Faking revisited: Exerting strategic control over performance on the Implicit Relational Assessment Procedure

Across four studies, we demonstrate that effects obtained from the Implicit Relational Assessment Procedure, like those obtained from other indirect procedures, are not impervious to strategic manipulation. In experiment 1, we found that merely informing participants to “fake” their performance without providing a concrete strategy to do so did not eliminate, reverse, or in any way alter the obtained outcomes. However, when those same instructions orientated attention toward the core parameters of the task, participants spontaneously derived a strategy that allowed them to eliminate their effects (experiment 2). When the participants were provided with a viable response strategy, they successfully reversed the direction of their overall Implicit Relational Assessment Procedure effect (experiment 3). By refining the nature of those instructions, we managed to target and alter individual trial‐type effects in isolation with some success (experiment 4).     

Use of repetition to facilitate spontaneous language acquisition

The role of repetition as a facilitator of spontaneous language acquisition was examined in a 12-month longitudinal study of three children: John, Mindy, and Ashley. Imitation was first defined in a traditional fashion as the exact repetition of a model utterance, within five utterances, without changing the model except to reduce it. During the single-word utterance period, John entered words into his vocabulary by imitating them and then using them spontaneously, while the two girls did not. He also imitated longer utterances than he produced spontaneously while the two girls did not. At the same time, John showed the most rapid language acquisition of the three children. John did not use imitation, as defined, to enter new syntactic-semantic relations into his speech during the two-word stage. However, when the definition of imitation was broadened to include other kinds of repetitions such as repetitions with expansion, either of the child's own productions or of those of others, it was found that repetitions played a significant role in the acquisition of new vocabulary and new syntactic-semantic relations in two-word utterances.This article is based, in part, on a Ph.D. dissertation submitted to the Department of Psychology, University of Denver, in 1976. Portions of the article were presented at the Wisconsin Education Research Association, Oshkosh, Wisconsin, December 1–2, 1977. The research was undertaken while the author was an NIMH predoctoral fellow, 5F01 MH55918-02 MTHL, and was also supported by a Grant Foundation grant for graduate student research to Dr. Marshall Haith and a Spencer Foundation grant to Dr. Kurt Fischer.     

Setting up inpatient behavioral treatment programs: The staff needs assessment

Despite the success that behavior therapy has demonstrated in treating severely mentally ill adults, widespread impact of behavioral treatments on this population has been limited because the staff of many inpatient settings do not routinely utilize these strategies. Surveying staff regarding their perception of programatic and organizational needs is proposed as a valuable first step for selecting behavioral strategies to be introduced in these settings. Goldfried and D'Zurilla (1969) developed a behavioral assessment survey that is especially useful for identifying staff needs vis-à-vis behavioral rehabilitation. Using these strategies, survey questions addressed five problem areas: Administrative, Staff, Patient, Resource, and Programatic. Results using this survey with 40 clinicians on the extended care unit of a state hospital showed that staff members had greatest concern with the Patient Problem Area (i.e., aversive patient behaviors that are not sufficiently addressed by treatment plans). Further analyses showed staff members were interested in addressing Patient concerns using incentive procedures. The needs assessment in this study not only provided useful information that might be generalized to other treatment settings, but also showcased a reliable survey approach that program developers might implement prior to designing training curricula for behaviorally naive staff in inpatient settings.     

Emotional constraints on intentional forgetting

One way people control the contents of their minds is intentional forgetting—voluntarily forgetting events after they have happened. The events people would most like to forget are unpleasant and emotional. This study used a directed forgetting procedure with emotional and neutral pictures to examine whether people can intentionally forget emotional events as easily as mundane ones. When the to-be-forgotten list was neutral, participants showed successful intentional forgetting. But when the to-be-forgotten list was emotional, directed forgetting failed. Results contribute to understanding the ways that emotion constrains mental control by capturing mental processes including memory retrieval. Emotion may short-circuit attempts to forget those parts of the past people would most like to forget.     

Frontline Healthcare Staffs’ Experience of Organizing Complex Hospital Discharges: An Ethnographic Study

Existing studies show that nurses often experience moral distress when the care they deliver to patients does not meet their professional values. We draw on ethnographic data collected in June 2015 from one acute care trust in England and present how frontline healthcare staff experience organizing complex hospital discharges. Our findings demonstrate how problems with the panel responsible for allocating funding for National Health Service continuing healthcare cases contributed to healthcare staff experiencing moral distress. Our findings offer a basis for further research on how other aspects of the complex hospital discharge-planning process may contribute to nurses’ experiencing moral distress.     

The Comprehensive Resource Model®: Overview of basic affects in adversity & effective treatment for complex reactions to trauma

Much of the theoretical focus in post‐traumatic stress disorder has been on the role of the amygdala, the hippocampus and the prefrontal cortex. Crucially, in unresolved traumatic experiences that underlie clinical presentations, this focus misses the brain areas key to the defence responses of fight, flight and freeze—and the associated affects of anger, fear and grief. The periaqueductal gray in the midbrain, with the hypothalamus, is essential for these somatic and emotional responses to traumatic experiences. We argue that when treatment approaches thought to work at the higher brain levels have been ineffective, it is because they have failed to engage the midbrain and hypothalamic sources of the affective responses to the trauma and to the memory of it. Basic affects have been so overwhelming that dissociation, or a similarly protective neurochemical capping mechanism, has prevented full resolution of the affective content of the adversity. Treatment with the Comprehensive Resource Model^® (CRM) aims to clear the clinically relevant residues of adverse experiences by resolving the emotional responses accessed through the body memories. When the trauma has led to overwhelming distress, and/or dissociation, there is a necessity for robust resourcing to be in place before the emotional intensity of that distress is accessed. Resourcing needs to be as proximal to the re‐experience as possible to promote complete resolution and in some psychotherapy modalities, the supports provided are somewhat remote from the crucial moments of processing. Therefore, we describe how the CRM seeks to have robustly resourced states present concurrently with traumatised states to avoid overwhelming emotional distress. This allows safe entry into the deepest pain residual from the traumatic event so that it is not overwhelming during processing of the memory, and does not lead to further dissociation, allowing the individual to remain fully present throughout. This “stepping into the affect” can then be so rapidly effective that we also argue that CRM is not an exposure treatment; re‐orientation to the deepest content of the experience resolves the residual distress quickly and permanently through memory reconsolidation. Re‐learning at upper brain levels will then follow from the revoking of the affective power, which has previously driven stimulus/context and response learning in the amygdala, hippocampus and prefrontal cortex.     

The influence of evaluation and potency on perceivers' causal attributions

In two experiments, this paper examines how the labels used to describe interpersonal interactions can affect perceivers' judgments of who caused the interaction. Two universal, connotative dimensions of word meaning underlying the labels, evaluation and potency, influenced expectations about interactants' behaviors and experiences, which in turn affected perceivers' causal attributions. Evaluation and potency ratings for a set of experiencer verbs, a set of action verbs, a set of trait labels (Experiment 1) and a set of social category labels (Experiment 2) were used to construct sentences describing interactions between two people. The complete set of sentences contained all possible combinations of high or low evaluation and potency for all the sentence constituents. Participants were asked to judge who caused the event—subject or object—without having been told that evaluation and potency were the dimensions of interest. When the sentence subject and object differed in evaluation, the evaluative match between the sentence subject and the verb was the most important factor influencing attributions. The potency of the constituents and the class of the verb (experiencer or action) affected the magnitude of the attributions. When the sentence subject and object shared the same valence, attributions were based on verb class. The results highlight the important role of language in interpreting social behavior. Copyright © 2002 John Wiley & Sons, Ltd.