Mirroring patients – or not. A study of general practitioners and psychiatrists and their interactions with patients with depression

For mentalization theorists, implicit mentalization is a key component of all forms of therapy. However, it has been difficult to grasp and to describe precisely how implicit mentalization works. It is said to take place partly by mirroring others in posture, facial expression and vocal tone. Based on studies of imitative behaviour within linguistics and psychology, we argue that interactional mirroring is an important aspect of displaying implicit mentalization. We aimed to explore if, and in that case how, mirroring is displayed by general practitioners (GPs) and psychiatrists in consultations with patients with depression. We wanted to see how implicit mentalizing unfolds in physician–patient interactions. Consultations were video-recorded and analysed within the framework of conversation analysis. GPs and psychiatrists differed substantially in their propensity to mirror body movements and verbal and acoustic features of speech. GPs mirrored their patients more than psychiatrists in all modalities and were more flexible in their interactional behaviour. Psychiatrists seemed more static, regardless of the emotionality displayed by patients. Implicitly mirroring and attuning to patients could signify enactment of implicit mentalization, according to how it is described by mentalization theorists. We discuss reasons for the differences between GPs and psychiatrists, and their implications.     

Girls & Women Rock: Celebrating 35 Years of Sport & Title IX March 28–31, 2007

Fifty-seven female netballers completed a training history profile to examine whether the achievement of performance milestones and/or accumulation of sport-specific practice were indicative of an athlete's level of expertise. Similar to previous research, results revealed that expert and developmental athletes accumulated a greater number of hours in netball-specific practice relative to the recreational participants, but did not differ in the number of sports played or hours accumulated in non-netball specific practice. Interestingly, some performance milestones were achieved by the expert and developmental athletes earlier than the recreational participants, however, the developmental athletes achieved a number of milestones at an earlier age than the experts. These findings are discussed in relation to contemporary models of skill development, namely deliberate practice (Ericsson, Krampe, & Tesch-Römer, 1993) and the developmental model of sport participation (Côté, 1999) and the underpinning socio-environmental factors that may influence sport participation and subsequent development of expertise.     

Hand Test Indicators of Antisocial Behavior

The Hand Test Acting Out Score (AOS) and to a limited degree other scores were studied in relationship to offense type of 614 military prisoners, their subsequent disciplinary problems in adjusting to confinement, and an Army measure of mental ability. Significant differences were observed between the mean AOSs of Ss who had committed offenses against people and against property and between Ss who subsequently were model prisoners and disciplinary offenders. The mental ability measure was minimally related to Hand Test response categories. Considerable overlap was observed in AOS distributions of the varying antisocial groups and the AOS was felt to be of questionable value in predicting individual antisocial behavior in confinement.