Online disinhibition: heightened potential for professional conduct issues among clergy in the Church of England?

This article identifies the potential of online social networking encounters to heighten the risk of professional conduct issues among clergy in the Church of England. It first considers the difficulties in establishing what constitutes inappropriate conduct for clergy working in complex twenty-first century contexts, and then goes on to suggest that the online disinhibition effect might form a significant factor in problematic online encounters, drawing on the work of psychologist John Suler, and other previous research. It then considers the question of how online identity might mesh or jar with embodied identity for clergy, and concludes that awareness of the online disinhibition effect coupled with conscious integration of online involvements into their broader support networks, rather than compartmentalising them, form useful ways for clergy to undermine toxic online disinhibition.     

Psychological and Social Factors as Predictors of Online and Offline Deviant Behavior among Japanese Adolescents

The rise of cyberspace and technological advancement has created new opportunities for deviant behavior. The purpose of this study was to investigate online and offline deviant behavior in a sample of high school students, as well as compare a number of theoretical frameworks for predicting deviance. Employing structural equation modeling, the findings of the study indicated that one’s normative beliefs or psychological factors are more important than social factors when it comes to deviant behavior. Attitudes toward violence, low self-control, and peer attachment were positively associated with offline deviance, while parental attachment and neighborhood attachment had negative associations. For online deviance, toxic online disinhibition and attitudes toward violence were positive predictors, while parental attachment had a negative association.     

How and why do patients become more objective? Sterba compared with Strachey.

What Richard Sterba described in his influential paper was not, as some have thought, a lasting alliance between patient and analyst but a momentary dissociative state, accompanying the analysis of transference resistance, in which the patient detaches himself from his strivings and views himself objectively before lapsing back into normal coherence. We also find in the paper a hinted answer to the vexing question of what motivates patients to engage in characteristically psychoanalytic self-scrutiny. Sterba implicitly proposes a problem-solving incentive activated by transference. A comparison with Strachey leads us to ask whether patients progress only by disinhibition of particular strivings through particular resolutions of particular fears, or whether patients also experience a more general liberation that fosters their own, deliberate search for integration.     

An informal online learning community for student mental health at university: a preliminary investigation

As a potential solution to increasing demands on mental health services at universities, this project seeks to develop an informal online learning community for mental health support and education. Students' use of the Internet and Information and Communication Technologies (ICT), especially to access health information, provides a supporting rationale for this project. The design for this study is grounded in the pedagogical principles of informal learning and the practices for building successful online communities. The student online mental health community has been implemented at the authors' university (University of Dublin, Trinity College) for one academic term and the initial analysis of its usage is positive. Features that are being positively evaluated are the role of the reader participant, disinhibition that arises from anonymity, online provision acting as a gateway to further support, and online provision reaching an audience who ordinarily do not use face-to-face services. At the same time, difficulties specific to this type of community have surfaced, including technical issues, implications of anonymity and user safety.     

A Computer-Mediated Escape from the Closet: Exploring Identity,Community, and Disinhibited Discussion on an Internet Coming Out Advice Forum

Research suggests that gay men and lesbians, as a product of being raised by heterosexuals in a heterosexist culture, are often shielded from information to help them cope with their stigmatized identity in their early years. Unsurprisingly, this community of individuals has been found to use the Internet more heavily than their heterosexual counterparts. This study examined an advice sub-forum on a popular set of forums designated for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) people negotiating the coming out process. Employing online disinhibition as a framework, and drawing from an identity management standpoint, a thematic analysis uncovered seven unique ways that LGBTQ people create community and craft identities in a computer-mediated context.     

Working online due to the COVID-19 pandemic: a research and literature review

Given the contemporary situation of many analysts in the world now being forced to work online due to the effects of the COVID-19 pandemic, it is important to review the working online issue. Substantial debate over previous years has questioned whether a genuine analytic process can unfold through online work. This debate is reviewed with the conclusion that such a process is not necessarily precluded. Research outcomes are then reviewed to highlight those things that can facilitate positive outcomes when working online. These cover the ‘online disinhibition effect’, the therapeutic alliance, particular ways of using the screen, focussing on trauma, the importance of self-awareness, knowing the predictors of mental health, certain potential positives of isolation/quarantine and psychotherapy interventions that may be currently needed. Final recommendations and suggestions are then presented as in the diagnosis issue, professional development and guidelines to do with practical and ethical considerations.     

