Measuring psychological mindedness: validity,reliability, and relationship with psychopathology of an Italian version of the Balanced Index of Psychological Mindedness

Psychological mindedness (PM) is an underinvestigated, but important construct in psychoanalytic psychotherapy research and practice. It refers to the interest in and ability for reflecting on one's thoughts and feelings, and it represents an important precondition for insight-oriented therapy to be successful. Notwithstanding, very few instruments are available to measure PM. The current investigation aimed at evaluating the validity and reliability of the Balanced Index of Psychological Mindedness (BIPM; Nyklí?ek & Denollet, 2009, Psychological Assessment, 21, 32–44), a brief measure of PM. In a first study, factor structure, internal consistency, and concurrent validity of the BIPM were tested, along with the relationship between the BIPM and a continuous measure of general distress, using a sample of 298 Italian students. In a second study, test-retest stability analyses were completed using a new, different, Italian student sample (N = 58). In a third study, the BIPM scores of a clinical sample with diagnosis of mood spectrum disorders (N = 30) were compared to those of an age-, gender-, and education-matched nonclinical sample. Overall, results indicate that the BIPM is a psychometrically sound instrument that can be used in clinical practice to obtain rapid information about the client's mentalization skills and assess PM.     

Examining the factor structure of the Psychological Mindedness Scale in the Japanese population through exploratory and confirmatory factor analyses

Psychological mindedness (PM) is a psychological construct that represents the tendency and ability to understand the relationships between thoughts, feelings, and behavior. This study examined the statistical properties, particularly the factor structure, of the Psychological Mindedness Scale (PMS) in a non‐clinical Japanese sample through exploratory and confirmatory factor analysis. The relationship between PMS and depression was also examined for predictive validity. The results suggested that the PMS tested on a Japanese sample contains the following four factors: (a) belief in the benefits of discussing one's problems; (b) access to feelings; (c) openness to new ideas and capacity to change; and (d) interest in the meaning and motivation of own and others' behavior. Whereas the total PM score and Factors 2 and 3 had negative correlations with depression, there was a positive correlation between Factor 4 and depression. The 4‐factor structure of the scale is deemed to be applicable to the Japanese population.     

以心理学共情理论应对困境中的医患关系

和谐的医患关系是构建人性化医疗的基础,面对当今医患关系紧张的困境,探索如何应对困境中的医患关系迫在眉睫.共情是心理学的一个概念,阐述了人际互动过程中的一种心理现象,是一种站在对方立场上的思考方式.临床实践中医务人员存在共情缺陷,如易产生共情疲劳、缺乏倾听、缺少尊重等,通过心理学干预技术提高其临床共情能力有利于减少共情缺陷、避免医疗纠纷、协调医患关系.良好的共情能力有助于推进新的合作型医患关系的建设,尤其适合于临床一线的医务工作者.     

Factor Structure,Validity, and Reliability of the Japanese Version of the Balanced Index of Psychological Mindedness (BIPM)

This study examined the measurement properties of the Balanced Index of Psychological Mindedness (BIPM) among the Japanese population. Exploratory factor analysis was conducted to examine the factor structure of the BIPM (Study 1) among 464 university students, and confirmatory factor analysis examined the validity and reliability of the BIPM (Study 2) among 321 university students. Additionally, the mitigation effect of psychological mindedness (PM) for depressive symptoms was examined. The results showed a two-factor structure (Interest and Insight) similar to the original BIPM. The BIPM was negatively correlated with the alexithymia score and positively correlated with the Psychological Mindedness Scale and Openness. It was also significantly correlated with future depressive symptoms. The BIPM is useful for measuring PM in the Japanese population. Additionally, this study suggests clinical applications of PM in psychotherapy and the treatment effect mechanism of cognitive behavioral therapy.     

