Motivational interviewing and addiction - A psychodynamic appreciation

This paper offers a psychodynamic understanding of the influential approach of motivational interviewing in the treatment of addiction. It suggests the need for critical understanding, and considers some overlaps as well as differences between motivational interviewing and a contemporary psychodynamic approach.     

It Works Both Ways: The Relationship Between Exposure to Sexual Content in the Media and Adolescent Sexual Behavior

Using a longitudinal Web-based survey of adolescents 14–16 years of age, we estimate regression models where self-reported sexual behavior and content analytic-based exposure to sex in the media are related cross-sectionally and longitudinally. We find evidence for both cross-sectional nonrecursive and prospective longitudinal relationships even after adjusting for both established predictors of sexual behavior (e.g., physical development, having a romantic partner, parental monitoring, peer and parental norms, respondent's age) and of exposure to sexual media content (e.g., time the respondent goes to bed, extracurricular activities, television in the bedroom, total time spent with television, music, video games, and magazines). Sexually active adolescents are more likely to expose themselves to sex in the media and those exposed to sex in the media are more likely to progress in their sexual activity. These findings are consistent with others in the literature that demonstrate a causal effect of exposure to sexual content on sexual behavior but extend established results by also looking at the causal effect of sexual behavior on exposure both cross-sectionally and over time.     

The precuneus and the insula in self-attributional processes

Attributions are constantly assigned in everyday life. A well-known phenomenon is the self-serving bias: that is, people’s tendency to attribute positive events to internal causes (themselves) and negative events to external causes (other persons/circumstances). Here, we investigated the neural correlates of the cognitive processes implicated in self-serving attributions using social situations that differed in their emotional saliences. We administered an attributional bias task during fMRI scanning in a large sample of healthy subjects (n = 71). Eighty sentences describing positive or negative social situations were presented, and subjects decided via buttonpress whether the situation had been caused by themselves or by the other person involved. Comparing positive with negative sentences revealed activations of the bilateral posterior cingulate cortex (PCC). Self-attribution correlated with activation of the posterior portion of the precuneus. However, self-attributed positive versus negative sentences showed activation of the anterior portion of the precuneus, and self-attributed negative versus positive sentences demonstrated activation of the bilateral insular cortex. All significant activations were reported with a statistical threshold of p ≤ .001, uncorrected. In addition, a comparison of our fMRI task with data from the Internal, Personal and Situational Attributions Questionnaire, Revised German Version, demonstrated convergent validity. Our findings suggest that the precuneus and the PCC are involved in the evaluation of social events with particular regional specificities: The PCC is activated during emotional evaluation, the posterior precuneus during attributional evaluation, and the anterior precuneus during self-serving processes. Furthermore, we assume that insula activation is a correlate of awareness of personal agency in negative situations.     

Loss Experiences In Disability Sport

Abstract

Sport scientists have started to amass a small body of knowledge on loss in sport. Viewing sport retirement from a loss framework is particularly appropriate when examining transitions out of disability sport because athletes with disabilities are at risk for facing unique losses when they lease sport (Martin, 1996; Wheeler, Malone, & Steadward, 1996). The purpose of this article is to discuss loss experiences in disability sport from psychological, social, and physiological perspectives.     

Priming the mental time-line: effects of modality and processing mode

The notion of a mental time-line (i.e., past corresponds to left and future corresponds to right) supports the conceptual metaphor view assuming that abstract concepts like “time” are grounded in cognitively more accessible concepts like “space.” In five experiments, we further investigated the relationship between temporal and spatial representations and examined whether or not the spatial correspondents of time are unintentionally activated. We employed a priming paradigm, in which visual or auditory prime words (i.e., temporal adverbs such as yesterday, tomorrow) preceded a colored square. In all experiments, participants discriminated the color of this square by responding with the left or the right hand. Although the temporal reference of the priming adverb was task irrelevant in Experiment 1, visually presented primes facilitated responses to the square in correspondence with the direction of the mental time-line. This priming effect was absent in Experiments 2, 3, and 5, in which the primes were presented auditorily and the temporal reference of the words could be ignored. The effect, however, emerged when attention was oriented to the temporal content of the auditory prime words in Experiment 4. The results suggest that task demands differentially modulate the activation of the mental time-line within the visual and auditory modality and support a flexible association between conceptual codes.     

