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.     

A Sequential Analysis of Clinician Skills and Client Change Statements in a Brief Motivational Intervention for Young Adult Heavy Drinking

This study examined sequential relationships between clinician skills and client statements about behavior change in a randomized clinical trial comparing a brief motivational intervention (BMI) to a relaxation training control condition (REL) in a sample of heavy drinking young adults. Clinician and client interactions (N = 167) were assessed according to two established observational rating systems. Sequential analyses examined the transitional associations between clinicians’ use of MI-eliciting skills (i.e., questions and reflections), MI-supportive skills (e.g., affirmations, emphasize client autonomy, statements of support), MI-inconsistent skills (e.g., confrontations, unsolicited advice), and subsequent client statements about behavior change (i.e., change talk or sustain talk). In both conditions, clinicians’ use of MI-elicitation skills operated in a manner that was largely consistent (100% in BMI; 84% in REL) with the directional relationships proposed by MI theory (i.e., The Technical Hypothesis). More detailed analyses of the BMI condition showed clinician skills were related to statements about behavior change somewhat differently in drinking compared to coping discussions. While elicitations of change talk were associated with increased odds of their intended response (i.e., distal drinking and proximal coping change talk), elicitations of proximal coping sustain talk were associated with higher odds of proximal change talk. MI-supportive skills were also associated with increased odds of proximal change talk, and instances of proximal sustain talk were rare in the sample. This fine-grained analysis presents sequential transitions to client change and sustain talk with greater classification specificity than has been previously reported. Such efforts have the potential to advance our understanding of the function of MI skills in promoting client discussions about drinking (i.e., evoking) and coping (i.e., planning) behavior change.     

Interpersonal Perceptions and Metaperceptions in Dialogic Action Therapy: A Relational Methodological Approach to Theory Construction

Abstract

Two forms of understanding in theories of therapy are identified: empathic understanding rooted in individualism, and reality-based understanding that acknowledges the relational character of human existence. We argue for regarding these two forms of understanding as complementary. This requires a paradigmatic shift from methodological individualism to methodological relationalism, which asserts that the analysis of role relationships precedes that of individuals and situations. Informed by methodological relationalism, dialogic action therapy accords prominence to the creation of a therapeutic relationship between therapist and client, between whom bidirectionality of perceptions is inherent. We develop a formal analytic scheme for theory building. Six major constructs, degrees of perception, directionality, agreement, reciprocity, accuracy, and congruence, are employed to facilitate the analysis of therapist and client perceptions and metaperceptions of trust in depth. The implications for therapy and methodology of measurement are discussed.     

Trusting Relationships and the Ethics of Interpersonal Action

Abstract

Trust has generally been understood as an intentional mental phenomenon that one party (the truster) has towards another party (the trusted) with respect to some object of value for the truster. In the landmark work of Annette Baier, this trust is described as a three-place predicate: A entrusts B with the care of C, such that B has discretionary powers in caring for C. In this paper we propose that, within the context of thick interpersonal relationships, trust manifests in a different way: as a property of the relationship itself. We argue that this conceptualization has important implications for the debate over the ethics of interpersonal interventions. In particular, when trust is understood in this way, actions that would otherwise be deemed morally troubling may be permissible, or even morally desirable, on account of their role in strengthening trusting relationships.     

Preparation,Action, Recovery: A Conceptual Framework for Counselor Preparation and Response in Client Crises

Despite increasing requirements for counselor proficiency in crisis response, there is an absence in the standards for counselor preparation, certification, and supervision of consistent criteria on which best practice in crisis prevention and intervention, and postcrisis recovery can be gauged. The authors present a conceptual framework that defines the actions required at the different phases of a client crisis and identifies potential constraints to effective counselor action that must be acknowledged and overcome at each phase.     

Conflict Behavior in Clinical Couples: Interpersonal Perceptions and Stable Outcomes

The purpose of the present study was to examine the relation between a couple's perceptions of each other while engaged in a conflict situation, and their management of the conflict itself. One-hundred-eighty couples undergoing family therapy interacted in a mixed-motive game that served as the standard conflict situation. Each couple's interactions were classified into one of four categories, depending upon how they managed this conflict. The interpersonal perceptions of each group were then examined, and several differences were found. Couples who resolved the conflict in a cooperative manner perceived each other as cooperative and themselves expressed more appeasing intentions than any other group. Couples who managed the conflict in a mutually destructive manner perceived each other as competitive and themselves expressed the highest level of exploitative and defensive intentions. Couples who developed either a dominant-submissive relationship, or those who waivered between cooperating and competing and failed to attain any stable solution to the conflict, also differed from each of the other groups.     

