Self‐focused attention and social anxiety

Cognitive models propose that self‐focused attention (SFA) interacts with fear of negative evaluation to maintain social anxiety. Thus, the effect of SFA on anxiety would be expected to be specific to those with existing social concerns. However, much research suggests that the effect of SFA on anxiety occurs across anxiety levels. Manipulations of attention focus have been criticised for (1) lack of ecological validity and (2) eliciting fear of negative evaluation directly. The present study examined the role of SFA in social anxiety using an ecologically valid procedure that did not elicit fear of negative evaluation directly. Self‐reported anxiety was assessed among high and low socially anxious individuals under conditions of SFA or external‐focused attention. The manipulation successfully altered focus of attention but did not directly affect fear of negative evaluation or self‐reported anxiety. Taken together with the findings of previous studies, the results suggest that focusing on internal physiological states per se does not increase self‐reported social anxiety, and that self‐focus that does not have an explicitly evaluative dimension does not elicit social anxiety. The findings have implications for approaches to reducing social anxiety through reducing SFA.     

Combining Value‐focused Thinking and Balanced Scorecard to Improve Decision‐making in Strategic Management

Goal orientation is key to strategic management. In this field, the Balanced Scorecard is one of the most widely used management tools. It structures a company's main objectives from different perspectives based on the strategy of the firm and uses performance indicators to measure the achievement of objectives and strategy. However, its method of creation is not theoretically sound. Value‐focused thinking is a decision‐making philosophy that fits perfectly with Balanced Scorecard creation. It provides methods and techniques for the identification and structuring of objectives that are suitable to systematically derive a scorecard from a means‐ends network. However, such a means‐ends network is often too complex for enduring use in strategic management. By adapting the network's structure to the Balanced Scorecard's layout, the profound and clear set of derived objectives and their measures serve as a reasonable basis for applying methods of multi‐criteria decision‐making in an organization. This paper aimed to outline a procedure that merges the Balanced Scorecard and value‐focused thinking by preserving each concept's strengths while eliminating their weaknesses. A six‐step process was developed theoretically and employed empirically in a case study. This process included (1) identifying objectives; (2) structuring objectives; (3) characterizing clusters of objectives; (4) formulating mission, vision, and strategy; (5) designing the scorecard; and (6) monitoring and adapting to change. On the basis of this approach, a Management Scorecard was produced that enabled strategy development and execution, put forth a clear and comprehensive means‐ends network, and visualized a company's most important objectives and their relationships structured through perspectives roughly following the Balanced Scorecard. It acts as a foundation for research to generalize and compare findings regarding goals of organizations. Our procedure demonstrates how scientific methods, such as value‐focused thinking, can yield benefits to practitioners' instruments, like the Balanced Scorecard, and how management tools can likewise improve scientific methods. Copyright © 2016 John Wiley & Sons, Ltd.     

Relationship between self‐worrying and self‐critical messages in clients with generalised anxiety engaging in emotion‐focused worry dialogues

Emotion‐focused therapy (EFT) has recently been adapted as a treatment for generalised anxiety disorder (GAD). One intervention used in this adaptation is a worry dialogue, in which the client enacts worry in one chair (“worrier”) and is facilitated to experience the impact of this worry in another chair (“experiencer”). Although not formally studied, anecdotal observations from therapists in the EFT for GAD treatment development study suggested that within worry dialogues there might be a link between client's self‐worrying and self‐critical messages. This study used data from 47 worry dialogues from fourteen study clients who received EFT for GAD. An observation based qualitative analysis of clients' self‐directed messages as present in in‐session worry dialogues was conducted using video/audio recordings of relevant sessions. Results indicate a relationship between self‐worrying and self‐critical messages. A total of 90 paired self‐worry and self‐critic messages across the 47 worry dialogues were logged. Six recurring clusters of themes/relationships were observed: (a) I need to be prepared for future negative events because… I'm weak and a failure; (b) I need to stop worrying… I'm flawed for being a worrier; (c) People will negatively judge me if I engage with them… because I'm not good enough; (d) If I don't worry, there will be negative consequences… and I will be responsible and will be unable to bear it; (e) I worry/ruminate that I cause(d) some damage… because I'm incompetent; and, (f) I must always be prepared against others taking advantage of me… because I'm weak. Given the observed close link between self‐critical and worry processes, it is important that therapists differentiate between these processes and remember to address both in therapy for GAD.     

