Early maladaptive schemas in Finnish adult chronic pain patients and a control sample

Engel (1959) suggested that negative physical or emotional experiences in childhood predispose to the development of chronic pain. Studies have shown that physical and sexual abuse in early life is connected with chronic pain. Emotional adversities are much less studied causes contributing to the development of chronic pain and disability. Early emotional abuse, neglect, maltreatment and other adversities are deleterious childhood experiences which, according to Young's schema theory (1990), produce early maladaptive schemas (EMSs). The primary goal of this study was to examine whether early adversities were more common in chronic pain patients than in a control group. A total of 271 (53% women) first-visit chronic pain patients and 331 (86% women) control participants took part in the study. Their socio-demographic data, pain variables and pain disability were measured. To estimate EMSs the Young Schema Questionnaire was used. Chronic pain patients scored higher EMSs reflecting incapacity to perform independently, catastrophic beliefs and pessimism. The most severely disabled chronic pain patients showed an increase in all the EMSs in the Disconnection and Rejection schema domain, namely Abandonment/Instability, Mistrust/Abuse, Emotional Deprivation, Defectiveness/Shame and Social Isolation/Alienation EMSs. The results of the study suggested that chronic pain patients had suffered early emotional maltreatment.     

Attachment style differences in the processing of attachment–relevant information: Primed–style effects on recall,interpersonal expectations,and affect

The present study explored processing biases resulting from manipulating the temporal accessibility of relational schemas. By priming relational schemas, relationship–specific attachment styles were activated and their biasing effect on relevant information processing (namely recall for attachment–relevant words versus other words, interpersonal expectations, and affect) was examined. It was found that participants primed with a secure–style relational schema recalled more positive attachment words than those primed with an avoidant style. Although pre–priming endorsements of interpersonal expectations were influenced by global attachment style, once primed, participants showed primed–style–congruent responses. That is, primed secures showed higher endorsement of positive and lower endorsement of negative interpersonal expectations relative to the other primed style groups. Finally, primed secures reported more positive and less negative affect than the other primed style groups. Implications for understanding the way differential attachment experiences influence close relationships through life are considered.     

疼痛恐惧相关的注意偏向及其矫正

疼痛恐惧是影响和维持慢性痛的重要因素。不同材料和被试类型情况下, 疼痛恐惧均主要作用于个体对疼痛相关信息的早期注意加工阶段, 表现为注意警觉模式。该注意模式使个体将注意维持在疼痛上, 从而干扰了对非疼信息的注意能力。矫正疼痛恐惧相关注意偏向可以改善疼痛体验。未来研究应采用更具生态效度的任务测量疼痛恐惧相关的注意偏向及其神经基础, 进一步考察矫正疼痛恐惧相关注意偏向能否改善慢痛患者的忧郁和功能丧失等问题。     

Self-schemas and risk for depression: a prospective study

The role of depressive self-schemas in vulnerability to depression was explored in a longitudinal design. Five groups of subjects hypothesized to be at differential risk for depression according to a schema model were identified: depressed schematic, depressed nonschematic, nondepressed schematic, nondepressed nonschematic, and a psychopathology control. They were followed regularly for 4 months with self-report and clinical interview measures of depression. There was no evidence of risk for depression associated with schema status apart from initial mood and no interaction of life stress events and schemas. In a second experiment with the same subjects, it was shown that depressive self-schemas do not exert an ongoing, active influence on everyday information processing; instead current mood affected information processing. Remitted depressed persons resembled nondepressed rather than depressed ones. The results support Kuiper and colleagues' distinction between concomitant and vulnerability schemas, and help to clarify differences between cognitions that are symptoms or correlates of depression and those that may play a causal role under certain conditions.     

Correlates of African American Men’s Sexual Schemas

Sexual schemas are cognitive representations of oneself as a sexual being and aid in the processing of sexually relevant information. We examined the relationship between sociosexuality (attitudes about casual sex), masculine ideology (attitudes toward traditional men and male roles), and cultural centrality (strength of identity with racial group) as significant psychosocial and sociocultural predictors in shaping young, heterosexual African American men??s sexual schemas. A community sample (n?=?133) of men in a southeastern city of the United States completed quantitative self-report measures examining their attitudes and behavior related to casual sex, beliefs about masculinity, racial and cultural identity, and self-views of various sexual aspects of themselves. Results indicated that masculine ideology and cultural centrality were both positively related to men??s sexual schemas. Cultural centrality explained 12?% of the variance in level of sexual schema, and had the strongest correlation of the predictor variables with sexual schema (r?=?.36). The need for more attention to the bidirectional relationships between masculinity, racial/cultural identity, and sexual schemas in prevention, intervention, and public health efforts for African American men is discussed.     

