State Hospital Reentry Among Youth with Serious Emotional Disturbance: A Longitudinal Analysis

We investigated the demographic, service history, and clinical factors associated with readmission to state operated inpatient psychiatric hospitals by children and adolescents. Using computerized administrative data records for 3,969 consecutive index admissions of individuals between the ages of 7 and 17 inclusive, we examined hospital reentry among youth receiving services at these facilities. The univariate analysis comparing youths who reentered the hospital with those who did not reenter indicated that reentry was more likely to occur among African American youths and among those who were diagnosed with psychotic disorders. Reentry occurred less frequently among youths diagnosed with depressive disorders. Reentry also occurred less frequently among youths living in areas having an organized array of community-based mental health services. Youths who reentered the hospital were significantly older and had longer prior hospitalizations than those not reentering. The proportional hazards model used in the analysis indicated several factors associated with increased likelihood of hospital reentry. African American youths and individuals diagnosed with a psychotic disorder were more likely to reenter the hospital. Younger youths and those having lengthy prior hospitalizations were at increased risk for reentering the hospital. Youths living in urban, white, higher income communities were less likely to reenter the hospital.     

Effects of Couples' Perceptions of Genogram Construction on Therapeutic Alliance and Session Impact: A Growth Curve Analysis

The purpose of this study was to examine how the construction of a therapist-administered genogram (TAGE) versus a self-administered genogram (SAGE) would affect therapeutic alliance and session character in couples therapy across time. Eight student marriage and family therapists conducting therapy with 17 couples administered a TAGE, SAGE, or control treatment intervention in the second therapy session. Measurements were taken following the first five sessions. Results of a growth curve analysis showed no significant differences in couple members' growth curves based on their participation in one of the three treatment groups. Recommendations for clinicians and future genogram researchers are provided.of the Marriage and Family Therapy program at     

AN EMPIRICAL METHOD FOR DETERMINING AN APPROPRIATE INTERVAL LENGTH FOR RECORDING BEHAVIOR

The study sought to examine the effects of varying interval length on the representation of data obtained using modified frequency time sampling. A 7-category scale was used to observe reliably the behavior of eight psychiatric inpatients. Using electronic real time recording equipment, it was possible to computer analyze the obtained data at varying interval lengths, the shortest interval being 1.0 seconds. It was found that increasing the interval length had little effect on the percentage of total duration recorded within each behavioral category, suggesting that this is a relatively stable measure of behavior. Percentage total events for each category was less stable with increasing interval lengths. The number of recorded events within each category tended to decrease, while their average durations tended to increase, as a function of increasing the interval length. The data suggest that the current practice of determining interval length in an arbitrary fashion, or on the basis of convention, should be abandoned. Rather, such a decision should be empirically determined for each particular observation scale and subject group. One method by which this might be achieved is presented.     

Internet‐Based Self‐Help Versus One‐Session Exposure in the Treatment of Spider Phobia: A Randomized Controlled Trial

The authors compared guided Internet‐delivered self‐help with one session of live‐exposure treatment in a sample of spider‐phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which were presented on a web page, a video in which exposure was modelled, and support provided via Internet. The live‐exposure treatment was delivered in a 3‐hr session following a brief orientation session. The main outcome measure was the behavioural approach test (BAT), and as secondary measures the authors used questionnaires measuring anxiety symptoms and depression. Results showed that the groups did not differ at posttreatment or follow‐up, with the exception of the proportion showing clinically significant change on the BAT. At posttreatment 46.2% of the Internet group and 85.7% in the live‐exposure group achieved this change. At follow‐up the corresponding figures were 66.7% for the Internet group and 72.7% for the live treatment. Within‐group effect sizes for the spider phobia questionnaire were large (d = 1.84 and 2.58 for the Internet and live‐exposure groups, respectively, at posttreatment). The authors conclude that guided Internet‐delivered exposure treatment is a promising new approach in the treatment of spider phobia.     

The effects of the arm swing on biomechanical and physiological aspects of roller ski skating

This study analyzed the biomechanical and physiological effects of the arm swing in roller ski skating, and compared leg-skating (i.e. ski skating without poles) using a pronounced arm swing (SWING) with leg-skating using locked arms (LOCKED). Sixteen elite male cross-country skiers performed submaximal stages at 10, 15 and 20 km h⁻¹ on a 2% inclined treadmill in the two techniques. SWING demonstrated higher peak push-off forces and a higher force impulse at all speeds, but a longer cycle length only at the highest speed (all P < .05), indicating a lower force effectiveness with SWING at the two lowest speeds. Additionally, the flexion–extension movement in the lower limbs was more pronounced for SWING. Oxygen uptake was higher for SWING at the two lowest speeds (both P < .05) without any differences in blood lactate. At the highest speed, oxygen uptake did not differ between SWING and LOCKED, but the RER, blood lactate and ventilation were lower with SWING (all P < .05). Taken together, these results demonstrate that utilizing the arm swing in roller ski skating increases the ski forces and aerobic energy cost at low and moderate speeds, whereas the greater forces at high speed lead to a longer cycle length and smaller anaerobic contribution.     

