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 Degree Discipline: Clinical Psychology
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Personality Correlates of Anorexia Nervosa in a Nonclinical Sample
The purpose of this study was to examine the relationship between anorexia nervosa and several personality traits. Past research in this area has been contradictory for several reasons. Sociocultural theories have described the media's role in promoting eating disorders by portraying a thin body-type as the ideal. However, they have neglected to describe the personality ideal which our society promotes in women. It is proposed here that anorexics incorporate and oppose this ideal. Therefore, the anorexic personality is one filled with conflict.
Secondary traumatic stress disorder in the therapists from the Oklahoma City bombing
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Little empirical research has been done to examine the effects that working with traumatized individuals has had on their therapists. It is known that mental health professionals often do suffer ill effects, especially symptoms of secondary traumatic stress disorder. The present investigation tested predictors of secondary traumatic stress disorder in the therapists who provided services for the Oklahoma City bombing. Predictors were therapist social network involvement, years of counseling experience, and amount of self-reported empathy experienced from others. Indicators of secondary traumatic stress were the Frederick Reaction Index-A, the Compassion Fatigue Self-test for Helpers, and the SCL-90R. Hypotheses were tested using a series of hierarchical multiple regressions. Results demonstrated no significance for years of experience or social network, but perceived empathy accounted for 11% of the variance on the SCL-90 and the Compassion Fatigue Self-test for Psychotherapists with social network and years of experience controlled.
Developmental Stressors and Associated Coping Skills in the Development of Disordered Eating in College Females
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There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of cultural values regarding attractiveness encountered increased dissatisfaction and disapproval of their bodies. Finally, women with higher levels of body concern engaged in more eating behaviors associated with disordered eating. The roles of personality functioning and perceived social support could not be identified in the developmental model. The predictive links between constructs in the resulting model provide meaningful information regarding the transition to college and associated risks for development of disordered eating. Validation of the model in an independent sample would provide confirmation of these relationships and longitudinal research examining females' attitudes across crucial developmental periods might provide important information regarding which individuals are most at risk for development of disordered eating.
The Decrement of Stuttering as a Result of the Application of the Experimental Analysis of Behavior
This investigation is an attempt to apply the principles of the experimental analysis of behavior to the stuttering behavior of two clinical subjects. The experimental manipulations were performed in order to bring about a decrement in the stuttering rate of the two subjects.
Modification of Disruptive Talking, Employing the Opportunity to Work as a Reinforcing Stimulus
The purpose of this study was to test the effectiveness of "work" as a reinforcing stimulus in a behavior modification program designed to eliminate disruptive talking. A response-cost procedure was established whereby the reinforcement was made contingent upon the behavior of eight students with learning disabilities.
Staff Opinion Differences between Geriatric and Non-Geriatric Treatment Wards at a State Mental Hospital
The primary purposes of the present study were (1) to see in which way, if any, the measured attitudes of psychiatric aides employed on geriatric wards differed from those of aides employed on non-geriatric wards at the same hospital; and (2) to explore the relationships between measured attitudes and other variables such as age, education, amount of experience as an aide, amount of experience on either geriatric or non-geriatric wards, and the number of patients per aide on each ward.
The Relative Effectiveness of Parental Positive Reinforcement and Punishment in Reducing Oppositional Behavior in Children and in Increasing the Frequency of Parent-Child Interaction
The purpose of this study was to determine the relative effectiveness of the reinforcement and punishment techniques in the natural environment, and the effect of their use upon the social interaction between parent and child. It was hypothesized that punishment would be more effective than reward in controlling oppositional behavior, but that reinforcement would be more effective in increasing child-initiated interaction with the parents.
Dogmatism and Sex Role Differentiation in Adults
This study is an investigation of the general questions Is there a relationship or interaction between a subject's dogmatism score (as measured by the Dogmatism Scale) and his self-rating of the perceived stereotypical masculinity-femininity dimension (as measured by the abridged Mf scale of the Minnesota Multiphasic Personality Inventory)?
An Investigation of I.Q. and Achievement Score Increase in Classes for the Emotionally Disturbed and Minimally Brain Injured as a Result of Operant Conditions Using Tangible Reinforcers
This study was an objective investigation of an operant program in behavior modification using tangible reinforoers, which was conducted in two Special Education classes in the Denton Independent School District.
