Accentuating the positive: The gendered identities of male problem‐drinkers,and the questions these pose for the counselling profession

Background: Few published studies have addressed the male experience of alcohol dependency. Aim: This paper seeks to address this deficiency and to highlight aspects of the male experience relevant to the counselling and psychotherapy profession. Methods: Six men in recovery from alcohol dependency participated in semi‐structured interviews. Findings: A grounded theory analysis elicited five core categories, Beginning to Drink, Paying for Gain with Pain, Reaching Rock Bottom, Struggling to Recover and Leading a New Life. Despite the pain they had experienced, participants' narratives were matter‐of‐fact and goal‐oriented. Low self‐esteem was expressed indirectly. Conclusions: These findings are consistent with socialisation models of alcoholism. Counsellors, and the wider profession, must be alert for the male under‐reporting of emotional distress.     

BodiMojo: Effective Internet-based promotion of positive body image in adolescent girls

This study tested the efficacy of an Internet-based health promotion program, BodiMojo, designed to promote positive body image in adolescents. Participants were 178 students (mean age 15.2 years, 67.6% ethnic minority) in three public high schools. Intervention groups used BodiMojo for four weekly health class periods, while controls participated in their usual health curriculum. Body image measures were given at baseline, post-intervention, and 3 months. Girls reported decreased body dissatisfaction (p < .05), decreased physical appearance comparison (p < .05), and increased appearance satisfaction (p < .05), relative to controls. Effects were not maintained at 3-month follow-up. No significant differences were found between the intervention and control groups with boys. Moderation analyses suggested positive effects for diverse adolescents as well as those who were overweight or indicated baseline high body dissatisfaction. BodiMojo appears to be modestly effective in decreasing body image concerns among adolescent girls in the short term.     

The acute effects of nicotine on positive and negative affect in adolescent smokers

Although adolescent cigarette smoking remains a critical public health concern, little is known about the reinforcing mechanisms governing smoking in this vulnerable population. To assess predictions derived from both positive and negative reinforcement models of drug use, the authors measured the acute effects of nicotine, as administered via tobacco cigarettes, on both positive and negative affect in a group of 15- to 18-year-old smokers. A matched group of nonsmokers served as a comparison group. Findings revealed that whereas adolescents who smoked a cigarette experienced reductions in both positive and negative affect, the observed reductions in negative affect were moderated by nicotine content of the cigarette (high yield vs. denicotinized), level of nicotine dependence, level of baseline craving, and smoking expectancies pertinent to negative affect regulation. Nonsmokers experienced no change in affect over the 10-min assessment period, and no interaction effects were observed for positive affect. Overall, the findings conform to a negative reinforcement model of nicotine effects and strongly suggest that, even among young light smokers, nicotine dependence and resultant withdrawal symptomatology may serve as motivating factors governing smoking behavior.     

Effects of positive versus negative expressive writing exercises on adolescent academic achievement

A robust body of research has documented how expressive writing about difficult or traumatic experiences can be beneficial across a range of domains. Relatively little research, on the other hand, has documented the impact of expressive writing activities on positive events. In this randomized controlled trial, adolescents (N = 350) beginning ninth grade in three schools serving mostly low-income students of color participated in a 45-min writing workshop. They were prompted to write about either a negative or positive life event, then edit their writing to include themes thought to insulate them from the possible threats to identity that can come with the transition to high school. We find evidence that positive expressive writing activities are more academically beneficial than expressive writing about negative events. Compared with students who wrote about a failure and subsequent resilience, students who detailed how they attained an important success showed a more positive trajectory for absences (β = −.417; p = .008) and detentions (β = −.962; p = .034), and those who wrote about a generally happy life event showed a better trajectory for grade point average (β = .622; p = .043). Exploratory analyses also show that, regardless of condition, including themes of the “self as competent” and “savoring” good experiences was associated with improved academic outcomes. Including themes of “resilience” was not, across conditions, associated with improved outcomes unless students at the same time included “self as competent” themes.     

Self-Handicapping,Expected Evaluation,and Performance: Accentuating the Positive and Attenuating the Negative

Three studies investigated the influence of social- and self-evaluative motives on self-handicapping and performance. In each study, efficacy expectancies were manipulated by varying the difficulty of a preliminary task, and social- and self-evaluation were manipulated orthogonally. In Study 1, participants who self-handicapped performed better than those who did not when a positive or negative evaluation was expected, in some conditions. In Study 2, we used a situationally imposed handicap and found that both social- and self-evaluation participants showed improved performance in the presence of the handicap. In Study 3, when a positive or negative evaluation was expected, high self-handicappers performed better after choosing to self-handicap, for both social- and self-evaluative motives. Little evidence of self-handicapping or effects on subsequent performance was found for low self-handicappers. No evidence was found for self-handicapping among participants who could not be evaluated. Discussion centers around motives to self-handicap and implications for subsequent performance.     

