Training mildly retarded individuals to control their anger through the use of cognitive-behavior therapy techniques

Four mildly retarded adults with chronic anger problems were treated with a cognitive-behavioral approach similar to stress-inoculation training. The treatment techniques included a simplified version of rational-emotive therapy (RET), coping self-statements, relaxation training, biofeedback, coping imagery, behavioral rehearsal, and assertiveness training. The treatment techniques varied in each case so as to meet the needs of the individual clients. The emphasis was on the development of self-control as opposed to control through external contingencies, such as rewards and punishments. There were decreases in the frequency of anger outbursts in all four clients. Violent behavior, such as hitting and kicking others, and destruction of property, was totally eliminated. In addition, the clients reported decreases in anxiety and stress-related symptoms. Although experimental research is needed in this area, these preliminary findings suggest that at least some mildly retarded individuals can be taught self-control through a cognitive-behavioral approach.     

Self-defining memories in complicated grief

There is increasing attention to the mechanisms underpinning maladaptive responses to bereavement. This study indexed self-defining memories in bereaved individuals with and without complicated grief (CG). Participants with and without complicated grief (N = 40) were asked to describe three self-defining memories. Results showed that CG participants provided more self-defining memories involving the deceased. Both groups were equally likely to report their loved one's death as a self-defining moment, however, the no-CG group showed more evidence of benefit finding in their memory narratives and experienced less negative emotion on recall. The findings suggest that CG is associated with distinctive patterns of autobiographical memory that are linked to self-identity. The pattern is consistent with self-memory system models of autobiographical remembering, and suggests that grieving individuals who experience ongoing yearning for their loved one view their self-identity as more closely linked to the deceased are more distressed by memories involving the loss.     

Characteristics of autobiographical memories and prospective imagery across a spectrum of hypomanic personality traits

Evidence of a strong causal relationship between mental imagery and emotion has informed psychological conceptualisations of disordered positive mood states (i.e., mania). Holmes et al.'s cognitive model of bipolar disorder asserts a prominent role for intrusive and affect-laden positive imagery of the past and the future in the amplification and maintenance of positive mood and associated manic behaviours. The aims of the current study were two-fold: (1) to test aspects of this model in a non-clinical population sampled for hypomanic personality traits and (2) to examine the phenomenological characteristics of positive autobiographical memories and imagery of the future. Undergraduate students (N = 80) completed a battery of self-report questionnaires and rated their positive and negative memories and images of the future on a number of dimensions. We found significant positive correlations between hypomanic tendencies and the (1) everyday experience and use of mental imagery, (2) experience of intrusive mental imagery of future events, (3) emotional intensity and sensory detail of positive but not negative autobiographical memories. Results are discussed in the context of their theoretical and clinical implications, and directions for future research are considered.     

Using the Past to Enhance the Present: Boosting Happiness Through Positive Reminiscence

Two studies explored relations between positive reminiscing and emotional experience – a survey of naturally occurring reminiscence (Study 1) and a field experiment testing the affective consequences of two styles of reminiscing (Study 2). In Study 1, frequency of positive reminiscing predicted perceived ability to enjoy life, and students who reminisced using cognitive imagery reported a greater ability to savor positive events than those who reminisced using memorabilia. In Study 2, students were randomly assigned either to reminisce about pleasant memories using cognitive imagery, reminisce about pleasant memories using memorabilia, or think about current concerns (control condition) for 10 min twice daily for a week. Both reminiscence groups reported greater increases in the percent of time they felt happy over the past week than the control group; and happiness increased more in the cognitive imagery group than in the memorabilia group.     

Phenomenal characteristics of guided imagery,natural imagery,and autobiographical memories

Research indicates that guided imagery experiences can be mistaken for actual experiences under some circumstances. One explanation for such effects is that memory representations of guided imagery and actual events contain similar phenomenal characteristics such as sensory and contextual details, making the source of the events less distinguishable. This study examined this prediction, comparing memory characteristic ratings for guided imagery experiences with those for memories of perceived and natural imagery events (e.g., fantasies). Results replicated previous findings for the difference between perceived and natural imagery memories. Guided imagery ratings were also lower than those for perceived memories for most sensory details (sound, smell, and taste) and temporal details. However, guided imagery ratings for reflective details were lower than both perceived and natural imagery memory ratings. Thus, guided imagery was similar to natural imagery with respect to sensory details, but similar to perceived memories with respect to reflective details.     

