Estimated Intelligence Moderates Cognitive Processing Therapy Outcome for Posttraumatic Stress Symptoms

Although patient intelligence may be an important determinant of the degree to which individuals may comprehend, comply with, and ultimately benefit from trauma-focused treatment, no prior studies have examined the impact of patient intelligence on benefit from psychotherapies for PTSD. We investigated the degree to which educational achievement, often used as a proxy for intelligence, and estimated full scale intelligence quotient (FSIQ) scores themselves moderated treatment outcomes for two effective psychotherapies for PTSD: Cognitive Processing Therapy (CPT) and Written Exposure Therapy (WET). Participants, 126 treatment-seeking adults with PTSD (52% male; mean age = 43.9, SD = 14.6), were equally randomized to CPT and WET; PTSD symptom severity was measured at baseline and 6-, 12-, 24-, 36-, and 60-weeks following the first treatment session. Multilevel models revealed that participants with higher FSIQ scores experienced significantly greater PTSD symptom reduction through the 24-week assessment in CPT but not WET; this effect did not persist through the 60-week assessment. Educational achievement did not moderate symptom change through either 24- or 60-weeks. Individuals with higher FSIQ who are treated with CPT may experience greater symptom improvement in the early stages of recovery.     

Tailoring Cognitive Behavioral Therapy for Individuals Diagnosed with Bulimia Nervosa

There is a wealth of data indicating the effectiveness of cognitive behavioral therapy in the treatment of bulimia nervosa. However, the best evidence indicates a treatment success rate of 50%. The purpose of this paper is to briefly describe cognitive behavioral treatment of bulimia nervosa and to offer suggestions on how this therapy approach may be tailored to best serve the needs of individual clients. Such tailoring should ultimately lead to even greater treatment success.     

Domestic Abuse as Terrorism

A number of philosophers and feminist authors have recently equated domestic abuse with the ubiquitous and ill‐defined concept of “terrorism.” Claudia Card, for instance, argues that domestic abuse is a frequently ignored form of terrorism that creates and maintains “heterosexual male dominance and female dependence and service” (Card 2003). Alison Jaggar, in a recent article, also concludes that an acceptable definition of terrorism will find rape and domestic violence to be terrorist acts (Jaggar 2005). Yet there seem to be several obstacles to any simple appropriation of the term “terrorism” for cases of domestic abuse. In this paper I will address what I take to be three significant problems that might be raised with regard to any attempt to identify domestic abuse as an act of terrorism. These problems include the fact that a) definitions of terrorism usually require clear political motivations, b) definitions of terrorism normally require that the terrorist intend to create a climate of terror, and c) adopting the term terrorism for cases of domestic abuse might appear simply inappropriate or unhelpful. I will argue, however, that each of these possible objections can be answered effectively and that domestic abuse rightly falls under the rubric of terrorism.     

Written exposure as an intervention for PTSD: A randomized clinical trial with motor vehicle accident survivors

The present study examined the efficacy of a brief, written exposure therapy (WET) for posttraumatic stress disorder (PTSD). Participants were 46 adults with a current primary diagnosis of motor vehicle accident-related PTSD. Participants were randomly assigned to either WET or a waitlist (WL) condition. Independent assessments took place at baseline and 6-, 18-, and 30-weeks post baseline (WL condition not assessed at 30 weeks). Participants assigned to WET showed significant reductions in PTSD symptom severity at 6- and 18-week post-baseline, relative to WL participants, with large between-group effect sizes. In addition, significantly fewer WET participants met diagnostic criteria for PTSD at both the 6- and 18-week post-baseline assessments, relative to WL participants. Treatment gains were maintained for the WET participants at the 30-week post baseline assessment. Notably, only 9% of participants dropped out of WET and the WET participants reported a high degree of satisfaction with the treatment. These findings suggest that a brief, written exposure treatment may efficaciously treat PTSD. Future research should examine whether WET is efficacious with other PTSD samples, as well as compare the efficacy of WET with that of evidence-based treatments for PTSD.     

Community perception: the ability to assess the safety of unfamiliar neighborhoods and respond adaptively

When entering an unfamiliar neighborhood, adaptive social decisions are dependent on an accurate assessment of the local safety. Studies of cities have shown that the maintenance of physical structures is correlated with the strength of ties between neighbors, which in turn is responsible for the crime level. Thus it should be theoretically possible to intuit neighborhood safety through the physical structures alone. Here we test whether people have this capacity for judging urban neighborhoods with 3 studies in which individuals observed photographs of unfamiliar neighborhoods in Binghamton, New York. Each study was facilitated by data collected during previous studies performed by the Binghamton Neighborhood Project studies. In the 1st study, observer ratings on neighborhood social quality agreed highly with reports by those living there. In the 2nd, a separate sample of participants played an economic game with adolescent residents from pictured neighborhoods. Players exhibited a lower level of trust toward adolescents from neighborhoods whose residents report lesser social quality. In the 3rd study, the maintenance of physical structures and the presence of businesses explained nearly all variation between neighborhoods in observer ratings (89%), whereas the specific features influencing play in Study 2 remained inconclusive. These and other results suggest that people use the general upkeep of physical structures when making wholesale judgments of neighborhoods, reflecting a adaptation for group living that has strong implications for the role of upkeep in urban environments.     

Religious Bias Among Religiously Conscious Black Christians in the United States

Research with White participants has demonstrated religious intergroup bias; however, religious identity may be different for Black Americans. Only religiously conscious Black Christians demonstrated a preference for Christian targets over Muslim and Atheist targets. Future research should consider what factors result in a person becoming conscious of other's religion.     

Cultural Competence and School Counselor Training: A Collective Case Study

This collective case study investigated the experiences of bilingual counselors‐in‐training who assessed school‐wide cultural competence in public schools. Analysis and interpretation of data resulted in the identification of 5 themes: eye‐opening experiences, recognition of strengths, the role of school leaders, road maps for change, and empowering marginalized groups. Implications and recommendations are discussed. Este estudio de caso colectivo investigó las experiencias de consejeros bilingües en formación que evaluaron la competencia cultural institucional en escuelas públicas. El análisis e interpretación de los datos dieron como resultado la identificación de 5 temas: experiencias reveladoras, reconocimiento de puntos fuertes, el papel de los líderes académicos, hojas de ruta para el cambio y empoderamiento de grupos marginalizados. Se discuten las implicaciones y recomendaciones.     

Grief and Recovery: The Prevalence of Grief and Loss in Substance Abuse Treatment

Grief from various losses can underlie the process of recovery from substance abuse disorders. This study identified losses that clients encountered prior to abusing substances, losses that occurred as a result of addiction, and losses that occurred upon entering treatment.