Practice‐based evidence in school‐based counselling

Aims: Counsellors are becoming commonplace within the support structures of secondary schools. To date, research findings from practice‐based outcome studies suggest this is a positive move. There are, however, numerous limitations to this work, and this project aims to develop this existing body of literature. Method: Nine 13–15 year olds attending counselling in six school‐based services participated in the project – one individual withdrew. A standardised self‐report questionnaire (YP‐CORE) was collected at four intervals: (1) the point of referral; (2) the onset of counselling; (3) the completion of counselling; and, (4) a two‐month follow‐up. The change indicated in each of these phases is examined and reported here. Additionally, YP‐CORE was completed during each session. Findings: The YP‐CORE indicates an improvement in the well‐being of this small sample, while waiting for and attending therapy. Further examination of session‐by‐session data also highlights how pre‐ and post‐outcome data should not necessarily be viewed as linear in nature. Discussion: This is a small‐scale investigation and further work is needed in this area. It does, however, raise a number of issues regarding the complexity inherent in conducting outcome research that warrant further investigation.     

Obsessive compulsive personality disorder as a predictor of exposure and ritual prevention outcome for obsessive compulsive disorder

Despite elevated rates of obsessive compulsive personality disorder (OCPD) in patients with obsessive compulsive disorder (OCD), no study has specifically examined comorbid OCPD as a predictor of exposure and ritual prevention (EX/RP) outcome. Participants were adult outpatients (n = 49) with primary OCD and a Yale-Brown Obsessive Compulsive Scale (YBOCS) total score ≥ 16 despite a therapeutic serotonin reuptake inhibitor dose for at least 12 weeks prior to entry. Participants received 17 sessions of EX/RP over 8 weeks. OCD severity was assessed with the YBOCS pre- and post-treatment by independent evaluators. At baseline, 34.7% of the OCD sample met criteria for comorbid DSM-IV OCPD, assessed by structured interview. OCPD was tested as a predictor of outcome both as a diagnostic category and as a dimensional score (severity) based on the total number of OCPD symptoms coded as present and clinically significant at baseline. Both OCPD diagnosis and greater OCPD severity predicted worse EX/RP outcome, controlling for baseline OCD severity, Axis I and II comorbidity, prior treatment, quality of life, and gender. When the individual OCPD criteria were tested separately, only perfectionism predicted worse treatment outcome, over and above the previously mentioned covariates. These findings highlight the importance of assessing OCPD and suggest a need to directly address OCPD-related traits, especially perfectionism, in the context of EX/RP to minimize their interference in outcome.     

Ecstasy Use,Outcome Expectancies,and Sexual Risk Taking

Ecstasy has become one of the most widely used illicit drugs in Australia. This study investigated outcome expectancies as possible motivating and maintaining factors in ecstasy use and sexual risk‐taking behaviour. A sample of regular ecstasy users (N = 220) from Sydney and Canberra, Australia, was recruited for structured face‐to‐face interviews. They also completed an Ecstasy Expectancy Questionnaire. Seven of eight subscales significantly differentiated regular users from non‐users. Interestingly, light and heavier users held similar outcome expectancies, except that light users endorsed items on the sexual enhancement subscale more strongly than heavier users. Further investigation showed that the level of sexual risk taking observed in this sample was high, with the majority of participants reporting multiple partners, “casual” sexual encounters, sex under the influence of substances, and inconsistent condom use. Using logistic regression analyses, a key finding was that positive sex‐related ecstasy outcome expectancies were associated with involvement in disinhibited sexual behaviour under the influence of ecstasy. These effects persisted after statistically controlling for the frequency of ecstasy use. The findings suggest that sexual risk taking is related not only to the disinhibiting properties of ecstasy but also to beliefs that users hold about the effects of the drug.     

Vicissitudes of ideas of cure in analysands and their analysts: a longitudinal interview study

This longitudinal prospective study focuses on analysands' and analysts' implicit ideas of how psychoanalysis might help analysands' psychological problems. Seven analysands and their analysts were periodically interviewed. Single ideas of cure from 75 interviews were inductively categorized. Nine distinct types of cures emerged, representing the wished-for goals of psychoanalysis, as well as the actions to achieve the wished-for changes. Each category might comprise more or less utopian ideas of wished-for cure as well as ideas of an attainable, more limited cure, or combinations of these. The utopian ideas of wished-for cures persisted throughout the psychoanalytic process for more than half the analysands and analysts. The abandonment of these ideas was related to the experienced outcome of psychoanalysis. The relation between the theories of one analysand and her analyst is explored in depth in a case study with special emphasis on the analytic process. The study suggests that the psychoanalytic process might profit from the analyst's observance of such incongruities and an openness to work through them.     

