Commentary on the Current Status of Assessment in Rational-Emotive and Cognitive-Behavior Therapy

This commentary focuses on the current status of assessment in rational-emotive and cognitive-behavior therapy, in the context of making comments about three assessment articles published in the same journal issue. The commentary describes important characteristics of rational-emotive and cognitive-behavior assessment measures, suggests several avenues of psychometric research on behavioral tests of distress tolerance as clinical measures, reviews psychometric and other important properties of existing irrational belief measures, and endorses assessment related to newly proposed anger disorder diagnoses.

The Notion of Pseudo-Argument in Perelman’s Thought

According to Perelman (Rhétoriques, Presses Universitaires de Bruxelles, 1989: 80), a pseudo-argument is an argument that is supposed to be convincing from a given audience viewpoint, while it is not from another audience viewpoint. Such a claim raises the traditional problem of the boundaries between the well known “convince versus persuade” dichotomy. This paper aims at investigating it from a contemporary rhetorical and argumentative perspective which will take into account the fictional dimension of persuasion. In this perspective, it will be claimed that the notion of an “as if” argument better fits to some rhetorical phenomena.

Comprehension of the representational mind in infancy

A broad array of infant studies are reviewed that appear to be consistent with the idea that belief understanding specifically, and mental attribution generally, emerge much earlier than previously acknowledged. We first examine existing false-belief research, which, while confirming that children under 4 years perform poorly on standard tests, suggests nevertheless that they have more implicit understanding of beliefs than they can express. After surveying theories that both favor and reject early development of theory of mind (TOM), we address two recent bodies of visual fixation research that provide support for the possibility of knowledge and belief attribution in infancy. The first indicates that infants of 13–15 months are sensitive to others’ false beliefs (and therefore have a representational TOM), the second, that by 12 months or younger infants have two antecedently related psychological understandings: (a) that when agents look they “see” and (b) that seeing plays a presumptive role in producing knowledge. This raises the broader question of whether “mentalism” might be part of core knowledge, which takes us to the earliest manifestation of psychological attribution, the construal of agentive behavior as intentional. Contrary to previous assumptions, recent studies indicate that infants of 3–9 months do not accord intentionality exclusively to humans or to self-propelled objects but rather to any entity that: (1) chooses flexibly among means and ends, (2) responds non-randomly to social overtures, and (3) reacts rationally to changing circumstances (i.e., that is not a mere automaton but is selectively and adaptively responsive to the environment). Other evidence is then examined which suggests that infants begin to construe these and other behaviors in mentalist rather than teleological terms much earlier than expected. Finally, the implications of this empirical record for domain-specific and domain-general theories of TOM are considered.     

Coping Style and Depression in Early Adolescence: Relationships to Gender,Gender Role,and Implicit Beliefs

Three studies were designed to investigate the interrelationships among coping styles, gender roles, and level of depression for early adolescents. Girls displayed more depression than boys, and more highly depressed girls demonstrated coping patterns similar to those of depressed adolescent and adult women. Individuals who identified with the feminine gender role showed increases in depression with age. Participants' implicit beliefs about what constituted appropriate coping behavior were also linked to gender. Both genders believed that men should not ruminate but that they should distract themselves from problems. The implications of these findings are discussed.     

Another Search for the “Hot” Cognitions: Appraisal, Irrational Beliefs, Attributions, and Their Relation to Emotion

One study examined the hypothesized status of appraisal and irrational beliefs relative to attributions, as proximal antecedents of emotion. In our study, which looked at 4 pairs of functional and dysfunctional negative emotions (i.e., concern/anxiety, sadness/depression, remorse/guilt, annoyance/anger), undergraduates (N = 120) reported on their attributions, appraisal, irrational beliefs, and emotions during past encounters associated with various negative events. Congruent with both Smith and Lazarus' (1993) appraisal theory and Ellis' (1994) cognitive theory of emotion, the results of this study indicate that the emotions (both functional and dysfunctional negative emotions) were more directly associated with appraisal and with irrational beliefs (dysfunctional negative emotions only) than they were with attributions. Also, irrational beliefs were strongly associated with appraisal; while demandingness (DEM) was associated more with primary appraisal, awfulizing/catastrophizing, low frustration tolerance, and global evaluation of human worth (including self-downing) were associated more with secondary appraisal. Dysfunctional emotions seem to involve primary appraisal associated with DEM while functional emotions involve primary appraisal associated with preferences. These findings lend to support the status of appraisal and irrational beliefs as the proximal cognitive antecedents of emotion and the status of irrational beliefs as a differencing factor between functional and dysfunctional emotions.     

