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.

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.

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 …

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.

An attempt was made to determine empirically the structure of self-disclosure. Based on the literature, a list of statements relating to the rating of self-disclosure was assembled. This list was condensed into dimensions by two evaluators, working independently. The dimensions were then used to score transcripts of male undergraduate students' verbal self-disclosures. Factor analyses of these scores produced four factors relating to self-focus, intimacy or depth, risk taking, and amount. A tentative fifth factor, intimacy value of disclosure topic, was also found. Regression analysis of dimensions on the Doster (1971) Disclosure Rating Scale produced three tentative scales for measuring self-disclosure. The first scale utilized stepwise regression of all dimensions, the second used stepwise regression of mechanical dimensions, and the third regression used composite scales representing the factors of the orthogonal factor analysis. For each scale, only three dimensions were included in the regression equation.

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.

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.

Drug-induced tardive dyskinesia, an irreversible involuntary movement disorder caused by neuroleptic drugs, may reflect cholinergic hypofunction in the corpus striatum. Therapeutic results have been reported in trials of choline and lecithin, nutritional substrates which may enhance cholinergic neurotransmission. Lecithin's effects on dyskinetic symptoms were examined in 50 male patients in a double-blind, placebo-controlled trial. Patients were randomly assigned to treatment or control groups; 31 patients were retained in the analytic cohort. Experimental patients were treated with 60 gm/day lecithin (55% phosphatidyl choline) for 11 days. Symptom frequency was rated from videotapes made at baseline, 3 and 11 days of treatment, and 1 week follow-up.

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.

This study investigated the emotionally disruptive effects of double binding communication, as compared with overtly punitive, and warm, accepting interactions. Forty-two college undergraduates scoring above the mean on the Neuroticism Subscale of Eysenck's Personality Questionaire were each directed to play the part of a small child in a spontaneous role-played family interaction. A pre-post mood test (Multiple Adjective Affect Check List), sensitive to changes in depression, hostility, and anxiety was administered. It was found that subjects in the double-bind and punitive conditions evidenced significant mood disturbance while subjects in the control group did not (all ps < .05). Implications for Double Bind Theory were discussed.

This study was designed to evaluate: (a) teachers' behavior when they are confronted with potential cases of child abuse and (b) the information teachers require to make accurate decisions regarding the reporting of suspected child abuse. Teachers were presented with three vignettes describing cases of varying levels of suspected maltreatment, and different amounts of additional information. They were then asked to indicate how likely they would be to report the case to Child Protective Services (CPS). It was expected that reporting behavior would increase as available information increased. The results generally did not support this hypothesis. No significant impact on reporting behavior was found when teachers were presented with either the symptom list or the legal interpretation; however, there was a trend toward an interaction with the level of abusive indications in the case. These results are discussed in the context of the need for further training.

Previous studies of help-givers have stressed subjects' perceptions using nine generic problem areas and a list of 100 descriptive adjectives. The present study attempted to specify major personality variables entering into subjects' perceptions of adviser, high school counselor, college counselor, counseling psychologist, clinical psychologist, and psychiatrist. The personality variables of self-disclosure and risk were studied, as well as a comparison using the 100 descriptive adjectives. The results from 217 female undergraduate college students indicated that subjects revealed risky information to help-givers in the same manner that they tended to self-disclose. Findings also revealed that subjects tended to differentiate among help-givers in reference to the extent that they were willing to reveal risky information. Favorable findings with reference to validity for the Norton risk scale are discussed, as are discrepancies between descriptions of help-givers in the current study as opposed to descriptions of the same help-givers in previous studies.

The purpose of this study was to examine the degree to which several psychological and personality variables relate to anorexic and bulimic symptomatology in female undergraduates. Past research investigating the relationship between such variables and eating disorders has been contradictory for several reasons, including lack of theoretical bases, discrepant criteria, or combination of anorexia and bulimia nervosa. Recent investigators have concluded that it is important to examine subdiagnostic levels of eating pathology, especially within a college population. Thus, the present investigation used a female undergraduate sample in determining the extent to which several psychological factors--obsessiveness, dependency, over-controlled hostility, assertiveness, perceived control, and self-esteem--account for anorexic and bulimic symptomatology. Regression analyses revealed that anorexic symptoms were best explained by obsessiveness and then two measures of dependency, emotional reliance on another and autonomy. Bulimic symptoms were related most strongly to lack of social self-confidence (a dependency measure) and obsessiveness. Clinical implications and directions for future research are addressed.

This study examined the impact therapeutic assessment (TA) had on participants recruited from the UNT Psychology Clinic's waiting list. Using a pretest-posttest design, participants completed measures prior to and following their assessment. UNT Psychology Clinic archive data was used to compare this sample to clients who received traditional information gathering assessments with implicit measures, those receiving assessments relying on only self-report measures, and those who did not receive an assessment before beginning psychotherapy. The findings of this study vary based on the criteria being examined. Due to the small sample in the experimental group, no statistical significance was found through null hypothesis testing. However, the TA group's scores on the Outcome Questionnaire – 45 (OQ) and the Working Alliance Inventory (WAI) indicated better outcomes than those without a TA, with large effect sizes. Furthermore, those who received a TA were more likely than those without a TA to score below the clinically significant cutoff levels on the OQ. The study raises issues for consideration in what is deemed "effective" in therapeutic efficacy research.

