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Acculturation and Sociocultural Influences as Predictors of Family Relationships and Body Image Dissatisfaction in African American, Hispanic American, and European American Women
Ethnic differences in etiological factors linked to body image dissatisfaction and eating disorders were examined. In addition, the interaction of acculturation and body image dissatisfaction in influencing minority women's relationships with their parents was investigated. Participants consisted of 302 undergraduates from three ethnic groups: Caucasian, Hispanic American, and African American women who were administered self-report measures. Differences were not found between the groups in body image dissatisfaction. Low self-esteem, internalization of the thin ideal, and family emphasis on weight and appearance were all related to more body image dissatisfaction for each of these groups; however, differences in degree of endorsement were also noted between the ethnic groups on these factors. Based on the interaction findings (body image x acculturation) separation from one's mother was found in the area of attitudes and emotions for the Hispanic sample but not for the African American sample on any of the parent scales. Areas for future research and implications for diagnosis and treatment of minority populations are also discussed.
Accurate Empathy and Rorschach Interpretation
Although the Rorschach is one of the most widely used psychological assessment techniques, its empirical support has been equivocal. One possible explanation for this lack of empirical support is the tendency for researchers to study only the assessment tool with little regard for the clinician using it. The current study examined one clinician variable (empathy) and its relationship to accuracy of interpretation of the Rorschach. The literature regarding Rorschach theory and research and empathy theory and research was reviewed in an attempt to clarify the similarities between empathy as an important factor in psychotherapy and its importance in the assessment process. The present study measured empathy by using the Davis Empathy Questionnaire and a Taped Excerpt Response Measure.
Adherence/Compliance to Exercise Prescription: A Test of the Self-Efficacy Model
It has been well-documented in the literature that there are many physical and psychological benefits to be derived from regular aerobic exercise. It has also been noted that adherence/compliance to aerobic exercise regimens tends to be quite low. Investigators have found that a number of factors tend to correlate with adherence, but it has been difficult thus far to determine a mechanism which underlies a tendency to adhere versus a tendency to drop-out. This study examined the problem of non-adherence from the perspective of Self-Efficacy Theory (Bandura, 1977). Subjects for this investigation included all patients seen during a four week period in the Cooper Clinic at the Aerobics Center in Dallas, Texas. Patients at the clinic receive a complete physical examination and health prescriptions based upon the results of their examination. During this four week period, half were administered a Self-Efficacy Questionnaire. Approximately three months later all patients seen during this four week period received a followup (adherence questionnaire in the mail). It was hypothesized that there would be a positive relationship between responses on the Self-Efficacy Questionnaire and responses on the Adherence Questionnaire. A second hypothesis stated that there would be a positive relationship between items which specifically pertained to exercise on each of the questionnaires. In addition, it was expected that there would be no difference in adherence rates between those who made self-efficacy judgments and those who did not. Results of a t-test conducted between the group which made self-efficacy judgments and the group that was not asked to make such an evaluation demonstrated no significant difference in adherence rates. A correlational analysis revealed that there was not a statistically significant relationship between total self-efficacy scores and total adherence scores. There was, however, a statistically significant relationship between levels of exercise self-efficacy and levels of exercise adherence. …
Adolescent Antisocial Behavior, Perceived Parental Behaviors, and Perception of Control
The study examined the relationships between various parental discipline styles and perceived powerlessness in antisocial adolescents. The literature on adolescent antisocial behavior frequently describes states of disaffection, alienation, and powerlessness as characteristic of the delinquent youth. The parent-child relationship is also frequently implicated as the significant precursor of antisocial behavior in adolescents. The purpose of this study was to determine if perception of control orientations function as cognitive mediators between perceived styles of parental discipline and subsequent behavior in adolescents. It was concluded, on the basis of the data obtained from this study, that antisocial adolescents do not perceive themselves to be more powerless than non-antisocial adolescents. It was recommended that caution should be exercised in applying such a label to those exhibiting antisocial patterns of behavior. It was also concluded that punishment applied in an unpredictable fashion may have detrimental effects on the development of female adolescents.
Adolescent Self-Mutilating Behaviors: Experiential Avoidance Coupled with Imitation?
Repetitive self-mutilation (RSM) has become increasingly prevalent among adolescents. Empirical research has pinpointed several correlates of this behavior, but the initiation and maintenance of RSM among adolescents are not well understood. The experiential avoidance model (EAM) proposes that self-mutilation is a behavior that allows for the avoidance or alteration of unwanted internal experiences, and that it is negatively reinforced with repetition. The current study explored the usefulness of the EAM as an explanatory theory for adolescent RSM, with the additional incorporation of issues of social context. Adolescents (N = 211) from three school-based samples completed self-report questionnaires. One-third of students reported at least one incident of purposeful, non-suicidal self-mutilation and 16% had engaged in self-mutilation repeatedly within the past 6 months. Both regression and group analyses indicated that adolescents who engage in RSM report greater psychological distress, a greater incidence of functionally equivalent behaviors, and greater exposure to self-mutilation among peers and/or in the media, when compared to their counterparts who have not engaged in RSM. Suicidal ideation/behaviors were consistently the strongest predictors of current self-mutilation behaviors. Clinical implications, limitations, and suggestions for future research are discussed.
