Pretreatment Correlates of the Therapeutic Alliance in the Chronically Depressed

We examined the relationship between patient characteristics and the working alliance in a multisite trial for chronic depression. Patients treated with the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), alone (n = 169) or combined with nefazodone (n = 198), completed the Working Alliance Inventory during the 2nd week of treatment. Within the CBASP alone group, a history of drug abuse/dependence, lower peak social adjustment over the past five years, and lower current social adjustment predicted a significantly poorer alliance. Within the combination group, male gender and a distancing coping style predicted a significantly poorer alliance. Results should be interpreted with caution since they did not replicate across treatment groups, and the number of significant findings were not much greater than chance expectations.     

Concrete Tornadoes

I present the case of a Hispanic woman whose physical illness parallels the massive destruction that she witnessed at the World Trade Center. I talk about my own feelings of terror and how I try to deal with my private ghosts as I sit afraid and wanting to help. I mention the longings we all have for powerful parents who can protect us and keep us safe.     

Let's Ask the Homeless People Themselves: A Needs Assessment Based on a Probability Sample of Adults

A probability sample of 301 homeless adults from Buffalo, NY, was followed over 6 months to document the utilization of a variety of community services, examine services desired, and identify factors associated with service utilization, preference, and satisfaction. The following needs were all rated as at least equally important as the need for affordable housing: safety, education, transportation, medical/dental treatment, and job training/placement (most of these needs were also rated as difficult to obtain). Needs for formal mental health and substance abuse services were rated as relatively unimportant and easy to obtain, and for those who actually used them, respondents were often dissatisfied with them. Of 16 predictor variables examined in multivariate analyses, several showed consistent relationships with subsequent service use, preference, and satisfaction. Younger adults, persons of color, those with dependent children, and persons having fewer social supports reported less service utilization, less satisfaction with services received, different perceived needs for particular services, and/or greater difficulty obtaining services.     

The role of parents’ autonomy support and psychological control in sibling relationship functioning through children’s need-based experiences

This study aimed to examine whether parents’ autonomy support and psychological control during sibling conflict would relate to children’s need-based experiences and relationship functioning within the sibling relationship. Two siblings (M_age = 8.61 years, SD = 0.91 and M_age = 10.50 years, SD = 0.94) of 205 families filled out questionnaires. Results showed that parental autonomy support related positively to siblings’ relationship satisfaction via children’s need satisfaction. Additionally, fathers’ psychological control related negatively to provided autonomy support and positively to provided psychological control from one sibling to the other (as reported by the other sibling) and negatively to satisfaction with this relationship via need frustration. These findings highlight the importance of the quality of parents’ involvement during sibling conflict.     

Autonomy support and control within mother-father parenting structures: A person-centered approach in youth sport

In the youth sport context, parents play an important role in the motivation of adolescent athletes. From a self-determination theory viewpoint, the provision of autonomy support versus control by parents is an essential part of this socialization process. The purpose of the present study was threefold: (a) identify distinct mother-father parenting profiles of autonomy support and control based on perceptions of adolescent athletes, (b) examine the unique influence of mother-father parenting profiles on adolescent athletes' motivational responses (i.e., parent-to-child effects), and (c) understand the contribution of adolescent athletes' motivation to the emergence of these mother-father parenting profiles (i.e., child-to-parent effects). To test our hypotheses, a person-centered approach (latent profile analysis) was employed to analyze data collected from a sample of high school athletes (N = 264; Mage = 15.7 years, 64% female). Results provided evidence supporting a four-profile solution: Strong Autonomy Support Dominant: Both Parents (n = 26, 9.8%), Weak Control Dominant: Both Parents (n = 111, 42.0%), Moderate Autonomy Support and Control: Both Parents (n = 21, 8.0%), and Weak Autonomy Support Dominant: Both Parents (n = 106, 40.2%). The four mother-father parenting profiles were found to be differentially predicted by, and predictive of, adolescent athletes' adaptive and maladaptive motivational responses (i.e., basic psychological needs satisfaction, autonomous and controlled motivation). This study illuminated a general pattern of congruency in the provision of autonomy support and control by parents within mother-father parenting structures and contributed empirical evidence pointing to the reciprocal nature of interpersonal processes in parent-athlete relationships.     

Predictors and impact of psychotherapy side effects in young adults

What should we tell our younger clients—who may or may not have chosen to come to therapy—about possible risks of engaging in psychotherapy? To explore this question, we examined psychotherapy side effects in 366 young adults with a history of psychotherapy or counselling. Psychotherapy side effects were common, with 41% of participants reporting at least one. Perceived lack of control over the decision of when and how to engage in therapy was the strongest predictor of experiencing therapy side effects. Of the different kinds of side effects, feeling that therapy had gone on too long and experiencing worsening of existing symptoms were the most strongly predictive of poor therapy outcomes such as dissatisfaction with care and lower perceived improvements. Finally, there was a significant association between reporting side effects of psychiatric medications and side effects of psychotherapy, suggesting common factors that contribute to side effect experience across treatment modalities. These findings highlight the need to monitor possible side effects during psychotherapy and counselling, and to have an open dialogue with our youngest clients and their families about the likelihood for negative outcomes when they are compelled to engage in therapy.     

Client attendance measures in counselling psychology trainees

Counselling supervisors and educators have yet to reach a consensus about standard measures for evaluating the performance of graduate student therapists. Compared to self‐reports and rater judgements, client attendance records provide low‐inference behavioural data partially reflective of clients’ engagement with therapists. This naturalistic study evaluates client attendance data using archival records of 92 doctoral students in beginning and advanced counselling practica who produced data for 771 clients, 3,949 scheduled sessions and 3,186 attended sessions. Providing evidence of the sample representativeness for clinicians, results indicated that the mean number of sessions attended per client for student therapists (5.65) was very similar to that reported in the literature for outpatient therapists (<6). As expected because of structural differences in client assignment, beginning and advanced students evidenced statistically significant differences on attendance variables such as number of clients and scheduled sessions. In contrast, attendance ratios were equivalent across counsellor experience, suggesting that these individual difference variables could be useful for evaluation of therapist competencies related to client engagement.     

Chameleonic obsessive job passion: demystifying the relationships between obsessive job passion and in-role and extra-role performance

In seeking to address the theoretical ambiguity regarding how and when obsessive job passion (OJP) leads to work performance, we integrate both self-verification and person–environment (P-E) fit perspectives to propose and test a moderated mediation model linking OJP to performance. We argue that OJP is indirectly related to co-worker-rated in-role and extra-role performance through self-verification, and these indirect links are conditioned by perceived demands–abilities (D-A) fit and needs–supplies (N-S) fit. Results from 190 healthcare professionals and their co-workers collected at three different time periods revealed the contrasting roles played by these two moderators. Individuals with higher OJP self-verify more when they perceive low D-A fit, but self-verify less when they perceive high N-S fit, whereas the opposite holds true for high D-A fit and low N-S fit. Contrary to predictions, negative relationships were found between self-verification and both types of performance. Specifically, OJP is associated with greater in- and extra-role performance (because of reduced self-verification) under high perceived D-A but low N-S fit, whereas the opposite results are observed under low perceived D-A and high N-S fit. The findings underscore the contingent nature of OJP and contribute to job passion, self-concept, and person–environment fit research.