Self-criticism in adulthood and recalled childhood experience.

We investigated in a sample of 75 medical students the hypothesis that higher levels of self-criticism, a major vulnerability factor for depression, are related to retrospective reports of less satisfactory parenting, even when the potentially confounding factors of mood state and social desirability response set are controlled. At each of 2 measurement times, there were significant cross-sectional correlations between parental ratings and both depression and self-criticism, but the associations with self-criticism were no longer significant when depression was controlled. However, even after controlling for the effects of mood state and social desirability, persons with high levels of self-criticism at both measurement points (high trait self-criticism subjects) reported significantly worse relationships with their mothers than did the remaining subjects. They were also more likely to report below average relationships with both parents jointly.     

A device for measuring patterns of locomotor behavior in the earthworm

A simple device capable of eliciting and detecting earthworm locomotor activity is described and its use outlined. Movement is recorded as an animal crawls in a spoked, revolving wheel. The wheel permits peristaltic crawling, yet restricts the type and timing of other movements. As a result, records of activity differentiate the rate and patterning of peristaltic crawling from changes in bodily position.     

Comprehensive psychological services at the secondary level utilizing student paraprofessionals

This article notes references in school psychology literature which focus on dissatisfaction with role, claiming that the field has remained reactive and narrow in scope in spite of major statements calling for more expansive roles during the past several decades. A broad, comprehensive paraprofessional training/supervisory model utilizing secondary level students is described; the model incorporates twelve paraprofessional involvement areas as part of a total high school psychological services delivery system. It is noted that individual client data and program evaluation have portrayed student improvement rates ranging from 50% to 90%, increased consumer satisfaction with psychological services, and increased visibility and knowledge of the psychologist's role among total school population. Suggestions for further research and evaluation are discussed.     

Clinical Implications for Supporting Caregivers at the End-of-Life: Findings and from a Qualitative Study

Despite families providing considerable care at end of life, there are substantial gaps in the provision of supportive care. A qualitative interview study was conducted with 17 caregivers of people supported by an adult hospice to explore the support needs of families. Family members readily identified the ways in which the diagnosis of a life-limiting illness impacted on them and the family as a whole, not just the patient. Implications for practice demonstrate the need to intervene at a family and relational level prior to bereavement, in order to mitigate complicated grief for the surviving family members. Such an approach offers a fruitful prospective alternative to supporting caregivers post-bereavement.     

Implementation of Cognitive Therapy for PTSD in routine clinical care: Effectiveness and moderators of outcome in a consecutive sample

ObjectiveTrauma-focused psychological treatments are recommended as first-line treatments for Posttraumatic Stress Disorder (PTSD), but clinicians may be concerned that the good outcomes observed in randomized controlled trials (RCTs) may not generalize to the wide range of traumas and presentations seen in clinical practice. This study investigated whether Cognitive Therapy for PTSD (CT-PTSD) can be effectively implemented into a UK National Health Service Outpatient Clinic serving a defined ethnically mixed urban catchment area.MethodA consecutive sample of 330 patients with PTSD (age 17–83) following a wide range of traumas were treated by 34 therapists, who received training and supervision in CT-PTSD. Pre and post treatment data (PTSD symptoms, anxiety, depression) were collected for all patients, including dropouts. Hierarchical linear modeling investigated candidate moderators of outcome and therapist effects.ResultsCT-PTSD was well tolerated and led to very large improvement in PTSD symptoms, depression and anxiety. The majority of patients showed reliable improvement/clinically significant change: intent-to-treat: 78.8%/57.3%; completer: 84.5%/65.1%. Dropouts and unreliable attenders had worse outcome. Statistically reliable symptom exacerbation with treatment was observed in only 1.2% of patients. Treatment gains were maintained during follow-up (M = 280 days, n = 220). Few of the selection criteria used in some RCTs, demographic, diagnostic and trauma characteristics moderated treatment outcome, and only social problems and needing treatment for multiple traumas showed unique moderation effects. There were no random effects of therapist on symptom improvement, but therapists who were inexperienced in CT-PTSD had more dropouts than those with greater experience.ConclusionsThe results support the effectiveness of CT-PTSD and suggest that trauma-focused cognitive behavior therapy can be successfully implemented in routine clinical services treating patients with a wide range of traumas.     

Is light in pictures presumed to come from the left side?

For good ecological reasons humans assume that the illumination in pictures comes from overhead rather than from below. Recent work has also raised the possibility that the preferred angle of illumination is between 20 degrees and 30 degrees to the left of vertical, although the ecological basis for that is obscure. We describe two studies of this question. In study 1, twenty subjects looked in free, unrestricted vision, at a picture of a single 'bubble' which appeared either convex if the illumination was from above, or concave if the illumination was from below. There was no evidence in study 1 that illumination from the left produced a different appearance from illumination from the right, the preferred angle of illumination being 0.5 degrees to the right of vertical. In study 2, on forty subjects, there was fast presentation (200 ms) of an array of 16 bubbles, one of which, the target, was illuminated from the opposite direction to the others, and hence 'popped out' from the display, appearing concave if the others were convex, or vice-versa. The preferred angle of illumination for detection of the target was about 14 degrees to the left of vertical in study 2. The estimates from studies 1 and 2 did not differ significantly, and when combined gave a preferred angle of 9 degrees to the left of vertical. The reasons for the seeming discrepancy between studies 1 and 2, or the smaller overall effect than that found in previous studies are not clear since the methodologies seem equivalent. In both studies 1 and 2 there was a highly significant association between the direction of spontaneous head tilt and preferred direction of illumination, and this factor has not previously been taken into account in studies of the phenomenon. Contrary to the study of Sun and Perona (1998, Nature Neuroscience 1 183-184), there was no association with handedness or other measures of functional lateralisation.     

Reactions of male subordinates to the sex-role congruency of immediate supervision

Male subjects (N=90) worked under supervision for two hours. A 2×2×2 factorial design was employed so that the supervisor was male or female, autocratic or democratic, and possessed a sex-role congruent or incongruent job title. The hypotheses were supported in part: For female supervision only, the more traditionally incongruent the situation, the more unfavorable were the reactions elicited. This finding was true, however, only for subordinates' verbal comments and not for their task performance or written evaluation of the supervisor. Discussion of the specific hypotheses is provided and an alternate explanation concerning the supervisors' alleged prior experience is offered. A more dynamic approach to the study of leader—subordinate relationships — especially in light of the implications for acceptance of female supervision offered by this study — is advocated.     

Early assessment of psychological risk factors: On the role of husband/father during pregnancy and in the early postnatal period

The earliest phases of the mother-infant relationship may markedly be influenced, for better or worse, by the emotional availability of the father. In our contemporary Western societies young expectant couples are often isolated psychologically. It is suggested that if such circumstances exist and the mother also has psychological risk factors stemming from her past history and/or from her experience with the pregnancy and delivery, the husband's ability to fulfill some special mothering functions toward his wife would tip the balance between adequate coping or manifest disturbance in the mother—infant relationship.