Affective Forecasting: the Effects of Immune Neglect and Surrogation
Studies of affective forecasting examine people’s ability to predict (forecast) their emotional (affective) responses to future events. Affective forecasts underlie nearly all decisions people make and the actions they take. However, people engage in systematic cognitive errors when making affective forecasts and most often overestimate the intensity and duration of their emotional responses. Understanding the mechanisms that lead to affective forecasting errors (e.g., immune neglect) and examining the utility of methods for improving affective forecasting errors (e.g., surrogation) can provide highly valuable information for clinicians as they assist clients in determining their goals both for therapy and for life. The first purpose of the current study was to determine if affective forecasting errors due to immune neglect lead to misjudgments about the relative emotional impact of minor versus moderate negative experiences (i.e., trauma severity). The second purpose was to examine the utility of surrogation for improving affective forecasts. Potential interaction effects between these two variables were also examined. The current study utilized a 2 (Trauma Severity: minor, moderate) X 3 (Prediction Information: surrogation information only, simulation information only, both types of information) experimental design. Undergraduates were recruited via the SONA system and randomly assigned to one of the six experimental conditions. A preliminary study was conducted to obtain surrogation information for use in the main study. All participants in the main study predicted how they would feel 10 minutes after receiving negative personality feedback, using a 10-point scale ranging from (1) very unhappy to (10) very happy. These predictions constitute their affective forecasts. All participants then actually received the negative personality feedback (ostensibly from another participant, a peer, in a nearby room) and reported their actual affective states ten minutes later, using the same scale. These ratings constitute their affective reports. Affective forecasting error was calculated as the difference between …
Affective Reactions and Psychosocial Functioning in the Course of Psycho-Educational Assessment
Every day, children throughout the United States are given psychological evaluations for many different clinical and psycho-educational purposes. Very little research has attempted to investigate children's responses to the experience of having intellectual and achievement tests administered. The goal of the current research was to explore the effect a psycho-educational evaluation has on children in areas of self-concept and anxiety. Dependent variables consisted of pre- and post-test measures of anxiety and self-concept. A total of 75 children in the 4th 5th and 6th grades were recruited after referral for evaluation and possible placement in the Talented and Gifted Program or Special Education. This study employed Analysis of Variance (ANOVA), t-tests, multiple regression analysis, and correlational analysis. Findings included initial evidence that children endorsed decreased anxiety after psycho-educational assessments rather than increased anxiety, suggesting that fear of unknown situations may be more anxiety provoking than the actual situation itself, potentially beneficial findings for psychology and psychometric professionals who evaluate children daily. Students endorsement of academic self-concept significantly predicted anxiety after a psycho-educational evaluation, indicating that students who feel capable in academic areas may endorse less anxiety after an evaluation than students who do not feel academically capable. Finally, negative verbal interaction with parents significantly predicted lower general self-concept scores, providing evidence that the manner in which parents verbally relate to their children may have significant impact for the mental health of children.
Altruism and Depression: Exploring This Relationship and the Mechanisms Behind It
The impact of environmental influences on depression has been well established by research. In particular, it is known that receiving/perceiving adequate social support has a protective influence on depression. Less is known about the protective benefits of providing support to others, namely in the form of altruistic, empathetic, or prosocial behavior. While research has shown that having altruistic attitudes and engaging in altruistic behaviors has a positive impact on physical health and mental well-being, studies on the association between altruistic attitudes and/or behavior and depression are limited. The present study examined the relationship between altruism and depression, and hypotheses were tested that allow for explanation of why altruism may protect against depression. A sample of 303 participants was recruited from the University of North Texas and the surrounding community. Participants completed an online survey that examined their altruistic activities, details regarding these activities, their prosocial attitudes, and their current level of depression. Results did not support that level of involvement in altruistic activities is directly related to depression severity. However, outcomes from involvement in altruistic activities, including sense of overburden from participating in altruistic activities, level of social interaction with other helpers and those helped during altruistic activities, and sense of life satisfaction and purpose gained from participating in altruistic activities, were significantly related to depression severity. These results suggest that participating in altruistic activities that are not perceived as overburdening may lead to outcomes that could positively impact depression. Limitations and directions for future research are discussed.
An Analysis of the Performance of a Clinical Sample of African American, Caucasian, and Hispanic Children on the WISC-III
The goals of revision for the Wechsler Intelligence Scale for Children-Third Edition included enhancement of the factor structure, improvement of subtests, and revision of norms. The researchers reported that the very few items that were found to be biased were replaced. The WISC-III performance of a clinical sample of African American, Caucasian, and Hispanic children was analyzed to determine if the test bias was eliminated as claimed in the goals of the revision.
Androgyny and Sex-Role Measurement: A Personal Construct Approach
Recent research into sex roles has been heavily influenced by androgyny theory, and by the development of the Bern Sex-Role Inventory (BSRI; Bern, 1974). Psychological androgyny is the combination, in one individual, of both culturally defined masculine and feminine personality traits. The Sex-Rep, a new instrument for assessing sex role which is aimed at rectifying certain problems associated with the BSRI, was then described. The Sex-Rep, the BSRI (Bern, 19 34), the Texas Social Behavior Inventory (TSBI; Spence & Stapp, 1974), the Beck Depression Inventory (BDI, Beck, 1967), and a self-concept thermometer, were given to 100 male and 108 female undergraduates. Results indicated that the BSRI and the Sex-Rep are both valid sex-role instruments, insofar as they both discriminate between males and females. They tend to measure nonredundant components of sex role as indicated by a lack of overlap between their sex-role classifications. The present study did not find any support for the balance model of androgyny which suggests that high masculinity and high femininity interact by balancing each other to produce a healthier, more behaviorally flexible individual. BSRI masculinity (M) was strongly related to adjustment in both sexes, but BSRI femininity (F) had little impact. This relationship between BSRI M and adjustment was described as probably resulting from measurement artifact since (&) only socially desirable traits are included on the BSRI, (b) removing self-esteem effects from the BSRI M scale enhanced its ability to discriminate between the sexes, (c) Sex-Rep masculinity was not related to adjustment for women, and its linkage to adjustment for men was less strong than BSRI M, (d) women rated their feminine constructs as more desirable than their masculine constructs, and (e) there were no actual self-esteem differences between males and females. Thus, findings from the BSRI regarding the relationship between sex role and adjustment …
Anxiety-Management Training for the Reduction of Type A Coronary-Prone Behavior
The present study investigated the effects of anxiety management training on the reduction of Type A coronary-prone behavior in a college student population and utilized behavioral measures as well as self-report indices of change. Evaluations pre- and post-treatment included self-report measures of Type A behavior, empirically validated performance measures of the achievement-striving and time-urgency components of coronary-prone behavior, and a learned helplessness manipulation that has been associated with this behavior pattern. Analysis of covariance indicated that the treatment group changed in the desired direction on all self-report indices, and on most of the performance measures and helplessness scores that were used as dependent variables. Discussion centered on the implications of these data to theoretical and practical conceptualizations of coping behavior and coronary disease and cautions were expressed concerning clinical significance, maintenance, and generalization of results.
