Alliance rupture and repair processes in borderline personality disorder: A case study using dialogical sequence analysis

Objective: This study examined alliance rupture and repair processes in borderline personality disorder (BPD) and how the content of sessions interacts with the quality of the alliance.

Design: A mixed methods single case study design was employed incorporating quantitative and qualitative measures of process and outcome.

Methods: This case study examined a 22-year-old female with BPD who received 16 sessions of Cognitive Analytic Therapy. Measures of alliance, symptoms and global functioning were taken across multiple time-points. Selected sessions were analysed using dialogical sequence analysis (DSA), a theory-driven method of psychotherapy research that analyses utterances according to their author, addressee and referential object.

Results: Quantitative data indicated symptom reduction without functional improvement. DSA demonstrated that the first exchanges in therapy were reflective of key relational themes. The case suggests that, rather than simply negotiating tasks and goals, repairing ruptures involves systematically linking the manifest topic to the client’s core problems.

Conclusions: This case study points to the mediating role that the content of sessions has on alliance quality. Results underline the importance of the therapist stance, the need for a shared formulation to make sense of relational processes and the use of responsively timed interventions to decrease desperation and improve self-reflection.     

An experimental test to reveal negative side-effects of high treatability information on preventative health behaviour

Objectives: When the course of a disease can be positively changed by health professionals the disease can be indicated as ‘highly treatable’. This ‘high treatability information’ (HTI) may have negative side-effects on people’s preventative motivation. This study examined the effects of HTI regarding skin cancer on preventative motivation.

Design: This study employed a 2 (high treatability (HTI) versus low treatability (LTI)) × 2 (high versus low susceptibility)?experiment with a hanging control group. (family) History and self-efficacy were assessed as moderators. Participants (N = 309) were randomly assigned to one of the five conditions.

Main outcome measures: The main outcome was intention to engage in preventative actions regarding skin cancer.

Results: HTI significantly lowered the intention compared to LTI, under the condition of high susceptibility in people with low self-efficacy. In addition, in people with a (family) history of skin cancer, HTI significantly lowered the intention compared to the no-information group.

Conclusion: HTI regarding skin cancer can cause a drop in the preventative motivation. The effects can be conceptualised as negative side-effects of HTI. As substantial proportions of the general population have a (family) history of skin cancer or low self-efficacy, the side-effects may be widespread, possibly increasing the incidence of skin cancer.     

Varieties of Three-Valued Heyting Algebras with a Quantifier

This paper is devoted to the study of some subvarieties of the variety Qof Q-Heyting algebras, that is, Heyting algebras with a quantifier. In particular, a deeper investigation is carried out in the variety Q ₃ of three-valued Q-Heyting algebras to show that the structure of the lattice of subvarieties of Qis far more complicated that the lattice of subvarieties of Heyting algebras. We determine the simple and subdirectly irreducible algebras in Q ₃ and we construct the lattice of subvarieties (Q ₃ ) of the variety Q ₃ .     

Constructive Logic with Strong Negation is a Substructural Logic. I

The goal of this two-part series of papers is to show that constructive logic with strong negation N is definitionally equivalent to a certain axiomatic extension NFL _ew of the substructural logic FL _ew . In this paper, it is shown that the equivalent variety semantics of N (namely, the variety of Nelson algebras) and the equivalent variety semantics of NFL _ew (namely, a certain variety of FL _ew -algebras) are term equivalent. This answers a longstanding question of Nelson [30]. Extensive use is made of the automated theorem-prover Prover9 in order to establish the result. The main result of this paper is exploited in Part II of this series [40] to show that the deductive systems N and NFL _ew are definitionally equivalent, and hence that constructive logic with strong negation is a substructural logic over FL _ew . Presented by Heinrich Wansing     

A Negationless Interpretation of Intuitionistic Theories. I

The present work contains an axiomatic treatment of some parts of the restricted version of intuitionistic mathematics advocated by G. F. C. Griss, also known as negationless intuitionistic mathematics. Formal systems NPC, NA, and FIM ^N for negationless predicate logic, arithmetic, and analysis are proposed. Our Theorem 4 in Section 2 asserts the translatability of Heyting's arithmetic HAinto NA. The result can in fact be extended to a large class of intuitionistic theories based on HAand their negationless counterparts. For instance, in Section 3 this is shown for Kleene's system of intuitionistic analysis FIMand our FIM ^N . This revised version was published online in June 2006 with corrections to the Cover Date.     

