Motivation-Adaptive Skills-Trauma Resolution (MASTR) Therapy for Adolescents with Conduct Problems

Summary

Trauma is proposed as a key to understanding the development and persistence of adolescent conduct problems, in conjunction with other contributing factors. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training (cognitive-behavioral therapy), and trauma resolution (eye movement desensitization and reprocessing). This paper reports on an open trial of six adolescents with school and conduct problems who received school-based Motivation-Adaptive Skills-Trauma Resolution (MASTR) treatment. Reductions in post-traumatic stress, related symptoms, and problem behaviors, along with improved school performance, indicate the value of further study of this treatment approach.     

Motivational Interviewing Versus Cognitive Behavioral Group Therapy in the Treatment of Problem and Pathological Gambling: A Randomized Controlled Trial

Pathological gambling is a widespread problem with major implications for society and the individual. There are effective treatments, but little is known about the relative effectiveness of different treatments. The aim of this study was to test the effectiveness of motivational interviewing, cognitive behavioral group therapy, and a no-treatment control (wait-list) in the treatment of pathological gambling. This was done in a randomized controlled trial at an outpatient dependency clinic at Karolinska Institute (Stockholm, Sweden). A total of 150 primarily self-recruited patients with current gambling problems or pathological gambling according to an NORC DSM-IV screen for gambling problems were randomized to four individual sessions of motivational interviewing (MI), eight sessions of cognitive behavioral group therapy (CBGT), or a no-treatment wait-list control. Gambling-related measures derived from timeline follow-back as well as general levels of anxiety and depression were administered at baseline, termination, and 6 and 12 months posttermination. Treatment showed superiority in some areas over the no-treatment control in the short term, including the primary outcome measure. No differences were found between MI and CBGT at any point in time. Instead, both MI and CBGT produced significant within-group decreases on most outcome measures up to the 12-month follow-up. Both forms of intervention are promising treatments, but there is room for improvement in terms of both outcome and compliance.     

Clinical Experiences in Using Cognitive-Behavior Therapy to Treat Panic Disorder

Although there is a growing body of research to support the use of psychological treatments for specific disorders, there has been no way for practitioners to provide feedback to researchers on the barriers they encounter in implementing these treatments in their day-to-day clinical work. In order to provide practitioners a means to give researchers information about their clinical experience, the Society of Clinical Psychology and the Division of Psychotherapy of the American Psychological Association collaborated on an initiative to build a two-way bridge between practice and research. A questionnaire was developed on the therapist, patient, and contextual variables that undermine the effective use of CBT in reducing the symptoms of panic disorder, a clinical problem that occurs frequently in clinical practice and has an extensive research base. An Internet-based survey was advertised internationally in listservs and professional newsletters, asking clinicians to indicate all aspects of CBT that they used in treating panic disorder, and to respond to a series of questions with variables that presumably limited successful symptom reduction in clinical work using CBT to treat panic disorder. The final database included responses from 338 participants who varied in experience in applying CBT to the treatment of panic disorders. Participants identified a wide range of patient factors that were barriers to symptom reduction, including symptoms related to panic, motivation, social system, and the psychotherapy relationship, in addition to specific problems with implementing CBT for the treatment of panic disorder.     

Event centrality of positive and negative autobiographical memories to identity and life story across cultures

The aim of this study was to investigate whether cultural differences exist in event centrality, emotional distress and well-being in a total of 565 adults above age 40 from Mexico, Greenland, China and Denmark. Participants completed questionnaires to determine their level of post-traumatic stress disorder and depression symptoms, and of life satisfaction. They also completed event centrality scales for their most positive and most negative life events. Across cultures, participants rated positive events as more central to their identity and life stories, compared with negative events. Furthermore, participants with higher levels of emotional distress rated negative events as more central to their identity and life story, compared with participants with lower scores. However, a converse pattern was not found for positive events. Finally, participants with higher scores of life satisfaction tended to rate positive events as more central and negative events as less central to their identity and life story, compared with participants with lower scores. It is concluded that across cultures, positive events are considered more central to identity and life story than negative events and that event centrality ratings tend to be affected in similar ways by higher versus lower levels of emotional distress or well-being.     

An item response theory/confirmatory factor analysis of the Autobiographical Memory Test

The Autobiographical Memory Test (AMT) is used to assess the degree of specificity of autobiographical memory. The AMT usually contains cue words of both positive and negative valence, but it is unclear whether these valences form separate factors or not. Accordingly, confirmatory factor analysis assessed whether the AMT measures one overall factor, or whether different cue types are related to different factors. Results were consistent across three datasets (N = 333, N = 405, and N = 336). A one-factor model fitted each dataset well, which suggests that responses to positive and negative cues are related to the one construct. In addition, item response theory analyses showed that the AMT is most precise for people who score low on memory specificity. Implications for using the AMT with high-functioning samples are discussed.     