Dogmatism in Adults and Correlates of Early Parent-Child Relationships
The results suggest that children's perceptions of parental child-rearing behavior are related to their tendencies to be dogmatic in their beliefs, and apparently perceptions of parents as loving has reinforcing properties for the child that may lead to the uncritical acceptance of the belief system of the parents.
The Bender Gestalt Test and Prediction of Behavioral Problems in Moderately Mentally Retarded Children
The purpose of this study was to determine the usefulness of Koppitz's method of scoring the Bender Gestalt (BG) Test for the prediction of behavioral problems in retarded children. The problem behaviors with which this study was concerned were those most often associated with the hyperactive child.
Prediction of Success in Computer Programming Courses
This study dealt with the problem of investigating the validity of two recently developed paper-and-penci1 tests of programmer aptitude , the Aptitude Test for Programmer Personnel (ATPP) and the Computer Programmer Aptitude Battery (CPAB), in predicting success in computer programming.
Allergen Research and Its Implications for Psychology: History, Current Status, and Prospectus
The purpose of this manuscript was to present a brief history, the current status, and a prospectus of allergen and allergic reactions. Research on allergic reactions, particularly as viewed from the psychogenic position, was presented. The review strongly suggests that the psychogenic orientation has been frought with contradictions, unnecessarily complex interpretations, and an over-abundance of subjective, dynamic, and analytic redundancies which have done little more than perpetuate the stagnation of a rather important subdomain of the "mental" health professions.
Stimulation of Breast Growth by Hypnosis
The purpose of this study was to determine whether hypnotic suggestions could influence the physiological mechanisms associated with breast growth to produce a significant increase in breast- size in an adult female population.
The Utilization of Leisure Time among Women in Psychotherapeutic Treatment
The present study was designed to investigate the utilization of leisure time among women in psychotherapeutic treatment. Three quantitative aspects and one qualitative aspect of the utilization of leisure time were chosen for investigation. Those aspects were the number of activities in which the women participated during the past twelve months, the categories of leisure interest of the chosen activities (arts and crafts; dance; drama; games, sports, and athletics; hobbies; music; outdoor recreation; reading, writing, and speaking; social recreation; special events; and voluntary services), the total time spent in leisure activities, and the level of enjoyment per hour of participation in leisure activities.
A Comparison of the Child-Rearing Attitudes of Disadvantaged Chicano and Black Mothers
Hypothesized in this study are the following: (1) that there are significant general differences between the childrearing attitudes of disadvantaged Chicano and Black mothers, (2) that their respective attitudes significantly vary on particular subtests of maternal attitude, and (3) that demographic variables, such as age, number of marriages, nativemigrant status, and level of education will affect significant differences in response on a number of specified attitudinal subtests.
Sex Differences and the Relationship Between the Need for Social Approval and Conservative-Liberal Sexual Attitudes
This study investigated sex differences and the relationship between need for approval and liberal-conservative attitudes regarding sex. The test measures used were the Marlowe-Crowne Social Desirability Scale (M-C SDS) and a questionnaire measuring liberal-conservative sexual attitudes taken from a research survey published in Psychology Today.
Mothers as Play Therapists for their Children
The problem with which this investigation is concerned is that of determining whether previously untrained, non-professional personnel, in this case mothers, can be trained to undertake and cope with the responsibilities of a play therapy situation with their own children. The hypothesis of this study is that by placing mothers in such a situation, the mother's ability to communicate with her child will be modified as well as modifying the child's perception of her as a warm and accepting parent.
An Examination of the Relationships between Personality Adjustment, Social Interaction Abilities, and Marital Adjustment
The problem with which this investigation was concerned, was that of determining the relationships between personality adjustment, social interaction abilities and marital adjustment. The following hypotheses were investigated: 1) there will be a significant relationship between individual personality adjustment and marital adjustment, and 2) there will be a significant relationship between marital harmony and social interaction abilities.
The Effects of Sedative and Tonic Music on Sterotyped Behaviors in Institutionalized Mental Defectives
Stereotyped behavior in profoundly retarded subjects was observed under sedative and tonic music, with time and movement measures of responding.