Generic generalized Rosser fixed points

To the standard propositional modal system of provability logic constants are added to account for the arithmetical fixed points introduced by Bernardi-Montagna in [5]. With that interpretation in mind, a system LR of modal propositional logic is axiomatized, a modal completeness theorem is established for LR and, after that, a uniform arithmetical (Solovay-type) completeness theorem with respect to PA is obtained for LR. This paper supersedes: Franco Montagna, Extremely undecidable sentences and generic generalized Rosser's fixed points, Rapporto Matematico, No. 95, Siena, 1983.     

A weak intuitionistic propositional logic with purely constructive implication

We introduce subsystems WLJ and SI of the intuitionistic propositional logic LJ, by weakening the intuitionistic implication. These systems are justifiable by purely constructive semantics. Then the intuitionistic implication with full strength is definable in the second order versions of these systems. We give a relationship between SI and a weak modal system WM. In Appendix the Kripke-type model theory for WM is given.This work was partially supported by NSF Grant DCR85-13417     

Understanding the impact of HIV diagnosis amongst gay men in Scotland: An interpretative phenomenological analysis

Objectives: Although a wide literature details the psychological impact of human immunodeficiency virus (HIV) diagnosis, it predates the introduction of effective treatment for HIV (i.e. anti-retroviral therapies, ARTs). This article explores the psychological impact of HIV diagnosis in post-ART accounts. This is important, given the recent policy developments which focus upon increasing HIV testing and thus diagnoses.

Design: This study presents a qualitative exploration of the experiential accounts of HIV-positive gay men living in Scotland. A total of 14 HIV-positive gay men took part in open-ended interviews.

Methods: Interpretative phenomenological analysis was employed to identify recurrent themes across the interviews.

Results: Our analysis focuses upon the participants’ struggles in adjusting to their HIV status. Diagnosis was a deeply shocking and unexpected experience. Stigma and fear of prejudice dominated their accounts. HIV was understood, variously, as a shameful, fatal and life-changing condition. Overall, within these accounts there was little sense of HIV normalisation.

Conclusions: In Scotland, where HIV prevalence is low, and where no accessible HIV-positive sub-culture exists, there is on-going psychological distress and morbidity amongst gay men testing HIV positive. As HIV-related policy increasingly focuses on increasing rates of antibody testing, there is a need to reduce the psychosocial costs associated with HIV-positive diagnoses.     

Validation française du School Burnout Inventory

IntroductionFirst studied in adults, the concept of burnout was recently extended to adolescents in order to evaluate the impact of school requirements on their health.ObjectiveThis study aim at assessing construct validity, reliability and concurrent validity of a French version of the School Burnout Inventory (Salmela-Aro, Kiuru, Leskinen, & Nurmi, 2009) that characterize school burnout by exhaustion linked to school demands, cynicism toward school and feelings of inadequacy as a student.MethodThree hundred and eighty-seven adolescents have filled the translated questionnaire and a confirmatory factor analysis was performed on the data.ResultsThe analysis confirmed the tridimensional structure of the scale and mainly show satisfactory psychometric qualities.ConclusionThis measurement scale should provide clinicians with a rapid and simple assessment of school burnout in adolescents. Researchers could also benefit from it in order to extend theoretical knowledge about this trouble.     

Parental bonding may moderate the relationship between parent physical activity and youth physical activity after school

ObjectivesThe processes and conditions through which parents may influence children's physical activity have not been identified. This study tested the hypothesis that bonding with parents would moderate the relationships between parental physical activity and youth physical activity.DesignA cross-sectional preliminary study.MethodsA total of 57 sixth and seventh grade students completed a survey that assessed bonding with parents and parental physical activity. Then, on 3 days, they reported their moderate and vigorous physical activity using the Previous Day Physical Activity Recall.ResultsHierarchical multiple regression analyses showed a moderation effect such that the interaction between bonding with parents and parental physical activity significantly predicted youth physical activity after controlling for their main effects.ConclusionThis preliminary study suggests that interventions targeting parents as the route to increasing physical activity may need to target both increasing parental physical activity and the parent--child bond.     

