While a significant amount of research illustrates the overall positive effects of therapists' general use of mindfulness, very few studies have addressed whether therapists' use of mindfulness translates to improved psychotherapy outcomes. The present study utilized a randomized-controlled design to test whether a brief mindfulness training program and pre-session mindfulness practice could have a positive impact on therapy; in particular, we hypothesized that mindfulness training and practice would improve ratings on therapeutic presence as rated by clients and therapists and session effectiveness as rated by clients. The present study also examined whether clients' subjective ratings of therapy outcome and therapists' theoretical orientation impacted outcome measures after therapists completed mindfulness training. The 20 participating therapists were randomly assigned to either the mindfulness training (MT) group or control group according to a computer generated randomization list. Results indicated that clients did not significantly improve on outcome measures after completing the mindfulness training. Clients' subjective ratings on a psychotherapy outcome measure did predict changes in their ratings of therapeutic presence. This finding may have important implications for future research examining client characteristics that may moderate the relationship between therapeutic presence and session outcomes. Limitations of the present study and future directions are discussed.

Cue-controlled relaxation is looked at to determine whether a component is efficacious as the entire procedure. Subjects were 40 male and 40 female undergraduates. Subjects were randomly assigned to one of four conditions: cue-controlled relaxation, progressive muscle relaxation, breathing exercises with a paired. cue word, on a presentation of the cue word without being paired. It was hypothesized that cue-controlled relaxation would be superior to a component of cue-controlled relaxation. It was determined that cue-controlled relaxation is not more efficacious than a particular component. Data suggests the majority of anxiety reduction takes place when the treatment focuses on the same modality from which the subject receives the most information about their anxiety. Implications and suggestions for further research are presented.

The efficacy of multidisciplinary inpatient and outpatient treatment for transitioning children with severe pediatric feeding disorders from gastrostomy tube dependency to oral nutrition was investigated utilizing caloric and fluid intakes as an outcome measure. The study involved 29 children ages 12 months to 5 years of age with gastrostomy tube dependency. Treatments were provided by speech therapists, occupational therapist, dietician and psychologist for a 30 day period. Four treatment groups were evaluated and average intakes compared at 4 observation periods including pretreatment, initiation of treatment, completion of treatment at 30 days and 4 month follow-up. Children receiving inpatient treatment for feeding disorders evidenced significant differences in oral caloric intake from pretreatment to discharge than outpatient treatment (p < .01) and wait list control group (p = .04). Oral caloric intake from discharge to 4 month follow up yielded no significant differences indicating treatment gains were maintained. Change in environment and caretaker showed a significant effect for the inpatient group (d = 1.89). Effects of treatment by age and weight at 4 month follow up were also analyzed.

This study compared biofeedback assisted cue-controlled skin temperature training with skin temperature biofeedback training in subjects attempting to raise the digital skin temperature of their dominant hand. In addition to classification according to training, the subjects were also divided into two diagnostic groups. One group was composed of subjects with cold hands and Raynaud's disease while the other group consisted of nonRaynaud's disease cold handed subjects. The treatment and diagnostic groups were compared along the dimensions of amount of posttreatment digital skin temperature change and degree of generalization of digital skin temperature control to a cold room challenge task.

Assessment of executive functioning in neurodevelopmental disorders (e.g., autism) is a crucial aspect of neuropsychological evaluations. The executive functions are accomplished by the supervisory attentional system (SAS) and include such processes as inhibition, switching, and planning. Autism spectrum disorder (ASD) tends to present similarly to other neurodevelopmental disorders (e.g., ADHD). For example, ASD and ADHD may share similar etiological underpinnings in the frontostriatal system of the frontal lobe. Research on executive functioning in ASD has been mixed, thus the precise nature of executive functioning deficits in ASD remains equivocal. In recent years, simulation technologies have emerged as an avenue to assess neurocognitive functioning in individuals with neurodevelopmental disorders impacting frontostriatal function. Simulation technology enables neuropsychologists to assess neurocognitive functioning within a testing environment that replicates environments in which the subject is likely to be in everyday life, as well as present controlled, real-world distractions, which may be better able to tap “hot” executive functions. A Virtual Classroom Continuous Performance Test (CPT) has been used successfully to assess attention in individuals with neurodevelopmental disorders impacting frontostriatal function. The current study aimed to investigate executive functioning in individuals with high functioning ASD using a new construct driven Stroop assessment embedded into the …