Countercontrol as a Factor in Teaching Vocal Imitation to an Autistic Child and it Relationship to Motivational Parameters
Operant conditioning techniques were used to establish imitation in the manner outlined by Baer. Countercontrol was assessed in motor and vocal imitation across four motivational levels. Three levels of food deprivation, i.e., three hour, fourteen hour, and twenty-one hour, plus a final response contingent shock level, composed the parameters.
Insight versus Desensitization: a Comparative Study
The present study was an attempt to show that the behavioral technique of desensitization is superior to insight-oriented psychotherapy in terms of not only behavior change for individuals undergoing desensitization but in terms of case of acquisition to novice therapists who have virtually no clinical experience.
Unconscious Affective Concern and the Fear of Death: a Comparison of Mortuary and College Students
This study attempted to ascertain the differences between mortuary and college students in terms of unconscious affective concern with death and the conscious fear of death.
An Analysis of a Procedure Employing the Mowrer Imitation Paradigm in Relationship to the Generalized Imitation Procedure for Establishing Vocal Imitation
The purpose of this study was to examine the efficacy of an ancillary procedure, the Mowrer imitation paradigm, in conjunction with an ongoing generalized imitation program. It was hypothesized that the ancillary program would accelerate the acquisition of vocal imitation relative to a situation In which the generalized imitation procedure was employed alone.
Correlates of Parent-Child Relations as Perceived by the Child, Type of Humor Appreciations, and Neuroticism
Appreciation of humor is generally accepted as being a unique aspect of human personality. Yet, despite its prominence in everyday situations, it remains a relatively unexplored area of scientific investigation. The present study has a twofold purpose: (1) an examination of the relationship of "sense of humor" to neurosis in a relatively normal population and, (2) an exploratory investigation of the type of parent-child relationship which fosters a particular mode of response to humor. As a result of the methods used to explore these areas, a third area for study was available to the investigator. That was the examination of the type of parent-child relationship perceived by the subject and the subsequent development or absence of neurosis.
Interrelationships Between Children's Perceptions of Parents, Teacher Ratings, and Human Figure Drawings
This study investigated the relationship between children's perception of parents as loving or rejecting and the general emotional adjustment of these children. Emotional adjustment was reflected by behavior within a regular classroom as observed by the teacher and by performance on a projective personality test.
Biochemically Induced Avoidance of Saccharin: a Parametric Study
The purpose of this study was to examine some of the parameters of saccharin avoidance relating to varying dose sizes of the colloidal suspension, Proferrin. Since studies reveal additive effects when irradiation and Proferrin are used together, it was hypothesized that different degrees of avoidance would be obtained by using various dose levels.
A Longitudinal Investigation of Different Exercise Modalities on Social Physique Anxiety
The current study examined if students' levels of social physique anxiety vary depending on the type of exercise setting they select. The study determined the degree to which social physique anxiety changed over the course of semester-long involvements in different exercise settings.
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.
Pregnancy Loss: Disenfranchised Grief and Other Psychological Reactions
It is widely acknowledged in the literature that grief is most intense when it is experienced by parents whose children have died. However, as recently as 20 years ago, mothers whose children died at birth or before the pregnancy had reached full term were often dismissed as merely medical patients, and their psychological reactions were not considered or acknowledged by professionals, their friends, or their families. More recently fields such as psychology have recognized that women who have experienced pregnancy loss have complex psychological reactions to their loss. The present study examined the patterns of grief of women who have had a pregnancy end in spontaneous abortion or stillbirth and the ways in which these women gave meaning to their experiences. Participants were asked to complete several measures including the Perinatal Grief Scale (PGS), the Hogan Grief reaction Checklist (HGRC), the Perceived Social Support Scale (PSS), and the Inventory of Social Support (ISS). The participants also wrote a narrative account of their loss experience. These narratives were content analyzed to delineate common themes. The findings indicated several important factors which may be useful in understanding and assisting in post-loss adjustment.