Anxiety-Relief Conditioning: An Empirical Investigation
The current study investigated the efficacy of Wolpe's original (1954) paradigm of anxiety-relief conditioning. The procedure consisted of administering a mildly aversive electric shock to a subject for several seconds until the subject said the word "Relax," and the shock was terminated. Repeated pairings were claimed by Wolpe to condition physiological relief to the cue word, "Relax," which could then be employed in order to reduce anxiety in various anxiety provoking situations. Since there does not appear to be a generally accepted theoretical rationale to account for the reported efficacy of anxiety-relief conditioning, several theoretical rationales were discussed. In addition, a distinction was made between the anxiety-relief paradigm described by Wolpe (1954) and the aversion-relief paradigm employed by subsequent investigators (Gaupp, Stern, & Galbraith, 1972; Solyom, McClure, Heseltine, Ledwidge, & Solyom, 1972; Thorpe, Schmidt, Brown, & Castell, 1964). It was suggested that this distinction might be used to account for the failure of the current investigation to support the efficacy of anxiety-relief conditioning, as a review of the major study supporting its efficacy (Turnage & Wenrich, 1974) indicated that aversion-relief, rather than anxiety-relief, may have been employed. In the absence of strong supportive evidence for the efficacy of Wolpe's anxiety-relief paradigm, the need for further research elucidating the relevant parameters was discussed, and specific areas requiring more intensive study were delineated.
Anxiety Relief, Progressive Muscle Relaxation, and Expectancy Relaxation in the Treatment of Speech Phobia
Relaxation procedures and anxiety relief were reviewed. Effects of cognitive and expectancy variables in reduction of avoidance behavior were also extensively reviewed. Various theoretical models for desensitization were presented. Use of symbolic control in classical conditioning and use of self-control methods in anxiety reduction were discussed. Special emphasis was given to self-desensitization and cue controlled relaxation. One goal of the experiment was to determine whether a musical stimulus associated with counter anxiety procedures could reduce or prevent subjects' phobic responses in the presence of the phobic situation. Another goal was to determine the relative efficacy of two counter anxiety procedures (anxiety relief and progressive muscle relaxation) in lowering muscle tension and in reducing or preventing speech anxiety. Several implications were drawn from the study. Relaxation alone may alleviate anxiety and phobic behavior without being paired with phobic stimuli. Cognitive variables such as expectancy and feedback of progress make a substantial contribution to treatment of situational anxiety. Progressive muscle relaxation may not be the technique of choice for producing low levels of muscle tension. Recommendations for future research were specified, including additional measures and control procedures.
The Applicability of the PICTS-SV in Offenders with Severe Substance Use Histories
Two important developments are addressed by this dissertation. First, the Psychological Inventory of Criminal Thinking Styles-Simplified Version (PICTS-SV) was examined in relation to the original PICTS. Second, the vulnerability of the PICTS-SV to intentional risk minimization (RM) was tested. Two separate studies recruited a total of 150 offenders from a court-mandated residential substance use treatment facility. As expected, Study I established the PICTS-SV's good concurrent validity with the PICTS, especially at the broad composite scale level. For Study II, criminal thinking failed to show the anticipated convergence with HCR-20 risk classifications or forensic correlates. Potential explanations, including a restricted range of risk levels in this sample, are discussed. As a particular strength, the findings highlight that the PICTS-SV, in contrast to many risk measures, displays robust resistance to RM distortion, although revisions to its Df-r validity scale are warranted. These results overall demonstrate strong evidence of the PICTS-SV's utility for assessing a dynamic criminogenic need to inform effective interventions and accurate risk determinations.
Are Deficits in Mindfulness Core Features of Borderline Personality Disorder?
Mindfulness is a core component of dialectical behavior therapy (DBT), a widely utilized treatment for borderline personality disorder (BPD); however, the import of mindfulness in treating BPD has yet to be demonstrated, and the relationship of mindfulness to BPD constructs is unclear. The current study utilized structural equation modeling to examine the relations of mindfulness with BPD features and the underlying constructs of interpersonal problem-solving effectiveness, impulsivity, emotion regulation strategies, and neuroticism in 342 young adults. Mindfulness was significantly related to effectiveness in interpersonal problem-solving, impulsivity and passivity in emotion regulation, and borderline features. Furthermore, mindfulness continued to predict borderline features when controlling for interpersonal problem-solving and impulsive/passive emotion-regulation strategies, as well as when controlling for neuroticism. It is concluded that difficulties with mindfulness may represent a core feature of BPD and that improvement in mindfulness may be a key component of treatment efficacy with BPD. It is recommended that the unique contribution of mindfulness be investigated in future treatment-outcome research.
Are You a Good Witch or a Bad Witch? The Importance of Object Relations in Modern Assessment
The Social Cognition and Object Relations Scale—Global (SCORS-G) is a relatively new scoring system for the Thematic Apperception Test (TAT) that provides information about an individual's functioning in a variety of domains, including intrapsychic and interpersonal. Participants in this archival study had been administered a variety of measures as part of a routine clinical assessment, including the TAT, Rorschach, Minnesota Multiphasic Personality Inventory-2, and the Wechsler Adult Intelligence Scale. Selected TAT stories were rescored using current SCORS-G scoring criteria. This dissertation evaluated the factor structure of the SCORS-G in an outpatient sample with a principal component analysis (PCA), finding support for a two-component solution. The SCORS-G was then compared to well-established measures of personality functioning, social cognition, and object relations using correlational analyses, with mixed results. Lastly, support was found for using the SCORS-G as a tool for discriminating individuals with a history of violent or problematic relationships from those without such a history. Implications for card selection based on card pull and the impact of bland protocols were explored.
Assessment Center Ratings as a Function of Personality Factors, Sex and Rating System
The purpose of this study was to examine the differences between the traditional global rating scale and a new behavioral rating scale in a university-based assessment center. It was hypothesized that personality factors, as measured by the 16PF and associated with the global ratings of performance would differ from those associated with the behavioral ratings of performance. It was further hypothesized that the associated personality factors would also differ for males and females. These hypotheses were ^confirmed. Pearson correlations were computed for ratings of males, females, and all subjects combined on both global and behavioral rating scales.
