Regional brain activity change predicts responsiveness to treatment for stuttering in adults

Developmental stuttering is known to be associated with aberrant brain activity, but there is no evidence that this knowledge has benefited stuttering treatment. This study investigated whether brain activity could predict progress during stuttering treatment for 21 dextral adults who stutter (AWS). They received one of two treatment programs that included periodic H₂¹⁵O PET scanning (during oral reading, monologue, and eyes-closed rest conditions). All participants successfully completed an initial treatment phase and then entered a phase designed to transfer treatment gains; 9/21 failed to complete this latter phase. The 12 pass and 9 fail participants were similar on speech and neural system variables before treatment, and similar in speech performance after the initial phase of their treatment. At the end of the initial treatment phase, however, decreased activation within a single region, L. putamen, in all 3 scanning conditions was highly predictive of successful treatment progress.     

Victim and Perpetrator Groups' Responses to the Canadian Government's Apology for the Head Tax on Chinese Immigrants and the Moderating Influence of Collective Guilt

European and Chinese Canadians' perceptions and expectations of the Canadian government's apology for the head tax placed on Chinese immigrants during the early twentieth century were examined, along with Chinese Canadians' willingness to forgive the transgression. Among both European and Chinese Canadians, beliefs about the importance attributed to the event and perception of the apology as deserved and sincere heightened expectations of improved intergroup relations. Collective guilt acceptance among European Canadians heightened the relation between perceived sincerity and positive expectations, whereas collective guilt assignment by Chinese Canadians heightened the relation between sincerity and forgiveness. A one‐year follow‐up of whether Chinese Canadians were equally satisfied with the apology indicated that their willingness to grant forgiveness had waned, and although on the whole expectations of improved relations were met, those who assigned more collective guilt were less convinced. Intergroup apologies and their effectiveness at facilitating intergroup relations are discussed.     

‘Them’ and ‘us’: The experiences of women with metastatic disease in mixed-stage versus stage-specific breast cancer support groups

The objective of this study was to explore the experiences of women with metastatic breast cancer (MBC) in mixed-stage and stage-specific groups. Interpretative phenomenological analysis (IPA) was used to examine 15 interviews from eight women with MBC. The interviewees felt that their experiences were very much different from those of women with primary breast cancer (BC), because of their different prognoses. In mixed-stage groups, the interviewees described feeling silenced, marginalised and helpless. They did not receive support in these groups because survivors of primary BC are often afraid to face the idea of metastasis. In stage-specific MBC groups, on the other hand, women were able to talk openly and were understood by others with whom they identified. They became more informed about issues related to their illness. Seeing others living well despite MBC made them feel more hopeful. Although there are some disadvantages of participating in stage-specific groups, the findings suggest that, overall, stage-specific groups are more helpful to women with MBC than mixed-stage groups. These findings have implications for the provision of group support for this population.     

Implementation of Cognitive Therapy for PTSD in routine clinical care: Effectiveness and moderators of outcome in a consecutive sample

ObjectiveTrauma-focused psychological treatments are recommended as first-line treatments for Posttraumatic Stress Disorder (PTSD), but clinicians may be concerned that the good outcomes observed in randomized controlled trials (RCTs) may not generalize to the wide range of traumas and presentations seen in clinical practice. This study investigated whether Cognitive Therapy for PTSD (CT-PTSD) can be effectively implemented into a UK National Health Service Outpatient Clinic serving a defined ethnically mixed urban catchment area.MethodA consecutive sample of 330 patients with PTSD (age 17–83) following a wide range of traumas were treated by 34 therapists, who received training and supervision in CT-PTSD. Pre and post treatment data (PTSD symptoms, anxiety, depression) were collected for all patients, including dropouts. Hierarchical linear modeling investigated candidate moderators of outcome and therapist effects.ResultsCT-PTSD was well tolerated and led to very large improvement in PTSD symptoms, depression and anxiety. The majority of patients showed reliable improvement/clinically significant change: intent-to-treat: 78.8%/57.3%; completer: 84.5%/65.1%. Dropouts and unreliable attenders had worse outcome. Statistically reliable symptom exacerbation with treatment was observed in only 1.2% of patients. Treatment gains were maintained during follow-up (M = 280 days, n = 220). Few of the selection criteria used in some RCTs, demographic, diagnostic and trauma characteristics moderated treatment outcome, and only social problems and needing treatment for multiple traumas showed unique moderation effects. There were no random effects of therapist on symptom improvement, but therapists who were inexperienced in CT-PTSD had more dropouts than those with greater experience.ConclusionsThe results support the effectiveness of CT-PTSD and suggest that trauma-focused cognitive behavior therapy can be successfully implemented in routine clinical services treating patients with a wide range of traumas.     

