Functional analytic psychotherapy and the treatment of obsessive compulsive disorder

This paper argues that Functional Analytic Psychotherapy (FAP) can contribute to the treatment of Obsessive Compulsive Disorder (OCD). FAP is a behavior analytically informed approach to talk-therapy, developed by Kohlenberg and Tsai. It uses natural occurrences of clinically relevant behavior in the client-therapist relationship to promote therapeutic change. A selection of vignettes of client-therapist dialogues involving two clients with OCD is discussed. The examples show how natural interactions between therapist and client can be used to bring therapeutic technique closer to the natural occurrences of obsessive-compulsive behavior. Furthermore, the fragments illustrate that FAP can encompass exposure and response prevention. Therefore, the in vivo learning during the session as promoted in FAP can be an asset in the treatment of clients with OCD, and it deserves attention in future treatment research.     

儿童学校适应的分类及判定

以6579名小学三、五年级学生为被试,采用聚类分析和判别分析方法,结果表明:(1)根据儿童学校适应的指标将儿童的学校适应状况分为良好型、闲适型、紧张型、高危型四种类型.(2)良好型的儿童,在学业自我评估、学业动机和心理健康水平三个水平上的得分为正向,在问题行为上的得分为负;高危型儿童的结果与适应良好型的儿童完全相反;而在闲适型的儿童中,学业动机为负、心理健康水平为正;在紧张型的儿童中,学业动机为正向、而心理健康水平是负向的.(3)建立儿童学校适应的判别函数,为儿童在教育和心理问题进行指导提供了初步诊断依据,同时也对有关学校适应的研究提供新的视角.     

中小学教师心理健康维度的初步构建

本研究通过开放式问卷调查和深度访谈,构建出教师心理健康的八个维度,编制了初测问卷,对初测问卷的结果进行探索性因素分析,形成了六个维度6、1个项目的正式问卷,对正式问卷进行验证性因素分析。结果得到中小学教师心理健康的六个维度是:挫折应对问题、职业倦怠、人格障碍、躯体症状、社会适应问题和人生态度问题。对问卷进行描述性统计分析,发现中小学教师在这六个维度上存在一定的心理健康问题。     

Analyzing individual differences in vocational, leisure, and family interests: A multitrait-multimethod approach

This study investigates the latent structure of individual differences in vocational, leisure, and family interests. The participants consisted of 302 French adults who rated their like or dislike for activities based on Holland’s RIASEC typology and presented in three life domains: work, family and leisure. The multitrait-multimethod model proposed by Eid [Eid, M. (2000). A multitrait-multimethod model with minimal assumptions. Psychometrika 65, 241-261.] was used with the vocational interests as standard comparison, and was applied separately on each of the 6 RIASEC types. Results indicated that interests strongly intercorrelated whatever their vocational vs. leisure or family contextualization. However, since these correlations were controlled for measurement error, the results also suggested that the effects of these contextualizations of the activities could not be ignored because they accounted for a non negligible part of the variance for several activities. Theoretical and practical implications are discussed and directions for future research are presented.     

An experimental analysis of hypochondriasis

Hypochondriasis (HC) involves preoccupation with fears of having a serious medical illness based on the misinterpretation of benign bodily perturbations. Individuals with HC also perform behaviors such as checking and reassurance-seeking presumably to reduce health-related fears. Experimental behavioral analyses of HC symptoms, however, are lacking. In the present study, 27 patients with HC were exposed to personally relevant health-related stimuli under one of two conditions: (a) subsequently performing safety-seeking behaviors (e.g., checking) (n=14) or (b) subsequently being instructed not to perform such behaviors (n=13). In both groups, subjective anxiety and urges to perform safety behaviors were monitored for 1h. Results indicated that exposure to the personally relevant health trigger provoked anxiety and urges to perform safety behaviors. For patients who performed such behaviors, these feelings were reduced. For patients who did not, a more gradual reduction of anxiety and urges was observed. Findings are discussed in terms of the conceptualization and treatment of HC behavior, and are relevant to HC's possible relationship to panic and obsessive-compulsive disorder.     

Psychoeducation for hypochondriasis: a comparison of a cognitive-behavioural approach and a problem-solving approach

In this study, two 6-week psychoeducational courses for hypochondriasis are compared, one based on the cognitive-behavioural approach, and the other on the problem-solving approach. Effects of both courses on hypochondriacal complaints, depression, trait anxiety, and number of problems encountered in daily life, are measured pre-treatment, post-treatment, and at 1- and 6-month follow-up. Participants (N=48, of whom 4 dropped out), suffering from DSM-IV hypochondriasis, were randomized into one of the two course conditions. Results showed beneficial effects of both courses. Few differential treatment effects were found: in both conditions all effect measures decreased significantly over time (p<0.01). However, between- and inter-individual variability in decrease-patterns was of considerable size, leading to large deviations from the mean pattern. Acceptability and feasibility of both courses were rated highly by their respective participants. It is concluded that both courses can be considered equally beneficial and effective over time, with the effects evident immediately after treatment and maintained over the follow-up period.     

The effects of signaling stimulus presentation during noncontingent reinforcement

The effects of signaling the return of items or attention during treatment with noncontingent reinforcement were examined. First, functional analyses showed that the problem behavior exhibited by 2 teenagers with developmental disabilities was sensitive to social positive reinforcement. Next, delivery of the stimulus that maintained problem behavior on a fixed-time (FT) schedule was compared to a condition in which the removal of the stimulus during the same FT schedule was immediately preceded by a statement indicating that the stimulus would be returned and the initiation of a digital timer. Results show that the FT schedule reduced problem behavior, and the addition of an informative statement and a timer further decreased problem behavior.     

The making of an analyst: from 'ideal' to 'good-enough'

This paper addresses the issue of variances in training modalities and how this is linked to one's personal experience of training and to one's analytic lineage. The author, who bases his reflections on discussions held during the yearly directors of training meeting of the North American Jungian Societies, suggests that, while each institute aims to provide an 'ideal' training programme for its candidates, the philosophy underlying how this ideal is defined depends, in large part, on the theoretical and philosophical orientation of the founding fathers and mothers. This results in a form of analytic lineage that necessarily impacts on the form and content of the 'ideal' programme. Shadow issues related to analytic lineage in the admissions procedures, case consultation, exam committees and review committees are presented. Motivation for why we choose to train and reflections on what makes an analyst 'Jungian' are explored.     

Comparing functional analysis and paired-choice assessment results in classroom settings

The results of a functional analysis of problem behavior and a paired-choice assessment were compared to determine whether the same social reinforcers were identified for problem behavior and an appropriate response (time allocation). The two assessments were conducted in classroom settings with 4 adolescents with mental retardation who engaged in severe problem behavior. Each student's classroom teacher served as the therapist for all phases of assessment. The two assessment procedures identified the same social reinforcers for problem and appropriate behavior for 3 of 4 participants.     

Towards better computational models of the balance scale task: a reply to Shultz and Takane

In contrast to Shultz and Takane [Shultz, T.R., & Takane, Y. (2007). Rule following and rule use in the balance-scale task. Cognition, in press, doi:10.1016/j.cognition.2006.12.004.] we do not accept that the traditional Rule Assessment Method (RAM) of scoring responses on the balance scale task has advantages over latent class analysis (LCA): RAM is similar to a very restricted form of LCA. The apparent shortcomings of LCA are also less severe than they suggest. Via new simulations we show that LCA detects small classes reliably. We also counter their concerns regarding the torque difference effect and we underline the problems connectionist models have with correctly responding to balance items. Despite these differences in opinion we agree with Shultz and Takane on the possible avenues for future research.