Telehealth for Patients with Chronic Pain: Exploring a Successful and an Unsuccessful Outcome

Abstract

Cognitive-behavioral therapy (CBT) is effective for treating chronic pain, but little is known about the mechanisms that might facilitate or hinder its utility when delivered by videoconference. In a single-case experimental design, we explored the outcomes of two adults with chronic pain who were provided with videoconference-based CBT. The goal was to examine the relationship between therapeutic alliance as well as presence felt and clinical outcomes. Therapeutic alliance was high overall for both participants; however, only the successful case’s alliance ratings significantly increased over treatment. Levels of presence felt in videoconferencing were also high, but were not related to therapy outcome.     

Predicting responses to sexually aggressive stories: The role of consent,interest in sexual aggression,and overall sexual interest

Measures of interest in sexual aggression and overall sexual interest were used to predict men's responses to consensual and nonconsensual stories that contained forceful sexual content. College males (N = 108) listened to these stories and completed questionnaires assessing self‐reported sexual arousal and desire, their perceptions of the woman's enjoyment and sexual desire in the stories, their likelihood of acting like the man in the stories, and how likely they would be to read similar stories. Multiple regression analyses revealed that overall sexual interest variables were significant predictors of responses to both consensual and nonconsensual stories, while interest in sexual aggression predicted responses to only the nonconsensual story. The present study highlights the importance of considering overall sexual interest measures in sexual aggression research.     

The Baby Boomer Effect: Changing Patterns of Substance Abuse Among Adults Ages 55 and Older

Between now and 2030, the number of adults aged 65 and older in the United States will almost double, from around 37 million to more than 70 million, an increase from 12% of the U.S. population to almost 20%. It was long held that, with only a few isolated exceptions, substance abuse simply did not exist among this population. In light of the impact of the baby boom generation, this assumption may no longer be valid. The authors examined admissions of persons 55 years and older (n = 918,955) from the Treatment Episode Data Set (1998–2006). Total admissions with a primary drug problem with alcohol have remained relatively stable over this time. Admissions for problems with a primary drug other than alcohol have shown a steady and substantial increase. Clearly, data from the Treatment Episode Data Set indicate a coming wave of older addicts whose primary problem is not alcohol. The authors suspect that this wave is led primarily by the continuing emergence of the baby boomer generation.     

The Raging Grannies: Defying Stereotypes and Embracing Aging Through Activism

The Raging Grannies are a group of older women who dress as “grannies” and alter the words of traditional songs to communicate political messages. Based on a review of song lyrics, participant observation, and interviews with 15 Grannies, this study explores Raging Granny activism and the strategic adoption of the grandmother identity. The Grannies challenge stereotypes of older women through the fact and forms of their activism, and they see their aged status as empowering and as something to be embraced. Grannies report that the grandmother identity serves a protective function and enhances movement efficacy. This case study adds to the sparse literature on older women's political activism and demonstrates that identity exploration is not restricted to youth-centered movements.     

On units of Analysis and Creativity Theory: Towards a “Molecular” Perspective

This article addresses the issue of units of analysis and atomistic models in psychology taking creativity research as a case study. A classic typology in this area, initially proposed by Rhodes (1961), distinguishes between the four P's of creativity: person, process, product, and press (environment). Continuing an effort to rewrite this basic language of the discipline from a cultural psychological perspective in the form of five A's (actor, audience, action, artefact, affordances), the discussion here focuses on bringing relationships to the fore within this framework and problematising strict distinctions between each of the five elements. A closer look at the five A's of creativity, drawing on theoretical considerations and illustrated by interviews with creators working in different domains, reveals the permeable borders surrounding these units and challenges clear divisions between actors and audiences, action and artefacts, actors and artefacts. In the end, it is argued that creative phenomena cannot be properly understood and studied outside of their integrated and dynamic totality defined as a creativity complex. Implications of adopting this “molecular” perspective for theory and methodology are discussed.     

CAT FIGHTS AND GANG FIGHTS

This article uses Joan Acker's (1990) theory of gendered organizations to frame an analysis of the construction of occupational choice. Utilizing interview data collected from correctional officers (N = 36) working in a men's and a women's state prison, I examine these officers' strong preference for work in the men's prison. Reasons for preferring work with men draw on a comparison of male to female inmates in which the latter are seen as emotional and irrational, an ideal typical construction of the men's prison as a "real penitentiary,'and a feeling among officers that supervisors in women's prisons are less able to enforce institutional rules. The article concludes with a discussion of the implications of this case study for a theory of gendered occupational choice and gendered organizations.     

Habitat selection by an arboreal lizard in an urban parkland: not just any tree will do

The nocturnal, arboreal Marbled Gecko, Christinus marmoratus, is a common reptile in urban areas in southern Australia. This study compared the demographics and the distribution of geckos occupying different tree species in a modified urban park, the Adelaide Parklands, with those of a population occurring in Ferguson Conservation Park, a nearby native vegetation remnant surrounded by suburbia. The geckos in the modified urban and native remnant parks demonstrated different demographic characteristics. These differences were explained by tree circumference and the amount and type of bark cover on the tree trunk. In the Parkland, geckos were limited by the availability of thick exfoliating bark, its clearly preferred microhabitat as demonstrated by a laboratory choice experiment. The preference for trees with larger circumference, more cover, and thick bark were probably linked to thermoregulation, predator avoidance, and food resources. This study supports the premise that to support populations of urban animals, tree species selection needs careful consideration with regard to its microhabitat capabilities as well as food provision and other resource supports it can provide.     

Muslims in Great Britain: the impact of mosque attendance on political behaviour and civic engagement

Is mosque attendance associated with withdrawal from civic and political life and the endorsement of politically motivated violence (PMV)? We draw from a large multi-ethnic survey in the U.K. to answer this research question. Our analysis is unique in that we compare Muslims to Christians to show that mosques, just like churches, can enhance the civic and political participation of their adherents. Drawing from scholarship on religious institutions, social capital, and social identity, we claim and empirically show that mosque attendance is associated with increased electoral and non-electoral political participation, higher levels of civic engagement, and the rejection of PMV. Our findings not only advance the current scholarly understanding of the attitudes and behaviours of Muslims in the West, but also have important policy implications in that they help dispel stereotypical and sensationalist accounts of Mosques and their adherents in the post-Brexit U.K.     

Status,National Culture and Customers’ Propensity to Complain

People’s ability to express their voice in different situation is an important facet of their quality of life. This study examines the relationship between social status, cultural characteristics and customers’ voice behavior in multiple cultures. We hypothesized that social status would be positively related to customers’ voice expression. The cultural dimensions of power distance and uncertainty avoidance were expected to affect that behavior and to moderate the status–voicing relationship. Analysis of data concerning 8,479 customers from 12 countries showed that, as expected, customers with high status tended to register more service failures and to complain more frequently than customers of lower social status. All three social status distinctions explored in this study (gender, education, and age) correlated negatively with formal complaint, but only age correlated negatively with informal complaint. In addition, the two cultural dimensions had the expected negative effect on intention to complain, and moderated the relationship between social status and intention to complain. Theoretical contributions and applied implications are discussed.