Therapist Awareness of Client Resistance in Cognitive-Behavioral Therapy for Generalized Anxiety Disorder

Clients' resistance relates negatively to their retention and outcomes in psychotherapy; thus, it has been increasingly identified as a key process marker in both research and practice. This study compared therapists' postsession ratings of resistance with those of trained observers in the context of 40 therapist–client dyads receiving 15 sessions of cognitive-behavioral therapy for generalized anxiety disorder. Therapist and observer ratings were then examined as correlates of proximal (therapeutic alliance quality and homework compliance) and distal (posttreatment worry severity) outcomes. Although there was reasonable concordance between rater perspectives, observer ratings were highly and consistently related to both proximal and distal outcomes, while therapist ratings were not. These findings underscore the need to enhance therapists' proficiency in identifying important and often covert in-session clinical phenomena such as the cues reflecting resistance and noncollaboration.     

Mindfulness reconsidered

Mindfulness has recently become a popular addition to the range of methods available to counsellors and psychotherapists, especially in the field of stress reduction but is the method being over-sold? This article reviews the origins of mindfulness, attempts a balanced review of what mindfulness is and is not good for, looks at the question of whether the meaning of the term has mutated or suffered dilution as its popularity has grown and considers what that popularity and possible mutation tell us about the current state of thinking in the psychotherapy field. In the process, it puts the usefulness and nature of mindfulness in a new perspective, challenging a number of commonly held contemporary views on the subject.     

Miracles in Sport: Finding the ‘Ears to Hear’ and the ‘Eyes to See’

Paralympic Games (PG), involving people with disabilities (PWD), are a manifestation of excellence in sport. They show that athletics performed by PWD counts as genuine sport. They also support a wider meaning of the term ‘health,’ understood not just like a utopian state of perfection, but like the ability to realize oneself in the projects and activities of one’s own choosing. Notwithstanding these virtues, PG—in their current form—may paradoxycally reinforce social prejudice against PWD. This is due to the fact that PG and Olympic Games (OG) are now two distinct events. In this article, I argue that PG should be integrated in the OG, just like women’s and ‘minor’ sports, because the separation of PG and OG indicates a morally arbitrary separation between people with and without disabilities. I also propose to remove the word ‘Para-lympic’ because it stigmatizes the sport performed by PWD as an appendix of ‘normal’ sport. Athletes with disabilities deserve special attention because they have special needs; but they also deserve an arena where their excellence is offered to the public, and this arena should not be different from that of normal-bodied athletes.     

中学生知识获得过程是从情景记忆向语义记忆转化的过程

本研究探讨中学生的知识掌握过程。针对2001—2002年度上学期教学内容,对初中二年级学生的四门课程分别进行两次测验。对于每道选择题,学生首先选择正确答案,然后指出记忆的意识状态：记住的、知道的、猜测的。结果发现,学生记忆意识类型的转变(由记住向知道)取决于课程类型、保持时间和学生等级。对于不同课程,学生占优势的意识类型不同,自然学科知道的反应占优势,社会学科记住的反应占优势;优等生知道的反应多于其他学生;随着学习时间的延长,中学生的意识类型发生了由记住向知道的转变,这表明知识掌握过程中,中学生的知识表征发生了由情景记忆向语义记忆的转变。     

THE THEOLOGICAL ETHICS OF HERBERT McCABE, OP: A REVIEW ESSAY

Herbert Mc Cabe, OP (d. 2001), was a significant theological figure in England in the last century. A scholar of Aquinas, he was also influenced by Wittgenstein and Marx, his reading of whom helped him articulate a distinctive Thomistic account of human embodiment that serves as a critique of other dominant approaches in ethics. This article shows McCabe's contribution to moral theology by placing his work in conversation with other important approaches, namely, situation ethics, proportionalism, and the New Natural Law Theory.     

SIMPLIFIED HABIT REVERSAL TREATMENT FOR CHRONIC HAIR PULLING IN THREE ADOLESCENTS: A CLINICAL REPLICATION WITH DIRECT OBSERVATION

Three developmentally normal adolescents with chronic hair pulling were treated with a simplified habit reversal procedure consisting of awareness training, competing response training, and social support. Treatment resulted in an immediate reduction to near-zero levels of hair pulling, with one to three booster sessions required to maintain these levels. The results were maintained from 18 to 27 weeks posttreatment, although 1 participant reported difficulty at follow-up. The effectiveness of simplified habit reversal and suggestions for future research are discussed.     

Perceptual learning effect on decision and confidence thresholds

Practice can enhance of perceptual sensitivity, a well-known phenomenon called perceptual learning. However, the effect of practice on subjective perception has received little attention. We approach this problem from a visual psychophysics and computational modeling perspective. In a sequence of visual search experiments, subjects significantly increased the ability to detect a “trained target”. Before and after training, subjects performed two psychophysical protocols that parametrically vary the visibility of the “trained target”: an attentional blink and a visual masking task. We found that confidence increased after learning only in the attentional blink task. Despite large differences in some observables and task settings, we identify common mechanisms for decision-making and confidence. Specifically, our behavioral results and computational model suggest that perceptual ability is independent of processing time, indicating that changes in early cortical representations are effective, and learning changes decision criteria to convey choice and confidence.     

Reading the situation: The relationship between dyslexia and situational awareness for road sign information

Road signs are tools that provide crucial information to drivers about various roadway situations. Therefore, the present study aimed to assess the levels of ‘situation awareness’ held by drivers in relation to these signs. This study also assessed the relationship between dyslexia, road sign comprehension, and road sign situation awareness, thus building on the limited research in this area. Drivers completed measures of road sign comprehension and dyslexia. Drivers then completed three drives on a driving simulator; each followed by a probe containing queries about the perception, comprehension and projection of road signs seen in the preceding drive. Situation awareness was lowest at the level of projection. Further, dyslexia was negatively associated with road sign comprehension, and road sign situation awareness, suggesting that the disorder may be detrimental for multiple forms of road sign processing. Implications are provided in the form of a ‘SAFE’ driver training program that targets a holistic form of road sign processing which takes into account sign meanings in relation to both in-vehicle and outer-vehicle factors; thus encouraging proactive driver behaviour.     

Mortality salience increases language style matching and well-being

The present research examined whether people imitate the language style of others (i.e., the use of function words) as a form of liking when mortality concerns are salient. In Study 1, participants answered questions about death or public speaking and then engaged in an instant messaging conversation with a confederate. In Study 2, participant pairs verbally discussed a news article about increasing homicide rates or the rise in academic pressure. Next, everyone completed measures of self-esteem, life satisfaction, and relationship need satisfaction. The results revealed that, in comparison to the control conditions, participants exhibited greater language style matching (LSM) following reminders of death (Studies 1 & 2). Further, mediational analyses showed that higher LSM after mortality salience was associated with better psychological and social well-being (Study 2). Although the threat of death has been shown to make people more hostile and disparaging toward dissimilar others, the present work suggests that individuals, even strangers, may feel closer through language coordination following thoughts of mortality.