The Acceptability of Computer-Aided Cognitive Behavioural Therapy: A Pragmatic Study

The clinical and cost-effectiveness of a computer-aided cognitive behavioural therapy (CCBT) programme, Beating the Blues, is indicated by a number of studies, but relatively little is known about its acceptability for patients with depression, anxiety, or both. This study investigated the acceptability of Beating the Blues offered on eight scheduled clinic visits with brief face-to-face support. Pre and posttreatment measures explored the relationship among programme acceptability, treatment continuation, and outcomes for people accessing the programme in routine care. Two hundred and nineteen patients with depression, anxiety, or both were offered Beating the Blues in 11 primary and secondary care practices. One hundred and ninety-one (87%) completed the pretreatment measures and 84 (38%) completed a treatment feedback questionnaire. Analysis of treatment acceptability for CCBT indicated a positive patient experience with the programme. Pretreatment expectancies predicted CCBT treatment completion but not outcomes. No differences were found between men and women on pretreatment measures. Posttreatment, women reported more favourable responses to the therapy, finding the programme more helpful and more satisfactory, than did men. No relationship between treatment acceptability and age was found. Study limitations, including research methods and attrition rates, and implications for future research are discussed. It is concluded that the Beating the Blues CCBT programme is an acceptable treatment for common mental health problems in routine care.     

Deep structure,cognition and rebirth: Propositions for viability and vitality in human systems

This paper describes systems dynamics related to deep structure and development processes in human systems, to the process of arresting entropy or premature death in these systems and to the relationship between the cognition of deep structure, its outward manifestation and human systems viability and vitality. The paper proposes that inherent forces are present in systems that act to bring about alignment between inner deep structure and a system's manifested outer structures and processes, thereby enhancing viability and vitality. Deep structure is seen as a force toward self‐organization and rebirth.     

An Empirical Comparison of Audition,Vision, and Touch in the Discrimination of Temporal Patterns and Ability to Reproduce them

Two conditional reasoning tests were administered to 34 students (17 males and 17 females) at each of four grade levels (i.e., 5th, 6th, 7th, and 8th). Both tests contained conditional reasoning arguments which assessed students' comprehension of five basic principles of inference. However, they varied systematically according to the sex typing of the content (i.e., masculine or feminine). The results indicated that there were no significant sex differences according to grade level, type of content, or principle of inference. On the other hand, at each grade level, there were consistent differences among the mean scores for the five principles, and valid principles were significantly easier than invalid principles. The implications of these findings for future research were discussed.     

Introducing Assertiveness Training in Hungary

Abstract

The preliminary results of an evaluation of a systematic assertiveness training programme (based on a cognitive-behavioural approach) in psychiatric care in Hungary are presented. The method adopted was specific to the Hungarian/Middle-European circumstances since people had difficulty in exercising their personal rights in the past. In groups of “neurotic” patients and comparison subjects three questionnaires (the Rathus-scale (R), the Assertiveness Inventory (AI) and the Uncertainty Questionnaire (UQ)) were administered at the beginning and at the end of the treatment. The training programme consisted of eight sessions with an emphasis on education about assertiveness and on the practice of skills such as saying “no” or standing up for oneself. A statistical analysis indicated significant improvement in the social skills of the participants, while an item analysis showed high internal consistency in all three questionnaires, and a concurrent validity analysis revealed a strong correlation between the Rathus-scale and the Assertiveness Inventory. The results indicate that assertiveness training can be used effectively in mental health care in Hungary.     

