Using a Mindfulness-Based Procedure in the Community: Translating Research to Practice

Maladaptive behaviors, such as aggressive and disruptive behaviors, are a significant risk factor for maintaining community placement by individuals with intellectual disabilities. When experienced researchers provide training to individuals with intellectual disabilities on a mindfulness-based strategy, Meditation on the Soles of the Feet, the individuals are able to effectively self-manage their maladaptive behaviors. We investigated whether similar effectiveness would be found if community-based therapists provided the training to similar individuals living in the community. Three adults with mild intellectual disabilities and mental illness living in the community were taught by a community-based therapist to use this strategy to control maladaptive behaviors that included verbal aggression, disruptive behavior and physical aggression. They were taught to shift the focus of their attention from the negative emotions that triggered their maladaptive behavior to a neutral stimulus, the soles of their feet. All three individuals were able to reduce their maladaptive behaviors to near-zero levels and maintain their community placement that they had been at risk for losing, due to their maladaptive behavior. Subjective measures of various psychological symptoms showed a reduction in two of the individuals. Our study suggests that the demonstrated effectiveness of Meditation on the Soles of the Feet can be achieved by a community-based therapist.     

Dialectical behavior therapy for the treatment of anger and aggressive behavior: A review

ObjectiveThe management of anger and aggression is a public safety issue. Dialectical behavior therapy (DBT) is a promising treatment for reducing anger and violent behavior. This mode of therapy addresses maladaptive behavior by teaching emotion regulation, distress tolerance, interpersonal effectiveness, core mindfulness, and self-management skills.MethodsThis paper reviewed DBT treatment for anger and aggressive or violent behavior. The literature search included articles from 1998 to September 2013. A total of 21 peer-reviewed articles studying the effects of DBT on anger and aggressive behavior were reviewed.ResultsAdaptations or modifications were made to standard DBT to accommodate the specific needs of the variety of populations across studies. Nine studies attempted to understand the efficacy of DBT for anger and aggressive behavior while twelve studies measured the efficacy of DBT within the context of a BPD diagnosis. There are nine randomized controlled trials (RCT) assessing DBT to reduce anger and aggressive behavior.ConclusionResearch has shown that there are potentially clinically significant results when using DBT to treat anger and aggression in various samples. Findings from this review suggest that treatments, even when modified show a positive impact on the reduction of anger and aggressive behaviors.     

Catching aggression from one's peers: A longitudinal and multilevel analysis

Exposure to peer aggression is a major risk factor for the development of aggressive behavior in childhood and adolescence. Furthermore, peer aggression has the propensity to spread and affect individuals who were not exposed to the original source of aggression. The aim of this paper is to demonstrate that peer aggression is in many regards similar to a contagious disease. By presenting a program of research based on longitudinal and multilevel studies, we provide evidence for the contagious quality of aggressive behavior, show that individuals vary in their susceptibility to peer aggression, and describe group‐level characteristics that moderate the influence of peer aggression. We discuss mechanisms that may explain how individuals catch aggressive behavior from their peers and how the effects on the development of individuals' aggressive behavior unfold over time. Further, we examine processes that may increase the risk of being exposed to peers' aggressive behavior. We conclude with discussing implications for future studies on the contagious nature of peer aggression.     

近十年国外罗夏测验攻击变量研究综述

用罗夏测验测量攻击有助于了解个体的攻击性冲动 ,也有助于外显攻击行为的预测和控制。近十年国外文献中有关研究者主要有Holt、Exner、Gacono和Meloy。综述结果表明 ,他们提出的大多数攻击变量都有明确的定义 ,其实证研究也获得了一些支持。但也可以看到 ,目前的研究依然存在不少问题 :(1 )变量的定义有重复、内容有交叉 ;(2 )变量的分类标准不唯一 ;(3 )某些变量的使用和操作欠方便。因而 ,这些变量的定义、分类和使用都还有待于进一步研究支持。     