The primary purpose of the present study is to demonstrate that acne vulgaris can be reduced by psychological treatment. A cognitive-behavioral adjunctive intervention involving biofeedback-assisted relaxation and cognitive imagery procedures for the treatment of acne vulgaris was investigated in this study with 30 patients, already receiving traditional dermatological treatment, as participants. A three-group design was used which consisted of a treatment (relaxation-imagery), a rational behavior group therapy attention-comparison, and a medical intervention control (medication and lesion extraction) group.

Cue-controlled relaxation appeas to have several advantages over prominent anxiety-reduction treatments. It does not require the formulation of conditioned stimulus hierarchies nor the use of mental imagery as does systematic desensitization nor the application of noxious stimularion (farradic shock) utilized in anxiety relief. However, its efficacy, in quantitative terms, has not been determined. The present study compared the effectiveness in attainment of relaxation of instructional set, biofeedback training, and biofeedback-assisted/cue-controlled relaxation training procedures. Results indicate that cue-controlled relaxation training was more effective in terms of mean level of frontal is EMG and degree of maintenance of low EMG levels than either biofeedback training or instructions.

The effectiveness of memory specificity training (MeST) was compared with standard cognitive processing therapy (CPT) in treatment of individuals with posttraumatic stress disorder. Eighteen adults aged 18-36 were randomly assigned to the MeST intervention (n = 9) or to the active control group (n = 9) of CPT. Both treatments were administered in group format across 6 weeks. MeST consisted of 6 weekly sessions, while CPT consisted of 12 biweekly sessions. The trial was undertaken in the Psychology Clinic of the University of North Texas, with randomization to conditions accomplished via computer random number generator. The primary outcome measure was change in PTSD symptoms post-treatment from baseline. Sixteen individuals (13 women and 3 men; MeST n = 8 and CPT n = 8) completed treatment and their data was analyzed. MeST significantly decreased PTSD symptomology at post-treatment and these results were maintained at 3 months post-treatment. MeST was found to be as effective as the established CPT intervention at reducing PTSD symptomology. Both MeST and CPT significantly increased participants' ability to specify memories upon retrieval at post-treatment, with results maintained at follow-up. There were no significant effects of MeST or CPT in ability to increase overall controlled cognitive processing at …

Memory performance was measured in 48 persons between the ages of 40 - 65 with Type II diabetes. Correlations between performance on the California Verbal Learning Test, tests of Working Memory, Priming Memory, and Prospective Memory and several predictor variables were examined. These variables included the Slosson Intelligence Test Scores, demographic variables, presence of diabetic complications, finger-stick and HbA1c measures. Subjects performed worse than the normative sample on the California Verbal Learning Test. Higher chronic and acute blood glucose tended to be associated with worse performance on the CVLT, Priming, and Working Memory. However, after the effects of intelligence, education, and sex were statistically controlled, glycemic status predicted performance on just a few memory measures. These were short-delay recall compared with recall on List A trial 5, and List B on the CVLT, and recall accuracy on digit forward of the Working Memory Test. Glucose status was unrelated to performance on a prospective memory test. Several other demographic and diabetic complication factors predicted performance beyond the contribution of intelligence. These results contrast with previous studies which found strong effects of glycemic control, but did not statistically control for the contribution of intelligence. Differential effects of diabetic status on different aspects …

Cerebral electrostimulation (CES) as a treatment for migraine headache was investigated. Eighteen participants recorded data on headaches for two baseline weeks. Six were assigned to each of three groups--an active treatment group receiving CES, a placebo group receiving a simulated version of CES, and a no-treatment control group placed on a waiting list during the study. The CES group evidenced a significant reduction in headache duration and intensity relative to the placebo group. The waiting list control group did as well as the CES group. A number of hypotheses were put forth in an attempt to account for the unexpected finding.