The Beliefs About Medication Scale: Development, Reliability, and Validity

The purpose of the study was to develop and evaluate a psychometrically sound health belief measure, the Beliefs About Medication Scale (BAMS) that can be used with adolescent chronic illness populations whose prescribed treatment includes oral medication. One hundred and thirty-three adolescents (age 11–18 years) with asthma (n = 60), HIV (n = 31), or inflammatory bowel disease (n = 42) completed the BAMS and, along with their parent, a self-report medication interview. A confirmatory factor analysis supported the hypothesized subscales of Perceived Threat, Positive Outcome Expectancy, Negative Outcome Expectancy, and Intent to Adhere to treatment. The subscales evidenced good internal consistency and 3-week test-retest reliability. Univariate and multivariate analyses demonstrated that the health belief constructs accounted for 22% of the variance in medication adherence beyond demographic and illness characteristics. The study provides preliminary evidence of the reliability and validity of a theoretically based measure of health beliefs for adolescents. The BAMS may be a useful tool to evaluate the psychological barriers to adherence that place teenagers at risk for nonadherence.     

Chinese indigenous psychotherapies in Singapore

The purpose of this paper is to discuss the relevance of folk therapies or traditional medicine to counselling in Singapore. It addresses the meanings of the indigenous psychotherapies and then the rationales for understanding them. Three popular Chinese indigenous psychotherapies have been selected for discussion in terms of their aetiology and treatment beliefs about emotional problems: traditional Chinese medicine, dang‐ki (Chinese shamanism), and feng‐shui (Chinese geomancy). Findings from an empirical study are briefly presented to show that Chinese Singaporean clients hold eclectic belief systems encompassing both beliefs derived from thse indigenous psychotherapies and those from Western psychotherapies (e.g. psychodynamic and behavioural therapies). Two cases are presented to illustrate the application of these indigenous psychotherapies in counselling practice.     

Cultural Influences in the Aetiological Beliefs of Saudi Arabian Primary Care Patients About Their Symptoms: The Association of Religious and Psychological Beliefs

Objective To develop a self-report questionnaire to measure the beliefs of Arabic primary care patients about the causes of their physical symptoms; to use this to quantify the beliefs of patients consulting their general practitioners (GPs) in Saudi Arabia; and to test whether patients with psychological problems differ from others in their beliefs, particularly religious and supernatural beliefs. Methods Consecutive patients (N = 224) completed a specially developed aetiological beliefs’ questionnaire. Patients were divided into two groups (cases and non-cases of emotional disorder) according to the GHQ-12. Results Religious and supernatural aspects of culture colour patients’ symptom beliefs: that their symptoms were a test or punishment from Allah’ was the most common belief. Even in non-cases, around half the patients also endorsed nerves and stress as a cause of their physical symptoms. Cases were more likely than non-cases to endorse items related to both religious and psychological factors. Conclusion There is no support for the view that Saudi Arabian patients explain symptoms supernaturally as a way of denying psychological factors. GPs and health professionals in Saudi primary care need to understand what patients believe to be the cause of their problems and to appreciate that religious and psychological beliefs are both very common. GPs should address psychological beliefs and concerns even with those patients who present physical symptoms.     

Assessing Belief in the 10 Commandments: The Multidimensional 10 Commandments Questionnaire

Instruments designed to assess various aspects of religion are widespread, but few have been constructed to assess specific religious values and beliefs. The purpose of the present research was to address this limitation by providing preliminary evidence for the reliability and validity of the Multidimensional 10 Commandments Questionnaire (M10CQ), a self-report instrument that measures belief in the 10 Commandments. Data from three separate samples provided evidence supporting the reliability (i.e., internal consistency) of the M10CQ subscales. Other results indicated that women endorsed many of the 10 Commandments more strongly than men, and that various Commandments predicted people’s mental health (less hostility), their parenting style (more authoritarian and authoritative parenting), and their interpersonal attachments (a more trusting bond with others). The findings reported in this research help to identify the ways in which religious values and beliefs are integrated with multiple aspects of people’s lives. The discussion highlights the usefulness of the Multidimensional 10 Commandments Questionnaire (M10CQ) for studying religious beliefs and values.

Open or close the door to the outgroup? Diversity beliefs moderate the impact of group boundary permeability on attitudes toward the outgroup

The present research investigated the moderating role of diversity beliefs with the aim of reconciling inconsistent findings regarding the impact of group boundary permeability on attitudes toward outgroup. In Study 1, all variables were measured with self‐report scales completed by Chinese participants. In Study 2, diversity beliefs were manipulated by randomly assigning Chinese participants to a high or low diversity belief condition. In Study 3, we replicated the moderating model with American participants. Results of all three studies indicated that diversity beliefs moderated the relationship between group boundary permeability and attitudes toward outgroup. Individuals with high diversity beliefs held more positive attitudes toward the outgroup when the group boundary was permeable (vs. impermeable). Conversely, individuals with low diversity beliefs held more negative attitudes toward the outgroup when the group boundary was permeable (vs. impermeable). These findings suggest that when the inflow of the outgroup members is inevitable, attitudes toward the outgroup may be effectively improved by increasing diversity beliefs.