Implementation of a Therapy Group for Wives of Veterans with Posttraumatic Stress Disorder: Development and Preliminary Outcomes
The purpose of this study was to develop a manualized therapy group for wives or significant others of veterans with posttraumatic stress disorder and to evaluate its effectiveness in reducing wives' psychological symptoms. A second aim of the study was to determine if women's involvement in the wives group resulted in decreases in their husbands' PTSD symptoms. Women recruited for the study were administered pre-test measures during a screening session. They then participated in a 9-session manualized therapy group designed by the researcher that included psychoeducational, process, and support components. Examples of group topics included psychoeducation regarding PTSD, assertiveness and communication, intimacy, self-care, and stress management. After completing the group sessions, participants were asked to complete post-test measures. Other factors explored in this study included marital satisfaction, perceived social support, general satisfaction with the group, and demographic variables. Results indicated that wives who participated in the group treatment exhibited significant decreases in secondary stress symptoms and increases in marital satisfaction from pre-test to post-test. The majority of participants also reported high levels of satisfaction with the group process. Therefore, it appears that the group protocol presented in this study could be a useful tool in the treatment of wives of veterans with PTSD. The results of this study have potential implications regarding the clinical treatment of families of veterans with PTSD and the development of future programs within the VA system.
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.
Executive Control of Craving: An Examination of College Students
Previous research has shown that alcohol abuse may cause a deficit in frontal lobe functioning, specifically, areas of the frontal lobe that are related to executive function. Additionally, problems with executive function have been related to increased difficulty in managing cravings to addictive substances. The current study explored the relationship between alcohol use and performance on measures of executive functioning in a sample of 121 traditional college students. Students were given 5 measures of executive function designed to explore mental set shifting, updating, inhibition, sustained attention, and planning. These measures were used to examine the relationship between executive function and craving as measured by the Obsessive Compulsive Drinking Scale. Levels of alcohol use were also examined using the Alcohol Use Disorders Identification Test in relation to executive function performance and family history of alcohol abuse.
The Detection of Neuropsychological Malingering
The present study compared the responses of a group of simulating malingerers who were offered a monetary incentive to feign symptoms of a head injury, with the responses of head injured groups both with and without litigation, a forensic parole group, and an honest-responding control group. The following six neuropsychological measures were utilized: Rey 15-Item Memory Test, Controlled Oral Word Association Test, Finger Oscillation Test, WAIS-R Neuropsychological Instrument (Vocabulary, Information, and Similarities subtests), Booklet Category Test, and Wisconsin Card Sorting Test. The statistical concepts of floor effect, performance curve, and magnitude of error were examined. Additionally, the statistical differences in the responses of the five groups were analyzed to determine cutting scores for use in distinguishing malingerers from nonmalingerers.
The Effects of Assessment Context on State Anxiety and a Neuropsychological Model of Attention
This study investigated the effects of assessment context on state anxiety and attention according to the Mirsky (1996) model of attention. Context varied in the physical testing environment, demeanor of the assessor, and explanation of the purpose of testing. A relaxed condition (RC) and structured medical condition (SMC) distinction was made prior to data collection and the two contexts were designed to reflect contrasting practices of neuropsychologists. Elements of attention evaluated included Encoding (Digit Span), Focusing/Executing (Visual Search and Attention Test), Shifting (Wisconsin Card Sorting Test: Computerized Version 2), Sustaining, and Stabilizing (Continuous Performance Test-Identical Pairs). Eighty healthy adult females participated in the study. The findings suggest that the SMC caused higher levels of anxiety and lower valence than the RC, which in turn caused poorer sustained attention and superior shifting attention for this condition. Such interpretations are consistent with several theories on the effects of anxiety on attention. It should be noted, however, that differences observed in attention were limited to select measures. Factor analysis also indicates that the encode, shift, and sustain elements of attention were largely consistent with the factor solution proposed by Mirsky, while findings on the focus/execute and stabilize elements bring into question the construct validity of these aspects of the model. Findings from the study are considered relevant to those interested in attention theory and particularly researchers and clinicians involved in the administration of neuropsychological testing.
Investigating patterns among demographics, identification practices, interventions, and educational outcomes for students with serious emotional disturbance.