Self-control depletion and sleep duration: the mediating role of television viewing

Abstract

Objective: Sleep insufficiency has been related to self-control failure: people fail to go to bed in time and end up sleep deprived. The role of state self-control in predicting bedtime and sleep duration has not yet been investigated. Based on research claiming an overlap between depleted self-control resources and fatigue, self-control depletion may foster earlier bedtimes. Conversely, self-control depletion also increases the propensity to procrastinate bedtime by giving in to the immediate gratification of late night entertainment. This study therefore looked at procrastinatory television viewing and its intermediary role in the association between state self-control and bedtime. The implications for sleep duration are examined. Design: Firstyear students (N = 234) participated in an online survey. Using Day Reconstruction Method, they charted their activities and experiences during the preceding day and subsequent bedtime behavior. Results: Self-control depletion was directly related to earlier bedtimes, which we explained by its similarity to fatigue. This was associated with longer sleep duration. Self-control depletion was indirectly related to later bedtimes because it increased the propensity to procrastinate by watching television. This was associated with shorter sleep duration. Conclusion: This study exposes a dual pathway between self-control depletion and sleep duration, whereby procrastinatory television viewing may reduce sleep duration.     

Intolerance of uncertainty predicts analogue posttraumatic stress following adverse life events

ABSTRACT

BACKGROUND AND OBJECTIVES: There is evidence that intolerance of uncertainty (IU) is associated with elevated post-traumatic stress (PTS) symptoms. There is a scarcity of research examining whether IU is prospectively related to PTS following exposure to negative life events. Using data from a Dutch student-sample, we examined the degree to which IU predicts post-traumatic stress symptoms associated with negative stressful life events (analogue posttraumatic stress (PTS)).

DESIGN: This was a prospective survey-study.

METHODS: A group of 193 undergraduate students completed self-report measures of Inhibitory IU, Prospective IU, and anxiety sensitivity (at Time 1, T1). One year later (at T2), participants rated adverse life-events experienced between T1 and T2, and completed a questionnaire tapping PTS associated with the most distressing event experienced in this time-frame. We hypothesized that pre-event Inhibitory IU and—to a lesser extent—Prospective IU would predict analogue PTS, after covarying for anxiety sensitivity.

RESULTS: As predicted, pre-event Inhibitory IU predicted post-event analogue PTS, even when controlling for anxiety sensitivity. With respect to distinct analogue PTS clusters, Inhibitory IU predicted PTS avoidance and PTS hyperarousal, but was unrelated to PTS reexperiencing.

CONCLUSIONS: This study confirm that IU, particularly Inhibitory IU, may convey risk for elevated PTS following adverse life events.     

Questionnaire de sensibilité au rejet : qualités psychométriques de la traduction française de l’Adult Rejection Sensitivity Questionnaire (ARSQ)

IntroductionExacerbated rejection sensitivity is a psychological process strongly present in certain personality disorders. Berenson et al. (2013) developed the Adult Rejection Sensitivity Questionnaire (A-RSQ), which evaluates the anxious expectation of perceived rejection by people close to them.ObjectiveThe purpose of our study was to investigate the psychometric qualities of a French version of the A-RSQ.MethodThis study was conducted with 140 French participants. The participants completed online our French translation of the A-RSQ and the Borderline Symptoms List (BSL-23), the Experiences in Close Relationships-Revised Questionnaire (ECR-R) and the Liebowitz Social Anxiety Scale Self-reported (LSAS-SR).ResultsThe internal validity of the A-RSQ is acceptable. The A-RSQ is positively and significantly correlated with the three reference scales: BSL-23, LSAS-SR and ECR-R. Factor analysis suggests a three-factor structure.ConclusionThis French version of the A-RSQ presents psychometric qualities comparable to its original version. This tool may be useful to researchers and clinicians interested in relationship problems, particularly in the context of borderline personality disorder where rejection sensitivity is a central process.     