This study was designed as an attempt to extend Schneider and Shiffrin's (1977) automatic versus controlled processing distinction into the area of visual perception. Hasher and Zacks (1979) proposed a continuum of automatic processes, with processes which encode the fundamental aspects of the flow of information as the anchor of the continuum. They presented evidence that depressed people perform more poorly than nondepressed on effortful (controlled) memory tasks, but not on automatic tasks. Tachistoscopic and free inspection presentation of Piaget's (1961/1969) primary geometric illusions meet two of Hasher and Zack's criteria for automatic and effortful tasks, respectively. Consequently, multiple regression techniques were used to determine the relationship between depression (operationally defined as score on the Beck Depression Inventory) and method of presentation of a Piagetian primary illusion, the Müller-Lyer. Furthermore, correlations were determined between tachistoscopic versus free inspection of the Müller-Lyer illusion and forward versus backward digit span (operationally defined as score on the WAIS Digit Span subtest), since forward and backward digit span have been linked theoretically to automatic and effortful processing, respectively.

The purpose of this study was to determine if there were significant differences between Black and white students on the Minnesota Multiphasic Personality Inventory in an integrated university, and to determine if these differences are consistent with findings in past research. In this study, socio-economic status, which has been suspected as the cause for racial variability, was statistically controlled.

Social and cognitive skill acquisition were evaluated in 33 (male=24, female=11) outpatients with schizophrenia or schizoaffective disorder. A social skills training treatment group (n=19) was compared to a wait-list control (n=14). Participants' mean age was 41 years, mean number of hospitalizations 10.4, and mean number of years with diagnosis 15.8. Assessment measures included WAIS-III Picture Arrangement subtest, Social Cue Recognition Test, COGLAB, WMS-III Word List subtest, and SADS-C. Results did not support the main hypotheses of improved social and cognitive skills in the treatment group. Participants with better memory and attention at pre-testing also did not show an advantage in social skills improvement. Contrary to hypotheses, the control group improved the most on some social and cognitive measures. Several supplemental hypotheses yielded the following results: lack of volunteer participation from paranoid schizophrenia individuals; evidence that schizoaffective disorder participants may be less cognitively impaired and better able to benefit from social skills training; and younger, less chronic participants with better attentional capacities may benefit most from social skills training. Findings are discussed in light of the possibility that improving social skills might not improve social and cognitive functioning, at least with the dosage of social skills training provided in this study. …

This investigation sought to explore the relationship of Julian Rotter's concept of internal versus external control (I-E) to stages of moral judgment. The I-E dimension is defined as the attribution by the individual of responsibility for behavioral outcomes to either oneself or to outside entities. The internal oriented person believes that the events in which he is involved lie within his control. Conversely, the external oriented person believes that the events that happen to him are controlled by other factors.

Mothers and siblings of children with autism incur stressors that impact their well-being more adversely than mothers of children with ADHD or normally developing children. In Study 1, twenty-six mothers of children with autism (Group 1) were compared to 24 mothers of children with ADHD (Group 2) and 24 mothers with normally developing children (Group 3). All families included a normally developing child (ages 4 to 12). Measures to delineate levels of maternal functioning were administered. Results for Study 1 indicated that mothers of children with autism had higher levels of psychological symptomatology, higher parenting stress, poorer perceptions of their family environment and their ability to parent the siblings, and higher perceptions of internalized problems of the siblings than mothers with normally developing children. These findings support the literature stating that mothers of children with autism may experience increased levels of maternal stress. The reciprocal nature of the parent-child relationship suggests that parents should be involved in meeting the needs of siblings in these families. A subgroup of Group 1 mothers participated in a parent group that occurred simultaneously with a sibling group. Mothers were randomly assigned to participate in a parent/sibling group, a sibling only group, or a wait-list …

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.

This study compared the differential influence of reframing, self-control, and neutral counselor interventions on high and low trait-anxious subjects' self -descriptions as measured by the Adjective Check List. Reframing was predicted to be superior to self-control and neutral interventions in eliciting more favorable self-descriptions. An interaction was also predicted between counselor intervention and trait anxiety such that, in the reframing condition, low trait-anxious subjects would describe themselves more positively than high trait-anxious subjects.

