How to remain neutral: An experimental analysis of neutralization

Many patients with obsessive-compulsive problems engage in neutralizing activity to reduce or “cancel out” the effects of the obsession. In many cases, neutralization is covert and therefore difficult to assess or manipulate experimentally. We hypothesize that neutralization resembles overt compulsions. In particular, it was predicted that: (i) neutralization reduces the anxiety evoked by unacceptable thoughts, and (ii) if neutralization is delayed, anxiety and the urge to neutralize will decay naturally. To test the hypothesis, 63 Ss prone to a cognitive bias known to be associated with obsessional complaints (thought-action fusion) were asked to write a sentence that would evoke anxiety. Measures of anxiety (and other variables of interest such as guilt, responsibility and the likelihood of harm) were taken. Subjects were then instructed to either immediately neutralize (n = 29) or delay for 20 min (n = 34), after which time anxiety and urge to neutralize were re-assessed. The Ss who had neutralized were then instructed to delay, and the Ss who had delayed were now instructed to neutralize, after which time the final assessments were taken. The results confirmed the predictions and supported the hypothesis that neutralization resembles overt compulsions. Of note, there were no differences between anxiety reduction after a 20-min delay, and after immediate neutralization. The problems involved in designing and conducting experiments on covert phenomena are discussed, and the clinical implications of the study are considered.     

How talking therapists experience working with adult clients who have autism

This research aims to gain new insight by exploring the thoughts, feelings and experiences of therapists working with clients who have autism. Three professional talking therapists participated in the study. Unstructured interviews were conducted and analysed using interpretive phenomenological analysis. Six main themes and 13 sub-themes were found which include therapists’ validation of autism, how therapists integrated autism when addressing mental health problems, how their personal experiences of autism impacted on their work and how they experienced the situation in which autism emerges during the therapy. Helpful suggestions are made for clinicians, namely, to zoom-in and zoom-out of autism, hold the knowledge that people with autism process information differently, incorporate working with trauma, consider disclosing a personal connection to autism and consider carefully whether, or not, to tell a client that they may have autism.     

Opposition to immigration: How people who identify with far-right discourses legitimize the social exclusion of immigrants

This study sought to develop our understanding of how people legitimize opposition to immigration. Thirty-eight interviews were conducted with people who self-identified with far-right anti-immigration discourses, in Italy (N = 23) and Portugal (N = 15). Using reflexive thematic analysis, we developed four related themes. In the first theme, ‘They're guests’: Legitimizing exclusion by differentiating (non-) immigrants, we discuss how despite differentiating between types of immigrants, participants support their social exclusion and always perceive them as guests. In the second theme, ‘White people exist’: Multiple and intersected identity threats, we identify how anti-immigration is legitimized by recurring multiple group threats including ownership, economic, security, cultural, and existential threats. In the third theme, ‘It's like your home’: Justifying exclusionary solidarity based on ownership rights, we illustrate how collective ownership is used to justify practices of exclusionary solidarity. In the fourth theme ‘This is me’: Being born and becoming anti-immigration, we discuss how opposition to immigration was constructed and influenced by contextual conditions as well as international sources of information. The implications of these findings are discussed while considering how participants' experiences and social contexts shape how they perceive immigration and legitimize the social exclusion of immigrants.     

Psychotherapy with children in refugee families who have survived torture: Containment and understanding of repetitive behaviour and play

Children of refugee families who have survived torture often have emotional, psychosomatic and behavioural problems as well as problems with learning. In order to understand the difficulties of these children, we have to recognize the complicated interaction of cumulative traumatic strain and recurring exposure to shocking violence. The traumatic experiences of the child in the country of origin take place in the broader context of chronic danger and persecution, often to be followed in the country of exile both by recurrent family strain and social estrangement. In the transference this complicated mixture of repeated trauma and chronic strain may show as a pervasive tendency to retreat to defensive survival strategies combined with continual repetition of more specific traces of the impact of the trauma on the individual. This paper focuses on how the enacted survival strategies can be contained and understood in the transference. In due course the compulsive repetition can be given meaning as a precondition for better integration through symbolic thought and self-understanding.     

DS14 is more likely to measure depression rather than a personality disposition in patients with acute coronary syndrome

It has been suggested that Type D Personality is a risk factor for acute coronary syndrome (ACS) and the DS14 has been developed for its assessment. However, some of the items on the DS14 seem to evaluate depressive symptoms rather than personality features. Therefore, the present study aims to verify whether an overlap exists between the constructs of Type D Personality and depression. Three‐hundred‐and‐four consecutive patients who were both presenting their first ACS and had no history of major depression completed the Hospital Anxiety and Depression Scale (HADS) and the DS14 to assess Type D personality at baseline and have been re‐evaluated at 1, 2, 4, 6, 9 and 12‐month follow‐ups. Out of 304 subjects (80.6% males), 40 were diagnosed as depressed. An exploratory factor analysis of HADS and the DS14 in the second month revealed that four out of seven items on the depressive subscale of HADS (HADS‐D) and six out of seven items on the Negative Affectivity (NA) subscale of the DS14 segregated on the same factor. Results were verified by a Partial Confirmatory Factor Analysis performed at the twelfth month when most of the patients achieved complete remission from the depressive episode. Temporal stability was poor for NA and Type D Personality and these construct co‐vary with HADS‐D over time. Our data suggests that NA and depression are overlapping constructs, supporting the idea that the DS14 measures depressed features, rather than a personality disposition.     

