions maintain in relevant contexts and result in meaningful changes in the lives of those impacted (effectiveness) is the focus of this paper. This review evaluates the degree to which FCT has been established as an evidence‐based practice in psychology (EBPP) according to the definition set out by the American Psychological Association's 2005 Presidential Task Force on Evidence‐Based Practice. Our review finds overwhelming evidence in support of FCT as an efficacious treatment but highlights significant limitations in support of its effectiveness. In order to also be recognized as an EBPP, future research on FCT will need to focus more closely on issues related to home, school, and community application, feasibility, consumer satisfaction, and more general and global changes for the individual.     

贝叶斯统计方法的应用与现状

贝叶斯统计方法是心理学数据分析的热门方法。研究全面论述贝叶斯方法在心理学领域的应用与方向。现阶段贝叶斯方法以模拟研究为主,应用方向为心理学研究常用的项目反应理论、认知诊断、计算机自适应、结构方程模型。同时,评述发现贝叶斯方法正逐步被国内心理学研究者所接受。最后,文章讨论了当下贝叶斯统计在心理学研究中应用的局限性及可能的原因,建议统计学者开发界面友好的贝叶斯软件,并在心理学课程中加入贝叶斯知识。     

权力感对道德判断的影响及其理论解释:基于CNI模型的视角

权力感指个体对控制他人和自身的能力的感知。现有权力对道德判断的影响研究主要使用传统两难困境范式,围绕权力感影响主体道德判断的功利论倾向与道义论倾向展开,且研究观点尚未达成共识。由于传统两难困境范式的局限性,研究者开发了道德判断CNI模型探究权力感对道德判断的影响,该模型为两者之间的关系提供了新的解释路径。未来研究可关注CNI模型视角下不同类型权力感对道德判断的影响以及探讨特质性权力感与情境性权力感对个体道德判断差异的联合作用。     

Prosthesis embodiment and attenuation of prosthetic touch in upper limb amputees – A proof-of-concept study

Sensory attenuation of self-touch, that is, the perceptual reduction of self-generated tactile stimuli, is considered a neurocognitive basis for self-other distinction. However, whether this effect can also be found in upper limb amputees using a prosthesis is unknown. Thirteen participants were asked to touch their foot sole with a) their intact hand (self-touch), b) their prosthesis (prosthesis-touch), or c) let it be touched by another person (other-touch). Intensity of touch was assessed with a questionnaire. In addition, prosthesis embodiment was assessed in nine participants. Self-touch as well as prosthesis-touch was characterized by significant perceptual attenuation compared to other-touch, while self- and prosthesis-touch did not differ. The more embodied the prosthesis was, the more similar was its elicited touch perception to actual self-touch. These findings – although preliminary – suggest that perceptually embodied prostheses can be represented as an actual limb by the users’ sensorimotor system.     

Safety of micro-mobility: Riders’ psychological factors and risky behaviors of cargo TTWs in China

Cargo two- or three-wheeled vehicles (TTWs), as a new form of micro-mobility, have become a popular mode of urban cargo transportation in China. Cargo TTW riders’ psychological factors and risky behaviors lead to a number of accidents. A questionnaire is designed by comprehensively considering these factors and behaviors of cargo TTW riders that includes eleven risk factors to quantitatively analyze the risky behaviors based on structural equation modeling (SEM). One thousand three hundred nineteen participants reported using cargo TTWs on a questionnaire distributed across the country. The characteristics of riding behavior data are analyzed to verify the three-layer risk theoretical framework of “Psychological factors (Personality traits/specific factors) - Psychological acceptability of risks (confidence/perception/attitude) - Risky behaviors”. The results show that anger has a strong direct effect on riding violations, while normlessness and altruism have a direct effect on riding errors. Workload has a weak but direct effect on risky behaviors, and riding feedback has a weak and mixed effect. In addition, high-risk groups are identified by analysis of variance (ANOVA) with rider population attributes. These quantitative analyses can help guide safety countermeasures to mitigate accidents involving cargo TTWs.     

Correlations of multiple rider behaviors with self-reported attitudes,perspectives on traffic rule strictness and social desirability

Powered Two-Wheeler (PTW) riders constitute a very vulnerable group of road users, while riding a PTW is considerably more dangerous than using any other motor vehicle. Behavioral issues have been identified major moderating factors to PTW crashes, as riders display great variability in their attitudes towards road safety. Τhe aim of this paper is to present a thorough, overarching structure of relationships correlating various unsafe stated PTW rider behaviors (riding after alcohol consumption, speeding, helmet use and texting) with several self-reported attitude parameters and factors regarding rider perspectives on traffic rule strictness and social desirability. A structural equation model (SEM) was developed using data from the ESRA2 survey, which provided a broad sample encompassing 5,958 respondent riders from 32 countries. Numerous statistical relationships were discovered and quantified correlating the four examined unsafe rider behaviors with eight latent unobserved variables. All covariances between unsafe behaviors were found to be positive and statistically significant, indicating that a rider who will engage more frequently in every single one of the four examined unsafe riding behaviors is more likely to also engage in all the others as well.     

Analysing the influence of attitude and habit on bicycle commuting

New transport trends have emerged in developing countries to promote bicycling due to its individual and societal benefits. Although bicycle infrastructure provision has been one of the most utilised strategies to encourage bicycling, it has had a limited immediate impact on the bicycling modal share. Published research indicates the need to incorporate the psychosocial dimension to understand commuters' transport behaviour and explain why bicycling infrastructure usage is lower than expected. This study highlights the processes behind bicycle mode choice decisions, explicitly incorporating pro-bicycle attitudes and habits, while also considering the influence of socioeconomic, bicycle facilities and bicycling experience variables on shaping that attitude. For this purpose, an online survey was designed and sent to students, faculty members and staff of two Chilean universities to collect ad-hoc data. The modelling used an approach based on an integrated choice and latent variable model. The main findings are: attitude in itself is a relevant construct to explain behaviour; bicycling infrastructure contribute to explain bicycle choice but only indirectly through attitude; socioeconomic characteristics, bicycling familiarity and practical issues have both a direct effect on bicycle choice decision and an indirect one by fostering pro-bicycling attitudes. Additionally, results show that the explicit inclusion of habit reduces the contribution of pro-bicycle attitude in explaining bicycle choice. This might be due to interaction and reinforcement between habit and attitude.     

An adaptive network model covering metacognition to control adaptation for multiple mental models

Learning processes can be described by adaptive mental (or neural) network models. If metacognition is used to regulate learning, the adaptation of the mental network becomes itself adaptive as well: second-order adaptation. In this paper, a second-order adaptive mental network model is introduced for metacognitive regulation of learning processes. The focus is on the role of multiple internal mental models, in particular, the case of visualisation to support learning of numerical or symbolic skills. The second-order adaptive network model is illustrated by a case scenario for the role of visualisation to support learning multiplication at the primary school.