Mental Health Professionals' Attitudes toward Clients with Antisocial Personality Disorder

Clients with personality disorder are treated throughout the United States' healthcare system. Research suggests that mental health professionals' attitudes' toward clients with personality disorders are poor. However, research specific to clients with antisocial personality disorder was lacking. The current study examined the influence of social learning factors (i.e., level of clinical contact and history of criminal victimization) on mental health professionals' attitudes toward clients with antisocial personality disorder. The population of study was Medicaid-approved providers. The purposive sample included 98 Medicaid-approved mental health providers in North Carolina. The study used an online survey design, and participants completed an author-developed Demographic Questionnaire and the Adapted-Attitudes toward Personality Disorders Questionnaire. Three research questions examined the main effects of level of clinical contact, history of criminal victimization, and interaction effects on mental health professionals' attitudes toward clients with antisocial personality disorder. A factorial MANOVA and follow-up univariate ANOVAs revealed a statistically significant main effect for level of clinical contact with clients with antisocial personality disorder on participants' attitudes scores as measured by the Adapted- Attitudes toward Personality Disorders Questionnaire. No main effect for history of criminal victimization nor interaction effect was detected. Findings support that the social learning factor of level of clinical contact significantly influences mental health professionals' attitudes toward clients with antisocial personality disorder. Findings hold implications for mental health professionals, mental health supervisors, mental health educators, and mental health researchers

Exploring Counselor Educator Dispositions Related to Teaching

This study explores students’ preferences for counselor educator (CE) teaching dispositions. Forty-eight counselor education students completed a Q sort and answered post-sort qualitative questions. The study found four types of student preferences: a focus on experiential teaching, a focus on content and affect orientation, a focus on the educator-student relationship, and a focus on developing clinical skills. Also among the findings are a set of items that were unanimously unimportant to the participants: CE engagement in research and gatekeeping. These preferences are situated within the scholarship of teaching and learning and evidence-based practices in counselor education. Practical and research implications are shared

The Role of Clinical Supervision in Treating Clients with Antisocial Personality Disorder

Clinicians often have negative attitudes toward clients diagnosed with antisocial personality disorder (ASPD), which can sabotage treatment and lead to clinician burnout and job dissatisfaction. Researchers recommend clinicians receive regular clinical supervision; however, clinical supervision strategies and models related to working with ASPD are lacking. We identify supervisors’ primary task as exploring and improving clinicians’ attitudes toward clients having ASPD and examine this task within the discrimination model of clinical supervision. A case study is offered as an illustration for how to approach working with ASPD in supervision

Mental Health Professionals’ Attitudes toward Clients with Antisocial Personality Disorder: An Exploratory Study

This exploratory study examined mental health professionals’ attitudes toward clients with antisocial personality disorder. Specifically, are mental health professionals’ attitudes influenced by (a) personal experiences with criminal victimization, or (b) contact with clients with antisocial personality disorder. A factorial MANOVA and follow-up univariate ANOVAs revealed a statistically significant main effect in relation to participants’ level of clinical contact with clients having antisocial personality disorder. Participants with higher levels of clinical contact were associated with more positive attitudes towards clients. Implications for mental health professionals, supervisors, and counselor educators are discussed, and suggestions for future research are provided

Recruitment into diabetes prevention programs : what is the impact of errors in self-reported measures of obesity?

