Understanding Pamina's recovery: An application of the hermeneutic single‐case efficacy design

This article reports an effectiveness case study of the individual systemic therapy of a 22‐year‐old Portuguese woman with a diagnosis of paranoid personality disorder, conducted in a university‐based clinic in Lisbon, Portugal. Data were analysed using the hermeneutic single‐case efficacy design, a non‐experimental interpretive approach that aims to determine whether change occurred, whether change was due to therapeutic strategies, and what in therapy caused the change. Results indicate that the treatment was effective and that de‐pathologising Pamina's condition and genogram‐based exploration techniques played a crucial role in her recovery.     

Elucidating the psychosocial context of ‘post‐concussion syndrome’ (PCS): a case study from post‐Milan systemic family therapy

The literature on post‐concussion syndrome (PCS) following mild head injury includes biopsychosocial formulations. However, it is contended that the complexities of the psychosocial remain conceptually underdeveloped. An engagement with this complexity is presented via a case study from post‐Milan systemic family therapy. The work described is with grandparents, a mother and daughter. The latter two both initially experienced PCS following a road traffic accident, yet demonstrated contrasting outcomes in the year post‐injury. Implications for family therapy services and the wider literature are discussed.     

Modelling non‐normal data: The relationship between the skew‐normal factor model and the quadratic factor model

Maximum likelihood estimation of the linear factor model for continuous items assumes normally distributed item scores. We consider deviations from normality by means of a skew‐normally distributed factor model or a quadratic factor model. We show that the item distributions under a skew‐normal factor are equivalent to those under a quadratic model up to third‐order moments. The reverse only holds if the quadratic loadings are equal to each other and within certain bounds. We illustrate that observed data which follow any skew‐normal factor model can be so well approximated with the quadratic factor model that the models are empirically indistinguishable, and that the reverse does not hold in general. The choice between the two models to account for deviations of normality is illustrated by an empirical example from clinical psychology.     

Honesty‐humility and prosocial behavior: The mediating roles of perspective taking and guilt‐proneness

The prosocial personality trait of honesty‐humility has received extensive attention in the last decade. However, research on the mechanism underlying the relationship between honesty‐humility and prosocial behavior is rather scarce. This study aims to explore the internal mechanism underlying this relationship to draw a complete picture of the honesty‐humility trait. A sample of 458 Chinese young adults was obtained to complete self‐report measures of honesty‐humility, perspective taking, guilt‐proneness, and prosocial behavior. The mediation model revealed that: (1) honesty‐humility positively related to prosocial behavior; (2) perspective taking and guilt‐proneness mediated the relationship between honesty‐humility and prosocial behavior, separately; and (3) the effect of honesty‐humility on prosocial behavior was mediated via perspective taking and then guilt‐proneness. In conclusion, we provide an initial support for the mediating roles of perspective taking and guilt‐proneness in the relationship between honesty‐humility and prosocial behavior. Both theoretical and practical implications for understanding the psychological mechanisms of prosocial behavior are discussed.     

‘You be the big sister’: Maternal‐preschooler internal state discourse,perspective‐taking,and sibling caretaking

Maternal–preschooler internal state discourse, preschooler perspective‐taking, and sibling caretaking for 32 dyads (preschooler M age=46.4 months, toddlers=14 months) was examined across three contexts varying in emotional demands: (a) naturalistic home observations, (b) mother–preschooler book reading (Parent–Child Affect Communication Task; Zahn‐Waxler, Ridgeway, Denham, Usher and Cole, 1993), and (c) a laboratory maternal separation session. Preschooler perspective‐taking was positively associated with emotional understanding during book reading. However, mothers did not adjust their internal state discourse in any of the three contexts to reflect preschoolers' perspective‐taking skills. Both preschooler internal state language during sibling conflict and maternal leave‐taking discourse were associated with sibling caretaking. Findings are discussed in light of the role of family discourse and dynamics in the development of children's social understanding. Copyright © 2004 John Wiley & Sons, Ltd.     

Bridging Conversations: Discussing the Intra‐professional Relationship between Medical Family Therapy and Family Therapy

This article examines the conceptual and practice relationship between medical family therapy (MedFT) and its parent field, family therapy, with MedFT viewed as the extension of relational sense‐making and understanding into a specific venue; that of medicine. The extension of this relational meaning system into medicine is typified by the ability of the therapist to negotiate and connect three main areas of conceptual difference that often account for conflictual relationships between mental and biomedical healthcare providers: (i) patient and provider conceptualizations of issues and goals, (ii) linear and circular understanding of issues and goals and (iii) consultative and expert positions on issues and goals. Two case examples are offered to describe how these three areas of tension are reconciled in practice.     

