Self-harm as a sign of hope

The author describes psychotherapeutic treatment with a woman who uses severe forms of self-harm to express her hope that she can find real understanding and an environment that can respond to her. She discusses the significance of the earliest experiences of maternal care and the particular importance of the skin; she describes how traumatic breakdowns in early care are unconsciously re-created in later assaults on the body, which serve to communicate distress, anger, protest and the hope that a real attempt will be made to relate to the person who self-harms. Self-harm is viewed not as a suicidal gesture, but rather, as an attempt to preserve life, and to represent and contain unbearable states of minds. The author outlines ways in which self-harm can create a narrative and embody unbearable feelings and unspoken thoughts. It is seen as a form of self-expression and communication, both conscious and unconscious, which is not wholly destructive but has important hopeful and self-preservative aims.     

Acting in perspective: the role of body and language as social tools

We investigated how the reach-to-grasp movement is influenced by the presence of another person (friend or non-friend), who was either invisible (behind) or located in different positions with respect to an object and to the agent, and by the perspective conveyed by linguistic pronouns (“I”, “You”). The interaction between social relationship and relative position influenced the latency of both maximal fingers aperture and velocity peak, showing shorter latencies in the presence of a non-friend than in the presence of a friend. However, whereas the relative position of a non-friend did not affect the kinematics of the movement, the position of a friend mattered: latencies were significantly shorter with friends only in positions allowing them to easily reach for the object. Finally, the investigation of the overall reaching movement time showed an interaction between the speaker and the pronoun: participants reached the object more quickly when the other spoke, particularly if she used the “I” pronoun. This suggests that speaking, and particularly using the “I” pronoun, evokes a potential action. Implications of the results for embodied cognition are discussed.     

White-matter microstructure and language lateralization in left-handers: A whole-brain MRI analysis

Most people are left-hemisphere dominant for language. However the neuroanatomy of language lateralization is not fully understood. By combining functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), we studied whether language lateralization is associated with cerebral white-matter (WM) microstructure. Sixteen healthy, left-handed women aged 20–25 were included in the study. Left-handers were targeted in order to increase the chances of involving subjects with atypical language lateralization. Language lateralization was determined by fMRI using a verbal fluency paradigm. Tract-based spatial statistics analysis of DTI data was applied to test for WM microstructural correlates of language lateralization across the whole brain. Fractional anisotropy and mean diffusivity were used as indicators of WM microstructural organization. Right-hemispheric language dominance was associated with reduced microstructural integrity of the left superior longitudinal fasciculus and left-sided parietal lobe WM. In left-handed women, reduced integrity of the left-sided language related tracts may be closely linked to the development of right hemispheric language dominance. Our results may offer new insights into language lateralization and structure–function relationships in human language system.     

Low-Cut Shirts and High-Heeled Shoes: Increased Sexualization Across Time in Magazine Depictions of Girls

Theory and past research predict an increase in the sexualization of girls in United States culture. We used content analysis to examine change in the number of sexualizing characteristics (e.g., low cut shirts, high-heeled shoes) and childlike characteristics (e.g., polka-dot print, Mary-Jane style shoes) present in depictions of girls across time in the magazines Seventeen (N?=?1649 images from issues in selected issues from 1971 through 2011) and Girls’ Life (N?=?763 images from selected issues from 1994 to 2011). One-way ANOVAS revealed increases in the total number of sexualizing characteristics across time in both magazines. In particular, depictions of low-cut tops and tight fitting clothing increased in both magazines. There was also a decrease in the number of childlike characteristics in Girls’ Life across time. Possible reasons for increased sexualization as well as possible consequences are discussed.     

Predicting posttraumatic growth among Hurricane Katrina survivors living with HIV: the role of self-efficacy,social support,and PTSD symptoms

Abstract

The study tested the model of adaptation after trauma by Benight and Bandura (2004) indicating that posttraumatic recovery may be predicted directly by coping self-efficacy (CSE) and indirectly by social support. These relations were investigated in the context of posttraumatic growth (PTG) among Hurricane Katrina survivors living with HIV. Additionally, it was hypothesized that among individuals with more intensive Posttraumatic Stress Disorder (PTSD) symptoms, those with strong CSE would experience the strongest PTG. Cross-sectional data were collected among 90 patients with HIV who reinitiated care at the HIV outpatient clinic. Questionnaires were administered approximately 14 months after the hurricane. Higher CSE was related to higher PTG among the survivors who suffered from more intensive PTSD symptoms. Received social support was directly related to only one index of PTG, relating to others. Furthermore, although there was a significant relationship between social support and CSE, the indirect conditional effect of received social support on PTG was not confirmed. Similar results were obtained across the indices of PTG, controlling for the level of exposure to hurricane-related trauma. Cross-sectional design and convenience character of the sample warrants replications.     

