Adaptation of CBT for Traumatized South African Indigenous Groups: Examples from Multiplex CBT for PTSD

This article describes how Culturally Adapted Multiplex CBT, a treatment that emphasizes somatic processing and emotion regulation, was adapted for a traumatized South African indigenous group, the Sepedi. A model of psychopathology is presented, the Multiplex Model of Trauma-Related Disorder, which depicts the processes that generate multiple comorbidities and prominent somatization in minority, refugee, and other non-Western populations. The nine dimensions of Culturally Adapted Multiplex CBT are discussed, and so too the “cultural adaptation diamond.” Concepts such as “explanatory model bridging” are presented. A culturally sensitive assessment measure of local somatic complaints and cultural syndromes (the Sepedi Symptom and Syndrome Addendum, or Sepedi SSA) is detailed, as well as how CBT techniques were implemented with this group—for example, modification of culturally specific catastrophic cognitions, doing exposure (e.g., interoceptive exposure), teaching attentional control and mindfulness techniques, and teaching “loving kindness.” Case examples with clinical outcomes are provided to further illustrate how Multiplex CBT was adapted for the South African indigenous group.     

Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy Augmented by a Parenting Enhancement: A Case Report

Depression is prevalent among mothers who participate in home visitation programs. This case study describes In-Home Cognitive Behavioral Therapy (IH-CBT), an empirically based treatment for depressed mothers that is strongly integrated with ongoing home visitation. The use of a Parenting Enhancement for Maternal Depression (PEMD) module was added to address parenting difficulties in a depressed mother. This case describes issues and challenges encountered in delivering treatment in the home with low-income, depressed mothers. Issues involving engagement, adaptation to the setting, responding to the unique needs of low-income mothers, and partnership with concurrent home visiting to optimize outcomes are considered. Long-term follow-up (18 months after the end of treatment) permits examination of sustainability of gains. Implications for treating this high-risk population are discussed.     

亲子关系和朋友支持对流动儿童情绪和行为适应的保护作用

以1008名初中流动儿童为研究对象,在压力背景下探讨亲子关系和朋友支持对流动儿童不同情绪适应（孤独感、社交焦虑）和行为适应结果（问题行为、亲社会行为）的保护作用,并揭示二者保护作用的适用领域及其差异。结果表明：（1）亲子关系显著预测行为适应,朋友支持显著预测情绪适应和亲社会行为。（2）亲子关系能够缓解压力事件对流动儿童问题行为的消极作用。（3）朋友支持能够缓解压力事件对流动儿童孤独感和社交焦虑的消极作用。（4）尽管亲子关系和朋友支持都能够缓解压力事件对流动儿童亲社会行为的消极作用,但压力事件较少时二者的保护效应更强。这提示流动儿童与父母和朋友的紧密情感联结能够缓解压力事件对其情绪和行为适应的消极作用：父母是缓解行为适应问题的保护因素,朋友是缓解情绪适应问题的保护因素;积极行为适应能够同时获益于父母和朋友支持。     

宽恕心理的行为测量及认知神经机制

宽恕是一个复杂的心理过程,被认为是对冒犯者的亲社会化转变的过程,包括认知、情绪、动机和行为上的改变。本文回顾了国内外宽恕心理的行为测量范式和认知神经机制研究相关的成果,发现宽恕心理的行为测量范式能够揭示宽恕相关的心理过程;认知神经机制的研究发现宽恕心理过程主要涉及负责社会认知、共情和认知控制等功能的脑区。未来的研究应关注宽恕心理行为测量范式的有效性和揭示内容的一致性、宽恕心理的认知和脑神经基础。     

Gender differences in intimate‐conflict initiation and escalation tendencies

According to gender motivation theory, men are driven by a desire to enhance their status; whereas, women are motivated by a desire to reduce risk, and the behavioral expressions of those motivations are context‐dependent. In order to test this theory in the context of intimate relationships, this study compared men's and women's escalatory tendencies in the initial development of intimate conflict. These tendencies were conceptualized in terms of four attributes: two attributes that represent response intention (decision and style) and two others that represent motivations for that intention (putting one's partner in his or her place and avoiding conflict). These attributes were measured in the context of five hypothetical situations. Each of those scenarios involved potential escalation of intimate conflict, following an intimate partner's aggressive verbal demand. The study involved a convenience sample of 403 male and female participants. The findings show that, in the initial steps of intimate‐conflict development, women tend toward escalation more than men. The findings also show that the escalatory tendency, as conceptualized and measured using the examined scenarios, corresponds to actual behavior exhibited in the resolution of common issues in the couples' lives. These findings reinforce gender motivation theory.