Jeanine Thweatt-Bates. Cyborg Selves: A Theological Anthropology of the Posthuman

Abstract

Of all the research programs investigating radical life extension, cybernetic immortality is, by definition, the most ambitious. Several models fall within this category. While some include the possibility of “re-corporealizing” either as machine, biological entity, or hybrid, all models have several essentials in common. They require the ability to construct a non-biological (e.g., electronic) substrate that can model the functioning human brain, including the ability for consciousness (self-awareness) and a means for uploading into this artificial mind the contents of one's mortal life experiences. The individuals who have speculated most comprehensively on this include Ted Chu, Raymond Kurzweil, and Martine Rothblatt.¹1 Relevant books include: Ted Chu, Human Purpose and Transhuman Potential: A Cosmic Vision for Our Future Evolution (San Rafael, CA: Origin Press, 2014); Michio Kaku, The Future of the Mind: The Scientific Quest to Understand, Enhance, and Empower the Mind (New York: Doubleday, 2014); Ray Kurzweil, How to Create a Mind: The Secret of Human Thought Revealed (London: Penguin, 2013); Martine Rothblatt, Virtually Human: The Promise and the Peril of Digital Immortality (New York: St. Martin's Press, 2014).     

Sex Roles in Management: The Impact of Varying Power of Speech Style on Union Members' Perception of Satisfaction and Effectiveness

Effective management has traditionally been associated with men and masculine characteristics. In this study, I focused on manager communication, specifically the perceived effects of stereotypical gender/power speech styles. Union members viewed and rated a male and a female manager on videotape using three gender/power speech styles: stereotypical masculine (powerful), stereotypical feminine (powerless), and mixed gender/power. Union respondents judged both the male and female manager using the mixed gender/power speech style as most effective and as being associated with the most satisfied employees.     

Happiness takes you right: The effect of emotional stimuli on line bisection

Emotion recognition is mediated by a complex network of cortical and subcortical areas, with the two hemispheres likely being differently involved in processing positive and negative emotions. As results on valence-dependent hemispheric specialisation are quite inconsistent, we carried out three experiments with emotional stimuli with a task being sensitive to measure specific hemispheric processing. Participants were required to bisect visual lines that were delimited by emotional face flankers, or to haptically bisect rods while concurrently listening to emotional vocal expressions. We found that prolonged (but not transient) exposition to concurrent happy stimuli significantly shifted the bisection bias to the right compared to both sad and neutral stimuli, indexing a greater involvement of the left hemisphere in processing of positively connoted stimuli. No differences between sad and neutral stimuli were observed across the experiments. In sum, our data provide consistent evidence in favour of a greater involvement of the left hemisphere in processing positive emotions and suggest that (prolonged) exposure to stimuli expressing happiness significantly affects allocation of (spatial) attentional resources, regardless of the sensory (visual/auditory) modality in which the emotion is perceived and space is explored (visual/haptic).     

Automatic influence of arousal information on evaluative processing: Valence–arousal interactions in an affective Simon task

Previous research showed that evaluation speed is faster for negative stimuli that are high in arousal and for positive stimuli that are low in arousal. The present study investigated whether arousal and valence analogously interact in automatic stimulus evaluations, i.e., if stimulus valence is irrelevant for the task. One sample of participants switched randomly between an evaluation task and an affective Simon task that assessed stimulus evaluations indirectly. Another sample completed a pure Simon task. In all conditions, the influence of affective stimuli on task performance was enhanced when valence and arousal were congruent (i.e., high-arousing negative and low-arousing positive stimuli) than when both stimulus dimensions were incongruent (i.e., low-arousing negative and high-arousing positive stimuli). These findings suggest that evaluative implications of stimulus arousal and valence are automatically inferred even when stimulus evaluation is irrelevant for the task at hand.     

情绪效价与面孔类型对幼儿无意视盲的影响

幼儿对不同的情绪面孔图片存在不同的注意偏向,考察情绪效价与面孔类型对幼儿无意视盲的影响,可以帮助我们进一步认识幼儿对情绪面孔的注意偏向。本研究采用静态无意视盲的实验范式,通过2（面孔类型：符号化卡通、真人）×2（情绪效价：积极、消极）被试间完全随机设计,考察了111名幼儿（62.5±3.6个月,男生60名）在无意注意条件下对不同情绪效价和不同类型面孔的觉察情况。结果表明：（1）幼儿对积极情绪面孔的觉察率显著高于消极情绪面孔;（2）符号化卡通面孔与真人面孔的整体觉察率不存在显著差异;（3）积极情绪面孔中符号化卡通面孔的觉察率高于真人面孔。综上,情绪效价对无意视盲的影响会基于面孔类型的不同而不同,幼儿对卡通积极情绪面孔有更显著的注意偏向。