On the advancement and software support of decision‐making in focused ultrasound therapy

Focused ultrasound therapy (FUS) is a modern and promising way for minimally invasive cancer treatment. Recent advances in treatment technology, bio‐physical models, and numerical simulation methods have given rise to a significant curative potential. However, clinical routine of FUS still features classical planning approaches, which widely fail in exploiting this potential. The structure of FUS planning problems strongly suggests interactive multi‐criteria decision‐making concepts in order to improve treatment quality. This research work introduces an multi‐criteria decision‐making approach to FUS planning and explains how to bridge the conceptual gap between the clinical state of the art and this new planning paradigm.     

“A definite feel‐it moment”: Embodiment,externalisation and emotion during chair‐work in compassion‐focused therapy

Chair‐work is an experiential method used within compassion‐focused therapy (CFT) to apply compassion to various aspects of the self. This is the first study of CFT chair‐work and is focused on clients' lived experiences of a chair‐work intervention for self‐criticism. Twelve participants with depression were interviewed following the chair‐work intervention and the resulting data were examined using interpretative phenomenological analysis. Three superordinate themes were identified: “embodiment and enactment,” “externalising the self in physical form” and “emotional intensity.” The findings suggest the importance of accessing and expressing various emotions connected with self‐criticism, whilst highlighting the potential for client distress and avoidance during the intervention. The role of embodying, enacting and physically situating aspects of the self in different chairs is also suggested to be an important mechanism of change in CFT chair‐work. The findings are discussed in terms of clinical implications, emphasising how core CFT concepts and practices are facilitated by the chair‐work process.     

Patient‐focused research supported practices in an intensive family therapy unit

The aim of this study is to explain how families evaluate and describe the use of two measures, the session rating scale and the outcome rating scale, in order to monitor therapeutic work. This study is methodologically based on modifications of methodical hermeneutics and consensual qualitative research. The results confirm the feasibility of these scales although some difficulties were identified. The analysis of the family interviews identified four conversational processes: communicating, focusing, structuring and exploration. These arise through the application of the scales, indicating their usefulness as conversational tools. In general, it is suggested that all the measurements and tools applied can be seen as therapeutic tools that are especially useful for establishing conversations and strengthening collaboration between service users and therapists. This brings the practice of monitoring therapeutic work into close contact with postmodern‐oriented forms of therapy.     

Trauma‐focused CBT with maltreated children: A clinic‐based evaluation of a new treatment manual

The effectiveness of a locally developed trauma‐focused cognitive behavioural therapy (TF‐CBT) program for maltreated children with post‐traumatic stress disorder (PTSD) was examined across different therapists in a child protection clinic setting. An earlier phase of the research piloting the program had provided promising results. This second phase involved two studies evaluating the completed TF‐CBT manual delivered by (a) the developer and (b) other therapists. A single‐case multiple‐baseline design was used to demonstrate the controlling effects of the treatment on PTSD symptoms and child coping. Eight 9–13‐year‐old abused children with PTSD were treated. Positive outcomes support the effectiveness of the TF‐CBT program delivered by both the developer and other therapists. The study design and methodology were robust enough to confirm empirically the clinically beneficial effects and potential for this new program. It was also apparent, however, from study limitations, including missing data for some patients, that there are a number of challenges in carrying out such research in a busy child protection service setting with multiply‐abused patients. This paper considers implications and ways forward for engaging in empirically supported practice as well as future development and research.     

Online self‐help: Developing a student‐focused website for depression

Many depressed people, young men in particular, do not seek professional help. This social constructionist action research project aimed to construct a comprehensive self‐help website for students. Its goal was to give a multi‐layered (‘thick’) account of depression to website users offering empowering perspectives and strategies while challenging barriers to help‐seeking. Thirteen student interviewees, representing diverse demographics and depression experiences, attended semi‐structured interviews to elicit ‘coping’ narratives. Ten of them then formed an ongoing e‐mail focus group. An evaluative action research spiral was used to analyse and act upon public health guidelines, student interviews and student focus group commentary. Triangulation was provided via the specifications and ongoing feedback from the other project stakeholders. These were the funding charity steering group (including heads of university counselling services); the university providing programme/ethical approval; and the expert group offering clinical validation. The final site at www.studentdepression.org has nearly 100 pages of information and self‐help resources cross‐referenced with personal narratives. It provides a rich, complex account of how depression may be tackled and resisted. Both student and expert groups were impressed with final site quality and usefulness. Collaborative development with user‐group representatives is likely to have produced a far richer, more accessible and more comprehensive resource than counsellor authorship alone. 1 ¹Formerly at the Counselling Service, Royal Holloway University of London, UK.
     