The manifestation of transference during early psychotherapy sessions: Exploring an alternate data source for therapist narratives in transference research

Introduction: Previous transference studies have compared in‐session client narratives about significant others to in‐session client narratives about the therapist, limiting data to the information that clients are willing to share with the therapist. Method: The first three sessions of 30 therapies with high‐functioning individuals were examined using the Core Conflictual Relationship Theme (CCRT) method. Client narratives about others were drawn from the psychotherapy sessions and client narratives about the therapist were drawn from a Participant Critical Event (PCE) interview conducted after the third session of therapy. Results: Factor analyses of the CCRT components indicated several relational patterns: a complementary pattern of relating characterised by a devaluation of the therapist and idealisation of others; a concordant relational transfer where clients feel bad with both the therapist and others; and as clients experience control issues with significant others, they wish to adopt a submissive stance toward the therapist. The results suggest that the source of therapist narratives may influence the results of transference research.     

How Does the Relationship Facilitate Productive Client Thinking?

My thesis is: a) that the primary client activity that facilitates change is their productive thinking, b) that one key way the therapeutic relationship is helpful is that it facilitates this kind of activity, and c) that if we look at the therapist–client dyad as a group, then we can further understand how the therapy dialogue facilitates productive client thinking through recent ideas about socially shared cognition.     

Experiences of Altruism in the Therapeutic Relationship: Perspectives of Counselors‐in‐Training and Their Clients

The purpose of this phenomenological investigation was to explore experiences of altruism in the therapeutic relationship to better understand how counselors‐in‐training (CITs) and their clients mutually perceived the construct in sessions. Findings from interviews with clients (n = 14) included emotional–relational characteristics and cognitive–behavioral aspects of altruism by their counselors. Findings from interviews with CITs (n = 10) included explorations of the role of altruism in counseling, overall experiences of altruism in counseling sessions, and experiences of altruism with specific clients. Implications for practice and research are discussed.     

Psychological science treatment

New discoveries in psychological science have changed our understanding of some basic psychological processes. The new science, however, has not of yet been properly incorporated into the practice of psychotherapy. This has created a confusing state of affairs, lacking clear distinctions between therapy interventions rooted in lore and personal insight and those based on systematic scientific inquiry. In this paper, I discuss the problems caused by the current situation and propose a new distinction by which the psychological (science) treatment of psychological disorders is differentiated from psychotherapy. The implications of the proposed distinction for clinical research and training are discussed.     

Psychological Aspects of Genetic Counseling: XIII. Empathy and Decency

The issues confronting genetic counselees, the demands of the new genetics and other factors suggest strongly the need for greater attention to counseling procedures which convey understanding of clients and help them feel more hopeful and more capable of dealing with their life problems. This should include interventions to help them feel more effective in their coping efforts as well as such ego-bolstering techniques as the expression of kindness, the provision of appropriate rewards, and other attempts to raise the client's self-esteem. These attempts should be a standard part of all genetic counseling. The traditional arguments of potential harm and time limitations often used to avoid counseling efforts are viewed through the lens of countertransference.     

宽恕的心理学研究

文章介绍了宽恕在汉语、圣经和新约中的含义并对宽恕的操作性定义进行了讨论。简要阐述了宽恕研究中常用的三种研究方法——叙事法、问卷法和实验法。最后阐述了共情、责任归因、侵犯的后果及道歉、人际关系、人格、文化背景对宽恕的影响。     

‘The bereaved therapist speaks’. An interpretative phenomenological analysis of humanistic therapists' experiences of a significant personal bereavement and its impact upon their therapeutic practice: An exploratory study

Aim: The aim of the research was to explore the under‐researched area of therapists' personal bereavement and its impact upon their therapeutic practice. Method: Data were collected via semi‐structured interviews with four humanistic therapists and were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Four master and eight subordinate themes emerged from the rich data collected that exemplified both convergence with and divergence from the small body of extant literature on therapist bereavement and current thinking in thanatology. The findings suggest that bereavement is a unique experience that can affect the individual's personal and social identity and worldview. It can also be a transformative experience resulting in personal growth and a renewed sense of self and agency. In terms of professional practice, the findings suggest that the lived experience of the grieving process, mediated by supportive supervision, enabled participants to experience deeper levels of empathy and connectedness within their therapeutic relationships. Conclusion and implications: Bereavement is an experience that can profoundly impact upon therapists' personal identity and assumptive world. Such an experience can have an equally profound impact upon their therapeutic practice. There are therefore implications for students, trainers, therapists and supervisors particularly in terms of self‐care and the use of the ‘self’ in therapy. Further research needs to be undertaken in order to explore in greater depth the intersection between personal bereavement and therapists' evolving personal and professional identity development.     