Emotional Intelligence and the Identity Negotiation of a Racial Minority Group in a Majority School Context

This article describes the possible impact of emotional intelligence on identity negotiation of a racial minority group in a majority school context. The study investigated the adjustment and functioning of racial minority groups in majority school contexts, as well as the identity negotiation associated with it, and determined whether there is a correlation between the former and the Emotional Intelligence (EI) of the participants. Participants were 16 black and 21 white learners attending two schools where they were in the minority (mean age = 16.23 years; SD = 1.49 years). The learners attended Grades 9–12. Data were first organised, after which themes and patterns were identified, and the data appraised and categorised (Creswell, 2007), after which a comparison was drawn between the identified categories of existing knowledge. Findings suggest that racial integration in both high schools actually occurred in name only; most participants chose to mingle within their own racial groups and the black participants in particular were exposed to racism, discrimination and prejudice on a regular basis. Despite the necessary steps taken and implemented by government in order to oppose racism in the country and promote racial integration in schools, it seems that the consequences of apartheid remain for the foreseeable future.     

Social comparison influences on disciplinary panels: a brief qualitative study in Kenyan secondary schools

This study investigated the influences of social comparisons on group polarization in decision making among members of selected Kenyan secondary school disciplinary panels. Ten participants from 10 selected secondary school disciplinary panels were involved. Semi-structured interviews were used to collect qualitative data on the experiences of the participants regarding the influences of social comparisons on their decision-making behaviours during participation in their schools’ disciplinary hearing meetings. The results revealed that in the dynamic interactions among disciplinary panel members during disciplinary hearing meetings, the panel members engaged in social comparisons among themselves, leading to their shifts in decision-making behaviours in favour of consensus in group decisions or group polarization in decision making.     

Dependency and perfectionism: Short-term dynamic group psychotherapy for university students

Abstract

This paper is based on the authors' experiences of conducting short-term psychodynamic group therapy with university students. The therapy groups focus on common problems among the members, i.e. perfectionism, procrastination, and fear of graduation. Working on their dependency and on their inadequate separation from parental figures typically helps the students cope more creatively with their academic problems. The paper explores technical questions and possible advantages in working within a short time frame using a group analytic approach.     

Postcolonial philosophy of religion

The issue of leadership is one that spans many organisations. While management literature has examined this topic in depth, little comment has been made regarding the legitimacy of traditional business leadership theories, developed primarily in the United States, for use in a values-based organisation such as the organised church. The unique spiritual nature of Christian organisations is in some ways at odds with the assumptions of traditional leadership models. That said, many churches in the United States and churches outside the United States, but influenced by US institutional structures, are desperately seeking improvement in both pastoral and organisational effectiveness. This research examines traditional treatment of leadership and identifies implications of traditional and more recent theories of leadership for pastoral leaders and Christian laypeople.     

BOOK REVIEWS

No abstract available for this article.     

The Effectiveness of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in a Frontline Service Setting

The goal of the current study was to test the generalizability of cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) in a frontline service setting. Twenty‐nine patients who presented to treatment clinics with problematic worry were provided CBT for GAD. Among the intent‐to‐treat sample, there were no significant changes in worry or depression from pre‐ to posttreatment. Treatment completers showed significant pre‐ to posttreatment reductions on measures of worry and depression. The magnitude of change was smaller than has been reported in randomized control trials (RCTs). Although the frontline service setting differed from RCT settings in multiple ways, treatment completers nonetheless achieved moderate to large decreases in self‐reported worry and depression.