This study explored potential patterns of association among the demographic characteristics, identification practices, educational interventions, and educational outcomes for students with serious emotional disturbance (SED) as well as specifically investigated the impact of age at identification with SED and the presence of co-occurring disabilities. Data was gathered from the educational records of students with SED in seven rural to semi-rural districts in Texas. Demographic information included gender, ethnicity, age at identification with SED, and identification with co-occurring disabilities. Identification variables that were investigated include the five federal qualifying criteria for SED, IQ score, and BASC and/or CBCL scores. Intervention variables that were explored included placement setting, restrictiveness of placement setting, type of related services provided, parental attendance at multidisciplinary team meetings, number of multidisciplinary team meetings, and total time spent in special education as a student with SED. Outcome variables that were examined included achievement levels in reading and math, attendance, special education status, and grade retention. Results suggested that earlier identification with SED is related to placement in less restrictive settings, achievement within two years of grade level in reading, and lower average number of absences. The presence of co-occurring disabilities in addition to SED is associated with placement in more restrictive settings and with achievement that is two or more years below grade level in reading and math. Additional findings and implications for future research as well as for current practice are discussed.
Trauma Responses, Abuse History, and Exposure to Violence as Risk Factors in Adolescent Sex and Non-Sex Offenders
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Several risk factors have been identified for adolescent sex offenders and non-sex offenders. Such risk factors include physical and/or sexual abuse, and exposure to community and/or domestic violence. Additionally, the presence of disinhibitive factors, such as substance use and exposure to violent or pornographic media are also commonly reported in the backgrounds of both sex and non-sex offenders. Similarly, adolescent offenders have reported traumatic reactions to environmental factors such as abuse and violence. Similarities in exposure to the risk and disinhibitive factors described above between adolescent sex and non-sex offenders do not provide an explanation for why some adolescents commit sex offenses, whereas other adolescent offenders do not. This study investigated the discriminative ability of traumatic reactions as a risk factor between male adolescent sex and non-sex offenders. The inclusion of traumatic reactions increased the accuracy of risk factors distinguishing between sex and non-sex offenders. Thus, not only the presence of risk factors, but also the adolescent's reaction to the risk factors, are important predictors of whether he will commit a sexual offense.
Functions of self-injurious thoughts and behaviors within adolescent inpatients.
The primary interest of this investigation concerned the self-injurious thoughts and behaviors (SITBs) of inpatient adolescents. Previous researchers have provided descriptive information regarding either automatic (or intrinsic) and social components using the Self-Injurious Thoughts and Behaviors Interview (SITBI). However, the presence and trends of these components have not firmly been established, suggesting the need to explore this area further. Eighty-two adolescent inpatients were selected and interviewed using the SITBI to evaluate the predictive ability of self-reported self-injurious behavior with regard to social and automatic, negative and positive functions. Results showed that depending on the type of thought or behavior displayed one could discern the motivation behind their actions. Automatic-Negative was seen to have the strongest relationship across all SITB behaviors while Automatic-Negative was not found to be relatively low compared to other SITB behaviors. Both Social-Positive and Social-Negative were found to be present in moderate relationships compared to Automatic in general.
Patterns of Change in Semantic Clustering in Schizophrenia Spectrum Disorders: What Can it Tell Us about the Nature of Clustering Deficits
Semantic clustering has been used as a measure of learning strategies in a number of clinical populations and has been found to be deficient in individuals with Schizophrenia, but less attention has been paid to the dynamic use of this strategy over the course of fixed-order learning trials. In the current study, we examined this pattern of clustering use over trials in a sample of individuals with Schizophrenia, and explored whether the addition of this dynamic information would help us to better predict specific executive deficits. Results suggested that a decrease in semantic clustering across trials was associated with some executive deficits in the predicted manner. Nonetheless, the overall semantic clustering index generally proved more effective for the purposes, suggesting that in this population, the addition of dynamic information in strategy use is not likely to add considerably to clinical prediction and understanding.