BackgroundError in self-reported measures of obesity has been frequently described, but the effect of self-reported error on recruitment into diabetes prevention programs is not well established. The aim of this study was to examine the effect of using self-reported obesity data from the Finnish diabetes risk score (FINDRISC) on recruitment into the Greater Green Triangle Diabetes Prevention Project (GGT DPP).MethodsThe GGT DPP was a structured group-based lifestyle modification program delivered in primary health care settings in South-Eastern Australia. Between 2004&ndash;05, 850 FINDRISC forms were collected during recruitment for the GGT DPP. Eligible individuals, at moderate to high risk of developing diabetes, were invited to undertake baseline tests, including anthropometric measurements performed by specially trained nurses. In addition to errors in calculating total risk scores, accuracy of self-reported data (height, weight, waist circumference (WC) and Body Mass Index (BMI)) from FINDRISCs was compared with baseline data, with impact on participation eligibility presented.ResultsOverall, calculation errors impacted on eligibility in 18 cases (2.1%). Of n&thinsp;=&thinsp;279 GGT DPP participants with measured data, errors (total score calculation, BMI or WC) in self-report were found in n&thinsp;=&thinsp;90 (32.3%). These errors were equally likely to result in under- or over-reported risk. Under-reporting was more common in those reporting lower risk scores (Spearman-rho&thinsp;=&thinsp;&minus;0.226, p-value&thinsp;&lt;&thinsp;0.001). However, underestimation resulted in only 6% of individuals at high risk of diabetes being incorrectly categorised as moderate or low risk of diabetes.ConclusionsOverall FINDRISC was found to be an effective tool to screen and recruit participants at moderate to high risk of diabetes, accurately categorising levels of overweight and obesity using self-report data. The results could be generalisable to other diabetes prevention programs using screening tools which include self-reported levels of obesity.<br /

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Mental Health Professionals' Attitudes toward Clients with Antisocial Personality Disorder

Clients with personality disorder are treated throughout the United States' healthcare system. Research suggests that mental health professionals' attitudes' toward clients with personality disorders are poor. However , research specific to clients with antisocial personality disorder was lacking. The current study examined the influence of social learning factors (i.e. , level of clinical contact and history of criminal victimization) on mental health professionals' attitudes toward clients with antisocial personality disorder. The population of study was Medicaid-approved providers. The purposive sample included 98 Medicaid-approved mental health providers in North Carolina. The study used an online survey design , and participants completed an author-developed Demographic Questionnaire and the Adapted-Attitudes toward Personality Disorders Questionnaire. Three research questions examined the main effects of level of clinical contact , history of criminal victimization , and interaction effects on mental health professionals' attitudes toward clients with antisocial personality disorder. A factorial MANOVA and follow-up univariate ANOVAs revealed a statistically significant main effect for level of clinical contact with clients with antisocial personality disorder on participants' attitudes scores as measured by the Adapted- Attitudes toward Personality Disorders Questionnaire. No main effect for history of criminal victimization nor interaction effect was detected. Findings support that the social learning factor of level of clinical contact significantly influences mental health professionals' attitudes toward clients with antisocial personality disorder. Findings hold implications for mental health professionals , mental health supervisors , mental health educators , and mental health researchers

Exploring Counselor Educator Dispositions Related to Teaching

This study explores students’ preferences for counselor educator (CE) teaching dispositions. Forty-eight counselor education students completed a Q sort and answered post-sort qualitative questions. The study found four types of student preferences: a focus on experiential teaching, a focus on content and affect orientation, a focus on the educator-student relationship, and a focus on developing clinical skills. Also among the findings are a set of items that were unanimously unimportant to the participants: CE engagement in research and gatekeeping. These preferences are situated within the scholarship of teaching and learning and evidence-based practices in counselor education. Practical and research implications are shared

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NSC39691

Studies of psychiatric disorders have traditionally focused on emotional symptoms such as depression, anxiety and hallucinations. However, poorly controlled cognitive deficits are equally prominent and severely compromise quality of life, including social and professional integration. Consequently, intensive efforts are being made to characterize the cellular and cerebral circuits underpinning cognitive function, define the nature and causes of cognitive impairment in psychiatric disorders and identify more effective treatments. Successful development will depend on rigorous validation in animal models as well as in patients, including measures of real-world cognitive functioning. This article critically discusses these issues, highlighting the challenges and opportunities for improving cognition in individuals suffering from psychiatric disorders