Perceived positive outcomes as a mediator between adolescent callous-unemotional traits and antisocial behavior

This study investigated perceived positive outcomes as a mediator of the relation between callous-unemotional (CU) traits and antisocial behavior (i.e., delinquency, aggression) and the potential moderational influence of anxiety in that model. Participants were 149 adolescents, ages 16–19 years (124 males, 25 females) in a residential setting. Perceived positive outcomes for antisocial behavior mediated the relation between CU traits (callousness and uncaring) and such behaviors. Additionally, anxiety had a moderating effect on the relation between callousness and perception of positive outcomes, and the indirect effect of callousness on antisocial behavior was conditional based on varying levels of anxiety. These results suggest a potential mechanism through which CU traits are associated with adolescent behavioral problems.     

A family-focused randomized controlled trial to prevent adolescent alcohol and tobacco use: The moderating roles of positive parenting and adolescent gender

Four years of longitudinal data from 2,153 families with a 5th- or 6th-grade preadolescent participating in a family-focused pediatric primary-care-based prevention program were used to examine whether prevention effects were moderated by positive parenting and/or adolescent gender. Alcohol and tobacco use, internalizing problems, and externalizing problems were examined. Although findings revealed no main effect of the prevention program, positive parenting and adolescent gender were moderators of internalizing problems and adolescent gender was a moderator of externalizing problems. Clinical implications and future directions for research are discussed.     

Comparing adolescent positive affect and self-esteem as precursors to adult self-esteem and life satisfaction

Motivation and Emotion - Parents often hope for their children to be happy and to have high self-esteem, but little research has compared how these two constructs are related to long-term...     

Beyond positive or negative: variability in daily parent-adolescent interaction quality is associated with adolescent emotion dysregulation

Previous work on the contribution of family environments to adolescent emotion dysregulation has tended to focus on broad parenting characteristics (such as warmth); however, it is possible that day-to-day variability in parenting may also relate to emotion dysregulation. The current study sought to test whether inconsistency in the quality of daily parent-youth interactions related to multiple indices of emotion dysregulation in adolescents. Two-hundred-twenty-two adolescents (ages 13–16; 53% female) participated with one parent. Adolescents completed 14-days of diary reporting on the quality of interactions with their parent (negative/neutral/positive) and their emotion dysregulation experiences for each day. Analyses reveal that, beyond the effects of average interaction quality, adolescents with greater variability in the quality of their interactions with their parent reported greater average emotion dysregulation across the days of diary recording and demonstrated greater variability in their ratings of daily emotion dysregulation. Findings were not accounted for by parental warmth or hostility, parent-reported trait-level emotion regulation, or day-level associations between study variables. In these ways, greater variability – and not merely greater negativity – during interactions between parents and adolescents was related to adolescent emotion dysregulation, suggesting that consistency in parent–adolescent relationships may be an important dimension of psychosocial risk to consider within families.     

Negative and positive cognition in depressed and nondepressed chronic-pain patients

Several studies have suggested that depressed pain patients evidence more cognitive distortion than nondepressed pain patients and healthy controls. Although these studies have generally supported notions relating cognitive distortion to depressive functioning, other aspects of dysfunctional cognition have not been assessed in the chronic-pain population. The present study examined negative and positive automatic thoughts and attributional style in depressed pain patients, nondepressed pain patients, and healthy controls. Depressed chronic-pain patients were found to exhibit significantly more negative automatic thoughts than nondepressed pain patients and healthy controls. Conversely, nondepressed chronic-pain patients reported significantly more positive automatic thoughts than did depressed patients and healthy controls. No significant differences were found for attributional style. These results suggest that different cognitive-behavioral interventions might be considered for depressed compared to nondepressed chronic-pain patients.     

Family interaction and acting-out behavior of adolescent psychiatric patients

Although the literature has described how families reinforce and contribute to acting out by adolescents, this phenomena has not previously been studied within the psychiatric hospital. The present study systematically investigated whether family interaction influences the acting-out behavior of hospitalized adolescent psychiatric patients. Data was collected from the clinical charts of 94 adolescents, each hospitalized for over 30 days. The results supported the contention that families do contribute to acting out in the hospital. However, a majority of the acting out was not directly related to family contact. The research highlights how the hospital can serve to offset negative influences by engaging the family in treatment and by considering family contact during treatment planning.