Seeing Is Believing: Using Video Feedback in Cognitive Therapy for Social Anxiety Disorder

Distorted negative self-images and impressions appear to play a key role in maintaining Social Anxiety Disorder (SAD). In previous research, McManus et al. (2009) found that video feedback can help people undergoing cognitive therapy for SAD (CT-SAD) to develop a more realistic impression of how they appear to others, and this was associated with significant improvement in their social anxiety. In this paper we first present new data from 47 patients that confirms the value of video feedback. Ninety-eighty percent of the patients indicated that they came across more favorably than they had predicted after viewing a video of their social interactions. Significant reductions in social anxiety were observed during the following week and these reductions were larger than those observed after control periods. Comparison with our earlier data (McManus et al., 2009) suggests we may have improved the effectiveness of video feedback by refining and developing our procedures over time. The second part of the paper outlines our current strategies for maximizing the impact of video feedback. The strategies have evolved in order to help patients with SAD overcome a range of processing biases that could otherwise make it difficult for them to spot discrepancies between their negative self-imagery and the way they appear on video.     

Investigating the Appraisal Patterns of Regret and Disappointment

Regret and disappointment are the two emotions that are most closely linked to decision making. This study compares the appraisal patterns of the two emotions. This is done in the context of the related negative emotions anger and sadness. The results show clear differences between regret and disappointment in this respect while replicating prior findings concerning the appraisal patterns of anger and sadness. The results are of interest for emotion researchers and decision researchers.     

下岗人群心理障碍与社会干预

通过分析社会转型期下岗人群心理障碍的主要表现 ,针对下岗人群社会支持状况 ,提出了通过构建包括政府组织、非政府组织和个人支持在内的多层次社会支持系统 ,有效控制和预防下岗人员心理障碍的社会干预策略     

Linguistic Styles of Eminent Writers Suffering From Unipolar and Bipolar Mood Disorder

Past research has shown that the styles of drawings by patients with unipolar and bipolar mood disorder differ, the latter expressing more positive and fewer negative emotions (Wadeson, 1980 Wadeson , H. ( 1980 ). Art psychotherapy . New York : Wiley . [Google Scholar]). In the first study presented here, it was expected that prose texts by eminent writers who suffered from unipolar versus bipolar mood disorder would show this same effect. One novel per writer was analyzed, using Pennebaker, Francis, and Booth's (2001 Pennebaker , J. W. , Francis , M. E. , & Booth , R. J. ( 2001 ). Linguistic inquiry and word count . Mahwah , NJ : Lawrence Erlbaum Associates, Inc . [Google Scholar]) Linguistic Inquiry and Word Count. Results disconfirmed the hypothesis, but indicated 3 other differences that were then replicated in Study 2, using a second set of novels by the same authors. Results indicated that: (a) Bipolar writers referred to death more than did unipolar writers; (b) unipolar writers referred to people other than themselves more than did control writers; (c) unipolar writers used more words describing cognitive mechanisms (e.g., understand, know) than did both other groups. The fact that the unipolar and bipolar groups did not differ from controls on measures related to emotions and feelings can be partially explained in terms of the therapeutic effect of writing (Pennebaker, 1997 Pennebaker , J. W. ( 1997 ). Writing about emotional experiences as a therapeutic process . Psychological Science , 8 , 162 – 166 .[Crossref], [Web of Science ®] , [Google Scholar]). The interest displayed by unipolar writers in cognitive mechanisms is consistent with Verhaeghen, Joorman, and Khan's (2005 Verhaeghen , P. , Joorman J. , Khan , R. ( 2005 ). Why we sing the blues: The relation between self-reflective rumination, mood and creativity . Emotion , 5 , 226 – 232 .[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) finding that rumination mediates the link between creativity and unipolar depression.     

Body Integrity Identity Disorder: From A Psychological to A Neurological Syndrome

Body Integrity Identity Disorder (BIID) is a condition in which individuals experience an intense desire for amputation of an healthy limb. Recently, McGeoch and colleagues provided the first direct evidence that this syndrome may be neurological rather than psychological in its origin. However, before including BIID in body ownership disorders, several concerns should be clarified, exploring other components of body representation and not only somatosensory perception.     

