Meta-Analysis of the Effects of Peer-Administered Psychosocial Interventions on Symptoms of Depression

Many community mental health centers have implemented peer treatment models that employ recovered former clients as cost‐efficient adjunct providers. The effectiveness of these and other peer‐administered interventions (PAIs) for treating depression symptoms has not been well‐established. The current study is a meta‐analysis of PAIs’ effects on depression symptoms. Twenty‐three eligible studies were identified. Study characteristics were coded by multiple raters, random‐effects models were used to compare mean effect sizes, and mixed‐effects models were used to test for moderation. PAIs produced significant pre‐post reductions in depression symptoms (d = .5043 [95 % CI .3675–.6412]). In direct comparisons, PAIs performed as well as non‐peer‐administered interventions (.0848 [?.1455–.3151]), and significantly better than no‐treatment conditions (.2011 [.0104–.3918]). PAIs that involved a professional in a secondary treatment role were significantly less effective than those that were purely peer‐administered, and educational/skills‐based PAIs produced better outcomes than those that were mainly supportive. Follow‐up data, when available, indicated that PAIs’ benefits were maintained. PAIs reduce depression symptoms and warrant further study. The clinical significance of PAIs’ benefits, and whether they are better suited as stand‐alone or adjunct treatments, remain to be established. Implications for the roles of mental health professionals are discussed.     

"Psychotherapy" versus "treatment"

Presents a comment on "Psychological treatments" by D. H. Barlow. Barlow proposed that we distinguish between the terms "treatment" and "psychotherapy." The author believes that not only is the distinction unnecessary, but that its implications could have negative consequences for the field of clinical psychology. It is the proposed distinguishing feature that treatments are "specifically tailored to the pathological process that is causing the impairment and distress" that is most problematic. Clinical psychology does not need a distinction that further exacerbates the split between researchers and practitioners.     

Practice dating as treatment for college dating inhibitions

Thirty males and 30 females who volunteered for a program to increase dating skills were randomly assigned to a treatment group of six practice dates plus feedback, a treatment group of six practice dates only, or a delayed treatment control group. Within subject-specified constraints of height, age, race, and distance from campus, a computer randomly matched opposite sexed subjects for the six practice dates, each date with a different subject. After each practice date in the feedback condition, subjects completed forms calling for primarily positive comments about the partner. Forms were later exchanged via the experimenter. Outcome was assessed by self-report, self-monitoring, behavioral, and peer rating measures. Results indicated the superiority of treatment conditions over the control condition. Some evidence indicated superiority of the no feedback condition over the feedback condition. Evidence of maintenance of changes over a three-month follow-up period is provided.     

A psychological test battery to detect prison inmates who fake insanity or mental retardation

A contrasted groups design was used to investigate the accuracy with which a test battery could detect persons faking mental disorder. The MMPI and Bender Gestalt were used in combination with a Malingering Scale that was developed for initial validation. One hundred adult males comprised five groups of 20 subjects each. Noncriminal psychiatric inpatients and mental retardates were compared with prison inmates who were given a financial incentive to successfully fake ‘insanity’ or mental retardation, and with inmate controls. Based on discriminant analyses, 92 to 95% of subjects were correctly classified as either faking or not faking. Although cross-validation is needed, this study reduced many of the analog factors which have comprised the generalizability of previous findings.     

The overstimulated state of dyslexia: perception, knowledge, and learning

Dyslexia is far more than a learning disorder; it has significant impact on personality organization. While dyslexia usually begins to manifest most clearly in early latency when the challenge of learning to read is at its height, often the dyslexic child's ego development and functioning has already been adversely affected. The literature from neuropsychology suggests that dyslexia is a subtle language-processing disorder that affects emotional, cognitive, and social development. The neuroanatomical literature also suggests a significant correlation between the neurodevelopmental basis for dyslexia, the caregiving environment, and psychological development.These two bodies of literature and analytic observations of a dyslexic patient suggest that the dyslexic individual may have a neurological deficit that increases vulnerability to overstimulation. The author hypothesizes that emotional and cognitive states result and reappear within the analytic encounter. This complicates clinical assessment and technical decisions. The author presents an analytic case and examines (1) the impact of deficit on the development of conflict; (2) the impact of the overwhelmed ego on the mastery of developmental tasks; and (3) the impact of dyslexia on dysgnosia, transference, and analytic process and technique.