Social support and the course of bipolar disorder

The current study prospectively examined the impact of social support on symptom severity and recovery from episodes in bipolar disorder, both as a direct influence and as a buffer of life events. Fifty-nine individuals with Bipolar I disorder were followed longitudinally with monthly symptom severity interviews. Social support was measured by the Interpersonal Support Evaluation List and the Interview Schedule for Social Interaction, and life events were assessed using the Life Events and Difficulties Schedule. Individuals with low social support took longer to recover from episodes and were more symptomatic across a 6-month follow-up. Results suggest a polarity-specific effect, in that social support influences depression but not mania. Discussion focuses on theoretical implications of a series of polarity-specific findings within the field.     

Transgenerational Hauntings: Toward a Social Psychoanalysis and an Ethic of Dis-Illusionment

I speak here to what I feel is a necessary reckoning, for myself and for our field, with U.S. history, particularly the intersecting history of White supremacy and White class dominance. I look at this history’s continuing effects on clinicians, on the people clinicians treat, and on psychoanalytic institutions. The paper draws on Avery Gordon’s concept of the ghost as a figure that pushes to make visible a psychosocial violence that has taken place—and that demands a something-to-be-done. I examine the way in which psychosocial unconscious processes simultaneously press toward truth and toward a disavowal of truth, disavowals that, in this context, serve to restore psychic equilibrium to unsettled White psyches. I turn to nonpsychoanalytic as well as psychoanalytic ancestors and contemporaries to elaborate an ethic of dis-illusionment that stands in tension with and in opposition to an ethic of adaptation. I conclude with a clinical vignette of exemplary work in a White–White dyad.     

Toward an etiology of dissociative identity disorder: a neurodevelopmental approach.

This article elaborates on Putnam's "discrete behavioral states" model of dissociative identity disorder (Putnam, 1997) by proposing the involvement of the orbitalfrontal cortex in the development of DID and suggesting a potential neurodevelopmental mechanism responsible for the development of multiple representations of self. The proposed "orbitalfrontal" model integrates and elaborates on theory and research from four domains: the neurobiology of the orbitalfrontal cortex and its protective inhibitory role in the temporal organization of behavior, the development of emotion regulation, the development of the self, and experience-dependent reorganizing neocortical processes. The hypothesis being proposed is that the experience-dependent maturation of the orbitalfrontal cortex in early abusive environments, characterized by discontinuity in dyadic socioaffective interactions between the infant and the caregiver, may be responsible for a pattern of lateral inhibition between conflicting subsets of self-representations which are normally integrated into a unified self. The basic idea is that the discontinuity in the early caretaking environment is manifested in the discontinuity in the organization of the developing child's self.     

Social Change: Toward an Informed and Critical Understanding of Social Justice and the Capabilities Approach in Community Psychology

Community psychology has long been concerned with social justice. However, deployments of this term are often vague and undertheorized. To address this weakness in the field's knowledge body we explored John Rawls's theory of social justice and Amartya Sen's economic theory of the capabilities approach and evaluated each for its applicability to community psychology theory, research, and action. Our unpacking of the philosophical and political underpinnings of Rawlsian theory of social justice resulted in identifying characteristics that limit the theory's utility in community psychology, particularly in its implications for action. Our analysis of the capability approach proposed by Amartya Sen revealed a framework that operationalizes social justice in both research and action, and we elaborate on this point. Going beyond benefits to community psychology in adopting the capabilities approach, we posit a bi‐directional relationship and discuss how community psychology might also contribute to the capabilities approach. We conclude by suggesting that community psychology could benefit from a manifesto or proclamation that provides a historical background of social justice and critiques the focus on the economic, sociological, and philosophical theories that inform present‐day conceptualizations (and lack thereof) of social justice for community psychology.     

Social networks, support, and coping: an exploratory study.

This paper reports a study that investigated the areas of stress, support, and coping, using the structural model of the social network. The social network model is borrowed from sociology and anthropology and is used to describe and quantify not only an individual's immediate family but also all of those with whom the individual has regular contact. By comparing the networks of a sample of "normal" and schizophrenic males, it was possible to identify differences in their relationships to their social networks, in the make-up of the networks themselves, and in the coping styles and recent histories of the subjects. The results suggest, first, that the network model can be used to investigate the larger social system with which individuals interact and, second, that it may be a valuable approach to the expansion of family research.     

Toward a Social Psychology of Social Support

An analysis of social psychological aspects of social support examined several stages of the interaction between provider and recipient. In the first stage, the provider may offer support, respond positively to requests for support, or decline requests for support, whereas the recipient may seek, accept, or reject support. In the second stage, after support is exchanged, attributions about its effect may occur for each member, which in turn affects the extent to which the support is continued and the nature of its effect. Attributional errors about the effect may occur, especially if factors other than support—such as external factors—alter the problem status. The final stage follows the resolution of the problem and may involve reciprocation of support when roles are reversed, although such reciprocity may not be a necessary condition for social support. Possible mechanisms for both positive as well as negative effects of support were postulated. Assessing the effects of support is complicated by factors such as individual differences, the degree of match between social support beliefs held by provider and recipient, type of problem, and the timing of support.     

Toward a Value-Laden Theory: Feminism and Social Science

Marjorie Shostak's ethnography, Nisa: The Life and Words of a !Kung Woman, is analyzed as a case study of feminist social science. Three principles of feminist research are suggested as standards for evaluation. After discussion of the principles and analysis of the text, I raise a criticism of the principles as currently sketched. The entire project is framed by the question of how best to resolve conflict between researcher and participant accounts.     

