Online Cognitive Behavioural Therapy Training for Therapists: Outcomes,Acceptability, and Impact of Support

The objectives of the present study were to assess the effects of online cognitive behavioural therapy (CBT) training for therapists on measures of CBT knowledge, skills, confidence, and utilisation; to determine what differences might exist between a group supported by regular telephone contact and an independent group who undertook online training without additional support; and to determine the acceptability of CBT online training among rural and remote mental health professionals. Mental health practitioners were randomly allocated to a supported training group (six sessions of 15‐min support) or an independent group. They undertook a 12‐week online CBT training program. The two groups showed similar gains on an objective test of knowledge of CBT, and on self‐report measures of knowledge, skills, confidence levels, and utilisation of skills. However, the supported training group had a significantly higher program completion rate than the independent group. Participants evaluated the program favourably. The results suggest that online CBT training represents a promising and cost‐effective approach to training the mental health workforce, and may be particularly attractive for those who live in regional, rural, and remote communities. A challenge is to determine the most cost‐effective ways to enhance program completion rates and trainee skills.     

Comparing the teaching interaction procedure to social stories for people with autism

This study compared social stories and the teaching interaction procedure to teach social skills to 6 children and adolescents with an autism spectrum disorder. Researchers taught 18 social skills with social stories and 18 social skills with the teaching interaction procedure within a parallel treatment design. The teaching interaction procedure resulted in mastery of all 18 skills across the 6 participants. Social stories, in the same amount of teaching sessions, resulted in mastery of 4 of the 18 social skills across the 6 participants. Participants also displayed more generalization of social skills taught with the teaching interaction procedure to known adults and peers.     

THE EFFECTS OF THE QUESTION “WHAT DO YOU WANT?” ON MAND TRAINING OUTCOMES OF CHILDREN WITH AUTISM

Mands sometimes are taught using the question “What do you want?” as a supplement to the required features of the mand relation: an establishing operation and a related consequence. Although verbal prompts have been used during mand training, they also may result in undesirable stimulus control. However, no direct empirical evidence exists to support this concern. The purpose of the present study was to compare mand training with and without supplemental questions on acquisition rate and maintenance when those questions were no longer presented. The 2 training conditions did not differ substantially in their outcomes for 2 children with autism.     

On Strong Attitudes and Group Deliberation: Relationships,Structure, Changes,and Effects

Drawing on quasi‐experimental data from participants in structured and moderated deliberations on sexual minority rights in Poland, this study tests the relationship between attitude importance, certainty, intensity, and extremity. This study also examines the antecedents of these attributes and their consequences for several democratically important outcomes (i.e., perceived disagreement, negative affect, attitude polarization, self‐reported polarization, argument repertoire, and political participation). This study further asks whether these attributes exert different effects than a composite attitude strength index. Although factor analysis suggests that these attributes represent one construct, they are differently affected by deliberation and exert differential effects. The analyses further reveal that relying on the composite index obscures substantial information and inaccurately represents strength‐related processes and functions. Theoretical, methodological, and practical implications are discussed.     

The Practice of Suicide Assessment and Management by Marriage and Family Therapists

Abstract

Over 90% of mental health providers encounter suicidal clients. However, the majority of marriage and family therapists (MFTs) are not exposed to suicide-specific trainings within their clinical coursework. Due to the lack of consistent training protocols for suicide assessment and management among MFTs, this qualitative study identified common MFT responses to suicidal clients, including assessment of risk severity and intervention modalities. Responses were then compared to best practices for suicidal clients. Participants inconsistently adhered to best practices identified in the larger field of mental health, revealing the need for increased MFT training on suicide to ensure appropriate and effective care.     

自杀“守门人”培训研究述评

在西方国家,自杀“守门人”培训被认为是最有效的自杀预防策略之一.自杀“守门人”培训的具体内容包括传授基础知识、识别自杀征兆、初步评估自杀风险和转介自杀高危个体等4个方面;研究发现自杀“守门人”培训对受训者的知识、态度和干预技能有显著的积极影响,但其对自杀率的影响仍需今后的研究详细探讨;目前的研究存在以下不足:1)随机对照研究少;2)难以评估培训对自杀率的真实影响;3)评价指标单一,缺乏统一的评估工具.未来的研究应弥补现有研究的不足,并重视自杀“守门人”培训的跨文化研究.     

大学生德性自我意象演练的教育干预实验

以149名大学生为对象、运用三种方法进行了为期八周每周三学时的道德教育现场实验,考察了自我意象演练、榜样示范、移情训练三种方法对德性自我意象、对道德行为自我管理的影响,结果表明三种方法均能产生积极作用,但自我意象演练的效果尤为显著,进而对自我意象演练方法的有效性及其机制进行了探讨,可以认为该方法是一种能够有效提高大学生的德性自我意象之水平和道德行为自我管理之能力的道德教育方法。     

From trainee to trainer: crossing over to the other side of the fence

This article discusses the authors' experiences of the transition from trainee to trainer on a psychotherapeutic training programme, and some of the challenges involved. Using the framework offered by Rizq (2009), the article examines the many parallel processes implicit in the roles of trainee, trainer and therapist. We explore these using examples from personal experience and psychodynamic theory and concepts. We believe our experience illustrates one of the transitions that are inevitable throughout the process of training, qualifying and practising as therapeutic practitioners. These transitions, whilst often fraught with difficulty, are invariably paramount to the process of reflection and development as a practitioner and teacher. Therefore, this article hopes to formulate a deeper understanding of this edifying, yet challenging transition.     

Training attentional control and working memory – Is younger,better?

Authors have argued that various forms of interventions may be more effective in younger children. Is cognitive training also more effective, the earlier the training is applied? We review evidence suggesting that functional neural networks, including those subserving attentional control, may be more unspecialised and undifferentiated earlier in development. We also discuss evidence suggesting that certain skills such as attentional control may be important as ‘hub’ cognitive domains, gating the subsequent acquisition of skills in other areas. Both of these factors suggest that attentional training administered to younger individuals ought to be relatively more effective in improving cognitive functioning across domains. We evaluate studies that have administered forms of cognitive training targeting various subcomponents of attention and the closely related domain of working memory, and we contrast their reported transfer to distal cognitive domains as a function of the age of the participants. Although negative findings continue to be common in this literature we find that cognitive training applied to younger individuals tends to lead to significantly more widespread transfer of training effects. We conclude that future work in this area should concentrate on understanding early intensive training, and discuss a number of practical steps that might help to achieve this aim.     

Neuroscientific Measures of Covert Behavior

In radical behaviorism, the difference between overt and covert responses does not depend on properties of the behavior but on the sensitivity of the measurement tools employed by the experimenter. Current neuroscientific research utilizes technologies that allow measurement of variables that are undetected by the tools typically used by behavior analysts. Data from a specific neuroscientific technique, event-related potential (ERP), suggest that emission of otherwise covert responses can be indexed and that such covert responses are sensitive to stimulus control and selection by consequences. The P3 ERP effect is proposed as indicative of emission. Moreover, ERP results in semantic priming experiments suggest that operants are sensitive to changes in stimulus control even when they are not emitted (latent responses). Changes in response strength of latent responses as a function of stimulus control can in fact be measured by reaction time data and an ERP dependent variable called the N400 effect. If the interpretations provided in this paper are accurate, an index of covertly emitted operants (P3 effect) constitutes experimental evidence suggesting the validity of a Skinnerian radical behaviorist perspective on behavior. Moreover, in a Skinnerian paradigm, measured fluctuations in the response strength of latent operants as a function of environmental changes (N400 effect) would validate Palmer's (2009) concept of the repertoire.