Sleep normalization and decrease in dissociative experiences: evaluation in an inpatient sample

We conducted a longitudinal study to investigate the relation between sleep experiences and dissociative symptoms in a mixed inpatient sample at a private clinic evaluated on arrival and at discharge 6 to 8 weeks later. Using hierarchical regression analyses and structural equation modeling, we found a link between sleep experiences and dissociative symptoms and determined that specifically decreases in narcoleptic experiences rather than insomnia accompany a reduction in dissociative symptoms. Although sleep improvements were associated with a general reduction in psychopathology, this reduction could not fully account for the substantial and specific effect that we found for dissociation. Our findings are consistent with Watson's (2001) hypothesis that disruptions in the sleep-wake cycle lead to intrusions of sleep phenomena into waking consciousness, resulting in dissociative experiences. Accordingly, sleep hygiene may contribute to the treatment or prevention of dissociative symptoms.     

The impact of dissociation and depression on the efficacy of prolonged exposure treatment for PTSD

This study investigates the impact of dissociative phenomena and depression on the efficacy of prolonged exposure treatment in 71 patients with posttraumatic stress disorder (PTSD). Diagnoses, comorbidity, pretreatment depressive symptoms, PTSD symptom severity, and dissociative phenomena (trait dissociation, numbing, and depersonalization) were assessed at pretreatment using semi-structured interviews and questionnaires. In a pretreatment behavioral exposure test, patients were imaginally exposed to (part of) their trauma memory for 9 min, during which subjective fear was assessed. At posttreatment and 6 months follow-up PTSD, depressive and dissociative symptoms were again assessed in the completers (n = 60). Pretreatment levels of dissociative and depressive symptoms were similar in dropouts and completers and none of the dissociative phenomena nor depression predicted improvement. Against expectations, dissociative phenomena and depression were associated with enhanced rather than impeded fear activation during the behavioral exposure test. However, these effects disappeared after controlling for initial PTSD severity. Hence, rather than supporting contraindication, the current results imply that patients presenting with even severe dissociative or depressive symptoms may profit similarly from exposure treatment as do patients with minimal dissociative or depressive symptoms.     

Don't mind if I do: disinhibited eating under cognitive load

Past research has shown that strong emotional or motivational states can cause normally restrained eaters to overeat. In this article it is argued that simple cognitive load can also disinhibit eating by restrained eaters. Two studies examined this disinhibition effect. In Study 1, restrained and unrestrained eaters were given the opportunity to consume high-calorie food while performing either a high cognitive-load or low cognitive-load task. Restrained eaters consumed more food when under high cognitive load than when under low cognitive load; unrestrained eaters showed the opposite pattern. Study 2 replicated the disinhibition effect and ruled out stress, diminished awareness of food consumption, and ironic rebound as probable mediators. Results suggest that cognitive load may disinhibit consumption by preventing restrained eaters from monitoring the dietary consequences of their eating behavior. Implications for theories of self-regulation are discussed.     

Working Online During the Contemporary COVID-19 Pandemic1

Within the psychoanalytic school there has been substantial and ongoing debate about the efficacy of teleanalysis. However, as a result of the current COVID-19 pandemic and the online work with which the Jungian analytic community has now had to engage, this paper initially focuses on analysts’ actual experiences of working by teleanalysis. These experiences highlight a range of issues like “Zoom fatigue”, “online disinhibition”, dissonance, confidentiality, the frame and working with new patients. Alongside these issues, there were ample experiences by analysts of both productive psychotherapy apace with analytic work involving transference and countertransference phenomena, all indicating that a genuine and good enough analytic process can occur with teleanalysis. An overview of the research and literature both prior to the pandemic and as a result of it, confirms the validity of these experiences so long as analysts are cognizant of the specifics of such an online modality. Conclusions to do with the question, “what have we learned?”, alongside training, ethics and supervision issues are subsequently discussed.     