Judging interevent relations: From cause to effect and from effect to cause

Stimulus competition was studied in college students' correlational judgments in a medical decision-making setting. In accord with prior findings, subjects making cause-to-effect (predictive) judgments discounted a stimulus event that was moderately correlated with a target event when rival stimuli were more highly correlated with the effect. However, subjects making effect-to-cause (diagnostic) judgments were not at all disposed to discount a stimulus event which was moderately correlated with a target event when rival stimuli were more highly correlated with the cause. The theoretical implications of these results are considered in connection with associative and mentalistic models of causal attribution.     

Social support after the loss of an infant child: A long-term perspective

The article presents findings from a survey among 251 parents whose infant child had died. For most of the parents, the loss occurred several years ago. The survey assessed the amounts of instrumental, emotional and informational support received by these parents from various sources in connection with the death. The findings revealed that different sources provided different kinds of support. There was only one significant difference between bereaved males and females with regard to amount of support: females received more emotional support from their friends than males did. Furthermore, large amounts of support received by one spouse was associated with a similar level of support received by the other spouse. Social support in connection with the death was to some extent related to long-term psychological adaptation. Particularly support from neighbours and professionals was consistently associated with psychological adaptation. In general, however, the findings with regard to long-term effects of social support were ambiguous.     

Attitudes Toward Private Practice in Social Work:

This article, based upon a study examining attitudes of social workers toward private practice, describes social work educators and nonprivate clinical social workers as having some inaccurate perceptions of the private practitioner. Private practitioners do want to remain identified with social work although they are frequently dissatisfied with the profession. Findings are also described which reveal a "tension" all social workers may feel in their attempt to integrate personal goals with professional values and beliefs.     

Social anxiety disorder: psychobiological and evolutionary underpinnings

Social anxiety disorder (SAD) also know as social phobia is increasingly recognized as a highly prevalent and disabling psychiatric disorder. SAD patients demonstrate cognitive-affective distortions in relation to social situations and abnormal activation patterns in limbic structures during functional imaging. Behavioral inhibition is an endophenotype that may be useful in understanding vulnerability to SAD, and that has specific imaging and genetic correlates. From an evolutionary perspective, it has been speculated that SAD represents a false appeasement alarm. It is notable that SAD responds to selective serotonin reuptake inhibitors and monoamine oxidase inhibitors, but not to most tricyclic antidepressants; this finding is consistent with the importance of serotonin and dopamine in mediating this disorder.     

Children's Use of Social Conceptions: Toward a Dynamic Model of Social Cognition

For developmental social psychology to be clinically practical, it must use categories of experience similar to categories that counselors, clinicians, and other practitioners find useful. Knowledge of the developmental forms or levels, conceptions of critical issues in intrapsychic (individual), friendship, and peer group relationships provide such a map of how individuals at different ages view their social relations. The article also describes how individuals may function at different levels depending on the context in which they are expressing their understanding (e.g., spontaneous discussion, reflective thought).     

Social support and coping: A longitudinal analysis

This paper examined the interrelation between social support and coping in a longitudinal study of 380 clinically depressed individuals. A two-wave, two-variable panel analysis revealed that connections between support and coping varied by gender and across the specific sources of support and modes of coping examined. In the family context, increases in support were related to increases in problem-solving coping among women and to a decline in emotional discharge coping among men. In the work context, increases in social support were related to a greater reliance on affective regulation among women and to more information/support seeking among men. Overall, the results suggest that specific aspects of support and coping processes jointly mediate the link between stress and adjustment among depressed individuals.     

Social support and victims of crime: Matching event,support, and outcome

Investigated the buffering properties of six types of social support (three perceived, three received) with regard to four psychological consequences (depression, anxiety, fear of crime, hostility) of criminal victimization (violent crime, property crime). These relationships were examined using longitudinal data collected from a sample composed of representative subsamples of victims and nonvictims. Effects of the perceived support measures (perceived appraisal support, perceived tangible support, self-esteem) were more pervasive than those of the received support measures (received informational support, received tangible support, received emotional support). Perceived support consistently exhibited buffering effects, protecting both violent and property crime victims against various symptoms they would have otherwise experienced. The stress-buffering capabilities of received support were limited to informational and tangible help protecting victims of violence from experiencing excessive fear. These findings are discussed in the context of recent theoretical developments concerning the stress-support matching hypothesis.     

Assessment and treatment of response to name for children with autism spectrum disorder: Toward an efficient intervention model

Response to name (RTN) is an early developmental milestone, deficits in which are associated with autism spectrum disorder (ASD). This study extends previous research by evaluating an assessment and treatment model for RTN with 13 children with ASD. For all participants, phase 1 was a naturalistic social baseline. The 9 children who did not meet mastery criteria in phase 1 underwent a series of treatment conditions in phase 2. In phase 3, treatment components were removed, and generalization was assessed. Results indicated that tangible reinforcement procedures can produce rapid increases in discriminated RTN, sometimes without prompts. The total number of trials to mastery were reduced in the current study relative to previous research. Results also provide preliminary evidence to suggest that the phase 1 baseline condition may produce distinct patterns of RTN that could be used to predict treatment effects and further reduce trials to mastery in future work.