Premature termination is a substantial problem with significant adverse effects for clients, therapists, and treatment organizations. Unfortunately, it is also a relatively common phenomenon within mental healthcare settings. Across varied mental healthcare settings, rates of premature termination have reportedly ranged from 19.7 % to 40 %. Perhaps not surprisingly, the rate of premature termination in training clinics is substantially higher than in community mental health settings and private practice, with 75 to 80 % of clients ending treatment services prematurely. The purpose of this study was to explore the combined effect of intake therapist continuity or discontinuity, and quality of the therapeutic relationship on premature termination. Intake therapist continuity, measures of working alliance, and termination outcome from 524 clients at the University of North Texas Psychology Clinic were utilized for adults receiving individual therapy services between August 2008 and August 2013. Results of the study suggest intake therapist continuity did not predict subjective termination status (X2(2, n = 524) = 1.61, p = 0.45), nor did it predict change in symptomology status (X2(3, n = 453) = 1.14, p = 0.77). Additionally, working alliance predicted subjective termination status (X2(6, n = 212) = 21.17, p < 0.01), but not change …

Attachment theory has established itself as applicable to many types of relationships, encompassing caregiver-child, romantic, interpersonal, and psychotherapeutic interactions. This project sought to investigate the application of attachment theory to clinical supervision. Using suggestions put forth in previous work by Watkins and Riggs, this study examined the dyadic interactions inherent in both supervision and attachment. Using the working alliance as determination of the quality of supervision, attachment styles, leader-follower attachment, and attachment-based expectations were explored as predictors for supervisor-trainee dyad outcome in a training clinic for doctoral psychology students. The study design is longitudinal and prospective. Findings indicate the necessity of measurement of supervisory-specific attachment rather than general attachment, the stability of working alliance over time, and the large contribution of the leader-member attachment framework to the understanding of supervisory attachment. Implications include the importance of maintaining hierarchical, evaluative boundaries within supervisory relationship, consistent with a leader-follower dynamic.

Police officers are allowed considerable discretion within the criminal justice system in addressing illegal behaviors and interpersonal conflicts. Broadly, such resolutions fall into two categories: formal (e.g., arrest) and informal outcomes. Many of these interventions involve persons who have historically faced stigmatization, such as those who have mental disorders, criminal histories, or both (i.e., mentally disordered offenders). On this point, stigma generally includes discriminatory behavior toward the stigmatized person or group and can be substantially influenced by internal and external attributions. In addition, researchers have suggested that internal attributions lead to punishing behaviors and external attributions lead to helping behaviors. The current study examined attributions about offender behavior made by police officers in an effort to evaluate the effectiveness of Corrigan’s model. Specifically, this study investigated the effects of officer attributions on their immediate decisions in addressing intentionally ambiguous and minor offenses. Officers provided one of two vignettes of a hypothetical offender who was either mentally disordered or intoxicated and provided their anticipated resolution of the situation. Encouragingly, disposition decision differed by offender condition, with a substantially higher rate of arrests for the intoxicated offender (i.e., the external condition). Corrigan’s model was initially successful for both offender conditions, but was …

The term emerging adulthood was coined during the 21st century to describe human development between adolescence and adulthood, during the ages of 18-25 (Arnett, 2000). During this stage, individuals can explore life areas. Emerging adults beginning college have a unique opportunity to form their identities and develop value systems (Hauser & Greene, 1991). With increasing autonomy, college students have possibilities for positive development and risk; values may be imperative in that differentiation. Furthermore, value systems are believed to play a major role in decision-making (Schwartz, 1992). Parents are influential in values development (Simpson, 2001; Steinberg & Sheffield Morris, 2001). During emerging adulthood, individuals have opportunities to notice discrepancies between their parents’ value system and society. Thus, emerging adults evaluate and choose personal values, which may or may not be similar to those of their parents, peers, or broader culture. Findings from this study indicate female caregivers’ parenting styles and closeness of the parent-child relationship have significant direct effects on the degree to which values are freely chosen. Specifically, Authoritarian parenting style (β = -.43 B = -1.70, p < .001), Authoritative parenting style (β = .12, B = .53, p < .001), and Emotional Support (β = .30, B = …

Currently, neuropsychologists rely on assessment instruments rooted in century old theory and technology to make evaluations of military personnel’s readiness to return-to-duty or return to their community. The present study sought to explore an alternative by evaluating the validity of a neuropsychological assessment presented within a virtual reality platform. The integration of a neuropsychological assessment into a cognitively and emotionally demanding virtual environment – reminiscent of a combat experience in Iraq – offers a more ecologically valid manner in which to evaluate the cognitive skills required in theater. U.S. military veterans’ (N = 50) performance on the Virtual Reality Stroop Task (VRST) was compared with performance on a paper-and-pencil, a computer adapted version of the Stroop task, and the subtests included in the Automated Neuropsychological Assessment Metrics-4 (ANAM4) TBI-MIL test battery. Results supported the validity of the VRST, indicating it demonstrates the typical Stroop effect pattern. The emotional salience of the VRST resulted in slowed reaction time compared to the ANAM Stroop. Further, the complex interference condition of the VRST offers opportunities for evaluation of exogenous and endogenous attentional processing. In the evaluation of threat, participants were noted to perform more accurately and more quickly in low threat versus high …

Given the importance of client characteristics and preferences, and therapist expertise to evidence-based practice in psychology, the current study sought to contribute to the literature concerning the role of values in psychotherapy. Personal values of clients and trainee therapists in 29 dyads were examined for relationships between client and therapist values and associations with working alliance and outcomes. Although previous literature in this area has suggested that successful therapy is characterized by an increase in similarity of client and therapist values, the current study did not replicate this finding. However, client perceptions of therapist values were found to be important to working alliance and outcome. Findings are discussed in terms of suggestions for future research as well as implications for clinical practice, including the importance of discussing expectations and preferences with clients.

The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM 5) presents an alternate model for personality disorders, blending categorical and dimensional assessment into a hybrid diagnostic procedure. Released concurrently, the Personality Inventory for DSM 5 (PID 5) measures the five domains and 25 facets that comprise the trait components of this hybrid model. However, the PID 5 currently lacks validity indicators to capture intentionally distorted responding. The current study investigated the susceptibility of the PID 5 to defensiveness and feigning among a large sample of undergraduate students. First, a detailed desirability analysis (N = 465) was conducted of the PID 5 items and response options. Responses from the study were used to create three desirability based validity scales. Next, in a between-subjects simulation design (N = 128), the effects of faking were explored at domain and facet levels. As a result, two symptom based validity scales were created. In a separate validation sample (N = 134), the five newly created validity scales were compared with the Paulhus Deception Scales for capturing both defensiveness and feigning. All five scales were evaluated for ruling out faking (i.e., identifying likely genuine respondents) and ruling in either defensiveness or feigning. …