Spirituality, health locus of control, and wellness in organizational health promotion and wellness programs
The relationship between an individual's level of spirituality, health locus of control, and participating in wellness activity was investigated. The relationship between spirituality, health locus of control on physical health was also investigated. The research question was based on prior studies that reported people who are more spiritual are healthier. Does their spirituality lead to increased levels of health, or are individual's who are more spiritual more likely to proactively take control of their health and engage in health promoting behaviors? One hundred and fifteen male and female employees completed The Spiritual Involvement and Beliefs Scale (SIBS), a spirituality measure, The Multidimensional Health Locus of Control Scale, a measure of locus of control related to health and healthcare, and The Center for Disease Control's (CDC) Health Risk Appraisal, a self-report measure of participation in health behaviors. Physical measures of health were obtained by obtaining Body Mass Index, blood pressure readings, and a cholesterol screening. The current study looked at level of spirituality (internal, external), level of health locus of control (internal, powerful other, chance) and participation in wellness/health promoting behaviors and health. Correlational analyses were performed on the relationship between spirituality and health locus of control. Hierarchical multiple regressions were performed on the internal spirituality and internal health locus of control to examine the relationship between spirituality, health locus of control and positive health behaviors and level of physical health. Stepwise discriminant function analysis using spirituality and health locus of control as predictor variables for the health-behavior criterion variables were performed. Discussion of the results, limitations of the current study and recommendations for future research were presented.
Neuropsychologic correlates of a normal EEG variant: The mu rhythm.
Although the mu rhythm is traditionally defined as a normal EEG variant, recent evidence suggests that mu may have functional significance in a variety of disorders such as autism, Parkinson's disease, and multiple sclerosis. While an increasing number of articles have focused on the blocking mechanism of mu in relation to various cognitive processes and disorders, few have examined the significance of a prominent mu rhythm in the background EEG. A few studies have examined the relationship between the mu rhythm and psychological disturbance, such as attentional and affective disorders. Increasing evidence suggests that EEG and qEEG variables may be useful in classifying psychiatric disorders, presenting a neurophysiological alternative to traditional symptom-based diagnosis and classification. Thus, the intention of the present study was to examine the relationship between neuropsychological variables, gathered from multiple assessment sources, and the presence of a prominent mu rhythm in the EEG. Results did not show a statistically significant difference between individuals with and without a prominent mu rhythm on the Test of Variables of Attention (TOVA); although individuals in the mu group showed a pattern of increased impulsivity and performance decrement over time. For adults, no significant differences were observed between groups on psychological variables measured by the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). However, for children, the mu and control groups differed on several behavioral and emotional variables on the Child Behavior Checklist (CBCL). Results are examined in the context of other research and clinical implications are discussed.
The relationship between interpersonal dependency and therapeutic alliance: Perspectives of clients and therapists.
Both interpersonal dependency and the importance of the therapeutic alliance to successful psychotherapy outcomes have been widely studied. However, these two areas of study rarely have been viewed conjointly despite the reportedly large number of clients with dependency who present for treatment. This study elucidated the relationship between interpersonal dependency and the therapeutic alliance. Additional hypotheses explored client-therapist agreement on alliance strength in relation to client interpersonal dependency. Participants were graduate student therapists (N = 26) and their individual psychotherapy clients (N = 40) in a training clinic at a large, southwestern university. Within their first three sessions of psychotherapy, participating clients told nine Thematic Apperception Test stories and completed structured self-report measures of adult attachment, social desirability, and psychological symptoms. Interpersonal dependency was scored from the TAT stories, using the TAT Oral Dependency (TOD) scoring system developed by Masling, Rabie, and Blondheim (1967) and Huprich (2008). Three sessions following initial data collection, participating clients and their therapists completed structured self-report measures of the therapeutic alliance. Analyses revealed that interpersonal dependency was not significantly associated with client and therapist alliance ratings or the congruence between client and therapist alliance ratings. However, specific scoring categories of the TOD were associated with client alliance scores in opposing directions. In contrast to hypotheses, self-reported attachment-related dependency was significantly related to client alliance ratings and to the congruence between therapist and client alliance ratings. Clients with higher levels of self-reported attachment-related dependency rated the alliance less favorably, in agreement with their therapists, than did clients with lower levels of attachment-related dependency. Additional analyses were unsuccessful in replicating findings from previous research on interpersonal dependency. The clinical and research implications of these findings are discussed.
