What Does the Alliance Predict in Group Interventions for Early Psychosis?

The therapeutic alliance is considered an essential component of any clinical or psychological intervention. The therapeutic alliance can however change over time, and therefore it is relevant to determine if the alliance and its variations are related to clinical outcomes. The present study had three objectives: (1) determine the impact of the alliance measured by the client and the therapist, on clinical and psychosocial outcomes of individuals with early psychosis receiving group interventions; (2) measure the concordance between the client and the therapists’ ratings of the alliance; and (3) determine the best predictor of the client’s alliance in our sample. A total of 36 individuals with early psychosis who participated in group interventions for symptom management answered the WAI three times, and so did the group therapists. Outcomes included measures of insight, symptoms (total, positive and negative), and self-esteem. Attendance and group participation were also measured. Results suggest that the overall client’s alliance predicted total symptoms and self-esteem at post-therapy, whereas both clients’ and therapists’ ratings predicted group attendance and participation. Greater variations in the alliance overtime for the clients were somewhat linked to worse negative symptoms at post-therapy. Alliance ratings were generally high and fairly concordant between therapists and clients. Only the baseline measure of capacity for attachment, predicted the client’s overall alliance scores. Clinical implications are discussed.     

The Eating Attitudes Test-26 Revisited using Exploratory Structural Equation Modeling

Most previous studies have failed to replicate the original factor structure of the 26-item version of the Eating Attitudes Test (EAT-26) among community samples of adolescents. The main objective of the present series of four studies (n?=?2178) was to revisit the factor structure of this instrument among mixed gender community samples of adolescents using both exploratory structural equation modeling (ESEM) and confirmatory factor analysis (CFA). First, results from the ESEM analyses provided satisfactory goodness-of-fit statistics and reliability coefficients for a six-factor model of the EAT with 18 items (EAT-18) closely corresponding to the original seven-factor structure proposed for the 40-item version of the EAT. Second, these analyses were satisfactorily replicated among a new sample of community adolescents using CFA. The results confirmed the factor loading and intercept invariance of this model across gender and age groups (i.e., early and late adolescence), as well as the complete invariance of the EAT-18 measurement model between ethnicities (i.e., European versus African origins) and across weight categories (i.e., underweight, normal weight and overweight). Finally, the last study provided support for convergent validity of the EAT-18 with the Eating Disorder Inventory and with instruments measuring global self-esteem, physical appearance, social physique anxiety and fear of negative appearance evaluation.     

Destination memory and cognitive theory of mind in normal ageing

Destination memory is the ability to remember the destination to which a piece of information has been addressed (e.g., “Did I tell you about the promotion?”). This ability is found to be impaired in normal ageing. Our work aimed to link this deterioration to the decline in theory of mind. Forty younger adults (M age = 23.13 years, SD = 4.00) and 36 older adults (M age = 69.53 years, SD = 8.93) performed a destination memory task. They also performed the False-belief test addressing cognitive theory of mind and the Reading the mind in the eyes test addressing affective theory of mind. Results showed significant deterioration in destination memory, cognitive theory of mind and affective theory of mind in the older adults. The older adults’ performance on destination memory was significantly correlated with and predicted by their performance on cognitive theory of mind. Difficulties in the ability to interpret and predict others’ mental states are related to destination memory decline in older adults.     

Food-searching behavior of cats in a multiple-choice elimination problem

Twelve cats were individually exposed to a four-point elimination problem for 50 consecutive days. The problem for the animals consisted of choosing a series of different points where they found, and were allowed to eat, a piece of meat, without returning to any previously visited point. The order of elimination was not controlled in any way by the experimenter. Results indicated that cats were able to solve this problem. All subjects showed a strong tendency to make successive runs toward points situated as far apart as possible. Moreover, a relation was shown between performance and the tendency to follow this high divergence principle. This result is discussed in terms of subjects' ability to process information about the spatial characteristics of the experimental situation. This ability might in fact be related to the behavioral plasticity of animals in spatial problems according to the difficulty of the task.     

