(Inter)personal Computing: The Role of the Therapeutic Relationship in E-mental Health

E-mental health technologies are rapidly expanding the reach of psychological interventions around the globe. There is a growing evidence base supporting the potential benefits of these new technologies for psychological and behavioural health. Most of this evidence to date has focused on evaluating the feasibility and outcomes from such interventions, whilst limited research has begun to explore the change processes associated with their impact. In traditional psychological therapies the quality of common factors, including the therapeutic relationship, are widely held to be important for engagement and outcomes. E-mental health interventions present a challenge to the importance of these factors, as therapeutic interactions are typically remote, limited, or even absent in the case of fully automated e-mental health programmes. This paper explores the role of the therapeutic relationship in e-mental health. Where measured, it appears that the relationship is fairly robust to distance and limited contact, but may be less intimately associated with therapy outcomes than in traditional therapies. Where the intervention comprises little or no therapeutic contact, we explore how some of the variance in engagement and outcomes may still be accounted for by common and relational factors offered through a supportive frame or embedded within the technologies themselves. Implications for theory, research and practice are presented.     

Mentoring for Mental Health within a University: A psychodynamic approach

This paper explores the role of mentoring in a British University for students with mental health issues and is written from the perspective of the Mentor who is also a Psychodynamic Psychotherapist. Psychodynamic theory is applied to two case studies in order to understand the conscious and unconscious factors when considering these students’ particular learning difficulties and motivation for entering a learning environment. In the first case study, it is suggested that the student hopes to find his lost father within the containing bricks of the institution. When confronted with frustration and disappointment, he mobilises schizoid defences, precipitating a psychotic episode. The second case study formulates the student’s chronic procrastination, which verges on academic sabotage, as a defence against the unbearable guilt concerning his abilities and achievements in contrast with his unsuccessful and disabled siblings. The challenge of helping these students is explored, including the approaches taken by the Mentor, given her remit and the particular issues presented by the students.     

Question order bias in retrospective evaluations of item and associative recognition

Previous research has demonstrated a retrospective memory bias in metacognitive judgments regarding performance on general knowledge questions: Test-takers rate their own performance more optimistically when tests begin with easy questions than when tests begin with hard questions. An anchoring heuristic has been proposed to explain this finding, in which experience with the early questions constrains global performance evaluations of the test. In the current study we report on two experiments using tasks of item recognition and associative recognition to investigate the generality of question order bias. As predicted by an anchoring explanation, participants’ estimates of performance were higher for item recognition tests beginning with easy items. However, the effect was reversed in the associative recognition task: Participants’ estimates of performance were higher for tests beginning with hard items. Specific recollections, if present, may have a greater impact on test performance perception than more general global impressions.     

Does mentioning "some people" and "other people" in a survey question increase the accuracy of adolescents' self-reports?

A great deal of developmental research has relied on self-reports solicited using the "some/other" question format ("Some students think that… but other students think that…"). This article reports tests of the assumptions underlying its use: that it conveys to adolescents that socially undesirable attitudes, beliefs, or behaviors are not uncommon and legitimizes reporting them, yielding more valid self-reports than would be obtained by "direct" questions, which do not mention what other people think or do. A meta-analysis of 11 experiments embedded in four surveys of diverse samples of adolescents did not support the assumption that the some/other form increases validity. Although the some/other form led adolescents to think that undesirable attitudes, beliefs, or behaviors were more common and resulted in more reports of those attitudes and behaviors, answers to some/other questions were lower in criterion validity than were answers to direct questions. Because some/other questions take longer to ask and answer and require greater cognitive effort from participants (because they involve more words), and because they decrease measurement accuracy, the some/other question format seems best avoided.     

Adolescents' implicit theories predict desire for vengeance after peer conflicts: correlational and experimental evidence

Why do some adolescents respond to interpersonal conflicts vengefully, whereas others seek more positive solutions? Three studies investigated the role of implicit theories of personality in predicting violent or vengeful responses to peer conflicts among adolescents in Grades 9 and 10. They showed that a greater belief that traits are fixed (an entity theory) predicted a stronger desire for revenge after a variety of recalled peer conflicts (Study 1) and after a hypothetical conflict that specifically involved bullying (Study 2). Study 3 experimentally induced a belief in the potential for change (an incremental theory), which resulted in a reduced desire to seek revenge. This effect was mediated by changes in bad-person attributions about the perpetrators, feelings of shame and hatred, and the belief that vengeful ideation is an effective emotion-regulation strategy. Together, the findings illuminate the social-cognitive processes underlying reactions to conflict and suggest potential avenues for reducing violent retaliation in adolescents.     

Resisting Gendered Smoking Pressures: Critical Consciousness as a Correlate of Women's Smoking Status

Gender is one of the social structures, along with social class and ethnicity, that shapes women's smoking behaviors. We examined how different responses to gender pressures (internalization and resistance) relate to smoking. We analyzed data from a national random digit dial survey of 945 women and found that never smokers scored high on resistance to gender pressure (indicated by high scores on feminist consciousness) and on education and Body Mass Index; current smokers had the reverse pattern. Ex-smokers scored high on one measure of resistance (advertising skepticism) and on two measures of internalization (embodied femininity and weight concern); they were also likely to have high household income and to be European American. Results are discussed in terms of their implications for smoking cessation programs and antismoking campaigns.     

Paths to Late Midlife Well-Being for Women and Men: The Importance of Identity Development and Social Role Quality

Theories of adult development suggest that personality development and social role involvements are sources of adult well-being for both men and women. However, previous research on this topic has focused mainly on (a) women, and (b) early stages of adulthood. We tested an alternative model for predicting late-midlife adults’ well-being, with role quality, number of roles, and healthy adaptation to late midlife (reflected in lower concern about aging) as mediators of the relationship between young adult identity development and well-being in late midlife. Results indicated that the model fit women’s experience very well, and men’s experience somewhat. Follow-up analyses indicated that the model fit men’s experience with respect to family role quality, but that young adult identity played a lesser role in men’s well-being in later midlife, and that problems in the late-midlife work role were reflected in concerns about aging for men, but not for women.     

How self‐compassion moderates the effect of body surveillance on subjective happiness and depression among women

According to objectification theory (Fredrickson & Roberts, 1997), being treated as an object leads women to engage in self‐objectification, which in turn increases body surveillance and body shame as well as impairs mental health. However, very little is known about what factors could act as buffers against the detrimental consequences of self‐objectification. This paper seeks to understand the role of self‐compassion (the ability to kindly accept oneself or show self‐directed kindness while suffering) in the perception that women have of their own bodies. Results indicate that self‐compassion moderated the effect of body surveillance on depression and happiness separately among women. More specifically, for women low in self‐compassion, body surveillance was negatively associated with happiness, which was explained by increased depression. In sum, our results indicate that self‐compassion protects against the detrimental consequences of body surveillance.     

Does Gender Matter in Personality Psychology?

In this essay, we assess whether gender is important to personality in the eyes of mainstream personality psychologists and in the eyes of feminist psychologists. We discover that these two perspectives are in fact widely divergent. Most research on personality published today in top‐tier ‘mainstream’ personality journals does not take gender seriously. Moreover, frequently‐used textbooks on personality – whether focused on theories or themes – pay little attention to issues of gender. In contrast, most research on personality published in journals focused on the psychology of women and gender treats gender as an important feature of personality. In that research, gender is fully theoretically integrated into the research, testable hypotheses are developed, and analyses include considerable attention to gender. The current segregation of perspectives on the relevance of gender to personality strikes us as deeply problematic for progress in developing a complete picture of personality in context.