Collected Stories: Play in Four Acts

This article evolved from a group process where members of a psychoanalytic institute were faced with planning workshops for a professional weekend around the theme of “play.” The workshop that evolved consisted of four vignettes of play taking place in the therapeutic sessions of a child, an adolescent, an adult, and an elderly woman. The discussion of these vignettes that began at the conference and then was developed for this article focuses on tracing the development of play from childhood into adulthood (Mayes & Cohen, 1996; Russ, 2004) and on the relationship between play and the development of reflective functioning (Fonagy & Target, 1996). One area of particular interest that was focused upon was the use of play with adults who are described as “concrete,” people who function, at times, at a level of differentiation more typical of a young child. Play is described as being particularly helpful in facilitating a more differentiated and, thus, more reflective mode of psychic functioning for this group of individuals as well as for people at all levels of development.     

Guidelines for classifying evidence-based treatments in couple and family therapy

Guidelines for Evidence-Based Treatments in Family Therapy are intended to help guide clinicians, researchers, and policy makers in identifying specific clinical interventions and treatment programs for couples and families that have scientifically based evidence to support their efficacy. In contrast to criteria, which simply identify treatments that "work" and have been employed in the evaluation of other psychotherapies, these guidelines propose a three-tiered levels-of-evidence-based model that moves from "evidence-informed," to "evidence-based," to "evidence-based and ready for dissemination and transportation within diverse community settings." Each level reflects an interaction between the specificity of the intervention, the strength and readth of the outcomes, and the quality of the studies that form the evidence. These guidelines uniquely promote a clinically based "matrix" approach in which the empirical support is evaluated according to various dimensions including strength of the outcomes, the applicability across cultural contexts, and demonstration of specific change mechanisms. The guidelines are offered not only as a basis for understanding the evidence for diverse clinical approaches in couple and family therapy within the systemic tradition of the field, but also as an alternative aspirational model for evaluating all psychotherapies.     

Personality and obesity across the adult life span

Personality traits contribute to health outcomes, in part through their association with major controllable risk factors, such as obesity. Body weight, in turn, reflects our behaviors and lifestyle and contributes to the way we perceive ourselves and others. In this study, the authors use data from a large (N = 1,988) longitudinal study that spanned more than 50 years to examine how personality traits are associated with multiple measures of adiposity and with fluctuations in body mass index (BMI). Using 14,531 anthropometric assessments, the authors modeled the trajectory of BMI across adulthood and tested whether personality predicted its rate of change. Measured concurrently, participants higher on Neuroticism or Extraversion or lower on Conscientiousness had higher BMI; these associations replicated across body fat, waist, and hip circumference. The strongest association was found for the impulsivity facet: Participants who scored in the top 10% of impulsivity weighed, on average, 11Kg more than those in the bottom 10%. Longitudinally, high Neuroticism and low Conscientiousness, and the facets of these traits related to difficulty with impulse control, were associated with weight fluctuations, measured as the variability in weight over time. Finally, low Agreeableness and impulsivity-related traits predicted a greater increase in BMI across the adult life span. BMI was mostly unrelated to change in personality traits. Personality traits are defined by cognitive, emotional, and behavioral patterns that likely contribute to unhealthy weight and difficulties with weight management. Such associations may elucidate the role of personality traits in disease progression and may help to design more effective interventions.     

The Association Between Church Attendance and Psychological Health in Northern Ireland: A National Representative Survey Among Adults Allowing for Sex Differences and Denominational Difference

This study extends previous research concerning the association between religion and psychological health in six ways: (1) by focusing clearly on religious attendance (church attendance); (2) by employing a robust measure of psychological distress (GHQ-12); (3) by studying a highly religious culture (Northern Ireland); (4) by taking sex differences into account (male or female); (5) by taking denominational differences into account (Catholic or Protestant); (6) and by obtaining a national representative sample (N = 4,281 adults aged 16 and above). Results from a 2 (sex) by 2 (denomination) ANCOVA demonstrated that Catholics recorded significantly lower levels of psychological health compared to Protestants, and that females showed significantly lower levels of psychological health compared to males. In addition, females reported higher frequency of religious service attendance than males, and Catholics reported higher attendance rates than Protestants. A significant positive association was found between frequency of religious attendance and GHQ-12 scores, and this association was moderated by sex and denomination. In conclusion, the results suggest that there may be sex and denominational differences in further understanding the relationship between frequency of religious attendance and psychological health.     