Investigating linguistic relativity through bilingualism: the case of grammatical gender

The authors investigated linguistic relativity effects by examining the semantic effects of grammatical gender (present in Italian but absent in English) in fluent bilingual speakers as compared with monolingual speakers. In an error-induction experiment, they used responses by monolingual speakers to establish a baseline for bilingual speakers and show that gender affects the semantic substitution errors made by monolingual Italian speakers compared with monolingual English speakers. They then showed that Italian-English bilingual speakers behave like monolingual English speakers when the task is in English and like monolingual Italian speakers when the task is in Italian, hence exhibiting appropriate semantic representations for each language. These results show that for bilingual speakers there is intraspeaker relativity in semantic representations and, therefore, that gender does not have a conceptual, nonlinguistic effect. The results also have implications for models of bilingual semantic memory and processing.     

Investigating the dynamics of affect: Psychological mechanisms of affective habituation to pleasurable stimuli

Affective habituation (i.e., reductions in stimulus-evoked affective reactions as a result of previous exposure) may serve a functional purpose. However, little is know about the psychological mechanisms underlying this process. To elucidate the characteristics of affective habituation, two experiments that examined affective reactions to repeated exposures of pleasurable stimuli were conducted. Results of these experiments indicated that habituation trajectories are characterized by linear decreases in affect. Results also demonstrated that habituation can be slowed by the introduction of novel stimuli (i.e., “novelty effects”), effects that are dimensional (rather than taxonic) in nature. Experiment 2 demonstrated that habituation is mediated by conceptual rather than perceptual processes. Depressed and anhedonic individuals were not more susceptible to habituation in either experiment. The current findings and previous theorizing suggest that habituation may be an important component of an adaptive affective processing system that promotes effective responses to salient stimuli and prevents compulsive reward-seeking behavior.

The Psychological and Vocational Interest Patterns of Donald Super and John Holland

The theories of Donald Super and John Holland are the primary career development and choice approaches in use today. To the extent that the personality characteristics of a theorist have a direct bearing on the theory that he or she has constructed, a fuller understanding of the theorist is important. Although the profession knows much about the 2 approaches, less is known about the personalities of the theorists. The purpose of this article is to provide comparative data about each theorist's interests, values, and personalities on the basis of the results of 4 paper-and-pencil psychometric instruments that each completed. This study provides a rare glimpse into the psychological make-up of 2 prominent theorists.     

Introject and Identity: Structural-Interpersonal Analysis and Psychological Assessment of Multiple Personality Disorder

Revisions of the diagnostic nomenclature have contributed to renewed interest in multiple personality disorder (MPD). Identity and self-organization in MPD are assessed using a sophisticated structural-interpersonal measurement system, Structural Analysis of Social Behavior (SASB). Two important features of the SASB model applied to MPD are the assessments of interpersonal perceptions of childhood initiators of abuse and of the introject or self-organization of host and secondary personalities. SASB findings from a clinical series of six cases of MPD are analyzed to illustrate the use of this assessment technique. Host personalities and abused secondary personalities differed in their identity and self-organization. Host personalities evidenced internalization of abuse dynamics related to selfdestructive trends. Secondary personalities, despite having experienced abuse, did not manifest such dynamics. Implications for understanding personality processes in MPD and for further research are discussed.     

Slowing Down the Clock: A Review of Experimental Studies Investigating Psychological Time Dilation

A review of 24 experiments investigated the factors that produce a subjective time dilation. The aim of this review was to investigate the magnitude of the obtained time dilation. The mean time duration judgment ratio of subjective time to objective time for the selected studies was 1.31, SD = .24. The analyses revealed that experimental studies investigating subjective time dilation tend to obtain small to moderate time dilation and that several factors can be manipulated in order to make a specific time interval appear longer than it is. Highlighting the factors that lead to a subjective time dilation has both research implications, by pointing to the underlying cognitive mechanisms of time perception, and practical implications, by indicating the factors that can be manipulated in order to control how we perceive time.     

叙事治疗在老年双心病患者中的实践

为研究叙事疗法作用,选取江苏省人民医院老年心血管科40名心血管疾病合并情绪障碍住院患者为研究对象,分为试验组和对照组。对照组20人给予常规治疗和常规人文关怀,试验组20人在常规服务的基础上增加多学科协作模式的叙事治疗个案服务,干预前后采用医院焦虑抑郁量表测量作为评估工具,旨在探索医务社工参与的“双心”医学多学科协作模式。结果显示,对照组与试验组分值均有下降,试验组患者的焦虑分值和抑郁分值下降幅度更大(P < 0.05),叙事疗法对双心病患者的干预效果显著。多学科协作模式下的叙事疗法可有效缓解双心病患者的心理障碍、提高科室满意度、提升医疗团队专业能力、创新学科建设与人文服务,具有可推广性。