Brief treatment with alprazolam and behavioral guidance in panic disorder

Abstract

Thirty-two patients with panic disorder, with or without agoraphobic limitations, were treated with alprazolam (mean dose 3.5 mg/d) plus brief behavioral guidance in an open study during eight weeks. The sample had a notorious severity in the frequency of panics and phobic avoidance but was only mildly depressed. Before starting treatment the presence of demoralized mood and extensive avoidance were significant indicators of clinical severity, whereas the presence of dizziness as a relevant somatic complaint was not related to higher severity. After eight weeks of treatment a clinical improvement equal to or exceeding 80% of change was obtained in all cases (29) who completed treatment. Ninety-two percent of the patients were panic free at the end of treatment. There were significant reductions in all the scales with comparable declines in the subgroups formed according to the presence or absence of agoraphobic avoidance and demoralization. The data suggested that moderate doses of alprazolam could be a quick and effective treatment for panic-agoraphobic patients in the short term. The behavioral guidance probably helped in reducing agoraphobic avoidance and in obtaining global good effectiveness although this awaits controlled tests. Finally, the similarity in the response to treatment regardless of the presence of extensive avoidance or demoralized mood argues in favor of not considering the different variants of panic-agoraphobic syndrome differently, at least in samples with similar severity to the present one.     

State Aid to Religiously Affiliated,Non-Public Schools: An Emerging Trend or Same Old Same Old?

This article reviews judicial attitudes with regard to the constitutionality of aid for children in religiously affiliated non-public schools. The first part highlights the extent to which the Supreme Court appears to have turned the corner in its willingness to examine the effective use of resources in regular education rather than just the acceptability of aid. The second section reviews how Congressional and regulatory activities have contributed to lower court decisions that continue to focus on the narrow issues of how much money can be spent and the appropriate locations for the delivery of services to children who attend religiously affiliated non-public schools rather than the quality of education that they may be eligible to receive. Given the distinctions between the ways in which children in religiously affiliated non-public schools are treated based on whether they have disabilities, this article examines recent legal trends in considering whether there will be a new era in providing children who attend religiously affiliated non-public schools with the state aid that they deserve.     

Crossmodal correspondences between odors and contingent features: odors, musical notes, and geometrical shapes

Olfactory experiences represent a domain that is particularly rich in crossmodal associations. Whereas associations between odors and tastes, or other properties of their typical sources such as color or temperature, can be straightforwardly explained by associative learning, other matchings are much harder to explain in these terms, yet surprisingly are shared across individuals: The majority of people, for instance, associate certain odors and auditory features, such as pitch (Belkin, Martin, Kemp, & Gilbert, Psychological Science 8:340–342, 1997; Crisinel & Spence, Chemical Senses 37:151–158, 2012b) or geometrical shapes (Hanson-Vaux, Crisinel, & Spence, Chemical Senses 38:161–166, 2013; Seo, Arshamian, et al., Neuroscience Letters 478:175–178, 2010). If certain odors might indeed have been encountered while listening to certain pieces of music or seeing certain geometrical shapes, these encounters are very unlikely to have been statistically more relevant than others; for this reason, associative learning from regular exposure is ruled out, and thus alternative explanations in terms of metaphorical mappings are usually defended. Here we argue that these associations are not primarily conceptual or linguistic, but are grounded in structural perceptual or neurological determinants. These cases of crossmodal correspondences established between contingent environmental features can be explained as amodal, indirect, and transitive mappings across modalities. Surprising associations between odors and contingent sensory features can be investigated as genuine cases of crossmodal correspondences, akin to other widespread cases of functional correspondences that hold, for instance, between auditory and visual features, and can help reveal the structural determinants weighing on the acquisition of these crossmodal associations.     

A Developing Model Of Exploratory Psychotherapeutic Research: The Process Within The Process

A method to facilitate exploratory or discovery-oriented psychotherapy process research is presented. The personal and professional contexts out of which the need for this new approach to psychotherapy process research arose are described. Several changes in scientific values and beliefs that have occurred as a consequence of the development and use of this methodology are noted.     

Sole Expression: A Trauma-Informed Dance Intervention

The primary treatment for individuals who have encountered violence and/or abuse is trauma-focused cognitive and behavioral modalities. However, these therapeutic approaches are not always effective for youth who have encountered this type of trauma. Trauma is often communicated through the body via physical ailments, particularly when words are insufficient to capture an individual’s experience or when adequate processing of the trauma is not possible due to profound stress. Dance offers an alternative form of therapy that can address “where” the trauma is held, relieve tension, and restore a sense of ownership with one’s body and mind. In this article, we discuss the development of Sole Expression, a trauma-informed hip-hop dance program for youth who have experienced abuse and/or exposure to violence. We provide an overview of establishing the team, securing funding, trauma training, program curriculum, and the related research. We conclude with recommendations for best practices that benefit both practitioners and the young people served.