Acquiring a cognitive skill with a new repeating version of the Tower of London task.

A computerized version of the Tower of London task was used to investigate cognitive skill learning. Thirty-six healthy volunteers were assigned to either a random condition (nonrecurring problems), or to a sequence condition in which, unbeknownst to the subjects, a repeating sequence of three problems was presented. Indices of execution, planning, and total time, as well as number of moves performed, were used to measure behavioural change. Subjects' performance improved in both conditions across blocks of practice. A distinct learning effect related to the repeating sequence was also observed. This suggests that a specific skill that reflects procedural learning of the strategies, rules, and procedures pertaining to repeating problems can develop over and above a more general skill at solving cognitive planning problems with practice.     

Effects of cohabitation with another female on aggressive behaviour in pregnant mice

Pregnant, nonpregnant (but mated) and virgin females were individually housed or lived with a pregnant or nonpregnant cagemate. They were subjected to a series of successive daily encounters with a male intruder, the cagemate being excluded. The most aggressive subjects were pregnant females living with a pregnant cagemate. Isolated pregnant females were as aggressive as pregnant females with a nonpregnant cagemate. Nonpregnant and virgin females were the least aggressive. Nevertheless nonpregnant subjects living with a pregnant cagemate generated higher aggressive scores than nonpregnant females living alone. The way in which a pregnant cagemate influences the aggressive behaviour of another pregnant or nonpregnant female is discussed.     

From armchair to wheelchair: how patients with a locked-in syndrome integrate bodily changes in experienced identity

Different sort of people are interested in personal identity. Philosophers frequently ask what it takes to remain oneself. Caregivers imagine their patients' experience. But both philosophers and caregivers think from the armchair: they can only make assumptions about what it would be like to wake up with massive bodily changes. Patients with a locked-in syndrome (LIS) suffer a full body paralysis without cognitive impairment. They can tell us what it is like. Forty-four chronic LIS patients and 20 age-matched healthy medical professionals answered a 15-items questionnaire targeting: (A) global evaluation of identity, (B) body representation and (C) experienced meaning in life. In patients, self-reported identity was correlated with B and C. Patients differed with controls in C. These results suggest that the paralyzed body remains a strong component of patients' experienced identity, that patients can adjust to objectives changes perceived as meaningful and that caregivers fail in predicting patients' experience.     

Relationship between learning environment characteristics and academic engagement

The relationship between learning environment characteristics and academic engagement of 777 Grade 6 children located in 41 learning environments was explored. Questionnaires were used to tap learning environment perceptions of children, their academic engagement, and their ethnic-cultural background. The basis of the learning environment questionnaire was the International System for Teacher Observation and Feedback (ISTOF). Factor analysis indicated three factors: the teacher as a helpful and good instructor (having good instructional skills, clear instruction), the teacher as promoter of active learning and differentiation, and the teacher as manager and organizer of classroom activities. Multilevel analysis indicated that about 12% of the differences in engagement between children was related to the learning environment. All the mentioned learning environment characteristics mattered, but the teacher as a helpful, good instructor was most important followed by the teacher as promoter of active learning and differentiation.     

A Canadian French Adaptation of the Agoraphobic Cognitions Questionnaire: Cross-cultural Validation and Gender Differences

The first objective of this study is to present different aspects of the reliability and validity of the Canadian French adaptation of the Agoraphobic Cognition Questionnaire (ACQ). A second objective is to determine the dimensionality of the Canadian French version (ACQ-FC) in comparison to the factorial solutions uncovered in the American and Dutch versions. The third objective is to present gender differences in the agoraphobic group. Results suggest that the ACQ-FC and ACQ have similar internal consistency, temporal stability, construct validity, and discriminative validity. The ACQ-FC uncovers a two-factor model, which is similar to the American and Dutch models. As such, the ACQ-FC shows cross-cultural validity with the ACQ. This study demonstrates that the multidimensional construct is not culturally bound.