A daily diary investigation of self-reported alcohol-related direct and indirect aggression

Research supports the relationship between alcohol use and direct aggression, however, scant research has examined the association between alcohol use and indirectly aggressive behavior. Further, extant research has relied on retrospective reporting of behaviors, which may be subject to recall bias. The daily diary methodology enables the assessment of both the between- and within-subject variation, as well as reduces the likelihood of biased reporting. Consequently, the current study utilized a daily diary design to examine (a) associations between daily alcohol use and alcohol-related aggressive behaviors (i.e., direct and indirect); and (b) the co-occurrence of alcohol-related direct and indirect aggression. Participants were 105 (80% female) college student drinkers. Students completed baseline questionnaires and up to 14 consecutive, daily surveys regarding their previous day alcohol use, alcohol-related direct aggression, and alcohol-related indirect aggression. Findings revealed that alcohol use was associated with same day alcohol-related direct and indirect aggression, after controlling for baseline alcohol use. Self-reported alcohol-related direct aggression was more likely to occur on days in which self-reported alcohol-related indirect aggression occurred, after controlling for dispositional aggression, trait self-control, and baseline alcohol use. Results of the study suggest that, similar to alcohol-related direct aggression, alcohol use is associated with an increased likelihood of alcohol-related indirect aggression. Further, the co-occurrence of alcohol-related indirect and direct aggression supports that individuals may be engaging in multiple types of aggressive behaviors. Findings extend previous cross-sectional and qualitative research suggesting that indirect aggression may co-occur, perhaps increasing in severity.     

Aggressive? from Time to Time… Uncovering the Complex Associations between Time Perspectives and Aggression

The aim of this study was to empirically verify a series of hypotheses on the role of time perspective (TP) in predicting aggression, formulated on the basis of TP Theory and models of aggression. Three hundred participants completed the Zimbardo Time Perspective Inventory (ZTPI) and the Aggression Questionnaire (AQ). Analysis revealed numerous significant relationships between TP dimensions and aggression. In particular, individuals scoring high on Past Negative, Present Fatalistic, and Present Hedonistic were more prone to aggressive feelings, and, in consequence, aggressive behavior. These relationships were, however, strongly attenuated in individuals with high levels of two remaining TPs – Past Positive and Future. The results provide evidence that the temporal perspective people use to structure their experience into time horizons may play a significant role in the intensity and dynamics of aggression. We discuss our results from the perspectives of psychological theories of aggression and TP.     

Shame and aggression: Different trajectories and implications

We review the largely separate literatures on aggression and shame, concluding that both internalized shame and maladaptive shame-regulation are key factors in a number of psychopathologies and that the latter may in turn lead to violent outcomes. Our review is consistent with, and provides further evidence for, the evolutionary and psychobiological links from shame to anger and aggression described in Elison, Garofalo, and Velotti (2014). Within the aggression literature, our analysis of studies on partner violence, incarcerated violent offenders, and personality disorders (Narcissistic, Borderline, Antisocial) focus on the role of shame as a common antecedent to violence. The review includes an introduction to different facets of shame, and goes on to discuss the trajectories that link shame and aggression, with particular regard to self-esteem and rejection sensitivity. We outline the diverse ways through which aggression could be better explained by acknowledging the triggering emotions and the contextual situations that characterize the aggressive act — especially focusing on partner violence. Finally, we argue that shame and shame-regulation should serve as useful points of intervention for reducing violent behavior and its underlying pathology, highlighting implications for both clinical and research purposes.     

Preschoolers Use Trait-Relevant Information to Evaluate the Appropriateness of an Aggressive Response

The tendency for 3- to 5-year-old children to use trait-relevant information about other people when evaluating aggressive responses to ambiguous behavior was examined across two studies (N = 81). Children were more likely to endorse the use of aggression against a "mean" versus a "nice" story character. Additionally, they were more likely to endorse the use of aggression against a story character who feels happy rather than sad when bad things happen to other kids. These findings suggest that, as early as preschool, trait-relevant information about other people can serve as a tool with which children evaluate the appropriateness of aggression in response to ambiguous behavior. Moreover, these findings provide evidence that even before the onset of formal schooling, trait and mental state information can influence social judgments.     