The Assessment of Cognitive Functioning among Patients with Unilateral Visual Neglect: Effects of Field of Presentation and Cueing
Prior evidence has shown a reduction of neglect on line bisection tasks as a function of altered hemispace presentation and left cueing. The present study was conducted to examine the effect of these factors in reducing symptoms of neglect on measures of general cognitive functioning. To examine proposed changes, revised versions of the Raven's Coloured Progressive Matrices and the Memory-for-Designs (MFD) Test were constructed by placing the target stimuli in the right hemifield. Two experimental presentations, a right hemispace condition and a right hemispace plus left cue prompt condition, were compared to the standard presentation format. The primary hypotheses predicted that RBD neglect patients would reveal enhanced performance on the criterion measures as a result of these manipulations. Significant correlations were predicted between the neglect measures and between the two scoring systems for the MFD. The sample was comprised of 54 hospitalized patients, assigned to either a RBD neglect group (N = 18), a RBD nonneglect group (N = 18) , or an orthopedic control group (N = 18) . Both RBD groups were administered the Mini Inventory of Right Brain Injury, to document the presence and severity of right brain injury. Presence of neglect was assessed via the Schenkenberg Line Bisection Task and the Bells Test for Visual Neglect. Subjects were examined under all three conditions by administering one third of the items for each condition. Neglect subjects demonstrated significantly poorer performance on both criterion measures than the two comparison groups. However, no significant improvement in performance was revealed with right hemispace presentation of stimuli or left cue prompts combined with the right hemispace version. Ancillary predictions concerning correlations for the neglect measures and MFD scoring systems were confirmed. Results are interpreted in terms of increased attentional demands and task complexity. These results suggest that, despite the frequent clinical …
Assessment of Cognitive Performance in Mixed Martial Arts Athletes
Incidents and awareness of sports-related concussion have grown in recent years, attracting attention in both the academic and popular press. These concussions can lead to the rapid onset of neurological dysfunctions, as well as a variety of subjective symptoms. Although concussive sequelae are typically considered transient, debate remains about the persistent effects of repeated traumatic contact during sport participation. Although research has examined the complications of head trauma found in traditionally popular sports (e.g., football, soccer, boxing), little research has focused on the growing sport of mixed-martial-arts (MMA). Research specifically pertaining to MMA is in nascent stages, but to-date studies suggest that concussive injuries for this sport are prevalent and the training regimens of these athletes may place them at a high risk for concussive or subconcussive head traumas—as well as the accompanying neurological difficulties. The current study is the first to assess cognitive profiles of MMA athletes using an objective neuropsychological assessment instrument. Among 56 athletes (28 MMA athletes and 28 athletes not exposed to head traumas), no neuropsychological differences were found between groups of athletes. Additionally, no aspects of MMA training regimen shared a reliable relationship with neuropsychological performance or subjective concussive symptoms. This suggests non-professional participation in MMA may not typically pose a significant risk for cumulative concussions and associated adverse neuropsychological consequences.
Assessment of Competencies among Doctoral Trainees in Psychology
The recent shift to a culture of competence has permeated several areas of professional psychology, including competency identification, competency-based education training, and competency assessment. A competency framework has also been applied to various programs and specialty areas within psychology, such as clinical, counseling, clinical health, school, cultural diversity, neuro-, gero-, child, and pediatric psychology. Despite the spread of competency focus throughout psychology, few standardized measures of competency assessment have been developed. To the authors' knowledge, only four published studies on measures of competency assessment in psychology currently exist. While these measures demonstrate significant steps in progressing the assessment of confidence, three of these measures were designed for use with individual programs, two of these international (i.e., UK and Taiwan). The current study applied the seminal Competency Benchmarks, via a recently adapted benchmarks form (i.e., Practicum Evaluation form; PEF), to practicum students at the University of North Texas. In addition to traditional supervisor ratings, the present study also involved self-, peer supervisor, and peer supervisee ratings to provide 360-degree evaluations. Item-response theory (IRT) was used to evaluate the psychometric properties of the PEF and inform potential revisions of this form. Supervisor ratings of competency were found to fit the Rasch model specified, lending support to use of the benchmarks framework as assessed by this form. Self- and peer-ratings were significantly correlated with supervisor ratings, indicating that there may be some utility to 360-degree evaluations. Finally, as predicted, foundational competencies were rated as significantly higher than functional competencies, and competencies improved significantly with training. Results of the current study provide clarity about the utility of the PEF and inform our understanding of practicum-level competencies.
Assessment of Feigned Neurocognitive Impairment in Retired Athletes in a Monetarily Incentivized Forensic Setting
Compromised validity of test data due to exaggeration or fabrication of cognitive deficits inhibits the capacity to establish appropriate conclusions and recommendations in neuropsychological examinations. Detection of feigned neurocognitive impairment presents a formidable challenge, particularly for evaluations involving possibilities of significant secondary gain. Among specific populations examined in this domain, litigating mild traumatic brain injury (mTBI) samples are among the most researched. One subpopulation with potential to contribute significantly to this body of literature is that of retired athletes undergoing fixed-battery neuropsychological evaluations within an assessment program. Given the considerable prevalence of concussions sustained by athletes in this sport and the substantial monetary incentives within this program, a unique opportunity exists to establish rates of feigning within this population to be compared to similar forensic mTBI samples. Further, a fixed battery with multiple validity tests (VT) offers a chance to evaluate the classification accuracy of an aggregated VT failure paradigm, as uncertainty abounds regarding the optimal approach to the recommended use of multiple VTs for effort assessment. The current study seeks to examine rates of feigned neurocognitive impairment in this population, demonstrate prediction accuracy equivalence between models based on aggregated VT failures and logistic regression, and compare classification performance of various individual VTs.
Assessment of Feigning with the Trauma Symptom Inventory: Development and Validation of new Validity Scales with Severely Traumatized Patients
Currently, only the TSI assesses complex traumatic reactions and patient response styles. However, its feigning scale, ATR, uses a flawed detection strategy and is potentially confounded by experiences of complex PTSD. As a consequence, clinicians using the TSI to evaluate severely traumatized patients have no useful method for discriminating genuine and feigned responding. Several detection strategies have demonstrated utility within evaluations of feigned trauma including the assessment of rare symptoms, symptom combinations, symptom selectivity, and symptom severity. The current study created scales on the TSI according to these strategies using a development sample of 107 severely traumatized patients. Validation of all TSI feigning scales was then performed with a second independent sample of 71 severely traumatized patients using a mixed simulation design. Results found support for each scale's convergent validity with SIRS primary scales (M rs = .52) and discriminant validity with measures of defensiveness on the SIRS (M rs = -.07) and TSI (M rs = -.19). Each scale also produced expectedly mild to moderate relationships with SADS-C clinical scales (M rs = .32) and the SCID-IV PTSD module (M rs = -.02). Support for their criterion validity was only moderate (M ds = .69) when comparing the scores of genuine patients to those simulating disability. Potential explanations for this trend were reviewed, including (a) the impact of comorbidity, (b) the restrictions associated with creating embedded feigning scales, and (c) the influence of simulator knowledge in analogue designs. Limitations of the study and future avenues of research were discussed.