The Aronson Shopping List is a short-term memory test which integrates current knowledge of brain-behavior relationships in assessment. The test was designed to detect deficiency in fluid intelligence. The goal of this study was to standardize the test on an elderly population. The sample was composed of 67 males and females whose ages ranged from 62 to 89 years. It was found that recent stressful events did not account for variation of performance on the ASL. The reliability of the test, established by means of a test and alternate form retest procedure, was found to be .70 after an average of eleven months. Percentiles are presented indicating performance comparisons. Further experimentation would be needed to establish whether the test would be useful to designate organic brain pathology.

Research indicates that women are more likely to experience depression than are men. The current study examined the effects of gender, socialized gender roles, rumination, and neuroticism on symptoms of depression in young adults. As predicted, rumination mediated the relationship between gender and depression, and socialized gender roles had a greater explanatory power for rumination, neuroticism, and depression than did gender. Contrary to predictions, rumination did not mediate neuroticism's effects on depression. Structural equation modeling reveled that rumination-on-sadness positively predicted neuroticism and depression. However, rumination-in-general, while positively predicting neuroticism, negatively predicted symptoms of depression. Finally, once socialized gender roles, rumination, and neuroticism were controlled, male gender was modestly predictive of depression.

The purpose of the present study was to objectively verify psychological and behavioral changes in a group of identifiably susceptible patients who were treated for environmental sensitivities in a highly controlled environment. The subjects were 71 Environmental Control Unit (ECU) patient volunteers and 16 nonpatient volunteers for a total of 87. The patients were divided into a short-treatment (fasting 3-4 days) group (n = 35) and a long-treatment (fasting 5-7 days) group (n = 36). A third group, consisting of the 16 nonpatients, formed a nonpatient/no-treatment control group. All subjects were administered tests for assessment of intellectual/cognitive functioning, neurological/cerebral functioning, perceptual-motor skills, mood states, and general psychopathology.

In the current study, the relation of the frequency of sport participation and gender to CRF, muscular strength and flexibility, body composition, physical activity self-efficacy, and physical self-concept in a sample of 629 sixth graders were examined. Because both physical activity and sport participation have been related to similar outcomes, activity through physical education was controlled by including only 6th graders who were part of a required school class. MANCOVA analyses demonstrated that sport involvement was significantly related to improvements in physical fitness (i.e., CRF and muscular strength), physical activity self-efficacy, and physical self-concept (CRF and muscular strength). The interaction between sport involvement and gender was not significant, suggesting these relationships existed equally for the boys and girls.

Tardive dyskinesia is an insidious and debilitating extrapyramidal side effect of neuroleptic drug treatment. Recent research has suggested that lecithin has been effective in treating tardive dyskinesia. Lecithin's effects were evaluated under double-blind placebo controlled conditions. Treatment conditions included a placebo control group, a lecithin treatment group, and a no-treatment control group. Subjects in the lecithin group received 60 gms/day of lecithin (33 gms of phosphatidylcholine) . Subjects in the placebo group received a similar mixture which contained no lecithin. Subjects received mixtures for 9-11 days. Treatment effectiveness was determined by subjective, objective, and global evaluations. All subjects were evaluated 3 to 4 days prior to treatment and following 9 to 11 days of treatment.

Personality characteristics of spousal and adult children and active potential caregivers of persons with Alzheimer's Disease were studied in order to better predict caregiver burden and aspects of well-being. Contrary to prediction, no differences were found between spouse and adult children active caregivers on measures of well-being. Additionally, adult children potential caregivers indicated feeling less control over their lives than spouse potential caregivers. When social desirability was controlled, active caregivers reported greater fluctuations in affect than did potential caregivers. As predicted, personality characteristics of individuals were found to have the biggest role in determining which individuals experience stress or burden.

Reframing in counseling offers the client a different framework for symptoms, thereby allowing the client a perspective that leads to change or no need for change. Using a loneliness measure as the dependent variable, 58 females underwent one of three treatments: positive reframing, self-control statements, or a waiting list control procedure. Two two-way analyses of covariance used an independent measure of dependency for the first analysis and a measure of perceived control for the second. Treatment type was the second dimension for each analysis. A significant interaction resulted for control by treatment F (2, 51) = 3.24; p < .05). A Newman-Keuls revealed significant differences for those who perceived themselves as in control, where reframing was more effective than either the control procedure (q_r = 3.56; p < .05) or those who perceived others as in control (q_r = 3.21; p < .05).