儿童期逆境与基因对男性服刑人员攻击性的影响

暴力再犯危险性评估是当今再犯危险性评估工作中的重点, 其中, 攻击性是服刑人员暴力再犯行为稳定的个体因素。对攻击性进行研究, 有助于预防和降低服刑人员在假释或出狱后的暴力再犯行为风险, 关系社会的长治久安。研究表明, 遭受儿童期逆境和携带易感基因(如MAOA-uVNTR低活性等位基因)是导致攻击行为的重要因素。但在现有的研究中, 儿童期逆境的计分方式局限于简单的线性加总, 或所依据的统计模型忽略逆境各维度之间的交互作用和非线性关系; 在服刑人员攻击性的评估中未考虑攻击性的亚类, 而且多使用自报告的量表测评, 这些问题制约了评估的有效预测力。本研究拟通过建立潜在类别模型, 分析男性服刑人员和普通成年人群在儿童期逆境上的亚类; 以实验与问卷测量结果、司法行为记录作为攻击性指标, 揭示儿童期逆境如何影响个体的主动性攻击、反应性攻击及暴力犯罪行为, 重点探讨儿童期逆境潜在类别对主动性攻击和反应性攻击的影响, 以及MAOA-uVNTR、COMT Val158Met、5-HTTLPR基因多态性在其中的调节作用。研究结果有助于找出高攻击性个体的生物遗传指标, 从而发现受儿童期逆境经历影响的易感人群, 为暴力行为的风险预测以及针对暴力攻击行为的行为矫正和相关药物设计提供理论和实证参考, 提高相关工作的效率。     

A longitudinal study of relational aggression, physical aggression, and children's social-psychological adjustment

Although great strides have recently been made in our understanding of relational aggression and its consequences, one significant limitation has been the lack of prospective studies. The present research addressed this issue by identifying and assessing groups of relationally aggressive, physically aggressive, relationally plus physically aggressive (co-morbid), and nonaggressive children during their third grade year in elementary school and then reassessing them a year later, during fourth-grade (N = 224, 113 girls). Two aspects of social-psychological adjustment were assessed during both assessment periods including internalizing difficulties (i.e., withdrawal, depression/anxiety, and somatic complaints) and externalizing problems (i.e., aggressive behavior, delinquency). It was revealed that the strongest predictor of future social-psychological adjustment problems and increases in these problems from third to fourth was the combination of relational and physical aggression. Relational aggression also contributed unique information, relative to physical aggression, in the prediction of future maladjustment. Implications of these findings for future research and prevention efforts, particularly for aggressive girls, are discussed.     

Proactive and reactive aggression in early adolescence as precursors to anti- and prosocial behavior in young adults

Three groups of adolescents who were 14 years old in 1974 were formed on the basis of peer nominations and teacher ratings in an ongoing longitudinal study: 1) reactively aggressive (REA) individuals who displayed reactive, that is, self-defensive aggression but not proactive aggression (43 boys, 35 girls); 2) proactively aggressive (PROA) individuals who attacked another person without a reason (56 boys, 35 girls); and 3) nonaggressive (NONA) individuals who were low in proactive and reactive aggression (48 boys, 45 girls). The groups were compared at ages 8, 14, and 27 in variables representing the constructs of a two-dimensional model of emotional and behavioral regulation. The REA Ss were characterized by higher self-control, especially constructiveness, at each age and better adult adjustment than the PROA Ss. The PROA males were prone to externalizing problems and criminality in adulthood, whereas the PROA females were prone to internalizing problems and neuroticism in adulthood. Both exhibited conduct problems in adolescence, and became heavy users of alcohol in adulthood. The PROA Ss had more children at age 27 than the other Ss. © 1996 Wiley-Liss, Inc.     