The Assessment of Suicidal Risk in Hospitalized Patients: Hope, Competence, Threat, Succorance, Helplessness, and Control
Although the suicide literature is replete with studies approaching risk assessment from the standpoint of the external observer, research into the intrapsychic mechanisms involved is rare. This study investigated the importance of hope, threat, competence, succorance, helplessness, and control among inpatients hospitalized for suicidal behavior.
Association Between Cognition and Depression: A Cross-Sectional and Longitudinal Study of Individuals with Learning Disabilities.
Over the past twenty years the number of children identified with learning disabilities has risen drastically. In addition, 26 - 40% of these children also experience depression. While cognitive functioning has been demonstrated to be associated with depression, it is unclear whether the mood, vegetative, or cognitive symptoms of depression predict particular cognitive processes and vice versa. The purpose of this study was to determine which particular cognitive processes were associated with specific depressive symptoms and depression as a whole. Structural equation modeling (SEM) was conducted to test a model which examined how three cognitive processing factors (verbal & visual reasoning, and attention/working memory) were associated with three depressive symptom factors (disturbances in mood, vegetative, and cognitive functioning). The data for SEM came from a large data set of children with learning disabilities (n=227). Model fit results supported the proposed model, and a significant association was found between the attention/working memory factor and the depression symptom factor reflecting disturbances in cognitive functioning. Less robust relationships were observed between verbal reasoning and cognitive depressive symptoms and an approach toward the conventional level of significance was noted between visual reasoning and cognitive depressive symptoms. Using a sub-sample of original participants who were re-evaluated 20-25 years later (n=40), longitudinal analyses were conducted to determine the predictive power of cognitive functioning and depression over time. There was some indication for the predictive power of visual reasoning performance in childhood on mood symptoms of depression in adulthood. The most robust association at both time 1 and time 2 was between attention/working memory performance and cognitive symptoms of depression. However, the association appeared to be time specific and not predictive.
Association of Trainee Psychotherapist Competency and Client Outcomes
Client outcomes in psychology training clinics have been shown to be generally worse than other outpatient settings. Although this finding has been repeatedly demonstrated, no consensus of cause has emerged in the literature. One possible explanation of such findings may relate to psychotherapist effects, a historically neglected variable that has received increased attention in more recent literature. Among psychotherapist effects researched, competency has emerged as a compelling factor worthy of more research. Given that most growth in competence occurs during graduate training, investigating the relationship between competency and client outcome offers great potential benefit for informing optimal training, nature of client symptom improvement, and a more accurate depiction of differences in psychotherapist effects across training and non-training settings. The purpose of this study was to explore the trajectory of competence development during doctoral training in health services psychology and to investigate the association of trainee competency to the psychotherapy outcomes evidenced by their clients. Practicum evaluations of 36 trainees and outcome data (using the Outcome Questionnaire-45.2) from 244 adult clients were included in analyses. Results of the study suggest there is a positive relationship between cumulative semesters of training and competency scores (rs[118]= .34, p < .001). Notably, there was no significant difference in psychotherapy outcome between low and high trainee competence. The results of the current study, relevant literature and limitations are discussed. Suggestions for future research are proposed.
Attachment Insecurity, Emotion Regulation Difficulties, and Mindfulness Deficits in Personality Pathology
A growing body of research has documented associations between personality disorders (PDs) and attachment disturbance, and yet, attachment disturbance does not necessarily guarantee the development of PD pathology. Thus, understanding the mechanisms mediating the relationship between attachment disturbance and PD pathology remains an open area of research. One area with sound theoretical and empirical evidence has shown that attachment disturbances are associated with emotion regulation difficulties, as well as maladaptive interpersonal patterns of behavior. However, the research conducted thus far has predominately focused on borderline personality disorder, at the exclusion of other PD domains, and also has not broadened the scope of research to include other relevant psychological processes that may clarify how personality pathology and attachment disturbance are interrelated. Using a large independent sample of college (n = 946) and community-based individuals (n = 271), the current study aimed to (1) examine how the Personality Inventory for DSM-5 (PID-5) PD trait domains would be differentially associated with maladaptive attachment processes and emotion regulation problems, and (2) explore whether deficits in mindfulness and emotion regulation mediated the relationship between disturbed attachment and PD trait domains. Findings suggested that the PID-5 PD trait domains have general and specific relations to attachment insecurity, impairments in emotion regulation, and decreased mindfulness. Overall, the current study suggests that improving emotion regulation skills and increasing dispositional mindfulness may limit the expression of pathological personality traits. Implications of these findings and directions for future research are discussed.
Attachment Theory Within Clinical Supervision: Application of the Conceptual to the Empirical
Attachment theory has established itself as applicable to many types of relationships, encompassing caregiver-child, romantic, interpersonal, and psychotherapeutic interactions. This project sought to investigate the application of attachment theory to clinical supervision. Using suggestions put forth in previous work by Watkins and Riggs, this study examined the dyadic interactions inherent in both supervision and attachment. Using the working alliance as determination of the quality of supervision, attachment styles, leader-follower attachment, and attachment-based expectations were explored as predictors for supervisor-trainee dyad outcome in a training clinic for doctoral psychology students. The study design is longitudinal and prospective. Findings indicate the necessity of measurement of supervisory-specific attachment rather than general attachment, the stability of working alliance over time, and the large contribution of the leader-member attachment framework to the understanding of supervisory attachment. Implications include the importance of maintaining hierarchical, evaluative boundaries within supervisory relationship, consistent with a leader-follower dynamic.
