Correction to: Training Public Sector Clinicians in Competency-Based Clinical Supervision: Methods,Curriculum, and Lessons Learned

Journal of Contemporary Psychotherapy - A correction to this paper has been published: https://doi.org/10.1007/s10879-021-09504-9     

Alliance rupture and repair processes in borderline personality disorder: A case study using dialogical sequence analysis

Objective: This study examined alliance rupture and repair processes in borderline personality disorder (BPD) and how the content of sessions interacts with the quality of the alliance.

Design: A mixed methods single case study design was employed incorporating quantitative and qualitative measures of process and outcome.

Methods: This case study examined a 22-year-old female with BPD who received 16 sessions of Cognitive Analytic Therapy. Measures of alliance, symptoms and global functioning were taken across multiple time-points. Selected sessions were analysed using dialogical sequence analysis (DSA), a theory-driven method of psychotherapy research that analyses utterances according to their author, addressee and referential object.

Results: Quantitative data indicated symptom reduction without functional improvement. DSA demonstrated that the first exchanges in therapy were reflective of key relational themes. The case suggests that, rather than simply negotiating tasks and goals, repairing ruptures involves systematically linking the manifest topic to the client’s core problems.

Conclusions: This case study points to the mediating role that the content of sessions has on alliance quality. Results underline the importance of the therapist stance, the need for a shared formulation to make sense of relational processes and the use of responsively timed interventions to decrease desperation and improve self-reflection.     

Parent-Offspring Transmission of Internalizing and Sensory over-Responsivity Symptoms in Adolescence

Reactions to sensory experiences are an overlooked correlate of affective regulation, despite the importance of bodily states on psychological processes. Children who display sensory over-responsivity (i.e., adverse reactions to typical sensations) are at greater risk for developing affective disorders. We extended this literature to adolescents and their middle-aged parents. Participants in a birth record-based study of families of adolescent twins (N = 506 families; 1012 adolescents; 53% female) completed a subset of items from the Adult Sensory Profile. We derived adolescent self-reported internalizing disorder symptoms and parent affective diagnoses from structured diagnostic interviews. Structural equation models tested the relationship between parent sensory over-responsivity symptoms and affective diagnoses and their adolescent offspring’s sensory over-responsivity and internalizing symptoms. Adolescent sensory over-responsivity symptoms were correlated with internalizing disorder symptoms. Parents with a diagnosis of anxiety or depression (mothers only) reported more frequent SOR symptoms than parents without a diagnosis. Parent depression was significantly related to adolescent sensory over-responsivity symptoms, over and above parent sensory over-responsivity symptoms (β = 0.26, p < 0.001 for mothers; β = 0.13, p = 0.004 for fathers). Father alcohol abuse/dependency also predicted offspring sensory over-responsivity symptoms. Offspring of parents with affective disorders were at additional risk for sensory dysregulation via parents’ influence on offspring internalizing problems.     

Reflections and Confessions of a Pedagogue

In light of increasing levels of polarization between liberals and conservatives both in the classroom and in the wider culture, this article uses an introductory seminary course as a springboard for reflection upon pedagogical practices and assumptions to help address this divide. Special attention is given to the work of moral psychologist, Jonathan Haidt, as presented in his book, The Righteous Mind: Why Good People are Divided by Politics and Religion (2012). Haidt’s work seeks to enhance mutual understanding between persons on both sides of political and religious debates by showing that there are multiple legitimate foundations for making moral judgments. Although he does not frame his argument explicitly in terms of the mind-body problem, he consistently challenges the way western philosophy and psychology have privileged individual reason over the passions, social intuition, and other automatic processes associated with the body. He further challenges this age-old dualism by drawing upon body-related metaphors to make his case against moral monism and a narrow understanding of cognition restricted to conscious reasoning, exclusive of intuition and emotion as additional forms of information processing. Thus, the research of Haidt and other psychologists can contribute some “new directions” to the way we conceive of and teach in relationship to the “old connections” of body/mind and self/other (the theme of the 2012 Conference of the Group for New Directions in Pastoral Theology).     

Film Reviews

Blue, White, Red. Directed Written by Krzysztof Kieslowski & Krzysztof Piesiewicz. by Krzysztof Kieslowski.     

The roles of dispositional optimism and pessimism in hiv disease progression

Relationships between dispositional optimism and pessimism and the course of HIV infection, determined by changes in viral load and CD4 counts, were studied in a longitudinal cohort of 412 patients on antiretroviral therapy (ART). Multiple regression analyses controlling for baseline levels of disease status, ethnicity, and depressive symptoms demonstrated that higher pessimism at baseline was associated with higher viral load at follow-up (average of 18 months later). Optimism at baseline had a curvilinear relationship with CD4 counts at follow-up. Moderate levels of optimism at baseline predicted the highest CD4 counts at follow-up. Although optimism and pessimism were associated with specific health behaviors (e.g., ART adherence, cigarette use, drug use, dietary practices), none of these behaviors mediated the optimism/pessimism effects. The biologic and behavioral mediators of associations of personality variables with the course of treated HIV infection deserve continued investigation.     

The Power of a Co‐witness: When More Power Leads to More Conformity

The effect of the power dynamic between co‐witnesses on memory conformity for images was investigated. Participant–confederate pairs were first presented with 50 images on a computer and then were randomly assigned to one of three social power role combinations analogous to those present in the workplace: manager and subordinate, subordinate and manager, or collaborators with equal power and status. After role assignment (but without ever engaging in the role‐related tasks), pairs were tested on whether each of 100 images (50 old and 50 new) had or had not been shown previously. Confederates always responded before participants. Subordinates were significantly less likely to conform than managers. Findings are discussed in light of the work‐related facet of social power and memory distortion. Copyright © 2013 John Wiley & Sons, Ltd.     

Grammatical aspect,lexical aspect,and event duration constrain the availability of events in narratives

The present study investigates how readers’ representations of narratives are constrained by three sources of temporal information; grammatical aspect, lexical aspect, and the duration of intervening events. Participants read short stories in which a target event with an intrinsic endpoint or not (lexical aspect: accomplishments/activities) was described as ongoing or completed (grammatical aspect: imperfective/perfective). An intervening sentence described either a long or short duration event before the target situation was reintroduced later in the story. The electroencephalogram time-locked to the reintroduction of the target event elicited a larger N400 for perfective versus imperfective accomplishments, and this effect occurred only after short intervening events. Alternatively, the N400 to targets in the activity condition did not vary as a function of grammatical aspect or duration of intervening events. These results provide novel insight into how the temporal properties of events interact to constrain the availability of concepts in situation models.