Traumatic Brain Injury in Children and Adolescents: An Evaluation of the WISC-III Four Factor Model and Individual Cluster Profiles
Traumatic brain injury (TBI) is the leading cause of death and disability among children and adolescents in the US. Children and adolescents who sustain moderate and severe head injuries are much more likely to evidence significant deficits in neuropsychological functioning when compared with children with mild head injuries. Information about the recovery process and functional sequelae associated with moderate and severe head injuries remains limited, despite clear indications that children who experience such injuries typically exhibit notable deficits in intellectual functioning, particularly during the acute phase of recovery. Thus, the present study was conducted to augment research on intellectual functioning in children with moderate or severe head injuries. To accomplish this, the study first examined the proposed factor model of the WISC-III in children with moderate and severe TBI. Given high prevalence rates and similar trends in cognitive impairment, particularly within the frontal lobe structures (e.g., disrupted cognitive flexibility and divided attention), the study also examined this same factor model for a group of children with attention-deficit/hyperactivity disorder (ADHD) and compared it with the model fit from the TBI group. In the second phase of the study, both the TBI and AHDH groups were evaluated to determine if distinct WISC-III index score cluster profiles could be identified. Lastly, the cluster groups for both the TBI and ADHD samples were validated using important demographic and clinical variables, as well as scores from independent neuropsychological measures of attention, executive functioning, and working memory. Parent reports of psychological and behavioral functioning were also used in an attempt to further distinguish the cluster groups. Study limitations and future research implications were also discussed.
Late adolescents' parental, peer, and romantic attachments as they relate to affect regulation and risky behaviors.
The current study examined the relationships among attachment styles to parent, peer, and romantic partner, ability to regulate emotion, as well as engagement in sexual behaviors and substance use. Attachment theory and previous research suggests that an individual learns how to manage emotions through the modeling of appropriate techniques and a stable sense of self-worth. These two aspects develop through a secure attachment bond with an important figure. When an individual does not have a secure attachment bond in which to practice adaptive affect regulation strategies, he/she may attempt to manage emotions through external means, such as sexual behaviors or substance use. Overall, results supported these associations, with some notable exceptions. Across attachment sources a secure attachment style was related to lower levels of psychological distress and less engagement in substance use. In contrast to the findings from earlier studies, affect regulation did not mediate the relationship between attachment and substance use, and engagement in sexual behaviors was not significantly related to either attachment style or affect regulation.
Targeting dimensions of psychopathy in at-risk youth: Assessment and utility of a focused cognitive behavioral therapy program.
Individuals presenting with high levels of psychopathy demonstrate chronic and severe antisocial behavior and poor treatment outcomes in response to generalized rehabilitative programs. Recent research has examined the relationship between delinquency in child/adolescent populations and subsequent psychopathy. Focusing on community based/referred population of at-risk youth, this study developed and examined the effectiveness of an 18-session, psychopathy-focused, group CBT treatment program. The study incorporated treatment (n = 34) and usual-care comparison (n = 30) groups and a brief follow up period. Treatment outcomes examined measures of psychopathy, anger, impulsivity, motivation for treatment, self-reported problems, and indices of behavior. The treatment program demonstrated reductions in psychopathy on the Interpersonal (d = .55) and Affective facets (d = .24) of the PCL:YV. It also reduced overall impulsivity and improved anger suppression and treatment motivation, particularly among youth presenting with higher levels (relative to this study) of psychopathy. As a result of treatment, decreased incidents with the juvenile justice system were also observed, both during the treatment period and at six weeks follow-up. This study provides an initial empirical foundation for the ongoing development of targeted interventions for youth demonstrating psychopathic traits.
Reducing the risk of disordered eating among female college students: A test of alternative interventions.
The purpose of this study was to test the effectiveness of a cognitive-dissonance based intervention in reducing disordered eating attitudes and behaviors. The intervention program created dissonance through discussion, exercises, and homework aimed at addressing and countering internalized sociocultural pressures, beliefs and values about women's bodies, attractiveness, and worth in the U.S. Seventy-seven female undergraduates were randomly assigned to one of four conditions: cognitive-dissonance, combined cognitive-dissonance, healthy weight placebo control, and wait-list control To determine effectiveness of the intervention, MANCOVA procedures were used, with Time 1 scores serving as the covariate. Overall, the women who received the dissonance based interventions produced the strongest effects among measures assessing sociocultural pressures, internalization, and body dissatisfaction in comparison to the control group, and experienced significant reductions in dieting behaviors and bulimic symptoms over the course of the study, suggesting that the creation of dissonance via the intervention assisted the women in reducing eating disorder risk factors.