Counseling Clients with Chronic Pain: A Religiously Oriented Cognitive Behavior Framework

The experience of chronic pain is largely influenced by core schemas and cognitive processes, including those that are religious in nature. When these schemas are negative, they contribute to the exacerbation of pain and related problems. A framework is presented for the identification of problematic religious schemas and their modification through cognitive behavior strategies.     

空间-时间隐喻的心理机制研究

该文通过2个实验探讨了空间-时间隐喻的心理机制。实验1的结果表明,空间关系加工可以促进时间加工。实验2考察了空间图式和时间图式间的关系问题。结果表明,空间图式和时间图式间的关系符合弱式的隐喻建构观。     

错误记忆产生的认知与神经机制：信息加工视角

采用信息加工视角, 在划分不同信息来源的基础上分析编码、存储(巩固)、再激活/再巩固和提取的一系列加工过程如何导致错误记忆形成, 由此总结出错误记忆产生的三个可能原因：(1)因缺乏针对目标事物特异性细节的记忆表征而侧重于编码和提取目标和非目标事物共享的抽象记忆表征, 使被试更倾向于依赖抽象表征对缺失的目标细节进行重构, 引发错误记忆; (2)目标事物启动了对应图式, 导致与图式相关的非目标事物记忆表征得到增强, 引发错误记忆; (3)误导信息干扰了再度激活状态下目标事物的记忆表征, 妨碍其进行准确的记忆再巩固, 从而引发错误记忆。未来研究可进一步探讨目标事物特异性细节的表征区域、不同类型的图式表征促进非目标事物记忆表征的具体机制以及提取阶段的图式复现对错误记忆形成的影响等问题。     

Bias and error in human judgment

Currently prevalent views of human inference are contrasted with an integrated theory of the epistemic process. The prevailing views are characterized by the following orienting assumptions: (1) There exist reliable criteria of inferential validity based on objectively veridical or optimal modes of information processing. (2) Motivational and cognitive factors bias inferences away from these criteria and thus enhance the likelihood of judgmental error. (3) The layperson's epistemic process is pluralistic; it consists of a diverse repertory of information-processing strategies (heuristics, schemas) selectively invoked under various circumstances. By contrast, the present analysis yields the following conclusions: (1) There exist no secure criteria of validity. (2) Psychological factors that bias inferences away from any currently accepted criteria need not enhance the likelihood of error. (3) The inference process may be considered unitary rather than pluralistic. The various strategies and biases discussed in the literature typically confound universal epistemic process with specific examples (or contents) of such processes. Empirical support for the present analysis is presented, including evidence refuting proposals that specific contents of inference are of universal applicability; evidence suggesting that people do not, because of a reliance on subnormative heuristics, underutilize nonnative statistical information—rather, people seem unlikely to utilize any information if it is nonsalient or (subjectively) irrelevant; and evidence demonstrating that the tendency of beliefs to persevere despite discrediting information can be heightened or lowered by introducting appropriate motivational orientations.     

Social Information Processing as a Mediator Between Cognitive Schemas and Aggressive Behavior in Adolescents

This longitudinal investigation assessed whether cognitive schemas of justification of violence, mistrust, and narcissism predicted social information processing (SIP), and SIP in turn predicted aggressive behavior in adolescents. A total of 650 adolescents completed measures of cognitive schemas at Time 1, SIP in ambiguous social scenarios at Time 1 and Time 2, and reactive aggression at Time 1, Time 2, and Time 3 to determine whether SIP measured at Time 2 mediated between the cognitive schemas measured at Time 1 and the aggressive behavior measured at Time 3. The results showed that each schema predicted different SIP components: Justification of violence predicted aggressive response access, narcissism predicted anger and aggressive response access, and mistrust predicted more hostile attributions and less anger. Only the SIP component of aggressive response access was directly associated with reactive aggression. The mediational model was quite similar for boys and girls although some paths, such as the association between aggressive response access and reactive aggression, were higher for boys.     

Memory for emotional stories in high and low depressed children

Cognitive theories of depression emphasise a vicious circle linking depressed mood and biased recall towards negative information. In line with this, depressed adults show selectively enhanced recall for negative information. This recall bias is held to be mediated by increased accessibility of negative self-referent schemas formed as a result of adverse early experiences. Given this, surprisingly few studies have examined depression-related recall biases from a developmental perspective. Clinically depressed children have been found to show enhanced recall of negative adjectives, particularly when self-referent, but to date there is no evidence for similar recall biases in non-clinically depressed groups. The current study addressed this by investigating high and low non-clinically depressed children's (aged 5-11 years) recall of emotional stories. High depressed children showed enhanced recall of negative stories, relative to positive stories, compared to the low depressed group. This did not vary with age group. We conclude that, when child-oriented materials are used, depression-related biases in recall towards negative information are observable even in a non-clinical sample of children from 5 years of age.     