Attention and Information Processing Variables in Hypothetically Psychosis-Prone College Students
Considering the explanations of schizophrenia that presume schizophrenia spectrum disorders (e.g., schizotypal personality disorder, schizoaffective disorder, etc.) to be genetically related to schizophrenia, the purpose of this study was to investigate the attention and information processing abilities of individuals who have been identified as schizotypal or psychosis-prone (i.e., schizophrenia spectrum functioning in individuals who do not have schizophrenia). Research indicates that persons identified as psychosis-prone may show attention and information processing deficits similar to individuals with schizophrenia. The identification and description of individuals who later decompensate into schizophrenia would advance the understanding of schizophrenia and its causes. The Chapman's PER-MAG scale (Perceptual Aberration-Magical Ideation) was used to identify 35 hypothetically psychosis-prone college students (schizotypy group) and 42 normal college students (nonschizotypy group) out of the 806 volunteer subjects. Their attention and information processing abilities were measured by COGLAB (a multiparadigmatic cognitive test battery that represents a continuum of cognitive functions, from preattentional to attentional, to conceptual). Their social adjustment was measured by the Premorbid Adjustment Scale (PAS). The hypotheses of the study were that the hypothetically psychosis-prone subjects would perform poorer than controls on COGLAB measures and that COGLAB measures of a more molar nature would better predict social adjustment than would the more molecular tasks. The results of the study did not support the hypotheses as there were no significant differences between the schizotypy group and the nonschizotypy group and the measures of a more molar nature did not better predict social adjustment. Further research might consider increasing the sample size, applying more stringent cut-off criteria for the schizotypy group, and verifying the validity of using PER-MAG, COGLAB, and PAS with this population. Further research also needs to clarify the ways in which those identified as psychosis-prone process information like (or unlike) nonschizotypes and how their current social functioning …
Attention and Metacognition in the Elaborated Intrusion Theory of Desire
The elaborated intrusion (EI) theory of desire is a cognitive model that describes the processes involved in craving as intrusive thoughts that are elaborated upon leading to dissonance when desires are not met. While the theory is based on a wide body of research, certain theoretical predictions have not been fully examined. Specifically, EI theory argues that mental imagery has a central role in craving, and predicts that attempts to suppress substance-related intrusive thoughts and mental imagery is related to increased craving. Further, EI theory suggests that elaboration of craving imagery is related to attention and working memory processes, however, there are questions about whether differential performance in these domains is related to craving. The current study examined the relationship between attention/working memory performance and alcohol craving in a sample of 119 young adult males. Additionally, metacognition was examined to clarify the phenomenological aspects of craving within EI theory. Attention and working memory performance did not significantly predict intrusive thought and mental imagery elaboration. Individuals with high craving reported significantly higher levels of anxiety, thought suppression, and greater strength and frequency of craving-related mental imagery. They were also more likely to try to control their own thoughts and make negative judgments on their ability to do so. The strength of craving-related intrusive thoughts, not mental imagery, was the most significant predictor of craving. Implications for the understanding of craving and treatment recommendations based on the findings are discussed.
Attitudes about Caregiving: An Ethnicity by Generation Approach
The goal of this project was to understand ethnic and generational differences in attitudes towards caregiving and expected burden while taking into consideration factors such as gender, generation, familism, and acculturation. One hundred and sixteen young adults (ages 18-25) and 93 middle-age adults (ages 38-62) were enrolled in the study. Participants included European Americans, African Americans, and Hispanics. Using moderation analysis, two hypotheses were investigated: 1) Ethnicity relates to attitudes towards caregiving, moderated by gender, generation, familism, and acculturation. 2) Ethnicity and expected burden relate to each other, moderated by gender, generation, familism, and acculturation. Familism emerged as a moderator in the relationship between ethnicity and expected burden. Results suggested that the strength of the relationship between being African American and expecting burden was less for those with moderate familism (R =.078), slightly higher for low familism (R = .176), and the highest for high familism (R= .261). Additional results indicated that the strength of the relationship between being Hispanic, as opposed to being European American, and expected burden, was higher for middle-aged adults (R =.23) when compared to young adults (R =.19). The current findings lend support to the recently established idea that familism is not protective against burden as it increases one's sense of obligation towards family (Knight & Sayegh, 2010).
Attitudes and Treatment Knowledge by Medical Students Regarding Rape Victims
The purpose of this study was to investigate the attitudes and treatment knowledge of medical student professionals regarding rape victims. In addition to generating normative data for a population which, as a function of their vocation may come in contact with victims, comparisons were made between a sample of those beginning their medical education process and those at the end of training in order to measure change in treatment knowledge and attitudes towards rape victims which occur during medical school. Also investigated were differences which exist in the attitude and treatment knowledge measures for rape victims compared to other emergency room patient populations, and the effect of gender of the physician upon those measures. A final element investigated the physicians' perceptions of a "real" rape as it relates to those measures.
Behavioral Treatment of Essential Hypertension: A Comparison of Cognitive Behavior and Multi-Element Self-Regulation Therapies
Self-monitoring, lowered arousal training (i.e., biofeedback and relaxation training) and maintenance follow-up appeared to contribute to effective treatment of hypertension. Cognitive therapy, while effective in treatment of some stress-related disorders, has not been studied as a specific treatment component for hypertension. The present study explored the use of cognitive therapy as a treatment variable to reduce blood pressure in hypertensive persons. The effectiveness of a multi-element treatment including cognitive therapy, blood-pressure biofeedback, and relaxation training was also assessed. Self-monitoring and maintenance training were included as a part of each treatment process.
Bias in the Diagnosis and Treatment of Gay Males
The purpose of this study was to explore heterosexual bias in the diagnosis and treatment of gay males. Two hundred-fifty (134 males and 116 females) mental health professionals from the Division of Psychotherapy (29) of the American Psychological Association participated in the study. Participants were randomly assigned to one of two case history conditions, which presented a 35-year-old male seeking therapy. Both conditions were equivalent with regards to the presenting problem (i.e., diagnostic symptoms) with the exception of his significant other (i.e., gay vs. non-gay condition). Potential bias was measured through a diagnostic rating Likert scale and a treatment plan questionnaire. Other independent variables that could potentially have an effect on diagnostic ratings were explored, such as gender, year of graduation, and theoretical orientation of the respondents. Results of the statistical analyses failed to confirm evidence of heterosexual bias. Implications for further research and training are discussed.