Discriminating among diagnostic categories using the Dissociative Disorders Interview Schedule

The Dissociative Disorders Interview Schedule was administered to 1,308 subjects in eight diagnostic categories, including 296 with dissociative identity disorder. The study tested three hypotheses: (1) the Mahalanobis distance between dissociative identity disorder and each of seven other diagnostic categories would be large, (2) the closest diagnostic category to dissociative identity disorder would be dissociative disorder not otherwise specified, and (3) nondissociative diagnostic categories would be closer to each other than any one to dissociative identity disorder. All three hypotheses were confirmed by these data. The findings support the conclusion that dissociative identity disorder is a discrete category or taxon.     

Dissociation in the laboratory: a comparison of strategies

Several methods for inducing dissociation in the laboratory were examined in a sample of 78 undergraduate students. Participants scoring high or low on the Dissociative Experiences Scale participated in three dissociation challenge conditions: (a) dot-staring task, (b) administration of pulsed photic and audio stimulation and (c) stimulus deprivation. Participants recorded their dissociative experiences both before and after each of the three challenge conditions. Across conditions, high DES participants reported significantly more dissociative sensations than low DES participants, even after controlling for pre-challenge dissociation. Moreover, regardless of DES status, pulsed photo and audio stimulation produced the greatest level of dissociative symptoms. The findings suggest that the induction of dissociative symptoms in a nonclinical sample is easily accomplished in the laboratory and that those who report more dissociative symptoms in their day-to-day life exhibit more pronounced dissociative symptoms when undergoing dissociative challenge in the laboratory. Implications for the study and treatment of dissociative symptoms are discussed.     

Cultural differences in the development of cognitive shifting: East-West comparison

Prior research has documented that Japanese children's performance on the Dimensional Change Card Sorting (DCCS) task can be influenced by their observation of another person completing the task, which is referred to as social transmission of disinhibition. The current study explored whether Canadian children would also show a social transmission of disinhibition and whether their performance would be comparable to that of Japanese children. In this study, 3- and 4-year-olds in Canada and Japan were given both the standard version and social version of the DCCS. Results indicated that Canadian children displayed the social transmission of disinhibition, but their effects were significantly weaker than those with Japanese children. On the other hand, performance on the standard DCCS was comparable between children in the two countries. We discuss the results in terms of cultural differences in the relationship between self and other.     

Symptom overreporting and dissociative experiences: A qualitative review

We discuss a phenomenon that has received little attention to date in research on dissociative phenomena, namely that self-reports of these phenomena overlap with the tendency to overendorse eccentric items. We review the literature documenting the dissociation-overreporting link and then briefly discuss various interpretations of this link: (1) overreporting is an artifact of measuring dissociative symptoms; (2) dissociative psychopathology engenders overreporting of eccentric symptoms through fantasy proneness or impairments in internal monitoring; (3) an overreporting response style as is evident in malingerers, for example, promotes reports of dissociative symptoms. These three interpretations are not mutually exclusive. Also, the dissociation-overreporting link may have different origins among different samples. Because overreporting may introduce noise in datasets, we need more research specifically aimed at disentangling the dissociation-overreporting link. We suggest various avenues to accomplish this goal.     

Make Love and Lose Your Religion and Virtue: Recalling Sexual Experiences Undermines Spiritual Intentions and Moral Behavior

In contrast with traditional considerations, sexuality is often perceived today as being rather compatible with religion/spirituality and morality. However, there may be some inherent opposition between (a) sexuality (thoughts, affects, and pleasure) and (b) religion/spirituality (attitudes, motives) and (interpersonal) morality (dispositions, behavior). The two imply, respectively, self‐enhancement versus self‐transcendence, disinhibition versus self‐control, and disgust indifference versus sensitivity. We hypothesized that sexual experience attenuates spiritual and moral concerns and behaviors. In three online experiments, young adults were asked to recall a personal sexual experience. Compared to a control condition, sexual induction diminished spiritual behavioral intentions (Experiments 1 and 2), in particular among those with high individual disinhibition (Experiment 1), as well as behaviors of prosociality and integrity/honesty (Experiment 3). The effects were independent of individual religiousness/spirituality. These findings suggest that combining sexual pleasure with self‐transcendence and moral perfection, even if a legitimate ideal, is not an easy enterprise.     