The PETTLEP Approach to Motor Imagery: A Functional Equivalence Model for Sport Psychologists

Abstract

This paper supports the contention that the brain stores memories in the form of a central representation that is accessed by both physical preparation and execution and, more importantly, by motor imagery associated with this preparation and execution. Considerable evidence in support of shared central and vegetative structures suggests that sport psychologists should consider more closely aspects of the performer's responses to the physical skill when providing imagery interventions and not rely on “traditional,” more clinically orientated, methods of delivery. Many texts provide a schedule of factors and techniques for psychologists, athletes, and coaches to consider but with a limited theoretical explanation of why these factors are the crucial concerns. We, therefore, propose an evidence-based, 7-point checklist that includes: physical, environmental, task, timing, learning, emotional, and perspective elements of imagery delivery highlighting the minimum requirement areas in which sport psychologists should monitor the equivalence to the physical task in order to enhance the efficacy of their practice.     

Correlates and phenomenology of first and third person memories

Worry as a trait is an individual's general tendency to become worried, which in severe cases is associated with the diagnosis Generalised Anxiety Disorder. Mental time travel (MTT) is the ability to mentally project oneself into one's personal past or future, in terms of memories of personal past events or projections of possible events in the personal future. MTT can be voluntarily initiated or occur involuntarily. The current exploratory study investigated involuntary and voluntary MTT in the context of trait worry, thereby bringing together research on worry and MTT. High (N=20) and low (N=16) worriers recorded involuntary and voluntary autobiographical memories and future projections using a structured diary method. We predicted that MTT in high worriers would show signs of cognitive avoidance, such as reduced emotional intensity, more observer perspective, less visual imagery, or coming up with overgeneral or less self-relevant events. We found only partial support for our hypotheses in that high worriers rated personal memories and future projections lower on measures of self-relevance than did low worriers.     

Group therapy for bulimia: Clinical experience and practical recommendations

The authors identify and describe three major types of group therapy for patients with bulimia. Psychodynamic treatment, cognitive-behavioral treatment, and self-help group treatment are techniques with different theoretical bases. Implications for group membership, time frame, leadership, contract, content, and goals are discussed for each type of group treatment. Outcome studies are reviewed, and recommendations are offered for a rational approach to the group treatment of patients with bulimia.Supported in part by a grant from the Gen-Rad Foundation.     

Phenomenal characteristics of co‐created guided imagery and autobiographical memories

Concern has recently been raised about the potential for guided images to be mistaken for memories of actual events. According to the reality‐monitoring framework, such misattributions can occur due to the similarity of sensory and reflective memory characteristics acquired at encoding, or due to source judgement processes at retrieval. A study was conducted to examine the similarity of guided images and perceived memories at imagery encoding, and after a short delay. Participants rated the characteristics of an actual event, a natural imagery event (e.g. a fantasy), and a guided imagery experience, immediately and after a one‐week interval. For each condition, participants discussed their memory or guided imagery experience with the researcher as they reviewed or created it. Ratings indicated that guided imagery was similar to perceived memory with respect to sensory characteristics. However, the factors associated with supporting memories (contextual and temporal detail, setting familiarity, and recollection of surrounding events) were less vivid for guided imagery than for perceived events. In all cases, these patterns were stable over time. Copyright © 2003 John Wiley & Sons, Ltd.     

Cognitive-Behavioral Treatment of Panic Disorder: Confronting Situational Precipitants

Panic Disorder is a common, debilitating psychological problem which is often effectively treated through cognitive behavioral approaches. Cognitive-behavioral treatment incorporates education, relaxation training, cognitive therapy, behavioral exposure, and relapse prevention treatment strategies. A case illustration demonstrates how cognitive-behavioral treatment facilitated a client's ability to identify and confront situational precipitants to panic in a gradual and systematic manner. A therapeutic and collaborative relationship provided the foundation for treatment, while education helped the client to understand the vicious cycle between somatic symptoms, catastrophic thoughts, and anxiety. Passive relaxation training incorporated deep breathing, muscle relaxation, and positive imagery generated from the client's own experience. Cognitive restructuring involved identifying automatic thoughts related to panic, challenging dysfunctional beliefs associated with the client's depression and low self-esteem, and generating alternative ways of thinking. Behavioral exposure (e.g., imaginal exposure, behavioral rehearsal, in vivo techniques) helped the client gain a greater sense of mastery over panic attacks triggered by his fear of hypodermic needles. Over the course of treatment, the frequency and intensity of the client's panic attacks decreased. Furthermore, the client's sense of mastery over panic had beneficial effects on his mood and self-esteem. Treatment gains were maintained at one-year follow-up.     