     

Factors affecting behavioral health provider turnover in US Air Force primary care behavioral health services

Turnover and retention of integrated behavioral health practitioners in primary care is a significant challenge with limited empirical evidence to inform risk factors. This study used retrospective archival data from the Air Force Medical Service’s Behavioral Health Optimization Program on all civilian contractors hired from September 2012 to November 2014 to examine the potential influence of training background (e.g., social work v. psychology), size of healthcare facility, or the presence of on-site mentors. Turnover was evaluated across a large managed healthcare organization of 121 civilian contractors (psychologists and social workers) in 72 specific clinic settings. These sites varied considerably in regards to geographic location, population diversity, size of patient empanelment, rural, suburban, and urban settings and all provided care to active duty military, their civilian dependents and civilian retirees. Results found that 54% of all psychologists and social workers hired for these positions quit or were fired within 8 months of employment. Smaller medical facilities were found to have a more significant attrition rate compared to medium- and large-sized facilities; no other differences were noted. Findings provide initial insight into a potential critical period in the first year of a behavioral health consultants on-boarding, as well as unique considerations for consultants placed in smaller facilities who may be at elevated risk for attrition. These preliminary findings suggest targeted interventions for new integrated care programs as well as important avenues for future research.     

New stable icosahedral phases in Al-Pd-Ru and Al-Pd-Os systems

We have found stable icosahedral (i) phases in alloys with nominal compositions around Al 72 Pd 17 Ru 11 and Al 72 Pd 17 Os 11 . They display very sharp X-ray diffraction peaks, indicating high structural order as in other Al-based i-phases such as i-(Al-Pd-TM) (transition metal TM = Mn or Re) and i-(Al-Cu-TM) (TM =Fe, Ru or Os). The i phases are formed via peritectic reaction and, upon heating, they transform into a mixture of a liquid and the 1/0 cubic approximant phase. The electrical resistivity of the i phases was measured in a wide temperature range from 14K to above their melting points and a reversible change of the resistivity across the melting point has been observed in situ for the first time.     

About Teleological Behaviorism

Misconceptions abound about teleological behaviorism (TB). Because very few people other than the author publicly call themselves teleological behaviorists, the fault must be mine. The present article is an attempt to clear up those misconceptions. First I will try to indicate what teleological behaviorism is not. Then, in the form of six fables (loosely connected stories, allegories, analogies, fairy tales, and arguments), I will try to give the reader an understanding of what teleological behaviorism actually is.     

A behavioral medicine intervention as an adjunctive treatment for HIV-related illness

Abstract

This investigation assessed the efficacy of a behavioral medicine intervention in the adjunctive treatment of symptomatic HIV seropositive men. Twenty-six, well coping, seropositive gay males were randomly assigned to either a treatment group or a waiting list control group. The treatment group received eight weeks of training in thermal biofeedback, guided imagery and hypnosis Significant results (p < 0.05) indicated that HIV-related symptoms (fever, fatigue, pain, headache, nausea and insomnia) decreased and that vigor and hardiness increased. No significant changes were found in absolute numbers of CD4 cells, tension-anxiety or depression.     

Distortions in reports of health behaviors: The time span effect and illusory supefuority

Abstract

The occurreace of a time span effect and illusory superiority in self reports of health behaviors was tested. It was found that people report proportionally lower frequencies of both healthy and unhealthy behaviors if they give frequency estimations over a longer as compared to a shorter time span (time span effect). In addition, they report lower frequencies of unhealthy behaviors, and higher frequencies of healthy behaviors for themselves than for the average other (illusory superiority). For healthy but not for unhealthy behaviors a stronger illusory superiority effect was obtained in frequency reports for behavioral expectations as compared to past behaviors. Potential explanations and implications for subjective measurements of health behavior are discussed.