Readiness for change as a predictor of treatment effectiveness: An application of the transtheoretical model.
Clinical research suggests that adolescent offenders often do not view their criminal behaviors as problematic and, therefore, are not motivated for treatment. Although customarily defined as a static characteristic, the transtheoretical model (TTM) proposes treatment amenability is dynamic and can be achieved through tailored interventions that motivate individuals for treatment. The current study examines the predictive validity of TTM measures for adolescent offenders at a maximum security correctional facility. In particular, the Stages of Change Scale (SOCS) and Decisional Balance for Adolescent Offenders (DBS-AO) were compared with a more traditional assessment tool utilized in evaluating treatment amenability of juvenile offenders (i.e., Risk-Sophistication-Treatment Inventory; RSTI). One hundred adolescent offenders from the Gainesville State School completed two waves of data collection with a 3-month time interval. Information was collected on offenders' treatment progress between waves. Consistent with TTM research, predictors of treatment progress included low scores on the Cons scale on the DBS-AO and on the Precontemplation scale on the SOCS. Participants in the most advanced levels of treatment also scored high on the Sophistication-Maturity scale on the RSTI and the Impression Management scale on the Paulhus Deception Scale.
Self-inflicted and other-inflicted intentional burns versus unintentional burns: A comparison study.
Burn injuries are associated with significant mortality and morbidity. Intentional burn injuries are not well understood, and warrant study to improve adjustment and outcomes. The present study examined group differences between intentional and unintentional burn injuries, comparing individuals with self-inflicted (SIB; n=109) and other-inflicted (OIB; n=109) burns to an unintentional burn (UB) group. Compared to UB, those with intentional (SIB, OIB) burn injuries were more likely to be young, female, unmarried, unemployed, abuse substances, and have positive alcohol/drug screens at hospital admission. Individuals with intentional burns report more psychological distress, lower quality of life in some areas, and lower life satisfaction. When SIB and OIB were examined individually, OIB were more likely to be African American compared to SIB and UB. OIB also had more anxiety and paranoia than UB. SIB was more likely than OIB and UB to have had medical problems or psychiatric disorders and treatment prior to the burn injury. Those with SIB were 3 times more likely than UB to die in the hospital even after controlling for age, severity of burn, and inhalation injuries. Moreover, the SIB group had high rates of suicidal ideation at discharge and follow-up. Treatment implications for burn treatment providers were discussed.
An exercise in story repair: A guided written disclosure protocol for fostering narrative completeness of traumatic memories.
Flutists have reported musculoskeletal pain from practicing and performing their instrument. This study was a statistical approach to investigate potential causal risk factors for flute related pain among high school and college students. The study focused on the relationship between flute related pain and musical background or anthropometric measurements including size, strength and flexibility. Subjects included thirty high school and college-aged flutists who were assessed using a questionnaire, bi-lateral anthropometric measurements of the upper-extremities, upper-extremity performance tests for range of motion, isometric strength and rotation speed, and instrument specific questions. Four questions regarding pain associated with flute playing were treated as dependent variables and used for correlation and regression analyses with other independent variables. A six-factor regression model was created and each model was statistically significant. Results of this study show that strength, flexibility, pain spots, and exposure are risk factors for flute related pain. Both left and right pinch strength and right isometric pronation strength were significantly correlated to flutists experiencing pain while playing. Knowledge of these factors in relationship to pain is needed in flute pedagogy to help teachers and performers understand why flutists report pain during and after playing. Additional studies are warranted for replication of this study and for determining the clinical and pedagogical relevance of these findings.
Retrospective Perception of Parent-Child Relationships as a Function of Achievement Level
The purpose of this study was to examine (1) the retrospective perception of parent-child relationships as measured by the Roe-Slegelman Parent-Child Relations Questionnaire (PCR) and (2) the individual's level of academic achievement.