Biofeedback and Progressive Relaxation in the Treatment of Muscle Tension Headaches: A Comparison
This study was designed to compare the clinical effectiveness of EMG biofeedback and progressive relaxation training in the treatment of muscle tension headache. These procedures also were compared with a treatment-element control group. Results from this study indicated that EMG biofeedback, progressive relaxation, and the control procedures all led to significant improvements across sessions on EMG and most self-report measures. There was little evidence that either treatment technique was superior to the other or to the control procedures. Although in most cases there were rather large numerical differences between groups, these differences generally were not statistically significant. Analysis of correlations between EMG and self-report data revealed a pattern of variable but generally nonsignificant relationships. However, for the biofeedback and progressive relaxation groups, there were a number of highly significant correlations. The pattern of correlations suggested that the relationship between EMG tension and subjective headache pain may be better predicted by something other than a strict linear model.
Bipolar Spectrum Traits in Day-to-Day Life: Ecological Momentary Assessment of Reward Sensitivity, Circadian Timing, and Experience of Reward in the Environment
The current study examined 236 undergraduate students in a week long twice-per-day ecological momentary assessment exploring the influence of baseline reward sensitivity and interactions between circadian variables (i.e., total sleep time, sleep quality) and daily measures of reward. Though primary study findings did not support reward sensitivity related moderation of sleep-reward pathways, a number of notable findings emerged. We found evidence of specific domains of reward sensitivity (anticipatory reward and reward responsiveness) which are uniquely related to daily experiences of reward. In addition, bidirectional circadian-reward pathways were found between sleep quality and daily rewards which suggests pathways towards reward-related engagement. Evidence also supported interactions between sleep quality and total sleep time on experience of daily reward, further highlighting the complexity of sleep-reward pathways and their relevance to mood symptoms.
Blood Pressure Biofeedback and Relaxation Training: The Effects of Home Practice on Reduction of Blood Pressure in Persons with Essential Hypertension
Blood pressure biofeedback at home was compared with relaxation training and a combination of the two procedures for the treatment of essential hypertension, Ten subjects were taught to monitor blood pressure (BP) at home with electronic sphygmomanometers designed for self-use. Although situational factors appeared to have rather potent effects on BP levels, results suggested that training to control BP did generalize across situations. Although pretreatment BP level seemed to be related to the amount of reduction obtained, there was some evidence to indicate that subjects trained in behavioral methods of control could maintain BP in the average range after medication was discontinued, even if no significant reductions were obtained during treatment . Home practice of BP biofeedback was found to be the most successful single treatment for reducing systolic BP in the practice setting.
Characteristics and Predictors of Success at Two Coed Halfway Houses
The present study evaluated offender characteristics associated with completion of halfway house placement by the inclusion of additional offender characteristics for analysis in addition to those studied in previous research, the analysis of a large number of representative cases, and the use of statistics allowing clear conclusions upon which to base decision making. Data analysis was done in three steps. The first Step was to identify offender characteristics which were associated with completion in halfway house placement. The second step was to see how accurate the offender characteristics identified were in predicting completion of an offender's halfway house stay. The third step was to identify any possible factors which underlie the offender characteristics identified. Discriminant analyses identified ten offender characteristics which were associated with completion of halfway house placement for 521 male offenders and four offender characteristics which were associated with halfway house completion for the group of 33 female offenders studied. These offender characteristics resulted in 75.38 percent correctly classified cases for the male offender group and 96.9 7 percent correctly classified cases for the group of female offenders. Factor analyses resulted in the identification of four factors for the group of male offenders and two factors for the female offender group. Suggestions for future research included replications of the present study leading to the identification of offender groups based on probabilities of successful halfway house completion, and the establishment of halfway house programs tailored to offenders identified as having high or low probabilities of completion.
Child Physical Abuse: An Analysis of Social Cognition and Object Relations
This study compared the social cognition and object relations of 39 physically abused children to a clinical group of 39 children with no recorded history of abuse.
Childbirth and Locus of Control: The Role of Perceived Control in the Choice and Utilization of Birthing Alternatives
The purpose of this study was to determine whether the wives' perceptions of personal control over the process of childbirth were related to couples' choices and utilization of three birthing alternatives (home birth, unmedicated hospital birth, and medicated hospital birth). The wives' perceived control over the childbirth process was expected to vary inversely with the level of medical intervention in the birthing alternative chosen. The home birth mothers were expected to perceive themselves as having more control over childbirth than were the unmedicated hospital group mothers, and the unmedicated hospital group mothers more than the medicated hospital group mothers. The husbands' perception of their wives' perceived control in childbirth and their participation was also measured.
Chronically Ill Children: Maternal Stress and Psychological Symptomatology
This study used a parenting stress and coping model to identify predictors of symptomatology for 13 8 mothers of medically compromised children. This model proposed that: child characteristics (severity of the chronic illness and child related parenting stressors); parent characteristics (self-esteem, sense of competence, and parents' perceived stress/distress); and environmental characteristics (social support, general life stressor events, and demographic variables) contribute to psychological symptomatology for these mothers. Multiple regression analysis found a relationship between general life stressor events, severity of the children's chronic conditions, lower satisfaction with social support, lower self-esteem, and younger mothers' ages and greater symptomatology. Trends toward significance were found for more parenting stress and lower parenting sense of competence predicting greater symptomatology. Predicted relationships between family socioeconomic status and parenting daily hassles and symptomatology were not supported.
Cigarette Smoking Behavior: Self-Managed Change
In the present study, three self-managed treatment programs were compared with respect to their ability to effect and maintain change in the cigarette smoking behavior of 27 subject volunteers from the population of employees of a Veterans Administration hospital. Subjects were randomly assigned to a self—imposed delay group, a self-directed relaxation group, and a self-monitoring group. The experimental program lasted 6 weeks with a 20-minute individual meeting each week. Three months following treatment, subjects were contacted by mail and were asked to monitor their smoking behavior for one week, and to return their average daily smoking rate by mail. The results provide support for the effectiveness of the self-management technique of self-imposed delay as a durability—enhancing treatment procedure. The effectiveness of self-management techniques as a general class of treatment strategies was not supported. A task for future research would be to establish the effectiveness of the delay technique implemented earlier in the cigarette smoking chain, as well as to determine whether effectiveness is increased or decreased by a specification of the content of a delay interval.