Effortful Control and Interpersonal Behavior in Daily Life

The Cognitive-Affective Processing System (CAPS) was used to examine effortful control (EC) as a moderator of daily interpersonal behavior. Participants (N = 240) were nonclinical young adults who completed a 7-day event-contingent experience sampling study of interpersonal perception and affect. Multilevel linear models indicated that EC moderated within-person covariation of interpersonal warmth and affect activation; high EC individuals reported greater momentary warm behaviors when perceiving others as affectively activated. EC also amplified between-person covariation of interpersonal warmth between self and others; high EC individuals generally responded to perceptions of another's warmth with a greater degree of warm behavior. Varying levels of EC predict responses to interpersonal perceptions and affect in daily life, suggesting an important dimension for interpersonal functioning.     

Pragma-dialectical Theory and Interpersonal Interaction Outcomes: Unproductive Interpersonal Behavior as Violations of Rules for Critical Discussion

The purpose of this research review is to examine the usefulness of reconstructing problematic interpersonal conflict behavior as violations of rules for critical discussions. Dialectical reconstruction of interpersonal conflict behavior sheds light on the ways in which dialectical fallacies influence not only the course of a critical discussion, but also the personal and relationship outcomes experienced by arguers. Conflict sequences such as cross complaining and demand/withdraw are shown to be problematic, in part, because they prevent parties from resolving their difference through rational dialogue. The paper concludes by presenting some implications of the pragma-dialectical reconstruction of interpersonal conflict behavior.     

Relationships Among Affect in Play,Interpersonal Themes in Fantasy,and Children's Interpersonal Behavior

Relationships among children's affective expression in fantasy play, interpersonal themes in projective stories, and concurrent interpersonal behaviors were investigated in 49 children. Participants completed a play task, a projective storytelling task, and a brief IQ measure. Peer and teacher ratings provided measures of interpersonal functioning. Results found that access to and comfort with affect is related to the ability to think in interpersonal ways. Neither affective expression in play nor interpersonal themes in projective stories were related to actual interpersonal behavior.     

Only Children and Interpersonal Behavior: An Experimental and Survey Study

A study was conducted to investigate the validity of many of the stereotypes about only children. A sample of 77 undergraduates (30 only, 30 first, and 17 last born) underwent a two-play Prisoner's Dilemma Game, the NASA exercise, and completed a questionnaire. Results indicated that only children were more likely to make cooperative response moves in the Prisoner's Dilemma Game and deviated more from the group decision in the NASA exercise than nononlies. Only children reported having fewer friends and joining fewer clubs than nononlies, but reported comparable numbers of close friends and took a comparable number of leadership positions in the clubs they joined. Results are discussed in terms of effects of siblings on development of interpersonal behavior.     

Accuracy in Interpersonal Expectations: A Reflection-Construction Analysis of Current and Classic Research

ABSTRACT Research and theory on interpersonal expectations have been dominated by a strong social constructivist perspective arguing that expectancies are often inaccurate and a major force in the creation of social reality. The reflection-construction model is an attempt to examine these strong claims conceptually and empirically. This model assumes that social perception includes both constructivist phenomena and accuracy. When this model is used as a framework for interpreting research on teacher expectations and on the role of stereotypes in person perception, it shows that interpersonal expectancies are often accurate, and usually lead only to relatively small biases and self-fulfilling prophecies. The model also is used to interpret research on expectancies that has provided some of the foundations for the strong constructivist perspective. This reflection-construction analysis shows that even those studies strongly suggest that people's expectations generally will be highly accurate.     

A Longitudinal Analysis of Family Empowerment and Client Outcomes

We examined the relationship between family empowerment, parent satisfaction, and mental health outcome across time. Based on the Vanderbilt Family Empowerment Project Model, increased empowerment should lead to positive changes in client outcomes. Data consisted of the Family Empowerment Scale (FES), which was used to assess the caregiver's perception of empowerment, Child and Adolescent Functional Assessment Scale (CAFAS), which measures the degree of disruption in the youth's current functioning, Client Satisfaction Questionnaire (CSQ), and demographic information gathered from families receiving services from a county mental health service system at intake and discharge. The results showed that the CAFAS and CSQ were related to empowerment at intake and discharge. Results also indicated significant increases in the knowledge subscale of the FES and the CAFAS and moderate increases in the advocacy subscale of the FES and the CSQ. We discuss the implications of these findings for systems of care, such as stronger parent-professional relationships.     