Can CBT Be Effective for Aboriginal Australians? Perspectives of Aboriginal Practitioners Trained in CBT

The objective of the study was to investigate whether high and low intensity versions of cognitive behaviour therapy (CBT) might be an effective therapeutic approach for enhancing the mental health of Aboriginal Australians. Five university‐educated Aboriginal counsellors received in‐depth training in CBT. Over the following year, they used CBT strategies with their clients, and met 10 times as a participatory action research group. The group addressed three key questions: (a) Does CBT appear to be useful for Aboriginal Australians? (b) If so, what elements of CBT are perceived to be effective? (c) What adaptations might be made to CBT to enhance its effectiveness with Aboriginal Australians? The resulting qualitative data were transcribed and analysed. Counsellors perceived CBT to be very useful for their Aboriginal clients and for themselves. They reported that it enhanced their clients' well‐being, their own clinical skills, and their own well‐being, and it reduced burnout. The qualities of CBT that were perceived to be effective were its adaptability, pragmatic here‐and‐now approach, capacity for low‐intensity interventions, safe containing structure, promotion of self‐agency, and valuable techniques. It was suggested that the prime requirement for adaptations to CBT were that they would need to fit different social and cultural contexts.     

DEFINING “RELIGION” AS NATURAL: A CRITICAL INVITATION TO ROBERT McCAULEY

Previous critics have argued that Robert McCauley defines religion and science selectively and arbitrarily, cutting them to fit his model in Why Religion Is Natural and Science Is Not. McCauley has responded that final definitions are “overrated” and that artificial distinctions can serve an important role in naturalistic investigation. I agree with this position but argue that a genealogy of the category of religion is crucial to the methodology that McCauley describes. Since the inherent ambiguity of religion will undermine any essential claims about its cognitive naturalness, I invite McCauley to consider how his research might investigate scientific and religious cognition in new terms.     

Higher-order latent trait models for cognitive diagnosis

Higher-order latent traits are proposed for specifying the joint distribution of binary attributes in models for cognitive diagnosis. This approach results in a parsimonious model for the joint distribution of a high-dimensional attribute vector that is natural in many situations when specific cognitive information is sought but a less informative item response model would be a reasonable alternative. This approach stems from viewing the attributes as the specific knowledge required for examination performance, and modeling these attributes as arising from a broadly-defined latent trait resembling theϑ of item response models. In this way a relatively simple model for the joint distribution of the attributes results, which is based on a plausible model for the relationship between general aptitude and specific knowledge. Markov chain Monte Carlo algorithms for parameter estimation are given for selected response distributions, and simulation results are presented to examine the performance of the algorithm as well as the sensitivity of classification to model misspecification. An analysis of fraction subtraction data is provided as an example. This research was funded by National Institute of Health grant R01 CA81068. We would like to thank William Stout and Sarah Hartz for many useful discussions, three anonymous reviewers for helpful comments and suggestions, and Kikumi Tatsuoka and Curtis Tatsuoka for generously sharing data.     

Swimming against the mainstream: the early years from chilly tributary to transformative mainstream

This article traces the transformative paradigm shift in the theory and practice of personal change. Within a decade, new conceptual models, analytic methodologies and modes of treatment were created. Treatments were altered in the content, locus, and agents of change. This enterprising period also witnessed a sweeping shift in the public acceptance of behaviorally oriented treatments. The present article also analyzes the evolving theorizing and applications of social cognitive theory rooted in modeling, self-regulatory, and self-efficacy mechanisms of psychosocial change. This model of change is implemented from an agentic perspective to promote personal, institutional, and society-wide changes that address some of the most urgent global problems.     

背景信息导航帮助和认知风格对超文本使用的影响

本文考察了背景信息导航帮助(结构背景信息导航帮助、时间背景导航信息帮助和综合背景信息导航帮助)和认知风格(场独立倾向和场依存倾向)对超文本使用过程中导航绩效和学习效果的影响。结果表明：(1)认知风格是研究超文本系统的一个敏感指标：在超文本阅读过程中,场依存倾向的人比场独立倾向的人容易迷失,在某种程度上,学习效果要低于场独立倾向的人;(2)最优路径偏离可以敏感地反映出超文本网络空间中使用者的迷失程度;(3)主观迷失感与导航绩效相比,更能有效地预测超文本环境下的学习效果。