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.

Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed disorders of childhood. This study was designed to evaluate the effectiveness of combined parent training and structured group therapy with children diagnosed with ADHD. The study sought to evaluate the amount of parent training needed to lead to significant changes in children and parents. Families were assigned to a wait-list control condition or to one of two parent treatment conditions: a complete parent group or a handout-only group. Children participated in a seven session social skills and behavior management group. The treatments were designed to concurrently enhance skills of both parents and children. Dependent measures assessed change in the following three areas: (1) child symptomatic behaviors, (2) parental attitudes, and (3) parental behaviors. Results showed that the full parent group led to greater levels of improvement in both child behavior problems and parental feelings of stress and control. The full parent group also led to greater consistency in parenting methods. Findings in the study are discussed in the context of the parent-child coercive cycle model.

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.

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.

Using a multimethod-multimodal approach, this study compared the contributions of executive function (EF) abilities (Go No-Go, Visual Search, 2-Back task, and Task Switching) to narrative comprehension tasks (False Belief, Strange Stories, Self-Reported Theory of Mind Inventory [TOMI-SR]) and a narrative production task (interpersonal decentering) in a sample of young adults. Separate regression models were conducted for each theory of mind (ToM) measure with EF measures as predictor variables and empirically selected demographic variables controlled. As expected, in this college student sample (N = 110), False Belief demonstrated a ceiling effect and was not associated with any EF ability. Task Switching and 2-Back accounted for significant variance in Strange Stories. No EF task significantly predicted performance on TOMI-SR or interpersonal decentering. Both story comprehension tasks (False Belief and Strange Stories) were significantly associated, but these tasks were not correlated with either self-reported ToM or interpersonal decentering. Several unanticipated demographic associations were found; having more siblings and English proficiency accounted for significant variability in Strange Stories; education, presence or absence of self-disclosed autism diagnosis and mental health diagnosis explained a large portion of variance in TOMI-SR; interpersonal decentering maturity differed significantly between cisgender men and cisgender women. Lastly, interpersonal decentering number of …

To determine whether or not systematic desensitization treatment would produce a significant reduction in negative affect evoked by racial discrimination, 60 Mexican-American college students who scored above average on the Terrell Racial Discrimination Index were selected and assigned randomly to one of three treatment conditions: systematic desensitization (DS), therapist contact (TC), and no-treatment control (NTC). Before undergoing treatment, subjects completed the Background Information Questionnaire (BIQ), and three measures of negative affect: the Multiple Affect Adjective Check List (MAACL); the Profile of Mood States (POMS); and the Treatment Rating Scales (TRS). After concluding treatment, subjects completed the three measures of negative affect only. Results were nonsignificant with respect to two of the affect measures—the POMS and the MAACL. However, significant differentia1 treatment effects were observed for the TRS measure. Relative to the TC and NTC conditions, subjects in the DS condition evidenced significantly less anger, depression, and anxiety. No other group differences attained the level of statistical significance (p < .05). Several explanations are offered for the negative findings of the MAACL and POMS. These explanations include the possibility that the measures themselves are insensitive to treatment effects. Nevertheless, due to the significant findings of the TRS, it is concluded that …

Twenty-four psychiatric staff, 24 clinically depressed inpatients, and 24 nondepresssed schizophrenic patients at a state psychiatric facility completed five tasks under either reward or punishment conditions. Each task consisted of 30 trials of pressing or not pressing a button to make a light appear. Monetary reinforcement was contingent on light onset for the final ten trials of each task. Cash incentives for judgment of control accuracy were added for Tasks 3, 4, and 5. Cognitive functioning was evaluated on each task by measuring expectancy, judgment of control, evaluation of performance, and attribution. Mood and self- esteem were measured before and after the procedure. No significant differences were observed across mood groups for expectancy of control or judgment of control accuracy. Subject groups also did not differ in the attributions they made or in how successful they judged their performances to be. They set realistic, attainable criteria for success which were consistent with relevant conditional probabilities. Subjects in reward gave themselves more credit for task performance than subjects in punishment gave themselves blame for comparable performances. Punishment subjects demonstrated more stable, external attributions than those in reward. Across tasks, subjects overestimated when actual control was low and underestimated when actual control …

The study investigated an organized semantic fluency task, (the Controlled Animal Fluency Task - CAFT) as a measure of executive functioning (EF) in adults, and the relationship with instrumental activities of daily living (IADL). Participants (N = 266) consisted of a clinical sample (n = 142) utilizing neuropsychological assessment data collected at an outpatient psychological center, and a community sample (n = 124). The clinical sample was a heterogeneous mixed neurological group including a variety of health conditions and comorbid anxiety and depression. The CAFT Animals by Size demonstrated a significant positive correlation with Category Fluency (r = .71, n = 142, p < .001) , Animal Fluency (r = .70, n = 142, p < .001), and with other, established neuropsychological measures. The CAFT Animals by Size condition demonstrated a significant moderate negative correlation with IADL for the sample as a whole (r = -.46, n = 248, p < .001), and for the clinical sample (r = -.38, n = 129, p < .001), but not for the community sample. In a hierarchical regression analysis, CAFT Animal by Size explained additional variance in IADL (&#916;R2 = .15). In a hierarchical regression analysis predicting IADL with the control variables …