Textual Standardization and the DSM-5 “Common Language”

In February 2010, the American Psychiatric Association (APA) launched their DSM-5 website with details about the development of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The APA invited “the general public” to review the draft diagnostic criteria and provide written comments and suggestions. This revision marks the first time the APA has solicited public review of their diagnostic manual. This article analyzes reported speech on the DSM-5 draft diagnostic criteria for the classification Posttraumatic Stress Disorder. It demonstrates how textual standardization facilitates the cultural portability of the DSM-5 diagnostic criteria such that a community of speakers beyond the borders of the APA come to be seen as exemplary speakers, writers, and revisers of the professional style. Furthermore, analysis shows how co-authoring practices recontextualize the “voice” and persona of putative patient reported speech on Criterion D2. As a consequence of textual standardization, spoken discourse becomes recontextualized as the product of scientific inquiry and the organization of psychiatric knowledge.     

The Value of a Genetic Counselor: Improving Identification of Cancer Genetic Counseling Patients with Chart Review

Advances in genetics are changing cancer care and requiring institutions to maximize the unique skills of genetics professionals. The identification of genetic syndromes is vital for prevention and management of families with high cancer risks. Despite this, high risk individuals who qualify are often not referred. Genetic counselors could review oncology charts to improve identification. A genetics assessment tool developed by NCI Community Cancer Centers Program was used to perform self-assessment of the genetics program. A weekly report of all new oncology patients was provided to a genetic counselor for chart review. In 2010, 58 % of all eligible patients (n?=?152) were offered a genetics evaluation. In 2011 this improved to 70 % (n?=?167), which was a statistically significant difference, X ²(1)?=?5.13, p?=?0.02. By cancer site, ovarian cancer referrals also showed statistically significant improvement, X ²(1)?=?6.36, p?=?0.01. Breast and colon referrals were improved but not significant. Over 10 months, 129 patients were identified through the chart review program. Three were confirmed to have a genetic mutation for a hereditary cancer syndrome. An average week included review of 73 charts for 10 medical oncologists, 4 radiation oncologists, and 4 pediatric oncologists which generated 60–80 min of work for the genetic counselor. This program improved patient identification and quality, and allowed physicians to become more aware of opportunities for genetic counseling and more patients to receive genetic counseling and testing.     

“Speak,Lord, Your Servant Is Listening”: Religious Priming Activates Submissive Thoughts and Behaviors

According to many theoretical perspectives, religion is positively associated with submission and conformity. However, no study to date provided experimental evidence for this hypothesis. We did so in two experiments that relied on priming procedures. In Experiment 1, participants were tested for the strength of their religion-submission associations by using a lexical decision task. In Experiment 2, participants were primed with either religious or neutral concepts and were invited or not by the experimenter to take revenge on an individual who had allegedly criticized them. Both studies provided evidence for the expected religion-submission association, although the effects were limited to participants scoring high in personal submissiveness. Among these individuals, religious priming increased the accessibility of submission-related concepts (Experiment 1) and the acceptance of a morally problematic request for revenge (Experiment 2). Discussion focuses on questions for future research and implications for our understanding of religion's role in morality and interpersonal relations.     

The values of psychoanalytic psychotherapists at two points in time (1979 vs. 1993): A cross-over comparative study

Our purpose in this study is to view theories of psychotherapy from a general social-political context, especially insofar as they pertain to values. Beginning with Weisskopf-Joelson’s (1980) thesis that theories of psychotherapy may be “perceptual houses” with their own unique value structures, we studied the values of psychoanalytic psychotherapists within the framework of Rokeach’s ( 1968) system. Through the Rokeach Value Survey, we examined the values held by a group of psychoanalytic trainees in 1979 and those held by a group of practicing psychoanalysts in 1993. Because neither group of subjects can be regarded as randomly representative of the universe of psychoanalysts, we regard the resultant data as evocative and informative rather than definitive. Nonetheless, we examined the extent to which value profiles for the psychoanalytic trainees of 1979 were similar or dissimilar to those of practicing psychoanalysts in 1993. Such comparisons at the least provide some general indication as to whether values have shifted in the universe within this time period. Findings are presented about specific patterns of values, and implications are discussed. There appears to be more consistency than difference in values among the psychoanalytically-oriented psychotherapists we studied, lending support to this discipline’s designation of a “perceptual house” insofar as its values are concerned.     

