Relational dynamics between psychotherapy clients and clinic administrative staff: A pilot study

Extensive empirical research has established therapeutic alliance as one of the most stable predictors of psychotherapy outcomes. Nearly all the contemporary empirical literature on therapeutic alliance focuses on the therapist-client dyad without attending to the relational experiences many clients in outpatient clinics have with administrative staff. Literatures from the fields of social work, psychiatric nursing and milieu therapy suggest there are more systemic relational and environmental dynamics that impact treatment beyond the therapist-client dyad, although these issues have been considered primarily in inpatient settings. A relational ecology framework has been developed drawing upon relational psychoanalysis, attachment theory and symbolic anthropology to help conceptualise the broader relational dynamics beyond the therapist-client dyad that may impact a more systemic therapeutic alliance in certain outpatient contexts. In an initial cross-sectional pilot study with a sample of clients (N = 107) receiving psychotherapy at a community mental health clinic in the Northeastern United States, the present study found client ratings of both (a) the therapeutic alliance with their therapists and (b) their alliance with administrative staff each significantly positively predicted client ratings of treatment. Thus, ratings of administrative alliance predicted client ratings of treatment over and above the effects of the therapist-client therapeutic alliance. These findings provide preliminary support for further investigation of the relational ecology of outpatient psychotherapy and suggest that client experiences of relational and environmental dynamics with administrative staff may be important contributors to psychotherapy outcomes. Limitations of the present study and implications for future research and practice are discussed.     

Anticipated violence, arousal, and enjoyment of movies: viewers' reactions to violent previews based on arousal-seeking tendency

The authors investigated the effects of violent portrayals in movie previews on viewers' arousal and anticipated enjoyment of movies based on their arousal-seeking tendencies. A total of 159 college students watched 6 movie previews, each in a violent or nonviolent version, and reported their expectations of enjoying watching the movies. The results show that high arousal seekers reported a higher level of anticipated enjoyment after watching the violent previews than the nonviolent previews. In contrast, low arousal seekers did not expect much difference in their enjoyment between the two versions. In line with the theory of optimal stimulation level, the results indicate that viewers' anticipated enjoyment of movies after watching violent images in previews is moderated by individuals' arousal-seeking tendencies.     

Circular and question-begging responses to religious disagreement and debunking arguments

Disagreement and debunking arguments threaten religious belief. In this paper, I draw attention to two types of propositions and show how they reveal new ways to respond to debunking arguments and disagreement. The first type of proposition is the epistemically self-promoting proposition, which, when justifiedly believed, gives one a reason to think that one reliably believes it. Such a proposition plays a key role in my argument that some religious believers can permissibly wield an epistemically circular argument in response to certain debunking arguments. The second type of proposition is the epistemically others-demoting proposition, which, when justifiedly believed, gives one a reason to think that others are unreliable with respect to it. Such a proposition plays a key role in my argument that some religious believers can permissibly wield a question-begging argument to respond to certain types of disagreement.

     

Remembering entails knowing

In his recent book, Bernecker (Memory, 2010) has attacked the following prominent view: (RK) S remembers that p only if S knows that p. An attack on RK is also an attack on Timothy Williamson’s view that knowledge is the most general factive stative attitude. In this paper, I defend RK against Bernecker’s attacks and also advance new arguments in favor of it. In Sect. 2, I provide some background on memory. In Sect 3, I respond to Bernecker’s attacks on RK and develop a new argument for RK. In Sects. 4 and 5, I develop two more new arguments for RK.     

Asian Couples in Negotiation: A Mixed‐Method Observational Study of Cultural Variations Across Five Asian Regions

The purpose of this study was to explore variations in how contemporary couples from five different Asian regions negotiate disagreements. Video recordings of 50 couples (10 each from Japan, Korea, Mainland China, Taiwan, and Hong Kong) discussing unresolved disagreements provided raw data for quantitative and qualitative analyses. First, teams of coders from each region used a common protocol to make quantitative ratings of content themes and interaction patterns for couples from their own region. An interregional panel of investigators then performed in‐depth qualitative reviews for half of these cases, noting cultural differences not only in observed patterns of couple behavior but also in their own perceptions of these patterns. Both quantitative and qualitative analyses revealed clear regional differences on dimensions such as overt negativity, demand‐withdraw interaction, and collaboration. The qualitative results also provided a richer, more nuanced view of other (e.g., gender‐linked) conflict management patterns that the quantitative analyses did not capture. Inconsistencies between qualitative and quantitative data and between the qualitative observations of investigators from different regions were most pronounced for couples from Korea and Japan, whose conflict styles were subtler and less direct than those of couples from the other regions.     

Fear Versus Humor: The Impact of Sensation Seeking on Physiological,Cognitive, and Emotional Responses to Antialcohol Abuse Messages

This study investigates the differences in physiological, cognitive, and emotional responses to existing emotional antialcohol abuse advertisements (fear vs. humor appeal) between high and low sensation seekers. A 2 (Message Type) × 2 (Sensation-Seeking Tendency) × 4 (Message Repetition) mixed-model experiment with repeated measures was conducted with 71 college students. The results, based on self-reports, indicated that fear messages generated more interest and perceived danger of excessive drinking regardless of sensation-seeking tendency, whereas humorous messages were rated as more likeable than fear messages, and the difference was bigger among low sensation seekers than among high sensation seekers. One interesting finding was that for both fear and humor appeals, low sensation seekers showed greater emotional responses (greater corrugators activities and greater zygomatic activities) than high sensation seekers overall. The implications of the current study as well as suggestions for future study were discussed.     

Counteracting effect of threat on reward enhancements during working memory

Cognitive performance has been shown to be enhanced when performance-based rewards are at stake. On the other hand, task-irrelevant threat processing has been shown to have detrimental effects during several cognitive tasks. Crucially, the impact of reward and threat on cognition has been studied largely independently of one another. Hence, our understanding of how reward and threat simultaneously contribute to performance is incomplete. To fill in this gap, the present study investigated how reward and threat interact with one another during a cognitive task. We found that threat of shock counteracted the beneficial effect of reward during a working memory task. Furthermore, individual differences in self-reported reward-sensitivity and anxiety were linked to the extent to which reward and threat interacted during behaviour. Together, the current findings contribute to a limited but growing literature unravelling how positive and negative information processing jointly influence cognition.