The development of a brief group intervention (Dynamic Interpersonal Therapy) for patients with medically unexplained somatic symptoms: a pilot study

The primary aim of this equivalence study was to compare the outcome of a brief group therapeutic intervention, based on the principles of dynamic interpersonal therapy (DIT) with an intervention based on cognitive behavioural therapy (CBT) in patients suffering from medically unexplained somatic symptoms (MUSS). Participants were 89 patients (aged 18 to 62) who were offered 20 sessions of either DIT or CBT, as central part of a treatment package, consisting of art therapy, psychomotor therapy, social therapy and physical therapy. Measurements were conducted at baseline, 10 weeks and 20 weeks, using self-rating scales measuring the level of anxiety and depression, the severity of medically unexplained symptoms and quality of life. Results showed that CBT and DIT were comparable. The conclusion was that it is recommended to design a larger scale randomised controlled trial to further elaborate the short-term and long-term effects of this novel psychodynamic group therapy for MUSS patients.     

Experiencing risk in person-centred counselling: a qualitative exploration of therapist risk-taking

With increasing emphasis being given to the importance of the relationship in counselling, this paper is based on an initial exploration of counsellors' experiences of risk when bringing their own person into play, and the way in which these experiences relate to the quality of psychological contact. Qualitative interviews with eight practising counsellors were conducted using a person-centred approach. Themes emerging included the process of risk-taking for counsellors, the process of reaction and response for clients and the effects on the relationship both in the immediate session and in the long term. Most participants expressed the view that the greatest impact of a critical moment of risk-taking was to facilitate deeper levels of contact, usually described in terms of being more 'authentic', ' real' and 'loving'. In a few cases the risk-taking intervention led to a rupture in the relationship, sometimes precipitating the end of the therapy. The study also highlighted the interdependence of the types of interventions and the quality of contact. The author's reflections are also given.     

Acceptance of cosmetic surgery and celebrity worship: Evidence of associations among female undergraduates

The present study examined the association between acceptance of cosmetic surgery and celebrity worship in a sample of British female undergraduates. A total of 401 women completed the Acceptance of Cosmetic Surgery Scale (ACSS; Henderson-King & Henderson-King, 2005), the Celebrity Attitude Scale (McCutcheon, Lange, & Houran, 2002), and provided their demographic details. Results showed that there were highly significant correlations between all subscales of the ACSS and CAS, as well as with participant age, and body mass index (BMI). A series of multiple regressions showed that celebrity worship and participant demographics explained about half of the variance in acceptance of cosmetic surgery, with Intense-personal celebrity worship emerging as the strongest predictor. Limitations of the current study are discussed in conclusion.     

Psychological interventions for carers of people with dementia: A systematic review of quantitative and qualitative evidence

Rationale: Carers of people with dementia experience significant levels of stress in their everyday role. The National Dementia Strategy in England identifies the key role that carers play in supporting people with dementia living at home, often to the detriment of their social, emotional and physical health. Aims: To add to the substantive knowledge‐base by combining search criteria used by Pinquart and Sörensen (2006) and Gallagher‐Thompson and Coon (2007) to update the literature on psychological interventions for carers of people with dementia published between 2005 and 2011. Method: Following the study inclusion criteria, comprehensive searches were conducted using the electronic databases Medline, PsycINFO, ERIC, and PubMed. Twenty studies were identified, graded and synthesised into the reported systematic review with both quantitative and qualitative studies included to maximise practice application. Results: Consistent with previous findings, three categories of psychological intervention were identified: (i) psychoeducational‐skill building (n=8); (ii) psychotherapy‐counselling (n=1); (iii) multicomponent (n=6). Our review also identified a fourth intervention category, (iv) technology‐based (n=5). The majority of studies in the updated review examine the constructs of depression, burden, social support and well‐being. The development of focused interventions for carers, whether individually tailored interventions or group interventions around a common issue, was significant for developing practice. Future studies across all categories should continue to embed supervision arrangements within their psychological intervention protocols.     

Assessing readiness for change in adolescents with eating disorders

The Readiness and Motivation Interview (RMI) is a semistructured interview measure of readiness and motivation to change that can be used for all eating disorder diagnoses. The RMI has demonstrated excellent psychometric properties and has both clinical and predictive utility in adult samples. This study examined the psychometric properties of the RMI in a younger population, namely, 12- to 18-year-old girls with eating disorders. Study participants (N = 65) completed the RMI and measures of convergent, discriminant, and criterion validity. Adolescents with eating disorders were able to conceptualize and articulate their readiness for change and to report the extent to which change efforts were for themselves versus for others. RMI readiness profiles across eating disorder symptom domains in adolescents were comparable to those in adults, with higher reported readiness to change binge eating than to change dietary restriction or compensatory strategies. Differences in internal consistency between adult and adolescent samples are discussed. Interviewing adolescents early in treatment about readiness may assist clinicians in forming an alliance with this difficult-to-engage population, while also providing valuable information for treatment planning.     

Gender-related sexual attitudes: Some crosscultural similarities and differences

We tested the hypothesis that males differentiate love and sex more strongly than females, and that the magnitude of this gender difference is augmented in homosexuals and diminished in married heterosexuals. American and Swedish subjects sorted statements describing behaviors of love, sex, and services into two piles on the basis of perceived similarity. The results of all three studies were consistent with the predictions. In addition, the findings suggest that Americans differentiate love and sex more strongly than Swedes.     

Neighborhood and Housing Disorder,Parenting, and Youth Adjustment in Low-Income Urban Families

Using two waves of data, this study examined relations among neighborhood and housing disorder, parents’ psychological distress, parenting behaviors, and subsequent youth adjustment in a low‐income, multiethnic sample of families with children aged 6–16. Results supported the hypothesized indirect relation between disorder and youth outcomes via parenting processes. Higher levels of neighborhood and housing disorder were associated with higher levels of parents’ psychological distress, which was in turn related to more frequent use of harsh and inconsistent discipline strategies and lower parental warmth. More frequent use of harsh and inconsistent discipline was associated with higher levels of youth internalizing and externalizing behaviors 3 years later. Housing disorder contributed more strongly to parents’ psychological distress than neighborhood disorder, whereas neighborhood disorder contributed more strongly to youth externalizing behaviors compared to housing disorder. Multiple‐group analyses showed that the patterns of relations were similar for younger and older children, and for girls and boys.