Cognitive-behavioral therapy for obsessive-compulsive disorder: review of treatment techniques

Obsessive-compulsive disorder (OCD) is a chronic, impairing condition with an estimated lifetime prevalence in adults of 2.5%. Controlled treatment trials have demonstrated that cognitive-behavioral therapy (CBT) is an effective intervention for OCD. However, many individuals diagnosed with OCD do not receive appropriate, empirically validated interventions, perhaps due to limited knowledge of CBT among mental health practitioners. This article provides a review of CBT for OCD. Issues related to treatment delivery and assessment are presented and highlighted by an individual example.     

DO GENERAL TREATMENT GUIDELINES FOR ASIAN AMERICAN FAMILIES HAVE APPLICATIONS TO SPECIFIC ETHNIC GROUPS? THE CASE OF CULTURALLY‐COMPETENT THERAPY WITH KOREAN AMERICANS

To serve Korean American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to discover the most common expert recommendations for family therapy with Asian Americans and to examine their application to Korean Americans. Eleven specific guidelines were generated: Assess support systems, assess immigration history establish professional credibility, provide role induction, facilitate "saving face," accept somatic complaints, be present/problem focused, be directive, respect family structure, be nonconfrontational, and provide positive reframes. Empirical support (clinical and nonclinical research) and conceptual support for each guideline are discussed, and conclusions are reached regarding culturally competent therapy with Korean American families.     

A nursing tool for adherence and recovery in psychosis: a pilot study

Clients with psychotic disorders are at great risk for relapse and rehospitalization. This risk is magnified by poor adherence to medications, as well as refusal to accept optimal treatment planning, including more beneficial atypical medications. Adherence can be even more compromised because of clients' poor insight into these illnesses and their inability to recognize the potential for recovery that exists when taking medications as prescribed. This poor insight makes effective collaboration in treatment more difficult and is an exceptionally troubling impediment to successful treatment. Currently, there are few effective strategies to improve insight into psychosis. We have developed the Levels of Recovery from Psychotic Disorders Scale (LORS) as a teaching tool. It is designed to identify strengths and weaknesses in insight in order to provide the basis for an intervention to enhance and promote change. This article reviews the relevant literature on adherence and insight in this population of clients with psychotic disorders. It also reviews a pilot study comparing the LORS to the BASIS-32. The findings provide the basis for future studies using the LORS to enhance insight, adherence, and recovery.     

Factors influencing middle and high schools' active parental consent return rates

The authors examined factors influencing the return rates for attempting to collect active parental consent forms from 21,123 students in the 7th through 10th grades in 41 middle and high schools. Overall return rates from middle schools were higher than from high schools. Schools that offered high levels of staff support for collecting consent forms had higher return rates. Procedures where the consent form was attached to a school form that parents had to complete and return to the school yielded the highest return rate. Implications for how researchers can obtain a high parent consent form return rate are discussed.     

Correlates of violent and nonviolent victimization in a sample of public high school students

This study investigates the extent to which student reports of violent and nonviolent victimization in public high schools is associated the presence of hate-related words or symbols, the availability of hard and soft drugs, and the presence of gangs. Data from the 1999 School Crime Supplement of the National Crime Victimization Survey were used for this analysis. In the final multinomial logistic regression model, the presence of hate-related words, the availability of hard drugs, and a gang presence were significantly associated with reports of violent victimization. The availability of soft drugs was significantly associated with nonviolent victimization. Findings held across gender, race/ethnicity, and urbanicity of the school's location with younger students more likely to be both violently and nonviolently victimized than older students. Implications for primary and secondary interventions aimed at school climate and the reduction of correlates of victimization are discussed.     

Long-term care policy for the elderly in the Zaporozhye region of Ukraine: a case study of social development following the collapse of Communism

In this paper, we review the status of social policy for the elderly in Ukraine since the fall of Communism and the breakup of the Soviet Union. We specifically address the problem of "rebuilding" an income and services policy for the at-risk elderly after the unraveling of the system that existed prior to the fall of Communism. Also, we address some existing problems faced by the elderly in the health care system. Within this context, we present a case study of the current status of long-term care policy for the elderly in one province of Ukraine, the eastern province of Zaporozhye, encompassing the industrial city of Zaporozhye on the Dnieper River. This case study particularly pays attention to current attempts to promote a social development process of long-term care services for the elderly. It examines recent developments with respect to public sector organizations and voluntary sector organizations that are trying to provide necessary services to the needy elderly. With respect to the voluntary sector, the paper pays particular attention to the American Jewish Joint Distribution Committee (JDC) model of a largely externally funded NGO that provides comprehensive and integrated social supports, while emphasizing local empowerment and the use of volunteers, for the needy Jewish population in the province of Zaporozhye. Based on our findings, we make some proposals regarding the improvement of income and services policy with respect to the elderly in Zaporozhye and Ukraine.     

Male partner violence against women in stepfamilies: an analysis of risk and explanations in the Canadian milieu

Using a representative sample of 2,703 Canadian women living in either a stepfamily or a biological family, this investigation assesses the extent of women's elevated risk for violence in stepfamilies relative to biological families as well as explanations for this relationship. Canadian women living in stepfamilies are shown to be twice as likely as their counterparts in biological families to experience violence. Differences between the two groups are greatest on some of the most severe forms of violence, suggesting that women in stepfamilies are at particular risk for severe violence. Institutional incompleteness (number of children; depression; alcohol consumption), duration of relationship, evolutionary psychology (sexual possessiveness; sexual jealousy; female employment; education compatibility) and selection factors (previous marriage/common-law union; previous partner violence; marital status) are applied and tested. Results show partial support for each explanation and that no explanation alone accounts for the disproportionate risk of violence in stepfamilies. Rather, a combination of elements from all explanations is required to account for the higher odds of violence against women in stepfamilies.     

Effects of information on college students' perceptions of antidepressant medication

The authors examined the impact of pharmaceutical companies' advertisements on college students' perceptions of depression and concomitant treatment with antidepressants among 13 male and 31 female undergraduates from a midwestern university. The students were randomly assigned to groups that read either pharmaceutical company advertisements or scientific information about depression and its treatment. The analysis revealed that 40% of the women in the advertisement condition as opposed to 1 woman (6%) in the scientific condition rated themselves as having mild, moderate, or severe depression on the Beck Depression Inventory, second edition. Women in the advertisement condition were significantly more likely to believe that depression required treatment with antidepressant medication and were more willing than women in the scientific condition to suggest antidepressant treatment to others.