Psychological need satisfaction and thwarting: A test of Basic Psychological Needs Theory in physical activity contexts

ObjectivesTo test Basic Psychological Needs Theory (BPNT; Deci & Ryan, 2002) to determine if psychological need thwarting experienced when physically active contributes to the understanding of well-being and ill-being.Design/methodParticipants (N = 155, 67.70% female, M_age = 37.46 years; SD_age = 19.89 years) completed assessments of psychological need satisfaction and thwarting, subjective vitality and positive/negative affect during separate testing sessions separated by 6 months.ResultsScores from the modified version of the Psychological Need Thwarting Scale (PNTS-PA; Bartholomew, Ntoumanis, Ryan, & Thøgersen-Ntoumani, 2011) demonstrated discriminant evidence of validity, evidence of internal structure and minimal error variance. Changes in psychological need satisfaction positively predicted positive affect (R² = .16, p < .05), subjective vitality (R² = .13, p < .05) and negatively predicted negative affect (R² = .12, p < .05). Additional regression analyses revealed that changes in psychological need thwarting predicted negative affect (ΔR² = .11, p < .05), but not positive affect (ΔR² = .01, p > .05) or subjective vitality (ΔR² = .04, p > .05) beyond contributions made by psychological need satisfaction.ConclusionsOverall, these results extend the potential utility of the PNTS-PA as an instrument for use with BPNT beyond sport and support Deci and Ryan's (2002) contentions regarding the critical role of psychological need thwarting.     

Economic Pressure and Children's Psychological Functioning

We examined the mediating role of family dynamics (marital quality, parental depression) in the link between economic pressure and child psychological functioning using the data from the National Survey of Family and Households (NSFH). From the initial multiethnic probability sample, we used a subsample of 2998 parents with a focal child 5 to 17 years of age. We used structural equation modeling using AMOS 4.0 to test the model. The results indicated support for associations among economic pressure, marital quality, parental depression, parenting strategies and children outcomes. Economic pressure was associated with lower marital quality and higher depression. Higher conflict and psychological distress was associated with frequent use of harsh discipline techniques and lower psychological functioning in children.     

Relationship between therapist empathy and client-perceived working alliance in China: A multilevel modelling analysis

This naturalistic study examined the relationship between two types of therapist empathy, intellectual empathy and empathic emotion, and client-perceived working alliance (WA) in China. The study adopted the definitions and assessment methods of empathy recommended by Duan and Hill and used the theory of WA by Bordin and WA Inventory-Short by Tracey and Kokotovic. Eighty-six clients and 43 therapists from a university counselling centre at a comprehensive university in China participated in the study. Therapist intellectual empathy and empathic emotion and client-reported WA measured in six consecutive sessions from the second through the seventh session were assessed for each session. The results of multilevel modelling analyses showed that client-perceived WA increased significantly session after session, and therapist empathic emotion significantly predicted Tasks of WA. Moreover, there was significant therapist effect associated with Bond. In the context of empathy and WA research findings reported in the USA, some of the non-significant results of this study were intriguing. We discuss the study results with particular attention to the Chinese cultural context and present suggestions for future research.     

