The design of the MBT‐G adherence and quality scale

Few group psychotherapy studies focus on therapists' interventions, and instruments that can measure group psychotherapy treatment fidelity are scarce. The aim of the present study was to evaluate the reliability of the Mentalization‐based Group Therapy Adherence and Quality Scale (MBT‐G‐AQS), which is a 19‐item scale developed to measure adherence and quality in mentalization‐based group therapy (MBT‐G). Eight MBT groups and eight psychodynamic groups (a total of 16 videotaped therapy sessions) were rated independently by five raters. All groups were long‐term, outpatient psychotherapy groups with 1.5 hours weekly sessions. Data were analysed by a Generalizability Study (G‐study and D‐study). The generalizability models included analyses of reliability for different numbers of raters. The global (overall) ratings for adherence and quality showed high to excellent reliability for all numbers of raters (the reliability by use of five raters was 0.97 for adherence and 0.96 for quality). The mean reliability for all 19 items for a single rater was 0.57 (item range 0.26–0.86) for adherence, and 0.62 (item range 0.26–0.83) for quality. The reliability for two raters obtained mean absolute G‐coefficients on 0.71 (item range 0.41–0.92 for the different items) for adherence and 0.76 (item range 0.42–0.91) for quality. With all five raters the mean absolute G‐coefficient for adherence was 0.86 (item range 0.63–0.97) and 0.88 for quality (item range 0.64–0.96). The study demonstrates high reliability of ratings of MBT‐G‐AQS. In models differentiating between different numbers of raters, reliability was particularly high when including several raters, but was also acceptable for two raters. For practical purposes, the MBT‐G‐AQS can be used for training, supervision and psychotherapy research.     

Clinical utility of self-disclosure for adults who stutter: Apologetic versus informative statements

PurposeThe purpose of the present study was to explore the clinical utility of self-disclosure, particularly, whether disclosing in an informative manner would result in more positive observer ratings of the speaker who stutters than either disclosing in an apologetic manner or choosing not to self-disclose at all.MethodObservers (N = 338) were randomly assigned to view one of six possible videos (i.e., adult male informative self-disclosure, adult male apologetic self-disclosure, adult male no self-disclosure, adult female informative self-disclosure, adult female apologetic self-disclosure, adult female no self-disclosure). Observers completed a survey assessing their perceptions of the speaker they viewed immediately after watching the video.ResultsResults suggest that self-disclosing in an informative manner leads to significantly more positive observer ratings than choosing not to self-disclose. In contrast, use of an apologetic statement, for the most part, does not yield significantly more positive ratings than choosing not to self-disclose.ConclusionClinicians should recommend their clients self-disclose in an informative manner to facilitate more positive observer perceptions.     

Social validity: Perceptions of check and connect with early literacy support

This article underscores the potential advantages of qualitative methods to illustrate the depth and complexity of social validity. This investigation evaluates the social validity of Check and Connect with Early Literacy Support (CCEL), through the perspectives of teachers and caregivers whose children participated in the intervention. Teachers from six classrooms and caregivers from six families participated in evaluating the social validity of this intervention using a combination of qualitative and quantitative methods. Participants completed the Treatment Acceptability Rating Scale—Revised (TARF-R; Reimers, T. M., Wacker, D. P., Cooper, L. J. & DeRaad, A. O. (1992). Clinical evaluation of the variables associated with treatment acceptability and their relation to compliance. Behavioral Disorders, 18(1), 67-76.), a quantitative measure of treatment acceptability (a component of social validity), and were interviewed using qualitative interviews and focus groups. Results were analyzed through ethnographic methodology and indicate complex, reciprocal relationships among factors related to social validity. This investigation is considered in light of recent efforts to develop a systematic approach to evaluate the adequacy of intervention research using qualitative methods.     

Discrimination between hopes and expectancies for nonvolitional outcomes: psychological phenomenon or artifact?

Despite the large literature concerning the impact of hope and expectancy on various outcomes (e.g., nonvolitional), less is known about the constructs of hope and expectancy themselves. In a recent study, Montgomery et al. (2003) demonstrated that hopes and expectancies are separate but related constructs; however, because both hopes and expectancies were measured within the same context, it is possible that these findings were simply a methodological artifact. Furthermore, it is unknown whether these data would generalize to other populations. Taking into account the importance of this distinction for both the expectancy and hope literatures, the present study sought to: (1) Determine if the distinction between hope and expectancy is a general and reliable phenomenon by using a culturally different sample (i.e., Romanian sample); and (2) Examine the robustness of this distinction by controlling for the context effect. One hundred-twenty five volunteers completed items in regard to 10 nonvolitional outcome scenarios in one of five measurement contexts. The results revealed that hope and expectancy were distinct constructs (p<0.0001), and that this distinction is both general and robust across contexts. Implications for theory and research are discussed.     