N-of-1 study of weight loss maintenance assessing predictors of physical activity,adherence to weight loss plan and weight change

Objective: Behaviour change interventions are effective in supporting individuals to achieve clinically significant weight loss, but weight loss maintenance (WLM) is less often attained. This study examined predictive variables associated with WLM.

Design: N-of-1 study with daily ecological momentary assessment combined with objective measurement of weight and physical activity, collected with wireless devices (Fitbit?) for six months. Eight previously obese adults who had lost over 5% of their body weight in the past year took part. Data were analysed using time series methods.

Main outcomes measures: Predictor variables were based on five theoretical themes: maintenance motives, self-regulation, personal resources, habits, and environmental influences. Dependent variables were: objectively estimated step count and weight, and self-reported WLM plan adherence.

Results: For all participants, daily fluctuations in self-reported adherence to their WLM plan were significantly associated with most of the explanatory variables, including maintenance motivation and satisfaction with outcomes, self-regulation, habit, and stable environment. Personal resources were not a consistent predictor of plan adherence.

Conclusion: This is the first study to assess theoretical predictions of WLM within individuals. WLM is a dynamic process including the interplay of motivation, self-regulation, habit, resources, and perceptions of environmental context. Individuals maintaining their weight have unique psychological profiles which could be accounted for in interventions.     

The effect of video observation on warmth and competence ratings of individuals with a disability

ObjectivesThis study examined whether a video featuring an adult with a physical disability engaging in either sport, exercise, or an activity of daily living (ADL) can mitigate negative stereotypes of disability held by people without a disability.DesignThis study used a pre-post design, involving three participant groups.MethodsParticipants (n = 212) read a vignette describing an adult with a disability (target). Consistent with the stereotype content model, participants judged the target's warmth and competence. One week later, participants viewed a video of the target participating in sport, exercise, or an ADL and judged the target's warmth and competence.ResultsJudgements of competence but not warmth changed over time. The greatest increases occurred in the sport condition. At follow-up, the typical high warmth low competence stereotype of disability was reversed; the character was judged as being more competent than warm especially in the sport condition.ConclusionVideos of adults with a disability engaging in physical activity, particularly sport, have potential to mitigate negative stereotypes of disability.     

Développement et validation de l’Inventaire francophone de l’Épuisement Professionnel (IFEP)

IntroductionThe prevention of burnout is a major issue for companies. However, they do not always have access to tools adapted to the implementation of prevention policies.ObjectiveThis study is part of a project to create a questionnaire adapted to employees’ needs in the field of burnout measurement.MethodThe survey was distributed online to French-speakers workers (N = 680).ResultsThe results of the exploratory and confirmatory factor analyses indicated two dimensions (exhaustion and interpersonal stress) with high internal consistency. This factorial structure was confirmed for men and women as well as for French and Belgian workers by means of measurement invariance analyses. Criterion validity was verified regarding the relationships between the scores on the IFEP dimensions and those obtained with the MBI-GS, the measure of the intent to quit, the subjective health scale and the number of days of sick.ConclusionThe overall results of the analyses performed in this study show satisfactory psychometric qualities of the French Burnout Inventory (IFEP), a new measure of burnout that can be used in many French-speakers work contexts.     

Acceptance,well-being and goals in adolescents with chronic illness: a daily process analysis

Objective: The main aim of this study was to investigate the relationship between acceptance and well-being in adolescents with chronic illness from a daily process perspective. Furthermore, we explored the role of daily experienced interference and facilitation of life goals by treatment goals as mediating mechanisms.

Methods: Thirty-eight adolescents with cystic fibrosis (CF) or diabetes completed questionnaires assessing acceptance, negative life events and goal-related self-efficacy. Furthermore, an online diary assessing daily mood, daily experienced interference and facilitation of life goals by treatment goals was completed during three consecutive weeks.

Results: Acceptance of illness was positively related to daily well-being, but unrelated to daily goal interference and facilitation. Furthermore, daily goal interference and facilitation were unrelated to same-day and next-day well-being.

Conclusion: This study suggests that acceptance of illness plays an important role in the daily mood of adolescents with CF and diabetes. This relationship, however, was not mediated by daily experienced interference and facilitation of life goals by treatment goals. Further research is needed to determine whether interventions promoting acceptance are beneficial for adolescents with CF and diabetes.