A Stairway to Heaven? Structure of the Religious Involvement Inventory and Spiritual Well-Being Scale

Being religious or having spiritual beliefs has been linked to improved health and well-being in several empirical studies. Potential underlying mechanisms can be suggested by psychometrically reliable and valid indices. Two self-report measures of religiosity/spirituality were completed by a cohort of older adults: the Religious Involvement Inventory and the Spiritual Well-being Scale. Both were analyzed using principal components analysis and the Mokken scaling procedure. The latter technique examines whether items can be described as having a hierarchical structure. The results across techniques were comparable and hierarchical structures were discovered in the scales. Analysis of the hierarchy in the RII items suggested the latent trait assesses the extent to which an individual’s belief in God influences their life. Examining scales with a range of psychometric techniques may give a better indication of the latent construct being assessed, particularly the hierarchies within these which may be of interest to those investigating religiosity-health associations.     

A demonstration of dual-task performance without interference in some older adults

Highly efficient dual-task processing is demonstrated when reaction time to each of two tasks does not differ between the dual-task situation and the single-task situation. This has been demonstrated reliably in younger adults; nevertheless, the two extant studies of extensive dual-task training did not find evidence for it in any elderly adult. The origins of age-related differences after training were explored in a study in which the stimuli for the two tasks were perfectly redundant although two distinct responses were required. The dual-task situation thus greatly reduced the demands of stimulus categorization while still requiring two response selections and two response executions. After only limited training 8 of 8 younger adults and 5 of 8 older adults showed performance consistent with highly efficient processing. Three older adults failed to show this even after 12 training sessions. The results implicate stimulus categorization more than response selection as an important locus of inefficient dual-task processing, particularly for older adults.     

The ease-of-processing heuristic and the stability bias: dissociating memory, memory beliefs, and memory judgments

Judgments about memory are essential in promoting knowledge; they help identify trustworthy memories and predict what information will be retained in the future. In the three experiments reported here, we investigated the mechanisms underlying predictions about memory. In Experiments 1 and 2, single words were presented once or multiple times, in large or small type. There was a double dissociation between actual memory and predicted memory: Type size affected predicted but not actual memory, and future study opportunities affected actual memory but scarcely affected predicted memory. The results of Experiment 3 suggest that beliefs and judgments are largely independent, and neither consistently resembles actual memory. Participants' underestimation of future learning-a stability bias-stemmed from an overreliance on their current memory state in making predictions about future memory states. The overreliance on type size highlights the fundamental importance of the ease-of-processing heuristic: Information that is easy to process is judged to have been learned well.     

Subjective Estimation of Task Time and Task Difficulty of Simple Movement Tasks

It has been demonstrated in previous work that the same neural structures are used for both imagined and real movements. To provide a strong test of the similarity of imagined and actual movement times, 4 simple movement tasks were used to determine the relationship between estimated task time and actual movement time. The tasks were single-component visually controlled movements, 2-component visually controlled, low index of difficulty (ID) moves and pin-to-hole transfer movements. For each task there was good correspondence between the mean estimated times and actual movement times. In all cases, the same factors determined the actual and estimated movement times: the amplitudes of movement and the IDs of the component movements, however the contribution of each of these variables differed for the imagined and real tasks. Generally, the standard deviations of the estimated times were linearly related to the estimated time values. Overall, the data provide strong evidence for the same neural structures being used for both imagined and actual movements.