Schematherapie

Schema therapy is a cognitive behavioral therapy (CBT) development mainly for the treatment of personality disorders and other chronic mental disorders. It is characterized by an integration of cognitive, emotional and behavioral intervention methods derived from different therapeutic approaches with an emphasis on a specifically supportive therapeutic relationship. The original approach focused mainly on early maladaptive schemas. Current developments, however, concentrate on the concept of schema modes, describing different schema-associated emotional states. The schema mode approach is also used for specific case concepts for personality disorders. Effectiveness of schema therapy has been shown for borderline personality disorder. Current studies investigate the effectiveness of schema therapy for patients with other chronic mental conditions and as a group therapy approach. This paper provides an overview about case conceptualization and treatment, presents main research findings and discusses open questions and problems.     

Avoidant personality disorder and implicit schema-congruent information processing bias: a pilot study with a pragmatic inference task.

Cognitive theory of personality disorders hypothesizes that each personality disorder is characterized by typical maladaptive schemes and that these schemas direct the processing of information resulting in schema-congruent biases. With regard to the avoidant personality disorder, these hypotheses were put to an initial test in a pilot study, using a self-report questionnaire to asses DSM-III-R personality pathology, a belief questionnaire to assess avoidant schemas and a pragmatic inference task to assess schema-congruent implicit attributional bias. Participants were students (n = 57) who scored high or low on DSM-III-R avoidant personality pathology. As predicted from cognitive theory, DSM-III-R avoidant personality pathology was associated with avoidant beliefs (t(45.1) = 4.68, p < 0.001) and avoidant beliefs were associated with schema-congruent information processing bias (t(55) = 2.17, p = 0.02, one-tailed test). However, DSM-III-R avoidant personality pathology was not associated with schema-congruent information processing bias (t(55) = 0.17, p = 0.43, one-tailed test). In addition to avoidant beliefs, low self-esteem was also related to the information processing bias. Social phobia and general personality pathology, two other control variables, were not. The findings warrant further study using the pragmatic inference task in a clinical group.     

Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework

We propose a framework to understand increases in vulnerability for depression after recurrent episodes that links attention processes and schema activation to negative mood states, by integrating cognitive and neurobiological findings. Depression is characterized by a mood-congruent attentional bias at later stages of information processing. The basic idea of our framework is that decreased activity in prefrontal areas, mediated by the serotonin metabolism which the HPA axis controls, is associated with an impaired attenuation of subcortical regions, resulting in prolonged activation of the amygdala in response to stressors in the environment. Reduced prefrontal control in interaction with depressogenic schemas leads to impaired ability to exert attentional inhibitory control over negative elaborative processes such as rumination, leading in turn to sustained negative affect. These elaborative processes are triggered by the activation of negative schemas after confrontation with stressors. In our framework, attentional impairments are postulated as a crucial process in explaining the increasing vulnerability after depressive episodes, linking cognitive and biological vulnerability factors. We review the empirical data on the biological factors associated with the attentional impairments and detail how they are associated with rumination and mood regulation. The aim of our framework is to stimulate translational research.     

Dreams as modifiers and tests of mental schemas: an emotional selection hypothesis

A process is proposed that helps a person adapt to a social environment. During sleep, this process executes a set of dreams with social content that schemas tentatively incorporate by self-modifying. Due to vast interconnectivity that exists amongst social schemas, such modifications may introduce accidental, maladaptive conflicts. Consequently, a second set of dreams is executed in the form of test scenarios in order to evaluate the schema modifications effected by the first set of dreams. The process would monitor emotions generated during these latter dream tests. If prior, tentative modifications alleviate anxiety, frustration, sadness, or in other ways appear emotionally adaptive, they would be selected for retention. Those modifications that compare negatively to existing, unchanged schemas would be abandoned or further modified and tested. The correspondences of these hypotheses to the sleep cycle, previous dream studies, and functional neurological processes are discussed.     

Memory for emotional stories in high and low depressed children

Cognitive theories of depression emphasise a vicious circle linking depressed mood and biased recall towards negative information. In line with this, depressed adults show selectively enhanced recall for negative information. This recall bias is held to be mediated by increased accessibility of negative self‐referent schemas formed as a result of adverse early experiences. Given this, surprisingly few studies have examined depression‐related recall biases from a developmental perspective. Clinically depressed children have been found to show enhanced recall of negative adjectives, particularly when self‐referent, but to date there is no evidence for similar recall biases in non‐clinically depressed groups. The current study addressed this by investigating high and low non‐clinically depressed children's (aged 5–11 years) recall of emotional stories. High depressed children showed enhanced recall of negative stories, relative to positive stories, compared to the low depressed group. This did not vary with age group. We conclude that, when child‐oriented materials are used, depression‐related biases in recall towards negative information are observable even in a non‐clinical sample of children from 5 years of age.