Reflexivity in the medical encounter: contributions from post‐modern systemic practice

In this article, I attempt to identify the forms of reflexivity that take place in the medical encounter and the possible contributions that the understanding of reflexivity in systemic thinking can make to medical practice. I start by reviewing some of the literature on the doctor–patient relationship as the necessary foundation to think about and understand reflective practice in medicine. I then argue that, as the medical profession comes under scrutiny from a variety of different individuals and groups, as well as from itself, a process of reconciliation between modern and postmodern thinking, as it has been suggested in the systemic literature, might help get a better grasp of the complex predicament and dilemmas of doctors in modern society. The notion of reflexivity, the ability of any system to critically think about itself by promoting a conversation between the experts and the subject of their expertise is probably the essence of the critical momentum of postmodernism and should be an essential professional attribute for all doctors.     

Before they're victims: Rethinking youth‐targeted relationship abuse prevention in Australia

Intimate partner abuse (or relationship abuse) against women is recognised as a major public health issue. A number of relationship abuse prevention programs targeted at youth have been developed in Australia. These programs are generally aimed at changing attitudes, and take the stance that girls should not be viewed as being responsible for protecting themselves against violence. In this paper it is argued that the current, dominant focus on physical violence, over other forms of relationship abuse, limits the potential effectiveness of programs that might otherwise help young people to resist the development of abusive dynamics. It is also argued that programs that presume a victim status for girls and a perpetrator status for boys are both inconsistent with contemporary evidence and unlikely to empower young people at risk of chronic perpetration and/or victimisation to avoid such outcomes. A dyadic slippery slope model of chronic relationship abuse is proposed and new directions for prevention research in this area are suggested.     

Safety in Numbers: Why the Mere Physical Presence of Others Affects Risk‐taking Behaviors

As social mammals, being in a group signals a state of relative security. Risk‐taking behavior in other social mammals formed the basis for our prediction that the mere physical presence of others, absent any social interaction, would create a psychological state of security that, in turn, would promote greater risk‐taking behavior. We investigated whether, why, and when the mere physical presence of others affects risk‐taking behaviors in three contexts: acceptance of greater financial volatility, attitudes toward risky gambles, and actual gambling behaviors. Results indicate that people in the mere physical presence of others make riskier decisions than people making identical decisions alone, and that feelings of security were the psychological mechanism behind this effect. Our results also suggest that the effect is contingent on whether people are surrounded by others who belong to the same social group. A meta‐analysis across all studies presented in this research reveals a highly reliable mere‐presence effect. Together, these results demonstrate that the mere physical presence of others can have a potent impact on risk‐taking behaviors. Copyright © 2016 John Wiley & Sons, Ltd.     

The role of personal and key resources in the family‐to‐work enrichment process

Based on the work‐home resources model, the aim of the present research was to test a process model of family‐to‐work enrichment by examining whether self‐efficacy (i.e., personal resource) mediates the relationship between support from one's family and work engagement. Further, it was assumed that positive affectivity (i.e., key resource) moderates the relation between family support and self‐efficacy. Using an occupationally heterogeneous sample of Slovenian employees (n = 738), we found support for a mediating effect of self‐efficacy as well as for the moderating role of positive affectivity. In general, our results broaden the understanding of work‐family enrichment processes and provide support for the work‐home resources model. In addition, they point to the relevant role of personal and key resources in work‐family interactions.     

Putting the “We” Into Well‐being: Using Collectivism‐Themed Measures of Well‐Being Attenuates Well‐being's Association With Individualism

Studies repeatedly have documented that societal well‐being is associated with individualism. Most of these studies, however, have conceptualized/measured well‐being as individual life satisfaction—a type of well‐being that originates in Western research traditions. Drawing from the latest research on interdependent happiness and on family well‐being, we posit that people across cultures pursue different types of well‐being, and test whether more collectivism‐themed types of well‐being that originate in Confucian traditions also are associated with individualism. Based on data collected from 2,036 participants across 12 countries, we find support for the association between individual life satisfaction and individualism at the societal level, but show that well‐being's association with individualism is attenuated when some collectivism‐themed measures of well‐being are considered. Our article advances knowledge on the flourishing of societies by suggesting that individualism may not always be strongly linked with societal well‐being. Implications for public policies are signaled.     

The application of a domains‐based analysis to family processes: implications for assessment and therapy

Social domains are classes of interpersonal processes each with distinct procedural rules underpinning mutual understanding, emotion regulation and action. We describe the features of three domains of family life – safety, attachment and discipline/expectation – and contrast them with exploratory processes in terms of the emotions expressed, the role of certainty versus uncertainty, and the degree of hierarchy in an interaction. We argue that everything that people say and do in family life carries information about the type of interaction they are engaged in – that is, the domain. However, sometimes what they say or how they behave does not make the domain clear, or participants in the social interactions are not in the same domain (there is a domain mismatch). This may result in misunderstandings, irresolvable arguments or distress. We describe how it is possible to identify domains and judge whether they are clear and unclear, and matched and mismatched, in observed family interactions and in accounts of family processes. This then provides a focus for treatment and helps to define criteria for evaluating outcomes.     