The effect of repeated imagery on memory

Imagery is a powerful psychotherapeutic technique, but one that is potentially risky as individuals can mistake an imagined experience for an autobiographical one. Two experiments examined whether repeatedly imagining the same scenario influences the likelihood of such errors. Repetition increased the similarity between phenomenological ratings of imagery and autobiographical memory: After three repetitions, imagery ratings were equal to those for memories. However, repetition also increased recognition and source accuracy for both autobiographical memories and imagery, indicating that repetition may have contrasting effects when one is using heuristic versus systematic source monitoring processes. These results suggest that psychotherapists should not repeat imagery scenarios for legally‐relevant issues, unless systematic source judgment processes can be assured, to protect clients from potential memory errors associated with therapeutic imagery. Copyright © 2005 John Wiley & Sons, Ltd.     

Vivid memories of distant trauma: Examining the characteristics of trauma memories and the relationship with the centrality of event and posttraumatic stress 26 years after trauma

In the present study, we investigated the phenomenological characteristics of distant trauma memories and the relationship between the vividness of trauma memories, the centrality of event and symptoms of posttraumatic stress in two groups with different types of trauma exposure, namely survivors and bereaved, from the fire on the passenger ferry, Scandinavian Star, 26 years earlier. More than two decades after the fire, the traumatic event was represented as a vivid, emotional recollection for many of the victims. For both the survivors and the bereaved, a higher degree of vividness of trauma memories and centrality of the event were associated with higher levels of posttraumatic stress. The present findings show that even very distant trauma memories can be represented as vivid recollections. Furthermore, the findings suggest that both vividness of trauma memories and event centrality may contribute to explain how posttraumatic stress reactions can remain present over a very long time.     

A longitudinal investigation of the reliability of memories for trauma and other emotional experiences

This study examined the relative consistency and characteristics of memories for trauma and other non‐traumatic emotional experiences over time. A community sample of 52 participants who reported a recent traumatic event were asked to recall both the traumatic and a positive emotional experience in two interviews separated by approximately three months (M = 105.39 days). The recollections were elicited with either a free narrative, cognitive interview, guided imagery, or written narrative approach. Results indicated that traumatic experiences were recalled more reliably over time than other emotional experiences. Traumatic memory imagery tended to persist in memory (with no apparent impairment), whereas features of positive memories were subject to considerable distortion, regardless of interview style. The findings contribute to the understanding of the impact of trauma on memory with the passage of time. Copyright © 2004 John Wiley & Sons, Ltd.     

SCREEN MEMORIES: A NEGLECTED FREUDIAN DISCOVERY?

In 1899, Freud introduced the concept of screen memories. His insights were revolutionary: screen memories do not emerge into consciousness at the time of recall, he argued; they are formed at that time and, moreover, historical accuracy is not their prime concern. In this article, the author reviews two of Freud's screen memories, as well as two screen memories from a completed analysis of one of his own patients. He argues that, if screen memories are formed, a concept such as screen work must be invoked as the agent of their formation. While screen memories may theoretically be formed at any stage of life, adolescence may be a prime time for their formation.     

Psychopathology Symptoms,Rumination and Autobiographical Memory Specificity: Do Associations Hold After Bereavement?

Symptoms of psychopathology are associated with overgeneral memory retrieval. Overgeneral memory is hypothesized to be the result of an emotion regulatory process, dampening emotional reactions associated with retrieval of distressing specific memories. However, higher post‐loss symptom severity has been related to higher specificity of loss‐related memories recalled on the Autobiographical Memory Test. This may imply that such memories are ‘immune’ to the reduced specificity effect. We aimed to test this idea by investigating, for the first time, associations of depressive and complicated grief symptoms and depressive and grief rumination with autobiographical memory specificity on a sentence‐completion task (SCEPT) in a bereaved sample. One hundred ninety‐one adult mourners (89% women) filled out questionnaires and the SCEPT. A main finding was that higher depressive and complicated grief symptom and grief rumination levels were associated with reduced specificity of non‐loss‐related memories but not with specificity of loss‐related memories. Implications of these results are discussed. Copyright © 2015 John Wiley & Sons, Ltd.