     

Psychological Test Signs of Borderline Personality Disorder: A Review of the Empirical Literature

Recent empirical work aimed at identifying test signs of borderline personality disorder is reviewed. The review focuses on commonly employed clinical tests, including the Wechsler Adult Intelligence Scale (WAIS), the Rorschach, and the Minnesota Multiphasic Personality Inventory (MMPI). Possible test signs reconsidered in relation to their sensitivity to and specificity for the diagnosis and in relation to the criteria of DSM-III, which define the disorder. Although consistent patterns of potentially useful test signs have begun to appear, methodological difficulties have hampered any subsequent development of clinically useful indices. Greater attention to sample size and its composition and definition as well as demonstrations of adequate reliability and predictive utility are required for further development of these signs.     

Seeing the baby: The impact of ultrasound technology

This paper reports results of a study of prenatal diagnosis patients who underwent ultrasound examinations and lost their pregnancies through miscarriage or elective terminations. The majority of the women felt that viewing the ultrasound image influenced their relationship to the fetus and their coping with the pregnancy loss. The women commented on the power of ultrasound to make their pregnancies more real as well as the painful yet sometimes beneficial consequences of seeing the fetus. Clinical implications are considered for health professionals who provide prenatal diagnostic services or counseling after pregnancy loss.     

Seeing through your daughter's eyes: Factors associated with maternal meta‐accuracy

Dyadic meta‐accuracy reflects the ability to judge how one is viewed by a relationship partner. Drawing from the attachment literature on parental mentalization, it is tested whether maternal meta‐accuracy is associated with (a) mothers' history of maltreatment or maternal absence during her childhood and (b) observed relational behaviors during an interaction task. Participants included 182 low‐income mother–daughter dyads (adolescent mean age = 15.1). Mothers were modestly accurate in judging how daughters rated their warmth and hostility. Mothers with histories of maltreatment or maternal absence showed less meta‐accuracy, but the nature of their inaccuracies (e.g., self‐enhancement) differed. Differences in maternal meta‐accuracy were also associated with relationship quality as rated by independent observers. The relevance of meta‐accuracy for mentalization‐based interventions with families is discussed.     

Linguistic Analysis of Communication in Therapist-Assisted Internet-Delivered Cognitive Behavior Therapy for Generalized Anxiety Disorder

In spite of a growth in cognitive conceptualizations of obsessive‐compulsive symptoms, relatively little has been done to extend such concepts to childhood. This study investigated the relationship between responsibility attitudes and obsessive‐compulsive symptoms in normal children. A measure of responsibility attitudes in children was constructed on the basis of Salkovskis' Responsibility Attitudes Scale. This measure (Responsibility Attitudes Scale for Children) was administered together with the Leyton Obsessive Inventory Child Version and the Children's Depression Inventory to a sample of two hundred and two 10–14‐year‐old schoolchildren in Iceland. The responsibility measure correlated moderately and similarly with the Leyton Obsessive Inventory Child Version and the Children's Depression Inventory. In a hierarchical regression analysis predicting Leyton Obsessive Inventory Child Version scores, age and gender were entered in the equation first, followed by Children's Depression Inventory scores and, finally, Responsibility Attitudes Scale for Children scores. It was shown that Responsibility Attitudes Scale for Children scores added significantly to the prediction of Leyton Obsessive Inventory Child Version over and above the other variables. It is concluded that the study of the role of responsibility attitudes in children's obsessive‐compulsive symptoms is at least promising.     

Linguistic Predictors of Post‐Traumatic Stress Disorder Symptoms Following 11 September 2001

Prior research has linked content analysis drawn from text narratives to psychopathology in trauma survivors. This study used a longitudinal design to determine whether linguistic elements of narrative memories of first hearing about the events of 11 September 2001 predict later post‐traumatic stress disorder (PTSD). Narratives and self‐report PTSD symptoms were collected within 1 week and again 5 months after 9/11 in 40 undergraduates. People who used more “we” words at Time 1 had fewer acute PTSD symptoms. Use of more cognitive mechanism words, more religion words, more first‐person singular pronouns, and fewer anxiety words at Time 1 were related to more chronic PTSD symptoms. Linguistic characteristics accounted for variance in chronic PTSD symptoms above and beyond acute PTSD symptoms. This study provides evidence that lasting PTSD symptoms can be predicted through language in the immediate aftermath of the trauma. Copyright © 2011 John Wiley & Sons, Ltd.