The Treatment of Substance‐Abusing Clients in Multiservice Mental Health Agencies: A Practice Analysis

This article examines the work behaviors related to counseling substance‐abusing clients by mental health service providers in multiservice mental health agencies. The results support the need for specialized knowledge and skills in working with substance‐abusing clients.     

Religion and Well-Being: The Mediating Role of Positive Emotions

Research has consistently shown that endorsing a religion or spirituality is to some extent related to one’s well-being. Common studied explanations tap into the social and cognitive aspects of religion and spirituality. The present research aims at understanding how religiosity and spirituality exert their impact on well-being and investigates the role of a surprisingly neglected mechanism: positive emotions. Two cross-sectional studies using a quantitative approach are presented. In two different contexts (churchgoers in a European country and US university employees interested in meditation), results showed that the relation between religion (Study 1), spirituality (Study 2) and well-being is mediated by positive emotions. Distinguishing between more and less relevant positive emotions in a religious/spiritual context, it was found that the effect was mediated by self-transcendent positive emotions (awe, gratitude, love, and peace) but not by other positive emotions (amusement and pride).     

Resources for health: a primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions.

OBJECTIVE: The Resources for Health trial evaluates a social-ecologically based lifestyle (physical activity and diet) intervention targeting low-income, largely Spanish-speaking patients with multiple chronic conditions. DESIGN: A randomized controlled trial was conducted with 200 patients recruited from an urban community health center and assigned to intervention and usual care conditions. Intervention involved 2 face-to-face, self-management support and community linkage sessions with a health educator, 3 follow-up phone calls, and 3 tailored newsletters. MAIN OUTCOME MEASURES: Primary outcomes measured at 6-months were changes in dietary behavior and physical activity. Changes in multilevel support for healthy living were evaluated as a secondary outcome. RESULTS: After adjustment for age, sex, language, and number of chronic conditions, significant intervention effects were observed for dietary behavior and multilevel support for healthy lifestyles but not for physical activity. CONCLUSION: The Resources for Health intervention provides an effective and practical model for improving health behavior among low-income, Spanish-speaking patients with multiple chronic conditions.     

Religiosity and Prosocial Behavior Among Churchgoers: Exploring Underlying Mechanisms

Research has shown that religious beliefs and practices are related, to some extent, to prosocial behaviors, but less is known about why it is so. In addition, participating in the traditional Christian ritual (Sunday Mass) may be particularly powerful in eliciting prosocial behavior among believers. The present study explores the aspects of the Sunday Mass that may be involved in the activation of religious prosociality. The social, emotional, and cognitive aspects of the Mass were concurrently assessed among churchgoers (n = 548) across 20 different parishes. Prosociality was measured by looking at spontaneous intention to share a hypothetical lottery prize. Results showed that a positive relation found between religion and prosociality was mediated by the social aspect of the Mass. Additional analyses revealed that this social aspect also induced the emotion of love, which in turn promoted prosociality.     

Does Setting Goals Enhance Parenting Intervention Effects? A Field Experiment

People who pursue approach goals (i.e., desired outcomes to be reached) tend to be more likely to achieve their goals than people who pursue avoidance goals (i.e., undesired outcomes to be prevented). We tested this premise in a brief preventive parenting intervention targeting parental praise to reduce disruptive child behavior. We also tested whether goal setting effects depend on behavior change phase (initiation versus maintenance) and parents’ regulatory focus (high versus low promotion and prevention focus). Parents (N = 224; child age 4 ? 8) were randomized to one of four conditions: an approach goal-enhanced or an avoidance goal-enhanced intervention condition, a no-goal intervention condition, or a waitlist control condition. Outcomes were parent-reported and audio-recorded positive parenting and disruptive child behavior. Results show that goal setting had very limited effects. Setting avoidance goals, not approach goals, improved self-reported positive parenting. However, goal setting did not enhance effects of parenting intervention on observed (i.e., audio-recorded) positive parenting and disruptive child behavior. Furthermore, goal setting effects depended neither on the phase of change, nor on parents’ regulatory focus. This field experiment suggests that setting approach goals does not enhance the brief parenting intervention to improve parent-child interactions.