An Experimental Test of Whether Informants can Report About Child and Family Behavior Based on Settings of Behavioral Expression

Researchers and practitioners conduct multi-informant assessments of child and family behavior under the assumption that informants have unique perspectives on these behaviors. These unique perspectives stem, in part, from differences among informants in the settings in which they observe behaviors (e.g., home, school, peer interactions). These differences are assumed to contribute to the discrepancies commonly observed in the outcomes of multi-informant assessments. Although assessments often prompt informants to think about setting-specific behaviors when providing reports about child and family behavior, the notion that differences in setting-based behavioral observations contribute to discrepant reports has yet to be experimentally tested. We trained informants to use setting information as the basis for providing behavioral reports, with a focus on parental knowledge of children’s whereabouts and activities. Using a within-subjects controlled design, we randomly assigned 16 mothers and adolescents to the order in which they received a program that trains informants to use setting information when providing parental knowledge reports (Setting-Sensitive Assessment), and a control program involving no training on how to provide reports. Relative to the control program, the Setting-Sensitive Assessment training increased the differences between mother and adolescent reports of parental knowledge, suggesting that mothers and adolescents observe parental knowledge behaviors in different settings. This study provides the first experimental evidence to support the assumption that discrepancies arise because informants incorporate unique setting information into their reports.     

Collaborative Empiricism: A Cognitive Response to Exposure Reluctance and Low Distress Tolerance

Even though behavioral interventions such as exposure and behavioral activation play a critical role in the effectiveness of CBT for anxiety and depression, many treatment seekers may be reluctant to confront avoided situations and negative emotional states. In this paper a cognitive approach to reluctance to engage in exposure or accept feelings of distress is presented. Several representative maladaptive schemas of exposure and distress tolerance are considered and a refined cognitive therapy approach to the therapeutic alliance based on Tee and Kazantzis’ (2011) self-determination conceptualization of collaborative empiricism (CE) is discussed. Cognitive strategies that specifically address reluctance to engage in exposure or to confront negative feelings are considered in the context of improved therapist-client collaboration and the promotion of client internal attributions for behavioral change. A case example of enhanced CE for dealing with exposure reluctance is presented and several issues are proposed that could advance research and understanding of the mechanisms of change involved in client acceptance of behavioral exercises.     

Types of Aggression among Incarcerated Juveniles: The Roles of Gender and Offense Type

A new instrument, the Psychological Maltreatment Review (PMR), is introduced and its psychometrics are described. The PMR examines adult retrospective reports of child psychological abuse, psychological neglect, and psychological support, measured separately for maternal and paternal figures. Male and female participants (N?=?1,051) completed the PMR and a measure of adult attachment, the Revised Experiences in Close Relationships scale (Fraley, Waller, &; Brennan, 2000). The three scales of the PMR demonstrated very good internal consistency. The structural validity of the PMR was supported by both exploratory and confirmatory factor analyses, as was the notion of an independent parental support/nonsupport variable. Indicative of the construct validity of this measure, all PMR scales were significantly correlated with anxious and avoidant attachment in close relationships. Hierarchical multiple regression analyses indicated that paternal neglect and maternal psychological abuse predicted participants' anxious attachment, whereas less paternal and maternal support was associated with avoidant attachment.     

Assessing visual search performance differences between Transportation Security Administration Officers and nonprofessional visual searchers

Some visual searches depend upon accuracy (e.g., radiology, airport security screening), and it is important for both theoretical and applied reasons to understand what factors best predict performance. The current study administered a visual search task to both professional (Transportation Security Administration Officers) and nonprofessional (members of Duke University) searchers to examine group differences in which factors predict accuracy. Search speed—time taken to terminate search—was the primary predictor for nonprofessional searchers (accounting for 59% of their accuracy variability) and for the least experienced professional searchers (37% of variability). In contrast, consistency—how similarly (in terms of search speed) an individual spent searching from trial to trial—was the primary predictor for the most experienced professional visual searchers (39% of variability). These results inform cognitive theory by illuminating factors that differentially affect search performance between participants, and real-world issues by identifying search behaviours (consistency in particular) important to experienced professional searchers.