中学教师社会化过程:交互作用视角

本研究以345名教师为研究对象,基于交互作用视角建立框架模型,研究教师社会化前因变量、社会化近端结果和终极结果之间的关系,以揭示教师社会化过程。结果表明:①教师社会化近端结果在组织策略和社会化终极结果之间起部分中介作用,在教师主动策略和社会化终极结果之间起完全中介作用;②同事帮带仅通过促进教师对学校的了解促进教师社会化终极结果;③家长配合一方面直接促进教师工作绩效,另一方面通过角色清晰对社会化终极结果产生积极影响。     

Why are maximizers less happy than satisficers? Because they maximize positive and negative outcomes

Although extant research suggests maximizing is related to objectively positive outcomes (e.g., job offers), I propose maximizing may be simultaneously and positively related to objectively negative outcomes (e.g., job rejections). Specifically, I argue maximizers bear more instances of positive and negative outcomes than satisficers, and that in spite of their positive outcomes—yet because of their negative outcomes—maximizers are less happy than satisficers. In Study 1, participants took the alternate uses test; as expected, maximizing was related to seeking alternatives, yet, maximizing was also related to seeking low‐quality alternatives. Moreover, the number of low‐quality alternatives partially mediated the relationship between maximizing and negative affect. In Study 2, the impact of maximizing on experiencing negative affect was further assessed by examining whether maximizing is related to seeking and choosing low‐quality alternatives. Participants played the Iowa Gambling Task; it was found maximizing was related to alternating among decks, and in particular, sampling bad decks; ultimately, maximizing was related to winning less money, and experiencing more negative affect. Finally, in Study 3, participants responded to questionnaires about positive and negative life outcomes; it was found that maximizing was simultaneously related to experiencing more positive and more negative outcomes, and that negative outcomes predicted happiness to a greater degree than positive outcomes. These findings suggest an irony of maximizing: It produces both positive and negative outcomes, contributing to literature explaining why maximizers are less happy than satisficers, and ultimately whether happiness is a matter of choice. Copyright © 2009 John Wiley & Sons, Ltd.     

Academic Achievement Over 8 Years Among Children Who Met Modified Criteria for Attention-deficit/Hyperactivity Disorder at 4–6 Years of Age

The predictive validity of symptom criteria for different subtypes of ADHD among children who were impaired in at least one setting in early childhood was examined. Academic achievement was assessed seven times over 8 years in 125 children who met symptom criteria for ADHD at 4–6 years of age and in 130 demographically-matched non-referred comparison children. When intelligence and other confounds were controlled, children who met modified criteria for the predominantly inattentive subtype of ADHD in wave 1 had lower reading, spelling, and mathematics scores over time than both comparison children and children who met modified criteria for the other subtypes of ADHD. In some analyses, children who met modified criteria for the combined type had somewhat lower mathematics scores than comparison children. The robust academic deficits relative to intelligence in the inattentive group in this age range suggest either that inattention results in academic underachievement or that some children in the inattentive group have learning disabilities that cause secondary symptoms of inattention. Unexpectedly, wave 1 internalizing (anxiety and depression) symptoms independently predicted deficits in academic achievement controlling ADHD, intelligence, and other predictors.     

Reducing emergency medical service use in patients with chronic psychotic disorders: results from the FAST intervention study

Patients with schizophrenia have disproportionately high rates of emergency medical service use, likely contributing to the high cost this illness places on society. The aim of this study was to examine the impact of a theory-based, behavioral intervention on immediate and long-term use of emergency medical services. Older patients with schizophrenia (n=240) were randomized to receive either a behavioral, skills-building intervention known as Functional Adaptation and Skills Training (FAST) or a time-equivalent attention-control condition (AC). Logistic regression analyses indicated that AC participants were nearly twice as likely to use emergency medical services in general (OR=2.54; p=0.02) and emergency psychiatric services in particular (OR=3.69; p=0.05) during the active intervention phase of the study. However, there were no differences between the interventions in terms of emergency service use during the long-term follow-up phase of the study (i.e., 6-18 months post-baseline). The FAST intervention appears efficacious for reducing the short-term risk of using emergency medical services. However, the long-term efficacy of the FAST intervention appears less clear. Future studies may want to provide more powerful maintenance sessions to encourage continued use of skills in patients' real-world settings.