The Effectiveness of Group Metacognitive Therapy for Generalised Anxiety Disorder: A Pilot Study

Generalised anxiety disorder (GAD) responds well to individually delivered metacognitive therapy (MCT). The current study investigated the effectiveness of MCT administered to groups of patients with GAD in a general outpatient treatment centre. Thirty-three consecutively referred adult patients with GAD were assessed before treatment (pretreatment), after the last treatment session (posttreatment), and six months after treatment had ended (follow-up). Analyses of treatment effects were conducted for all patients entering the study (i.e., intent-to-treat analysis, using the last-observation-carried-forward procedure), and repeated for the patients who completed treatment (completers analysis), using paired samples t-tests. Further, effect sizes (ESs) and indices of clinical significance were calculated, and compared with those reported in studies into the efficacy and effectiveness of individually delivered MCT for GAD. Among both the intent-to-treat and the completers sample, large pre- to posttreatment reductions in symptoms of worry, trait-anxiety, and general psychopathology. The magnitude of change and the degree of clinical significance were smaller than those reported in studies into the effectiveness of individually delivered MCT for GAD, whereas the attrition rate (27 %) was higher. It is tentatively concluded that MCT for GAD can be effectively delivered in a group format in a heterogenous clinical practice setting. Further evaluation is clearly indicated.     

Convergent Validity of the Early Memory Index in Two Primary Care Samples

Karliner, Westrich, Shedler, and Mayman (1996) developed the Early Memory Index (EMI) to assess mental health, narrative coherence, and traumatic experiences in reports of early memories. We assessed the convergent validity of EMI scales with data from 103 women from an urban primary care clinic (Study 1) and data from 48 women and 24 men from a suburban primary care clinic (Study 2). Patients provided early memory narratives and completed self-report measures of psychopathology, trauma, and health care utilization. In both studies, lower scores on the Mental Health scale and higher scores on the Traumatic Experiences scale were related to higher scores on measures of psychopathology and childhood trauma. Less consistent associations were found between the Mental Health and Traumatic Experiences scores and measures of health care utilization. The Narrative Coherence scale showed inconsistent relationships across measures in both samples. In analyses assessing the overall fit between hypothesized and actual correlations between EMI scores and measures of psychopathology, severity of trauma symptoms, and health care utilization, the Mental Health scale of the EMI demonstrated stronger convergent validity than the EMI Traumatic Experiences scale. The results provide support for the convergent validity of the Mental Health scale of the EMI.     

Sensitivity has Multiple Heterogeneity Problems: a Reply to Wallbridge

Philosophia - In this paper, I defend the heterogeneity problem for sensitivity accounts of knowledge against an objection that has been recently proposed by Wallbridge in Philosophia (2016b). I...     

Easy Knowledge,Closure Failure,or Skepticism: A Trilemma

This article aims to provide a structural analysis of the problems related to the easy knowledge problem. The easy knowledge problem is well known. If we accept that we can have basic knowledge via a source without having any prior knowledge about the reliability or accuracy of this source, then we can acquire knowledge about the reliability or accuracy of this source too easily via information delivered by the source. Rejecting any kind of basic knowledge, however, leads into an infinite regress and, plausibly, to skepticism. The article argues that the third alternative, accepting basic knowledge but rejecting easy knowledge, entails closure failure. This is obviously the case for deductive bootstrapping, but, notably, the problem also arises for inductive bootstrapping. Hence, the set of problems related to the easy knowledge problem has the structure of a trilemma. We are forced to accept easy knowledge, closure failure, or skepticism.     

Skepticism: Lehrer versus Mooreanism

I will compare Lehrer??s anti-skeptical strategy from a coherentist point of view with the anti-skeptical strategy of the Mooreans. I will argue that there are strong similarities between them: neither can present a persuasive argument to the skeptic and both face the problem of easy knowledge in one way or another. However, both can offer a complete and self-explanatory explanation of knowledge although Mooreanism can offer the more natural one. Hence, one has good reasons to prefer Mooreanism to Lehrer??s anti-skeptical approach, if one does not prefer coherentism to foundationalism for other reasons.     

Sensitivity,safety, and impossible worlds

Philosophical Studies - Modal knowledge accounts that are based on standards possible-worlds semantics face well-known problems when it comes to knowledge of necessities. Beliefs in necessities are...     

Gender,role conflict,and the development of relativistic and dialectical thinking

Females have been found to experience greater role conflict. The present study explored whether this conflict fosters earlier social cognitive development. A battery of questionnaires, including a vocabulary test, a role conflict questionnaire, a role articulation questionnaire, and a questionnaire of social cognitive (i.e., absolute, relativistic, and dialectical) paradigm beliefs, was administered to a sample of 121 high-school freshmen, college freshmen, and college seniors. As predicted, females reported more role conflict, showed greater role articulation, and exhibited more advanced (i.e., relativistic and/or dialectical) social cognitive development. The role conflict questionnaire did not correlate with social cognition or mediate its relationship to gender, but future role articulation of family roles and the synthesis of family and work roles did. However, the causal relations were not unidirectional, and alternative hypotheses are discussed.     

Improving Empathy in Children: Interactive Read-Aloud as a Counseling Intervention

ABSTRACT

The authors describe interactive read-alouds as an effective counseling strategy to improve empathy levels in school aged children. The importance of reading development and empathy development were considered as well. Results of the literature review indicate reading development is an essential building block in school aged children’s future academic development. Furthermore, empathy development in students was deemed important. A lesson plan was created to provide school counselors with a means of implementing the interactive read-aloud as a counseling strategy.