Characterizing aggressive behavior

In the research literature, aggressive behavior has traditionally been classified into two distinct subtypes, impulsive or premeditated. Impulsive aggression is defined as a hair-trigger aggressive response to provocation with loss of behavioral control. Premeditated aggression is defined as a planned or conscious aggressive act, not spontaneous or related to an agitated state. The present study outlines the development of a clinically useful self-report instrument, the Impulsive/Premeditated Aggression Scales (IPAS), designed to characterize aggressive behavior as predominately impulsive or predominately premeditated in nature. The IPAS showed strong reliability and validity. Analysis of the IPASscores demonstrated thepresence of two types of aggressive behavior, impulsive and premeditated, in men referred for anger problems. The aggression of most individuals in the present sample was characterized as predominately impulsive in nature (90%).     

Direct and vicarious censure in the control of interracial aggression1

An experiment explored the relative effectiveness of two strategies for controlling interracial aggression: observing other individuals censured for aggression and potential direct censure of the aggressor himself. Subjects were provided with an opportunity to aggress under conditions designed to maximize or reduce each type of censure. A principal components analysis of the data revealed two orthogonal variates: direct aggression and indirect aggression. It was found that both observed censure and potential direct censure were effective in modifying directly aggressive responses. However, these forms of censure interacted in their effect on indirect aggression, such that observed censure was effective in reducing indirect aggression only under conditions of potential direct censure.     

Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review

The number of acceptance- and mindfulness-based interventions for chronic pain, such as acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT), increased in recent years. Therefore an update is warranted of our former systematic review and meta-analysis of studies that reported effects on the mental and physical health of chronic pain patients. Pubmed, EMBASE, PsycInfo and Cochrane were searched for eligible studies. Current meta-analysis only included randomized controlled trials (RCTs). Studies were rated for quality. Mean quality did not improve in recent years. Pooled standardized mean differences using the random-effect model were calculated to represent the average intervention effect and, to perform subgroup analyses. Outcome measures were pain intensity, depression, anxiety, pain interference, disability and quality of life. Included were twenty-five RCTs totaling 1285 patients with chronic pain, in which we compared acceptance- and mindfulness-based interventions to the waitlist, (medical) treatment-as-usual, and education or support control groups. Effect sizes ranged from small (on all outcome measures except anxiety and pain interference) to moderate (on anxiety and pain interference) at post-treatment and from small (on pain intensity and disability) to large (on pain interference) at follow-up. ACT showed significantly higher effects on depression and anxiety than MBSR and MBCT. Studies’ quality, attrition rate, type of pain and control group, did not moderate the effects of acceptance- and mindfulness-based interventions. Current acceptance- and mindfulness-based interventions, while not superior to traditional cognitive behavioral treatments, can be good alternatives.     

Emotion regulation and aggression

This review considers the impact of deliberate emotion regulation on aggression, by integrating findings from recent emotion regulation research with a contemporary model of aggressive behavior, the General Aggression Model. First, it considers how individuals who under-regulate anger and other emotions may be more likely to behave aggressively in an attempt to repair, terminate, or avoid uncomfortable emotional states. Second, it explores how over-regulation of emotion may lead to aggressive behavior by increasing negative affect, reducing inhibitions against aggression, compromising decision making processes, diminishing social networks, increasing physiological arousal and hindering the resolution of difficult situations. Finally, it reviews three skills thought to underlie deliberate emotion regulation: emotional awareness, emotional acceptance and proficiency in a variety of emotion regulation strategies. Treatment encompassing all of these skills may improve an individual's ability to regulate difficult emotion states more adaptively and thereby lessen aggressive behavior.     