Reactions to Physical Contact Among Coaches and Players: The Influence of Coach Sex, Player Sex, and Attitudes Toward Women

The purpose of the current study was to examine factors that impact people's reactions to physical contact by an athletics coach toward a player. Participants (82 undergraduate students in the U.S.) took part in a 2 (coach sex) × 2 (player sex) experiment aimed at assessing their perceived appropriateness of the coach striking the player and their preferred consequences for that action. Hierarchical regression analysis provided support for a coach sex × player sex × participant attitudes toward women interaction in predicting the perceived appropriateness of the physical contact. Multinomial logistic regression then indicated that perceived appropriateness was inversely related to the severity of the preferred consequences for the coach. Results are discussed in terms of theoretical and practical implications.     

Attitudes, Intentions, and Behavior: A Study of Women's Participation in Collective Action

The present study tests the theories of reasoned action and planned behavior in the context of women's participation in collective action. Participants were 387 women who completed two questionnaires with an interval of 1 year. In the first questionnaire, participants were asked to provide measures of attitudinal, normative, and control factors, as well as measures of intention to participate in 4 group-related activities over the coming year. One year later in the second questionnaire, the same women provided measures of the degree to which they had actually participated in these behaviors during the course of the year. Findings showed strong relationships between attitudinal factors and intentions, and between intentions and behavior. The addition of perceived behavioral control, as specified by the theory of planned behavior, made little difference in regression analyses. Further analyses focused on the mediating role of identification as an activist. This revealed that attitudinal considerations were only important in the prediction of intention for those individuals with a weaker sense of themselves as activists. It is suggested that expectancy-value calculations may be less important in predicting the intentions of strongly committed individuals to engage in group-relevant acts.     

Dynamic Stability of Behavior: The Rhythms of Our Interpersonal Lives

The authors examined whether variations in day-to-day estimates of personality characteristics, which are often treated as error, are instead predictable and meaningful. Using event-sampling and spectral analysis, they found that variations in interpersonal behavior over weekly periods were cyclic and normative. Dominant, submissive, agreeable, and quarrelsome behaviors rose during the week and fell on the weekend. The more general dimensions of agency and communion exhibited opposite patterns of cyclicity, with agency rising and communion falling during the week. Interpersonal traits were not useful in predicting behavior cyclicity. Extraverts exhibited a daily cycle, partially mediated by more varied partners and social behaviors during evenings. Findings are discussed with reference to conceptions of personality expression as dynamic yet stable processes.     

Intrapersonal Emotion Regulation Difficulties and Maladaptive Interpersonal Behavior in Adolescence

Research on Child and Adolescent Psychopathology - Although most research conceptualizes emotion regulation as an internal process (i.e., intrapersonal), emotions are frequently regulated in an...     

Coach Commitment and Burnout: A One-Year Follow-Up

This study is a one-year follow-up to Raedeke, Granzyk, and Warren's (2000) Raedeke, T. D., Granzyk, T. L. and Warren, A. 2000. Why coaches experience burnout: A commitment perspective. Journal of Sport and Exercise Psychology, 22: 85–105. [Web of Science ®] , [Google Scholar] study on coach burnout from a commitment perspective and was designed to examine whether changes in the theoretical determinants of commitment related to changes in the exhaustion dimension of burnout and commitment level. For this study, 141 swim coaches completed a mail survey two-times one year apart that assessed commitment determinants (i.e., satisfaction, benefits, costs, investments, alternative options, and social constraints), feelings of exhaustion, and commitment. Based on static scores, results revealed that a majority (64%) of coaches were assigned to the same commitment profile at Time 1 and Time 2. From a longitudinal perspective, cluster analysis revealed three coach profiles reflecting increasing attraction to coaching, increasing signs of entrapment, and decreasing coaching interest based on commitment model variables. Subsequent MANOVA results revealed a cluster by time interaction for both exhaustion and commitment. Coaches with characteristics suggesting increased entrapment showed the largest increase in exhaustion whereas those with decreased coaching interest had the lowest commitment.