Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995)

Social anxiety disorder is a condition characterised by a marked and persistent fear of being humiliated or scrutinised by others. Age-of-onset data point to adolescence as a developmentally sensitive period for the emergence of the condition, at a time when the peer group becomes increasingly important. Social anxiety in adolescence is associated with considerable impairment that persists through to adulthood. There are clear potential benefits to delivering effective interventions during adolescence. However, there is limited evidence on the specific efficacy of available therapies. This is in contrast to adults, for whom we have interventions with very specific treatment effects. One such treatment is individual cognitive therapy. Cognitive therapy is based on the cognitive model of social anxiety proposed by Clark and Wells (in: Heimberg, Leibowitz, Hope, Scheiber (eds) Social phobia: diagnosis, assessment and treatment, The Guilford Press, New York, 1995). The present review examines the potential application of this adult cognitive model to the understanding of adolescent social anxiety and considers additional adolescent-specific factors that need to be accommodated. It is suggested that a developmentally sensitive adoption of the cognitive model of social anxiety disorder (Clark and Wells 1995) for adolescents may lead to better treatment outcomes.     

Brain-derived neurotrophic factor Val66met polymorphism and plasma levels in road traffic accident survivors

Background: Alterations in brain-derived neurotrophic factor (BDNF) expression and release may play a role in the pathogenesis of post-traumatic stress disorder (PTSD). Design: This study evaluated road traffic accident (RTA) survivors to determine whether PTSD and trauma-related factors were associated with plasma BDNF levels and BDNF Val66Met carrier status following RTA exposure. Methods: One hundred and twenty-three RTA survivors (mean age 33.2 years, SD?=?10.6 years; 56.9% male) were assessed 10 (SD?=?4.9) days after RTA exposure. Acute stress disorder (ASD), as assessed with the Acute Stress Disorder Scale, was present in 50 (42.0%) of the participants. Plasma BDNF levels were measured with enzyme-linked immunosorbent assay and BDNF Val66Met genotyping was performed. PTSD, as assessed with the Clinician-Administered PTSD Scale, was present in 10 (10.8%) participants at 6 months follow-up. Results: Neither BDNF Val66Met genotype nor plasma BDNF was significantly associated with the presence or severity of ASD or PTSD. Plasma BDNF levels were, however, significantly correlated with the lifetime number of trauma exposures. Conclusions: In RTA survivors, plasma BDNF levels increased with increasing number of prior trauma exposures. Plasma BDNF may, therefore, be a marker of trauma load.     

An embodied perspective on judgements of written reflective practice for professional development in Higher Education

This paper gives an embodied perspective on the use of judgements of reflective practice and reflective writing for professional development in Higher Education. Programmes for professional development in Higher Education and recognition processes for academics have become prevalent in the UK and internationally. These programmes and processes often assume, implicitly or explicitly, development or evidencing as a ‘reflective practitioner’ through pieces of reflective writing which is then judged against competencies or attainments. However, this focus on reflective practice and reflective writing is not always critical, and does not examine the different theoretical and practical interpretations of what it means to reflect, or the impact of assessing such reflections. Taking an embodied stance allows a new view into a contested area that is more habitually connected with cognitive rather than corporeal processes.     

The effect of context on the silver ceiling: a role congruity perspective on prejudiced responses

Three studies examined role incongruity as a source of age bias in hiring decisions. Building on previous research demonstrating contextual variation in prejudice, the authors predicted that prejudiced responses emerge particularly in contexts where group stereotypes misalign with the requirements of social roles. Findings indicate that (a) older workers are particularly penalized in occupational contexts that are quickly changing, (b) older workers are perceived as less adaptable than younger workers, and (c) the tendency to prefer younger than older workers more for a dynamic than a stable company is mediated by perceptions of adaptability. Finally, adaptability perceptions better predicted hiring bias than did global evaluations of older people and levels of contact with older people. These experiments provide initial evidence that perceived fit to roles is a determinant of contextual variation in prejudiced responses.     

Reviving inert knowledge: analogical abstraction supports relational retrieval of past events

We present five experiments and simulation studies to establish late analogical abstraction as a new psychological phenomenon: Schema abstraction from analogical examples can revive otherwise inert knowledge. We find that comparing two analogous examples of negotiations at recall time promotes retrieving analogical matches stored in memory—a notoriously elusive effect. Another innovation in this research is that we show parallel effects for real-life autobiographical memory (Experiments 1–3) and for a controlled memory set (Experiments 4 and 5). Simulation studies show that a unified model based on schema abstraction can capture backward (retrieval) effects as well as forward (transfer) effects.     

Children of schizophrenic women: Early factors predictive of schizophrenia

The present report reviews some findings of a 20-year longitudinal study of Danish children at risk for schizophrenia. Early factors predictive of later schizophrenia in high-risk children, including infant temperament and the effect of perinatal complications, are reviewed. In addition, the role of maternal absence as a stressor is examined. Findings related to sex differences in the vulnerability of high-risk children to later pathology are discussed. Possible interactions of these factors and maternal psychopathology are briefly explored.     

Regulatory Fit,Processing Fluency,and Narrative Persuasion

For millennia, people have used narratives to inform and persuade. However, little social psychological research addresses how and when narrative persuasion occurs, perhaps because narratives are complex stimuli that are difficult to vary without significantly changing the plot or characters. Existing research suggests that regulatory fit and/or processing fluency can be varied easily and in ways completely exterior to narrative content but that nonetheless affect how much narratives engage, transport, and persuade. We review research on narrative transportation and persuasion and then discuss regulatory fit and its relationship to processing fluency. Afterward, we discuss how regulatory fit and processing fluency may affect psychological engagement, transportation, and persuasion via narratives.     

Adjusting for the correspondence bias: Effects of causal uncertainty, cognitive busyness, and causal strength of situational information

This research examined the conditions under which people who have more chronic doubt about their ability to make sense of social behavior (i.e., are causally uncertain; [Weary and Edwards, 1994] and [Weary and Edwards, 1996]) are more likely to adjust their dispositional inferences for a target’s behaviors. Using a cognitive busyness manipulation within the attitude attribution paradigm, we found in Study 1 that higher causal uncertainty predicted increased correction of dispositional inferences, but only when participants had sufficient attentional resources to devote to the task. In Study 2, we found that higher-causal uncertainty predicted greater inferential correction, but only when the additional information provided a more compelling alternative explanation for the observed behavior. Results of this research are discussed in terms of their relevance to the Causal Uncertainty (Weary & Edwards, 1994) and dispositional inference models.