An Integrative Approach to Conceptualizing and Treating Complex Trauma

Complex trauma (CT) often presents with polymorphous symptoms (i.e., emotional dysregulation, dissociation, somatic distress) resulting from repeated and chronic exposure to traumatic stressors. While the public is increasingly aware of posttraumatic stress disorder (PTSD) and its accompanying symptoms, the phenomena of complex trauma is less recognized and understood. Since the trauma reactions with CT typically occur during childhood, and the symptoms go well beyond PTSD, the authors of this article assert that an integrative approach is needed that synthesizes the most effective elements of cognitive-behavioral therapy (CBT) while blending a self-psychological approach. A review of the literature addresses the definition of complex trauma, cognitive-behavioral conceptualizations and treatment approaches, self-psychological models, current theories of attachment, and advances in neuropsychoanalysis. An integrative model is then proposed, supported by clinicians in the trauma field, identifying three intertwined phases of treatment.     

The dynamics of multimodal integration: The averaging diffusion model

We combine extant theories of evidence accumulation and multi-modal integration to develop an integrated framework for modeling multimodal integration as a process that unfolds in real time. Many studies have formulated sensory processing as a dynamic process where noisy samples of evidence are accumulated until a decision is made. However, these studies are often limited to a single sensory modality. Studies of multimodal stimulus integration have focused on how best to combine different sources of information to elicit a judgment. These studies are often limited to a single time point, typically after the integration process has occurred. We address these limitations by combining the two approaches. Experimentally, we present data that allow us to study the time course of evidence accumulation within each of the visual and auditory domains as well as in a bimodal condition. Theoretically, we develop a new Averaging Diffusion Model in which the decision variable is the mean rather than the sum of evidence samples and use it as a base for comparing three alternative models of multimodal integration, allowing us to assess the optimality of this integration. The outcome reveals rich individual differences in multimodal integration: while some subjects’ data are consistent with adaptive optimal integration, reweighting sources of evidence as their relative reliability changes during evidence integration, others exhibit patterns inconsistent with optimality.     

The promotion of self-forgiveness,responsibility, and willingness to make reparations through a workbook intervention

This study evaluated the effectiveness of a workbook intervention designed to promote self-forgiveness, acceptance of responsibility, and willingness to make amends/reparations in a university student sample. The intervention manual consisted of three parts: (a) promoting prosocial and responsible attitudes, (b) reducing barriers to self-forgiveness, and (c) promoting healthy thinking and behaviors. Outcome measures included acceptance of responsibility, motivation to make reparations, and state and trait self-forgiveness. Measures were administered pre-intervention and immediately post-intervention. Participants were randomly assigned to an intervention group (N = 50) or a control group (N = 43). The control group studied materials for their university courses instead of completing the intervention. Following the intervention, the intervention group had significantly a higher state and dispositional self-forgiveness post-test compared to the control group. Changes in acceptance of responsibility and willingness to make reparations did not reach statistical significance as compared to the control group.     

The effect of the order in which episodic autobiographical memories versus autobiographical knowledge are shared on feelings of closeness

Autobiographical memories (AMs) can be used to create and maintain closeness with others [Alea, N., &; Bluck, S. (2003). Why are you telling me that? A conceptual model of the social function of autobiographical memory. Memory, 11(2), 165–178]. However, the differential effects of memory specificity are not well established. Two studies with 148 participants tested whether the order in which autobiographical knowledge (AK) and specific episodic AM (EAM) are shared affects feelings of closeness. Participants read two memories hypothetically shared by each of four strangers. The strangers first shared either AK or an EAM, and then shared either AK or an EAM. Participants were randomly assigned to read either positive or negative AMs from the strangers. Findings suggest that people feel closer to those who share positive AMs in the same way they construct memories: starting with general and moving to specific.     

Gender,Sacrifices, and Variability in Commitment: A Daily Diary Study of Pregnant Heterosexual Cohabitors and their Partners

We use interdependence theory and the inertia model to examine how gender and daily relational sacrifices predict daily variability in relationship commitment across a week in 43 U.S. couples who are unmarried cohabitors expecting their first child together (total of 455 days of data). We examined three variants of daily relational sacrifices: frequency, ease, and awareness for both individuals and partners, and we tested for gender differences. Using an Actor Partner Interdependence Model (APIM), we found that both women and men reported lower variability in commitment when men were perceived as highly aware of the sacrifices made for them. Additionally, women experienced lower variability in commitment when their male partners reported engaging in easier sacrifices. In contrast, women reported higher variability in commitment when they reported greater frequency of sacrifices for their partner. The results can be of practical use for practitioners working with expectant cohabitors and their partners given the unique role gender plays relative to how sacrifices shape variability in daily commitment.     

Parenting Stress and Sexual Satisfaction Among First-Time Parents: A Dyadic Approach

The present paper reports on longitudinal associations between parenting stress and sexual satisfaction among 169 heterosexual couples in the first year after the birth of a first child. Actor Partner Interdependence Modeling (APIM) was used to model the effects of the mother’s and father’s parenting stress at 6 months after birth on sexual satisfaction at 1 year after birth. Based on social constructivist theory and scarcity theory, two hypotheses were posed: (a) mothers’ parenting stress will predict their own later sexual satisfaction whereas fathers’ parenting stress will not predict their own later sexual satisfaction (actor effects) and (b) mothers’ parenting stress will predict fathers’ later sexual satisfaction but fathers’ parenting stress will not predict mothers’ later sexual satisfaction (partner effects). On average, parents were only somewhat satisfied with their sex life. The first hypothesis was supported as greater parenting stress significantly predicted lower sexual satisfaction for mothers but not for fathers. The second hypothesis was also supported as mothers’ greater parenting stress significantly predicted less sexual satisfaction in fathers, whereas fathers’ parenting stress did not significantly predict mothers’ sexual satisfaction. We discuss how our results may be interpreted considering the social construction of gendered family roles.     

Assessing the Mediating Effect of Relationship Dynamics Between Perceptions of Problematic Media Use and Relationship Satisfaction

Previous research has indicated that it is common for couples to experience conflict over media use. However, until recently clinicians and researchers have not explored the implications of media use within romantic relationships. The purpose of this study is to examine the relationship between individuals’ perception of problematic media use in connection with relationship satisfaction, and to what extent demand-withdraw and criticism-defensiveness dynamics mediate this association. Data was collected with a sample of 242 respondents completing an online survey. Results showed that demand-withdraw and criticism-defensiveness patterns were found to be negatively associated with relationship satisfaction, and that the association between problematic media use and relationship satisfaction was partially mediated by the demand-withdraw and criticism-defensiveness patterns. Based on these results, there is potential for clinicians to view couple media use as a process level interaction, and by doing so, clinicians will be better able to implement interventions that utilize clients’ media use to promote relationship satisfaction and stability while reducing problematic media use.     

What Contributes to College Students’ Cheating? A Study of Individual Factors

To better understand the multiple individual factors that contribute to college cheating, we undertook a multivariate analysis of a national sample of 2,503 college students. Our findings indicated that demographic characteristics (e.g., gender, socioeconomic status, and year in college), character qualities (e.g., lack of self-control, others-oriented life purpose), college experience (e.g., academic preparation, extracurricular activities involvement, and working), and student perceptions and attitudes (e.g., attitude toward academic cheating, perception of faculty’s actions against cheating and cheating environment) are all significantly associated with academic cheating.