Co-Occurrence of Rape Myth Acceptance and Intolerant Attitudes in a Military Sample
Sexual trauma within the military is a widespread issue, and rape myth acceptance has been shown to contribute to its prevalence. Given that the military culture has been shown to lend itself to hypermasculinity and traditional gender role adherence, both of which facilitate aggression toward women, this effect warrants investigation within a military sample. The present study replicated and expanded upon Aosved and Long's (2006) study examining 85 veteran and active duty military members' responses on the Illinois Rape Myth Acceptance Scale, Attitudes Toward Women Scale (short form), Neosexism Scale, Male Role Norms Inventory (short form), Modern and Old Fashioned Racism Scale, Modern Homophobia Scale, a modified version of the Economic Belief Scale, Fraboni Scale of Ageism, Religious Intolerance Scale, and the Marlowe–Crowne Social Desirability Scale (short form). Findings provide support for the co-occurrence of rape myth acceptance with intolerant attitudes, including sexism, hypermasculine gender role ideology, racism, sexual prejudice, classism, ageism, and religious intolerance, both individually and collectively. These results provide insight into the functioning of intolerant attitudes within a military sample, and provide important insight for future research addressing the association between rape myth acceptance and rape proclivity and the perpetration of military sexual assault.
The Cognitive and Emotional Correlates of Neglect in School Age Children
The purpose of this study was to examine the cognitive and emotional functioning of neglected, physically abused, and clinical control children between six and thirteen years of age who were referred for testing at the Dallas Child Guidance Clinic.
A Cognitive-Behavioral Treatment Approach for Heterosocially Anxious Males
The present study examined the efficacy of a cognitive-behavioral therapy package and a highly credible attention-placebo in the treatment of male heterosocial anxiety. Previous research provided evidence that cognitive factors are important in the etiology and maintenance of heterosocial anxiety, and suggested that a cognitive-behavioral approach should be effective in the treatment of this problem. Despite such evidence, relatively few therapy outcome studies have been conducted using cognitive-behavioral procedures.
Cognitive-Behavioral Treatment of Sleep Disorders in Inpatient Vietnam Combat Veterans
This study evaluated the efficacy of a cognitive behavioral treatment for insomnia among inpatients who met the diagnostic criteria for Post Traumatic Stress Disorder. The cognitive behavioral treatment consisted of progressive relaxation, stimulus control, and thought stopping with cognitive restructuring.
Cognitive Organization, Interpersonal Flexibility and Psychological Maladjustment
Recent research on the contribution of cognitive and social factors to psychopathology has been narrowly focused on isolated cognitive-social aspects of adjustment. This study takes a broader perspective by examining a) cognitive structure in addition to cognitive content and b) general aspects of interpersonal style rather than isolated social behaviors. Maladjustment was. examined with respect to premorbid history as well as current adjustment. The hypotheses were that cognitive integration interacts with cognitive complexity to influence psychological disturbance; that a positive relationship exists between interpersonal flexibility and psychopathology; and that a positive relationship exists between the proportion of ambiguous constructs which they employ and a person's level of psychopathology.
Cognitive Processing Bias in Sexually Aggressive College Men
The study of cognitive factors in sexual aggression has, for the most part, been limited to beliefs and attitudes. The present study sought to detect a rape-supportive schema of sexual relationships that organizes and guides information processing in several cognitive domains: cognitions arising in the context of a simulated sexual situation, memory, person perception, and social reasoning.
Cognitive Strategies for the Control of Experimentally Induced Pain: The Role of Pleasantness and Relevance of Content in Imagery
This study compared the relative efficacy of four imagery techniques in increasing tolerance to cold pressor pain. Relevant pleasant, relevant unpleasant, irrelevant pleasant, and irrelevant unpleasant imagery strategies were compared in a two-way factorial design. Prior research suggested that pleasantness and relevance both affect imagery potency. This study attempted to assess the relative contribution of these two variables to increases in pain tolerance. Also investigated were the roles of several hypothesized mediating variables; namely, contextual valence, self-efficacy, treatment credibility, and involvement in imagery. The subjects were 60 female undergraduates who were randomly assigned to the four imagery groups. Two-way analysis of covariance were performed on all dependent variables, using pain threshold as the covariate. Pearons r.'s were used to test correlational hypotheses.
Combination of Cognitive Group Therapy and Subliminal Stimulation in Treatment of Test-Anxious College Males
Silverman's technique of subliminal psychodynamic activation via tachistoscope has been demonstrated to facilitate competitive performance in college males when a sanctioned oedipal gratification fantasy stimulus is utilized. This effect is presumed to result from a decrease in unconscious neurotic conflict. The cognitive component of Meichenbaum's Cognitive Behavior-Modification has been shown effective in reducing test anxiety. This effect is presumed to stem from conscious identification and modification of negative self-statements. The hypothesis that a combination of the two approaches would prove more effective than the cognitive group therapy alone in reducing test anxiety was tested. Thirty-four test-anxious male students attended 10 sessions wherein they received subliminal stimulation and cognitive group therapy. Half of the students were presented active, and half neutral stimuli subliminally via tachistoscope. All received the cognitive group therapy. Therapists conducting the groups were blind to the hypothesis being tested and the assignment of subjects to experimental and control groups. Subjects were randomly assigned to the experimental conditions in order to control for group and therapist effects.
Common Strategies for Regulating Emotions across the Hierarchical Taxonomy of Psychopathology (HiTOP) Model
The hierarchical taxonomy of psychopathology (HiTOP) is a novel classification system that adopts both a dimensional and hierarchical approach to psychopathology to address shortcomings. However, the HiTOP framework is descriptive in nature and requires additional research to consider potential mechanisms for the onset and maintenance of psychopathology, such as cognitive-behavioral emotion regulation strategies. To redress this gap, a sample of 341 adults who endorsed ongoing mental health concerns completed self-report measures of emotion regulation strategies and psychopathology. The data revealed a three-spectra HiTOP model consisting of internalizing, thought disorder, and antagonistic externalizing. Results found that psychopathology was most strongly associated with avoidance, catastrophizing, expressive suppression, and self-blame. In contrast, adaptive strategies were generally unrelated to the HiTOP spectra. This pattern was strongest for internalizing, distress, and detachment. Fewer, yet noteworthy unique relationships between the strategies and specific spectra/subfactors were also found. These findings suggest that psychopathology may be best conceptualized as an overutilization of maladaptive emotion regulation strategies. Furthermore, the results indicate there is added benefit to considering these strategies within a hierarchical approach to psychopathology. These associations alert clinicians to potential treatment targets and contribute to an ongoing literature that seeks to identify underlying mechanisms of the structure of psychopathology.
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