Systemic psychotherapy as an intervention for post‐traumatic stress responses: an introduction,theoretical rationale and overview of developments in an emerging field of interest

The purpose of this article is to critically examine the literature to provide a rationale for including systemic family therapy (SFT) in the psycho‐social treatment of people suffering the impact of post‐traumatic stress (PTS). Attention is drawn to the relatively underdeveloped academic literature on PTS and the family. The impact of PTS is conceptualized within a psycho‐social framework and the current evidence base for psycho‐social interventions for PTS responses is described, highlighting the opportunity and need to undergird this area of daily practice. The impact of PTS on the family at multiple levels is identified, emphasizing its recursive nature. The case for SFT is articulated and a range of models of family intervention for PTS briefly reviewed, concluding with an emphasis on Walsh's key processes in family resilience as a framework for practice.     

Inhibiting reactions to emotional versus non‐emotional response cues in schizophrenia: Insights from a motor‐process paradigm

Recent models of schizophrenia suggest deficient use of contextual response cues when confronted with countermanding emotional cues. It is important to clinically validate these models by testing patients diagnosed with schizophrenia on tasks with competing emotional and contextual response determinants. Control and schizophrenia groups completed a novel task that elicited motor responses consistent with, or in opposition to, pre‐potent emotional actions (i.e., approach vs. avoidance). An analogous non‐emotional task was also used to examine cue‐conflict impairment more generally. The groups demonstrated statistically equivalent performance decrements on incongruent versus congruent trials on both tasks. However, within the schizophrenia group, the incongruency effect was significantly greater in the emotional versus non‐emotional task. These data suggest that, while patients with schizophrenia were able to employ contextual response cues to override competing emotional responses, they were slower to resolve emotional versus non‐emotional response conflict. When patients were subdivided according to the presence or absence of disorganized symptoms, this effect was confined to patients with disorganized symptoms.     

How generative drawing affects the learning process: An eye‐tracking analysis

Generative drawing is a learning strategy in which students draw illustrations while reading a text to depict the content of the lesson. In two experiments, students were asked to generate drawings as they read a scientific text or read the same text on influenza with author‐provided illustrations (Experiment 1) or to generate drawings or write verbal summaries as they read (Experiment 2). An examination of students' eye movements during learning showed that students who engaged in generative drawing displayed more rereadings of words, higher proportion of fixations on the important words, higher rate of transitions between words and workspace, and higher proportion of transitions between important words and workspace than students given a text lesson with author‐generated illustrations (Experiment 1) or students who were asked to write a summary (Experiment 2). These findings contribute new evidence to guide theories for explaining how generative drawing affects learning processes.     

The road to the unconscious self not taken: Discrepancies between self‐ and observer‐inferences about implicit dispositions from nonverbal behavioural cues

To what extent can individuals gain insight into their own or another person's implicit dispositions' We investigated whether self‐perceivers versus neutral observers can detect implicit dispositions from nonverbal behavioural cues contained in video feedback (cue validity) and whether these cues are in turn used as a valid basis for explicit dispositional inferences (cue utilization). Across three studies in the domains of extraversion and anxiety we consistently obtained reliable cue validity and cue utilization for neutral observers but not for self‐perceivers. An additional measure of state inferences in Study 3 showed that one reason for the lack of mediation in self‐perceivers is their reluctance to use their state inferences as a basis for more general trait inferences. We conclude that people have a ‘blind spot’ with respect to the nonverbal behavioural manifestations of their unconscious selves, even though neutral observers may readily detect and utilize this information for dispositional inferences. Copyright © 2009 John Wiley & Sons, Ltd.     

I feel you feel what I feel: Perceived perspective‐taking promotes victims' conciliatory attitudes because of inferred emotions in the offender

In the context of bullying in a nursing workplace, we test the argument that an offender's perspective‐taking promotes victim conciliation, mediated by perceived perspective‐taking, that is, the extent to which the victim perceives the offender as taking their perspective. Perceived perspective‐taking facilitates the attribution of moral emotions (remorse, etc.) to the offender, thereby promoting conciliatory victim responses. However, perceived perspective‐taking would be qualified by the extent to which the severity of consequences expressed in the offender's perspective‐taking matches or surpasses the severity for the victim. In Studies 1 and 2 (Ns = 141 and 122, respectively), victims indicated greater trust and/or forgiveness when the offender had taken the victim's perspective. This was sequentially mediated by perceived perspective‐taking and victim's inference that the offender had felt moral emotions. As predicted, in Study 2 (but not Study 1), severity of consequences qualified victims' perceived perspective‐taking. Study 3 (N = 138) examined three potential mechanisms for the moderation by severity. Victims attributed greater perspective‐taking to the offender when the consequences were less severe than voiced by the offender, suggesting victims' appreciation of the offender's generous appraisal. Attributions of perspective‐taking and of moral emotions to the offender may play an important role in reconciliation processes. Key outcome: To the extent that victims perceive the offender as taking their perspective (perceived perspective‐taking), they infer that the offender feels more moral emotions, prompting victims to be more conciliatory. Perceived perspective‐taking benefits from the offender over‐stating the consequences to the victim.