Practice-based evidence: patients who did not respond to group analysis

Evidence-based psychotherapy is typically based on treatment outcome for the "average" patient in aggregate designs; reports on individual non-responders are rarely published. In this observational study, we explored factors that might have contributed to non-response in long-term dynamic group psychotherapy. Eight patients (14%) who did not change were compared with 48 treatment responders on clinical variables, and their case stories were retrospectively scrutinized for explanatory factors. The non-responders had less initial distress, stayed for shorter durations in therapy, and were more dissatisfied with their group and therapists. Based on detailed case stories, attempts are made to tease out idiographic hypotheses why each patient did not change during group analysis.     

Go with the flow: How children's persuasion knowledge is associated with their state of flow and emotions during advergame play

This study investigates children's persuasion knowledge towards an advergame. Based on the theory of limited capacity and the PAD dimensions of emotions (i.e. pleasure, arousal and dominance), we propose a model in which persuasion knowledge is associated with game flow, and in which game flow is subsequently related to self‐reported player emotions. To test this model, 200 respondents between 7 and 12 years old were asked to play an advergame and to complete a survey addressing self‐reported emotions, persuasion knowledge and game flow. Structural equation modelling partially confirms our model. Both managerial and ethical implications are discussed in the paper. Copyright © 2015 John Wiley & Sons, Ltd.     

A study of patients who go to a psychology clinic seeking treatment

In order to characterize a typical clinical context, as opposed to an academic or research context, this article will analyze the sociodemographic and clinical characteristics of patients who turn to a psychology clinic in need of professional help. This study was conducted using an initial sample of 1,305 patients at the Universidad Complutense de Madrid (UCM) Clínica Universitaria de Psicología. Of the sociodemographic characteristics studied, it is noteworthy that the majority of patients were women (65%) and relatively young (the average age is 29.7 years-old). The disorders for which psychological help was most often needed were anxiety and mood disorders and relationship problems, which together made up 50% of cases. In 17.70% of cases, patients had at least one comorbid disorder in addition to the one that brought them to the clinic. The generalizability and implications of the results are discussed.     

A cheat in our midst: How people evaluate and respond to fellow group members who cheat

Having a group cheat within a group can violate group trust and reduce the benefits gained from group membership. However, group members will sometimes cheat to get an advantage over other in‐group members. In two experiments, the present research investigated how group members evaluate and respond to fellow group members who cheat, and whether group prototypicality or evaluators’ group identification moderate evaluations and behavioral recommendations toward group cheats. In Study 1 (N = 146 undergraduate students), group members evaluated group cheats more negatively than a comparable group deviant. However, highly identified group members would spare a cheat who had high group prototypicality. In Study 2 (N = 227 undergraduate students), highly identified group members rated a one‐time cheat with high prototypicality more favorably than a one‐time cheat with low prototypicality. However, prototypicality did not moderate evaluations toward a multiple time group cheat. In both studies, target evaluations were associated with changes in behavioral recommendations. Overall, results indicate a pattern similar to research on transgression or deviance credit: having group prototypicality can save a group cheat from an initial negative evaluation from highly identified group members, but prototypicality does not buffer against negative evaluations toward multiple time group cheaters.     

How successful would a phone‐pillow be: Using dual process theory to predict the success of hybrids involving dissimilar products

Drawing on dual process theory from psycholinguistics, results reveal that, in order for respondents to develop preferences for hybrids from dissimilar categories the products underlying the hybrid need to be structurally aligned based on links between individual functions, and that these links also need to be situated in concrete consumer goals (study 1). In addition, it was found that category similarity interacts with these two factors (study 2). Specifically, prompting the potential consumer to think about structural alignment and consumer goals increased the success of hybrids made up of dissimilar products, but decreased the success of hybrids involving similar products.     

How to do things with things

J.L. Austin has demonstrated that people can do things—bring about social facts — with words. Here we describe how some people do things with things. This is a study of the symbolic use and situated history of material objects during a business negotiation between two German entrepreneurs: of the practical transformation of things-at-hand from objects of use into exemplars, or into forms-at-hand that can be used for the construction of transitory symbolic artifacts. Arranging boxes in a particular fashion can be the equivalent of an illocutionary act, but unlike words things remain on the scene as indexical monuments to prior interactional arrangements.

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How to co-exist with nonexistent expectations

Synthese - Dozens of articles have addressed the challenge that gambles having undefined expectation pose for decision theory. This paper makes two contributions. The first is incremental: we...