Resistance and outcome expectations in cognitive‐behavioural therapy for generalised anxiety disorder

Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, p < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes.     

Ask and You Shall Find Out: Some Multicultural Dynamics in Catholic Theological Education

The theological classroom is a place where dynamics of diversity and multiculturalism enter not only the understanding and interpretation of the course material, but also the very processes of teaching and learning. But how is one to learn and assess what students and professors are experiencing as cultural differences, and how is one to sort out the personal characteristics from the cultural? This essay, underscoring the importance of asking students about cultural issues, discusses a few such issues via some anecdotal data.     

Social support,social integration,and health-related quality of life over time: Results from the Fitness and Arthritis in Seniors Trial (FAST)

The present study tested whether baseline perceived social support and social integration predicted baseline and follow-up measures of health-related quality of life for 364 older adults with osteoarthritis. The findings are secondary analyses of a randomized controlled trial of an exercise intervention. Multiple regression analyses indicate that perceived social support was related to baseline measures of functioning in psychological (depressive symptoms, social functioning, and life satisfaction) and physical domains (self-rated disability, observed physical function, and perceived health), after accounting for demographic and clinical status factors. At 18-month follow-up (additionally controlling for exercise intervention and baseline outcomes), social support significantly predicted changes in psychosocial functioning, but was unrelated to changes in self-reported and observed physical health. The findings indicate that social support is an important predictor of long-term psychosocial outcomes, but is less important than baseline clinical status for physical health endpoints in this cohort of older adults. In contrast, social integration was not a consistent predictor of outcomes.     

Belief attribution in deaf and hearing infants

Based on anticipatory looking and reactions to violations of expected events, infants have been credited with 'theory of mind' (ToM) knowledge that a person's search behaviour for an object will be guided by true or false beliefs about the object's location. However, little is known about the preconditions for looking patterns consistent with belief attribution in infants. In this study, we compared the performance of 17- to 26-month-olds on anticipatory looking in ToM tasks. The infants were either hearing or were deaf from hearing families and thus delayed in communicative experience gained from access to language and conversational input. Hearing infants significantly outperformed their deaf counterparts in anticipating the search actions of a cartoon character that held a false belief about a target-object location. By contrast, the performance of the two groups in a true belief condition did not differ significantly. These findings suggest for the first time that access to language and conversational input contributes to early ToM reasoning.     

Leg Perception of Object Heaviness

ABSTRACT

Perceived heaviness is a function of both the muscle activity used to wield an object and the resulting movement. Wielding reveals invariant properties of the effector-object system, such as rotational inertia. Recent research has proposed a psychophysiological mechanism for perceiving the heaviness of a handheld object through dynamic touch that captures how arm muscle activity and angular movement combined reveal this invariance (Waddell, Fine, Likens, Amazeen & Amazeen, 2016 Waddell, M. L., Fine, J. M., Likens, A. D., Amazeen, E. L., & Amazeen, P. G. (2016). Perceived heaviness in the context of Newton's Second Law: Combined effects of muscle activity and lifting kinematics. Journal of Experimental Psychology: Human Perception and Performance, 42, 363–374.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). The current study extends this hypothesis by investigating the dynamics of heaviness perception with the leg. Participants lifted objects of varying mass with knee extension lifts while reporting perceived heaviness. During each lift, the electromyogram (EMG) was recorded from the quadriceps, and peak angular acceleration was recorded about the knee. The resulting psychophysiological function revealed the hypothesized ratio of muscle activity to movement, similar to that found in Waddell et al. (2016) Waddell, M. L., Fine, J. M., Likens, A. D., Amazeen, E. L., & Amazeen, P. G. (2016). Perceived heaviness in the context of Newton's Second Law: Combined effects of muscle activity and lifting kinematics. Journal of Experimental Psychology: Human Perception and Performance, 42, 363–374.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]. This suggests that the dynamics for heaviness perception in the leg is similar to that shown in the arm in previous work.     

Thought suppression and its effects on thought frequency, appraisal and mood state in individuals with obsessive-compulsive disorder

Leading models of obsessive-compulsive disorder (OCD) implicate thought suppression as a key factor in the escalation and persistence of the disorder. This experiment examined the effects of suppression on the frequency of obsessional thoughts in 50 individuals with a primary diagnosis of OCD, and also investigated the effects of participants' appraisals regarding their failures in thought control on distress about intrusive thoughts and on mood. Participants' most upsetting obsessional thought was primed and they then monitored its occurrence over two 4-min intervals. In the first interval, half of the participants were instructed to suppress their obsessional thought and half were instructed not to suppress any thoughts. In the second interval, all participants were given the 'Do Not Suppress' instructions. Participants rated their suppression effort and discomfort over thought occurrences after each interval and recorded their appraisals of thought recurrences during the first interval. Mood state was then reassessed. No ironic effect of suppression on frequency was noted. However, negative appraisals of thought recurrences were associated with more discomfort over thought occurrences and more negative mood at Time 2. These findings suggest that interpretations regarding failures in thought control may be of central importance in understanding obsessional problems.     

Self-Regulating Interest: The Moderating Role of Hardiness and Conscientiousness

Sansone, Weir, Harpster, and Morgan (1992) found that individuals intentionally regulated their interest in an activity when they had both the need (the task was boring) and a reason to exert the effort (an ostensible health benefit). The present study examined Hardiness and Conscientiousness as moderators of this self-regulatory process when individuals had the option of quitting in addition to the options of persisting and of engaging in interest-enhancing strategies. Undergraduates performed a boring copying activity under instructions to stop when they felt they could evaluate the task. Half were told that their evaluations would help researchers develop good jobs for others (Benefit). Results indicated high hardy individuals copied more letters when they were provided the additional Benefit information, and this effect was mediated through their attempt to make the task more interesting. High conscientious individuals persisted longer than individuals lower in conscientiousness independently of the benefit manipulation or strategy use. Implications of individual differences in self-regulation of motivation are discussed.     

Apathy is Associated with Critical Psychological Determinants of Medication Adherence in HIV Disease

Apathy is common in HIV, separable from depression, and has been associated with non-adherence to antiretroviral therapy (ART). We examined the associations between apathy and critical psychological determinants of ART adherence, as per the information-motivation-behavioral model, in 85 persons living with HIV. Apathy was measured using a composite of the apathy subscale of the Frontal Systems Behavioral Scale and the vigor-activation scale of the Profile of Mood States. Independent of major depressive disorder, apathy was related at small-to-medium effect sizes with motivation to adhere and self-efficacy for health-related decision-making and medication management, but not with HIV knowledge or medication management skills. These findings suggest that apathy plays a unique role in several critical health adherence determinants and support the importance of assessment and management of apathy to maximize health outcomes among individuals with HIV disease.

     

Origin and history of the earliest Thematic Apperception Test pictures

I present the origin and history of the "Series A" pictures of the Thematic Apperception Test (TAT; Murray, 1943/1971). The TAT and its pictures evolved during the 1930s and early 1940s. The Series A pictures were probably never a distinct, fixed set of cards as the name seems to imply. The pictures used were in a constant state of flux with additions, deletions, and modifications common. In this article I describe the origins of the test and catalog its earliest pictures. It is hoped that familiarity with the test's development will increase appreciation for the efforts of the test's originators and add perspective and depth to one's awareness of the stimuli used.