On the function of a ‘break’ within the psychoanalytic double session

This article considers theoretical and clinical implications of the practice of ‘double sessions’ as defined by two consecutive sessions of psychotherapy divided by a 10-minute break. Limited existing literature of ‘double sessions’ is critiqued and the therapeutic significance of the 10-minute break provides the focus for this article with reference to the Lacanian practice of ‘scansion’. The author draws on relevant therapeutic experience and case material to elucidate the potential benefits of the introduction of double sessions with particular client groups. It is argued that the break provides the opportunity to access often hidden archaic defences as the effects of rupture and reconnection are worked through. Equally, the separation of the break allows the patient's immediate associations following the end of the first session to be brought immediately back into the work. The practice is problematised in relation to potential contraindications with particular patient groups and this, in turn, elucidates the conceptual differences between Freudian/Lacanian and object relations traditions.     

Habituation contributes to within-session changes in free wheel running.

Three experiments tested the hypothesis that habituation contributes to the regulation of wheel running. Rats ran in a wheel for 30-min sessions. Experiment 1 demonstrated spontaneous recovery. Rats ran more and the within-session decreases in running were smaller after 2 days of wheel deprivation than after 1 day. Experiment 2 demonstrated dishabituation. Running rate increased immediately after the termination of a brief extra event (application of the brake or flashing of the houselight). Experiment 3 demonstrated stimulus specificity. Rats completed the second half of the session in either the same wheel as the first half, or a different wheel. Second-half running was faster in the latter case. Within-session patterns of running were well described by equations that describe data from the habituation, motivation, and operant literatures. These results suggest that habituation contributes to the regulation of running. In fact, habituation provides a better explanation for the termination of wheel running than fatigue, the variable to which this termination is usually attributed. Overall, the present findings are consistent with the proposition that habituation and sensitization contribute to the regulation of several forms of motivated behavior.     

Closed-economy multiple-schedule performance: Effects of deprivation and session duration

Three pigeons responded for food reinforcement on multiple variable-interval schedules in which the total consumption of food was entirely determined by the subjects' interaction with the schedules (a closed economy). The finding of overmatching, where response allocation between components is more extreme than the distribution of reinforcers, was reconfirmed. Generalized-matching sensitivity decreased from overmatching to undermatching values typical of conventional multiple schedules when food deprivation was increased by decreasing session duration, but not when deprivation was increased by decreasing overall reinforcer rate. Sensitivity also increased from undermatching to overmatching as session duration increased from 100 min to 24 hr, while deprivation was held constant by decreasing overall reinforcer rate. These results can be understood in terms of increases in the value of extraneous reinforcers relative to food reinforcers as deprivation decreases or as the economy for extraneous reinforcers becomes more closed. However, no published quantitative expression of the effects of extraneous reinforcers is entirely consistent with the results.     

调节聚焦对期限效果的影响

结合调节聚焦探讨了期限的时长、结果框架及效价对期限效果的影响。结果表明,防御聚焦个体认为期限的阻碍效果更大,且调节聚焦对前述变量与期限效果的关系具有调节作用:4分钟期限中防御聚焦组认为期限的阻碍效果更大,8分钟期限中则相反,12和16分钟期限中均无显著差异;收益框架下促进聚焦组认为期限对任务表现的阻碍作用更大,促进聚焦组在正效价条件下认为收益框架下期限对策略使用的阻碍作用更大,但在负效价条件下则相反。     

Bayes factors: Prior sensitivity and model generalizability

Model selection is a central issue in mathematical psychology. One useful criterion for model selection is generalizability; that is, the chosen model should yield the best predictions for future data. Some researchers in psychology have proposed that the Bayes factor can be used for assessing model generalizability. An alternative method, known as the generalization criterion, has also been proposed for the same purpose. We argue that these two methods address different levels of model generalizability (local and global), and will often produce divergent conclusions. We illustrate this divergence by applying the Bayes factor and the generalization criterion to a comparison of retention functions. The application of alternative model selection criteria will also be demonstrated within the framework of model generalizability.