Time‐of‐day variation of visuo‐spatial attention

Time‐of‐day variation of visuo‐spatial attention in relation to body temperature and subjective arousal was assessed. At five different times of day, alertness, covert, and overt orienting of attention were assessed in fifteen healthy subjects. Based on previous studies reporting a tight coupling of alerting and orienting the present study investigates potential attentional asymmetries induced by diurnal variations of arousal. Both covert and overt orienting of attention improved in the course of the day. However, no asymmetries between left and right visual hemifields could be detected. Covert orienting additionally covaried with body temperature, indicating a quite close relation between the attentional arousal and orienting system. Conversely, overt orienting only improved due to repeated testing but did not correlate with body temperature suggesting a partial independence of both modes of attentional orienting. It can be assumed that due to limited diurnal variations of arousal in the participants and practice effects caused by repeated testing, no attentional asymmetries could be provoked.     

The impact of balance‐focused attitudes on job stress: Gender differences evidenced in American and Chinese samples

Based on gender role expectations model, we examined how balance‐focused attitudes would affect job stress by influencing individuals' perceptions of family interference with work (FIW), and investigated whether a gender difference would exist in the relationships among balance‐focused attitudes, FIW and job stress. Using two independent samples from the United States and China, we found support for the indirect influence of balance‐focused attitudes on job stress, through FIW. Participants with balance‐focused attitudes experienced lower levels of job stress as they perceived less interference from family to work. As expected, such indirect effect was more pronounce among male participants, meaning that the male participants benefited more from having balance‐focused attitudes. Discussion, theoretical and practical implications are provided.     

Model and interactive algorithm of bi‐level multi‐objective decision‐making with multiple interconnected decision makers

Furthering a prior research on two‐person bi‐level multi‐objective decision‐making problems of the leader‐follower Stackelberg game, we present an extended model of bi‐level multi‐objective decision‐making with multiple interconnected decision makers at the lower level. In the model, the upper level decision maker acts as a leader and the lower level decision makers behave as the followers, and inter‐connections and interactions exist among these followers in decision‐making scenarios. Following the rules of leader‐follower Stackelberg game, we develop an interactive algorithm of the model for solving multi‐objective decision‐making problems and reflecting the interactive natures among the decision makers. Finally, the authors exemplify the model and algorithm, and draw a conclusion on points of contributions and the significance of this study in decision‐making and support. Copyright © 2001 John Wiley & Sons, Ltd.     

Job‐seeking,adaptation and re‐employment experiences of the unemployed: a 3‐year follow‐up

The aim was to find predictors of employment status (Employed, Active Job‐Seeker, Not a Job‐Seeker) with a 3‐year longitudinal design. Also predictors of the quality of re‐employment were studied. Initially unemployed Finnish men and women were followed‐up. Of the original sample (n=559), 318 (56.9%) responded to the questionnaire. Baseline health and participation in labour market interventions were not predictive of employment status. Passive baseline job‐seeking and female gender were predictive of being a passive job‐seeker 3 years later. Good vocational education was central for high‐quality re‐employment. Long duration of unemployment and high baseline level of psychological distress were predictive of a perceived need for adjustment in the new job. Copyright © 1999 John Wiley & Sons, Ltd.     

Urban Aboriginal‐Australian and Anglo‐Australian children: in‐group preference,self‐concept,and teachers' academic evaluations

The in‐group preference and self‐concepts of urban Aboriginal‐Australian and Anglo‐Australian children have never been compared, nor their relationships to teachers' evaluations of academic performance. In this study, 60 Aboriginal (primarily local Nyoongah) and 60 Anglo children aged 6–12 years were tested on in‐group preference; children aged 8+ were tested on self‐concept. Also, their teachers evaluated them on their general academic performance. Results indicated that Anglo children showed greater in‐group preference and scored higher on teacher evaluations than Aboriginal children, although there was no difference on self‐concept. No correlation existed between in‐group preference and self‐concept. It was concluded that the problems faced by Aboriginal children are only likely to be alleviated by a great deal of structural change. Copyright © 2000 John Wiley & Sons, Ltd.     

The application of solution‐focused work in employment counseling

The author explores the applicability of a solution‐focused therapy (SFT) model as a comprehensive approach to employment counseling. SFT focuses the client on developing a vision of a preferred future and assumes that the client has the talents and resources that can be accessed in the employment counseling process. The solution‐focused counselor enters the therapeutic relationship from a point of “not knowing” and works with the client in job transition to develop possibilities that evolve from the client's strengths and knowledge. Examples are given of how solution‐focused employment counseling could be practiced.