A naturalistic pilot study assessing the impact of assessment pathways and intake methods within Improving Access to Psychological Therapies services

Fast access pathways characterise many Improving Access to Psychological Therapy (IAPT) services, allowing them to see increasing numbers of referrals year on year. At the same time, emerging research is highlighting potential care inefficiencies, including early treatment disengagement, inappropriate treatment allocation, less than optimal clinical outcomes, and repeat referrals. Integrating more stratified models based on in‐depth and comprehensive assessment techniques which include some therapeutic input could help better target interventions. This could lead to improved engagement and clinical outcomes, while also providing enough therapeutic support to those attending one session only. This pilot study assesses the impact of assessment pathways and intake methods involving a 90‐min face‐to‐face therapeutic consultation, compared with a 45‐min over‐the‐phone assessment session across two IAPT providers in the south of England, and three assessment pathways involving elements of either method and service. Using an observational analysis of routinely collected data across 12 months, intake scores, attendance data and clinical measures of reliable recovery and improvement were considered. The comparisons of intake method reported no significant differences when both services were included; however, there were significant differences in treatment effect sizes and session attendance on an assessment pathway basis. Where assessment sessions were delivered, there was a higher rate of disengagement between sessions one and two, indicating increased attrition. Based on the initial findings and supporting literature, there appears to great promise in exploring pathway modelling and intake processes within IAPT services.     

Empathy in intimate relationships: The role of positive illusions

Previous studies have shown empathy to be an important aspect of a high quality intimate relationship. Likewise, positive illusions about a partner's characteristics have been shown to contribute to relationship quality. The present study connects these issues by examining the degree to which individuals hold positive illusions about a partner's level of empathy, and the extent to which these positive illusions are related to relationship quality and adjustment in a sample of 55 couples. Results showed that positive illusions concerning a partner's level of empathy were only held by women. In addition, people's evaluation of relationship quality and adjustment was consistently related to both their own and their partner's positive empathy illusions. Finally, an interaction effect was found between participant sex and the partner effect of positive empathy illusions: the illusions held by the partner (only for men) were related to relationship quality. Results and implications for theory and relationship counseling are discussed.     

Three modes of psychotherapy and their requisite core skills

The field of psychotherapy suffers from the lack of an integrative meta‐perspective on the large variety of existing psychotherapies and on the therapeutic skills involved. In the present paper, it is suggested that the development of a more comprehensive view of this field may be facilitated if we differentiate between three modes of psychotherapy, which require different therapeutic core skills: (a) an educational mode, which requires teaching skills; (b) a reparative mode, which requires analytic‐conceptualising skills to identify some kind of disordered functioning, in combination with specific relational‐technical skills to repair this dysfunction; and (c) a developmental mode, which involves engaging in a therapeutic relationship with patients to facilitate their personal growth, and which requires non‐directivity skills. In addition, some therapeutic skills (e.g., awareness and communication skills) may be more or less important in all modes of treatment. Concrete manifestations of the three different modes of psychotherapy are discussed in terms of five different theoretical perspectives on psychotherapy: the common factors, the humanistic‐experiential mindfulness cognitive‐behavioural (CBT) and psychodynamic perspective. The common factors model is criticised as being insufficient in several respects. Finally, it is argued that if personal therapeutic skills are essential to the effects of psychotherapy, then empirical research on psychotherapy needs to be re‐oriented towards a person‐oriented study of therapist skills in action, in the context of a study of the interaction between therapist and patient.     

Psychological need-satisfaction,and basketball performance

ObjectivesWe applied self-determination theory (Deci & Ryan, 2000) to examine whether pre-game psychological need-satisfaction predicts the quality of sports performance, and whether performance, in turn, predicts post-game need-satisfaction.Design/methodUndergraduate participants competing in a recreational league basketball season completed autonomy, competence, and relatedness need-satisfaction measures before and after games (N = 150 person-games). For each game, data were collected on the number of one, two, and three point shots taken, as well as shooting percentages for each type of shot.ResultsParticipants with greater pre-game autonomy performed best overall during games, although this pattern did not emerge within-subjects. Good game performance predicted enhanced post-game relatedness and competence, both between- and within-subjects.ConclusionImplications for optimal sports performance are considered.