Output order reflects the cognitive accessibility of goals

Goal accessibility--the ease or speed with which a goal is activated--increases the likelihood that it will be acted on. The present studies validate output order as a measure of goal accessibility that can be applied to goal lists in both laboratory and naturalistic settings. In three studies, output order (the order in which goals are listed in a free-response format) was related to self-reported goal value but was not redundant with it. Furthermore, output order was affected by motivational priming whereas value was not, and order associated with typical student goals (e.g., achievement) compared with atypical goals (e.g., power). Output order is well suited to bring the study of accessibility to naturalistic studies of goals and goal pursuit.     

The Compromise Effect in Choosing for Others

Most research into the compromise effect focuses on cognitive factors related to choosing for oneself. However, there are daily opportunities to make choices for others, from helping friends to buy merchandise to choosing souvenirs for relatives. Although it is a common practice, choosing for others is rarely discussed in the literature. Hence, this research is directed to determine whether (i) the compromise effect is greater for people choosing for others with whom one has a distant relationship compared to choosing for themselves, (ii) the decision maker's susceptibility to interpersonal relationships, accountability, and anticipated regret moderate the relationship between choosing for others versus choosing for themselves and the compromise effect, and (iii) the confidence of the decision maker mediates the relationship between deciding for others and the compromise effect. Five hypotheses are proposed and they are supported by the results from four experiments. Copyright © 2011 John Wiley & Sons, Ltd.     

累积生态风险与青少年网络成瘾:心理需要满足和积极结果预期的中介作用

青少年网络成瘾与个体所处的生态背景密切相关。目前已有不少研究探讨家庭、学校、同伴背景中单个或少数风险因素对青少年网络成瘾的影响,但少有研究关注多个背景中生态风险因素的累积对青少年网络成瘾的影响及其心理机制。本研究基于累积风险模型和动机心理学理论,考察累积生态风险对青少年网络成瘾的影响及基本心理需要满足(个体在现实生活中需要被满足的情况)和积极结果预期(个体对网络使用诱因大小的判断)在其中的并行和/或链式中介作用。被试为5所中学的998名青少年。结构方程模型分析表明:(1)在控制了人口学变量后,累积生态风险对青少年网络成瘾具有显著的正向预测作用(呈"负加速模式")。(2)累积生态风险通过显著降低基本心理需要满足(表现出"梯度效应"),进而促进青少年网络成瘾。(3)累积生态风险通过显著提升积极结果预期(呈"负加速模式"),进而促进青少年网络成瘾。(4)累积生态风险对青少年网络成瘾的影响被基本心理需要满足和积极结果预期两条并行路径完全中介。上述结果表明,累积生态风险对青少年网络成瘾具有重要影响,且这种影响是通过需要和诱因两种动机力量一"推"一"拉"的合力来实现。     

小学儿童程序公平认知及其归因取向的发展

为了探讨小学儿童的程序公平认知以及不同程序信息下程序公平认知归因取向的发展特点,研究采用自编的程序公平认知情境故事材料,对150名小学1、3、5年级儿童进行测查。结果表明：小学儿童的程序公平认知能力随年级增长而提高,在有投票权且同等和有投票权但不等下的程序公平认知得分显著高于在无投票权下,在消极结果信息下的程序公平认知得分显著高于在积极结果信息下,且年级、程序信息、结果信息两两之间和三者之间均存在显著交互作用。随年级增长,小学儿童的程序公平认知归因在结果取向和权威取向上不断减少,在过程取向上不断增多,在能力取向上则是上升到3年级之后又逐渐减少。研究说明小学儿童的程序公平认知能力随年龄增长而发展,并受程序信息和结果信息的影响;小学儿童的程序公平认知归因随年龄增长越来越倾向于过程取向。     

心理学研究的可重复性“危机”:一些积极应对策略

研究结果的可重复性不高是目前心理学研究面临的一个较为普遍的现象,造成这种情况不仅是由于人类心理与行为的复杂性及实验操作、环境等无关变量的影响,排除个别学术不端行为,许多研究者偏差性的操作也是影响可重复性的重要原因。由于一些偏差性操作可能已经被当成研究惯例,因而有必要明确具体操作来源并据此提出解决策略,为促进心理学界关于研究程序、数据分析、结果呈现等操作惯例的转变提供参照。