This study utilized a theory-specific measure to examine client relational change over the course of time-limited dynamic psychotherapy. Specifically, this is the first empirical investigation with a clinical sample to measure change and stability in clients' attachment styles. Categorical and dimensional ratings of attachment styles were obtained. Pretreatment and posttreatment measures of attachment styles were then examined in association with Global Assessment Scale (GAS) scores and symptoms. At posttreatment, a significant number of clients were evaluated as having changed from an insecure to a secure attachment style. Additionally, the sample as a whole demonstrated significant changes toward increased secure attachment. Significant relationships were also found among

This study examined the influence of health, social support, disability, and vision rehabilitation services on depression among visually impaired older adults seeking vision rehabilitation services. Participants (n = 95) were interviewed at application and approximately two years later. The first hierarchical regression model focused on concurrent relationships at baseline. The second model used baseline health and social support variables, along with indicators of change in vision and use of rehabilitation services, in order to predict change in depression over time. Findings indicate that being unmarried, in poorer health, having lower quality of relationships with family, and lower stability in friendships were significant independent risk factors for initial depression, explaining 50% of the variance. Decline in depression over time was predicted by younger age, better self-rated health, stability of friendships, and use of rehabilitation services that, along with baseline depression, explained 61% of the variance in depressive symptomatology at the two-year follow-up. Findings highlight the importance of qualitative aspects of social support for older disabled adults, as well as the distinction that needs to be made between factors that predict concurrent mental health status and those predicting change in status over time.

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Overt signs of victim resistance during rape are critical issues in the handling of and recovery from rape/sexual assault. However, a substantial number of victims do not resist the attacker in any way. Tonic immobility (TI), a well-known involuntary, reflexive response to fear-inducing stimuli, may aid in explaining the paralysis and “freezing” of many rape victims. In the present study, rape survivors were classified as immobile, intermediate, or mobile, based on a self-report measure. The immobile group manifested significantly more of the specific features associated with tonic immobility. Thirty-seven percent of the sample clearly demonstrated immobility during the attack. Various postrape behaviors and attitudes were found to be associated with the incidence of the immobility response.

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