Low self-esteem is related to aggression, antisocial behavior, and delinquency

The present research explored the controversial link between global self-esteem and externalizing problems such as aggression, antisocial behavior, and delinquency. In three studies, we found a robust relation between low self-esteem and externalizing problems. This relation held for measures of self-esteem and externalizing problems based on self-report, teachers' ratings, and parents' ratings, and for participants from different nationalities (United States and New Zealand) and age groups (adolescents and college students). Moreover, this relation held both cross-sectionally and longitudinally and after controlling for potential confounding variables such as supportive parenting, parent-child and peer relationships, achievement-test scores, socioeconomic status, and IQ. In addition, the effect of self-esteem on aggression was independent of narcissism, an important finding given recent claims that individuals who are narcissistic, not low in self-esteem, are aggressive. Discussion focuses on clarifying the relations among self-esteem, narcissism, and externalizing problems.     

When a grandiose self-image is threatened: narcissism and self-concept clarity as predictors of negative emotions and aggression following ego-threat

Two studies examined the relation between narcissism, self-concept clarity, negative emotions, and aggression based on theoretical assumptions proposed by Baumeister, Smart, and Boden (1996). Narcissism and self-concept clarity were examined as predictors for anger, depression, and verbal aggression following ego-threat, which was operationalized by a bogus performance feedback on an intelligence test. The second study also examined the mediating effects of participants' negative emotions to provide an additional explanation for the aggressive reactions after failure. As expected, narcissism and self-concept clarity were significant predictors of negative emotions and aggression after failure. In accordance with our hypothesis, high narcissists with low self-concept clarity reacted with anger and aggression after failure, whereas less narcissistic individuals with high self-concept clarity showed feelings of depression and no aggression. The results also indicated that aggression was always directed toward the source of the ego-threatening feedback. Additionally, anger and depression could predict the aggressive response after failure but they did not mediate the relation between narcissism, self-concept clarity, performance feedback, and aggression.     

Examining views of self in relation to views of others: Implications for research on aggression and self-esteem

The traditional view holds that aggressive individuals have unfavorable views of self (i.e., low self-esteem), but recent studies indicate that the opposite might be true (Baumeister, Smart, & Boden, 1996). This debate may be informed by considering how individuals view others. Following relational schema theory (Baldwin, 1992), which suggests that the combination of self and other views is particularly important in predicting behavior in social situations, we examined self- and other-esteem, view of self in relation to views of others, and different forms of aggression among 125 young adults. Views of both self and others were associated with covert aggression (anger and hostility), whereas only views of others were correlated with overt aggression (physical and verbal). We also explored the discrepancy between views of self and other and found participants with more favorable views of self than others, and those who had equally unfavorable views of both self and others to be most aggressive. Findings suggest that views of both self and other and the relation among these views should be considered in future research on aggression.     

Reciprocal influences between maternal discipline techniques and aggression in children and adolescents

Most studies assessing the link between parental discipline and child aggression have focused primarily on discipline as a cause and aggression as an outcome. In addition to the pathway from discipline to aggression, however, aggressive behavior on the part of the child may lead to future use of discipline by the parent. In this study, structural equation modeling was used to assess reciprocal influences over time between a mothers' use of discipline and aggression in children. Data were drawn from the Springfield Child Development Project, a longitudinal study of middle childhood and adolescence, focusing on antecedents of aggression. The original sample consisted of 440 mother-child dyads living in the city of Springfield, MA. Children in the sample were between 7 and 14 years of age at the first data collection period and between 12 and 19 years of age at the final data collection period. Four hypotheses were tested: (1) a mother's use of aggressive discipline predicts an increase in later child aggression, (2) child aggression predicts an increase in later use of aggressive discipline, (3) the use of reasoning predicts a decrease in later child aggression, and (4) child aggression predicts an increase in later use of reasoning. All hypotheses except number 3 were supported to some degree. Results suggest that children's early aggressive behavior leads to an increase in their mothers' use of both reasoning and aggressive discipline; in turn, increased use of aggressive discipline leads to an increase in aggression during both childhood and adolescence.