Improving quality at the point of service

The authors provide a research-based construct of youth program quality that differentiates safety, support, interaction, and engagement, four important issues for practitioners working with youth in the middle years. They describe two tools that have helped direct staff to be intentional about creating offerings that are appropriate for early adolescents: the focusing idea of point-of-service quality and the technology of observational assessment. They describe how these tools can be used to create cultures of accountability and intentionality that extend across program levels.     

The relationship between marriage and family therapists and complementary and alternative medicine approaches: a national survey

Respondents to a mail survey of a random sample (N = 424) of Clinical Members of the American Association for Marriage and Family Therapy provided information about their contexts of practice, use of complementary and alternative medicine (CAM), and relationships with CAM providers. Consistent with both national trends and the experience of psychologists as reported in a similar survey, the results of this survey suggest that marriage and family therapists have been affected significantly by and have a growing awareness of CAM practices. Limitations of the study and implications for the field are discussed.     

Changing emotion: the use of therapeutic storytelling

Even though using metaphors in a therapeutic context is common, there are very few studies that address their effects. This study examines the effects of storytelling in therapy. After discussing a problem in a current relationship, 42 female participants were randomly assigned to receive either a story or psychoeducational information. Results indicated that both treatments were equally successful in reducing amounts of negative affect and negative feelings toward the relationship. In addition, each story was able to facilitate a change in emotional valence. Finally, participants saw no difference between the depth and smoothness of each session. Examples on using storytelling within different models of marriage and family therapy are provided.     

Sexual practices at last heterosexual encounter and occurrence of orgasm in a national survey

In order to examine factors associated with orgasm in heterosexual encounters, we analyzed data from the Australian Study of Health and Relationships, a national telephone survey of sexual behavior and attitudes and sexual health knowledge carried out in 2001-2002 with a representative sample of 19,307 Australians aged 16 to 59. Respondents were asked whether at their last sexual encounter they gave or received manual stimulation and oral sex, had vaginal intercourse or anal intercourse, and whether they had an orgasm. Vaginal intercourse was the dominant practice: 95% of encounters included it. Of the 64 possible combinations of these practices, 13 account for 93% of encounters: vaginal intercourse alone (12%), vaginal + manual stimulation of the man's and/or woman's genitals (49%), and vaginal intercourse + manual + oral (32%). Encounters may also have included other practices. Men had an orgasm in 95% of encounters and women in 69%. Generally, the more practices engaged in, the higher a woman's chance of having an orgasm. Women were more likely to reach orgasm in encounters including cunnilingus. This is the first large-scale empirical study worldwide to link specific practices with orgasm. Demographic and sexual history variables were comparatively weakly associated with orgasm.     

Interpersonal Reasons for Interpersonal Perceptions: Gender-incongruent Purpose Goals and Nonverbal Judgment Accuracy

Women’s tendency to outperform men on measures of accuracy in interpreting the meaning of nonverbal behavior might be due to such measures being more congruent with women’s interpersonal goals than men’s. The present study examined undergraduate men’s and women’s (N = 41) nonverbal judgment accuracy on the Interpersonal Perception Task-15 (IPT-15; Costanzo & Archer, 1993 [.The interpersonal perception task-15 (IPT-15). Berkeley: University of California Center for Media and Independent Learning) when the purpose for using their judgment skills was manipulated to be either congruent or incongruent with stereotypic “masculine” and “feminine” interpersonal goals. Results showed that each gender was at a relative disadvantage in judgment accuracy in the gender-incongruent goal conditions: women were relatively less accurate when they thought the IPT-15 measured judgment skills of use to interrogators in the military, whereas men were relatively less accurate when they thought the IPT-15 measured judgment skills of use to social workers in the social services. Discussion centers on the importance of matching individuals’ interpersonal goals to the purpose goals of the measure when using measures of interpersonal sensitivity.

Enhancing response rates to a smoking survey for enlisted U.S. Navy women.

This study examined the effectiveness of a stepped approach for increasing response rates to a mailed follow-up smoking survey among newly enlisted women in the navy. The effect of the stepped approach on response rates and on the characteristics of respondents was evaluated. Also, costs were estimated for each of the steps to determine their relative benefits. Results showed that the stepped approach was effective in more than doubling the survey response rate among smokers. Reluctant respondents did not differ from on-time respondents in terms of demographics or baseline smoking, although nonrespondents were less educated and heavier smokers than on-time and reluctant respondents. Strategies documented here could well apply to survey efforts with other hard-to-reach populations.     

A Qualitative Analysis of Strengths and Vulnerabilities in Sexually Assaulted Women

Clinicians and researchers alike have pointed to the considerable variation in trauma responses among women who have been raped. This qualitative study attempts to enhance the understanding of strengths and vulnerabilities in women who have been sexually assaulted and factors which influence their recovery. The results of the study suggest that there is an association between a woman's post-traumatic stress response to rape and her pre-existing perceptions of self and other. Women with positive early life experiences were able to mobilize adaptive coping mechanisms and thereby diminish the long-term impact of the sexual assault experience. In contrast, women with disruptive or traumatic early life experiences appeared to have negative views of self and other reinforced, which subsequently interfered with their ability to activate adaptive coping mechanisms. Implications of these findings for the development of treatment programs are discussed.