Spatial disinhibition of orientation analyzers

Following the successive presentation of two masking gratings (M1 and M2), subjects were required to detect the presence or absence of a single vertical line (TS). When the orientations of the two masks were optimal, M1 was able to reduce the masking effect of M2 on the TS. For a vertical TS, disinhibition was maximal when the orientations of M1 and M2 were similar and was minimal when the orientational difference was greater than 15 deg. It is suggested that the spatial selectivity of the disinhibition function reflects the activity of neurons tuned to orientation, and that the disinhibition masking paradigm may be a useful psychophysical technique to measure tuning functions of other feature detectors.     

Current Treatment Strategies for Dissociative Identity Disorders in Adult Sexual Abuse Survivors

SUMMARY

During the past decade, increasing numbers of clinicians and researchers have suggested that the dissociative disorders, including dissociative identity disorder (DID), may be more prevalent than previously hypothesized. The “rediscovery” of DID is due, in part, to the recognition that early childhood trauma in conjunction with the propensity to dissociate, are etiologic factors for the development of DID. The purpose of this article is to raise clinical consciousness regarding DID, discuss the definition and etiology of the dissociative disorders, their assessment, and an approach to treatment of the sexual abuse survivor who has DID. This treatment program, while integrating some of the techniques recommended by others, is unique in its step-by-step flexible organization as well as its multifaceted format. The author's experience to date suggests that the sooner that a dissociative disorder can be identified in the adult sexual abuse survivor client, the more rapid the therapeutic progress.     

A proposed regional hierarchy in recovery of post-stroke aphasia

Activation studies in patients with aphasia due to stroke or tumours in the dominant hemisphere have revealed effects of disinhibition in ipsilateral perilesional and in contralateral homotopic cortical regions, referred to as collateral and transcallosal disinhibition. These findings were supported by studies with selective disturbance of cortical areas by repetitive transcranial magnetic stimulation (rTMS) in healthy volunteers and in patients with focal brain lesions. Both, collateral as well as transcallosal disinhibition might be relevant for the compensation of lesions within a functional network. From these data a hierarchical organization of recovery of aphasia after stroke and of compensation of language defects due to brain tumours can be deduced, by which the reactivation of undamaged network areas of the ipsilateral hemisphere usually lead to better outcome than the involvement of homotopic contra-lateral regions. rTMS can be used to identify areas relevant for speech production and might play a role in treatment strategies targeted at modulating the activity of contralateral homotopic areas of the functional network which might interfere with language recovery.     

Effects of distress on eating: the importance of ego-involvement.

Schotte (1992) argued that ego threat is not a necessary precondition for the disinhibition of eating in dieters. This article agrees that there are indeed other triggers for disinhibition, as has long been widely acknowledged, but also argues that when distress does act as a trigger for disinhibition, it does so by threatening the dieter's self-image.     

Helping to overcome intervention inertia in bystander’s dilemmas: Behavioral disinhibition can improve the greater good

Conventional wisdom holds that behavioral disinhibition has negative effects on what humans do. Behavioral disinhibition may indeed frequently have negative effects, but in the present paper we reveal some positive consequences as well: the disinhibition hypothesis proposed here states that people may feel inhibited to intervene in situations in which non-intervening bystanders are present and that, therefore, behavioral disinhibition may help to overcome the bystander effect. Findings presented here provide evidence supporting this prediction both inside and outside the psychology laboratory: in both real-life and controlled bystander situations, people were more likely and faster to provide help when (unrelated to the bystander situations) they had (vs. had not) been reminded about having acted with no inhibitions. These findings suggest that, in contrast with what various theories and worldviews dictate, behavioral disinhibition may have positive effects on helping behavior and hence can be conducive for the greater good.