Stories as Gift: Patient Narratives and the Development of Empathy

Critical thought and assessment of medical, emotional, and social problems faced by patients is central to genetic counselor training and development. However, primary emphasis on these critical problem-solving approaches can interfere with the development of empathic listening skills. Using a narrative medicine approach, I describe how learning to reframe one patient’s story of healing as a gift allowed me to become a more open and empathic listener. Ultimately, the empathy and understanding that I learned from this patient’s narrative added to what previous patients had taught me and helped me assist other patients (and myself) in identifying and nurturing healing narratives for people coping with illness and grief. The approach presented here emphasizes the importance of recognizing patients as valuable teachers in the development of higher-level empathy skills.     

Relationship Self-Regulation and Relationship Quality: The Moderating Influence of Gender

Relationship quality, as measured by relationship satisfaction and stability, is important to understanding how happy a couple is and the chances their relationship will end. Prior research has linked two aspects of relationship self-regulation (RSR), effort and strategies to improve a relationship, to increased levels of satisfaction and stability, but has not yet examined if gender moderates this association. Our paper addresses how both aspects of RSR are associated with increases in satisfaction and stability for male and female partners using data from the RELATionship Evaluation Survey. In the sample of 8006 men and women in a variety of romantic unions, we find that both aspects of RSR are positively associated with both aspects of relationship quality, but that this association is stronger for women’s reports of satisfaction than men’s. Additionally, relationship effort has a slightly stronger association with stability for women than men. Both clinical and research applications of these findings are discussed.     

Implicit Bias and Policing

In a time when racial prejudice is generally taboo and decision makers, including law enforcement officials, strenuously disavow the use of group‐based stereotypes to make judgments that affect others, one might expect discriminatory outcomes to be unusual. However, research repeatedly indicates that discrimination is pervasive across many domains, and specifically in policing. A major cause of biased policing is likely the implicit biases that operate outside of conscious awareness and control but nevertheless influence our behaviors. Implicit biases (e.g., stereotypes linking Blacks with crime or with related traits like violence or hostility) influence judgments through processes of misattribution and disambiguation. Although psychological science gives us good insight into the causes of racially biased policing, there are as yet no known, straightforward, effective intervention programs. Nevertheless, there are several strands of research that represent promising avenues for further exploration, including intergroup contact, exposure to counter‐stereotypic exemplars, and stereotype negation. Meanwhile, many police departments are adjusting their policies, trainings, and procedures to try to address biased policing and community complaints. Several common themes among those changes include banning racial profiling, collecting data, training officers, reducing discretion, and adopting new technologies. These adjustments are more likely to be successful if they incorporate the understanding that biased policing occurs in the absence of explicitly “racist” thoughts because of well‐documented, pernicious stereotypes that operate largely outside of conscious awareness and control.     

Differential Effects of Self-graphing on Self-monitoring of Early Literacy Outcomes in Kindergarten Students

The purpose of this study was to examine how an early literacy intervention, Kindergarten Peer-Assisted Learning Strategies (K-PALS; Mathes et al. Kindergarten peer-assisted literacy strategies (K-PALS): Sopris West, 2001), can be intensified to extend the positive outcomes to students who do not initially demonstrate an adequate response to intervention. K-PALS was intensified by incorporating a self-monitoring package that included self-graphing. An alternating treatment design was used to compare the effectiveness of K-PALS with self-graphing alone and K-PALS with a self-monitoring package to baseline/K-PALS for the purpose of increasing student performance on the early literacy measure of phonemic awareness. The results of the study indicate that while the self-monitoring package was the more effective intervention for two of the three student participants, the self-graphing alone intervention also resulted in positive outcomes for both of these participants. There was no change in the phonemic awareness performance for the third participant throughout the alternating treatment phase. Implications for intensifying academic interventions within the context of a Response to Intervention framework are discussed.

     

Conservatism positively predicted fading affect bias in the 2016 US presidential election at low,but not high,levels of negative affect

Unpleasant affect fades faster than pleasant affect and this Fading Affect Bias (FAB) phenomenon is positively related to healthy outcomes and negatively related to unhealthy outcomes, which makes the FAB a healthy coping process/reaction. Rehearsal seems to be the cognitive mechanism responsible for the FAB. Although the FAB and its relation to healthy outcomes and rehearsal have been examined in many contexts, they have not been evaluated in the realm of politics. Therefore, we evaluated the FAB across event type and we examined the relation of FAB to political leaning (conservatism), unhealthy variables, healthy variables, and rehearsal for the 2016 US Presidential Election. We expected and found that FAB was larger for non‐political events than for election/political events, and conservatism positively predicted FAB. We also expected and found that unhealthy/healthy outcome variables related to FAB in predictable ways. Importantly, we found that negative affect moderated the relation of FAB and conservatism, and rehearsal ratings mediated this 3‐way interaction. The results supported emotion regulation models, such as the mobilization‐minimization hypothesis and self‐enhancement theory.     

Decomposing item-method directed forgetting of emotional pictures: Equivalent costs and no benefits

Using an item-method directed forgetting task, we presented negative, neutral, and positive photographic pictures, one at a time, each followed by an instruction to remember or forget. We determined that the directed forgetting effect, defined as better subsequent recognition of to-be-remembered (TBR) items than to-be-forgotten (TBF) items, was equivalent across negative, neutral, and positive pictures. To disentangle the underlying costs (i.e., decrease in memory for TBF items) and benefits (i.e., increase in memory for TBR items), we compared recognition memory performance in the directed forgetting task to that of a novel within-subjects remember-all control condition (Experiment 1) and to a between-subjects remember-all control group (Experiment 2). We observed costs without benefits across all three emotions—negative, neutral, and positive—in both experiments. These results demonstrate that equivalent directed forgetting effects for emotional stimuli are not attributable to different underlying component processes. Instead, our results suggest that selection for encoding is accomplished in similar ways, regardless of emotional content.     

Motivational mindsets versus reasons for action: implications for the dimensionality debate in self-determination theory

Motivation and Emotion - Within self-determination theory, motivation has been treated as a unidimensional (autonomy continuum) and multidimensional (types of motivation) construct. We propose that...     

A preliminary exploration of predictors of outcome and cognitive mechanisms of change in cognitive behaviour therapy for psychosis in people not taking antipsychotic medication

BackgroundCognitive behaviour therapy (CBT) has been shown to be effective in an open trial for people with psychotic disorders who have not been taking antipsychotic medication. There is little known about predictors of outcome in CBT for psychosis and even less about hypothesised mechanisms of change.Method20 participants with schizophrenia spectrum disorders received CBT in an exploratory trial. Our primary outcome was psychiatric symptoms measured using the PANSS. Secondary outcomes were dimensions of hallucinations and delusions, self-rated recovery and social functioning, and hypothesised mechanisms of change included appraisals of psychotic experiences, dysfunctional attitudes and cognitive insight. We also measured patient characteristics that may be associated with outcome.ResultsT-tests revealed that several of the hypothesised mechanisms did significantly change over the treatment and follow-up periods. Correlational analyses showed that reductions in negative appraisals of psychotic experiences were related to improvements on outcome measures and that shorter duration of psychosis and younger age were associated with greater changes in symptoms.ConclusionsCBT based on a specific cognitive model appears to change the hypothesised cognitive mechanisms, and these changes are associated with good outcomes. CBT may be more effective for those who are younger with shorter histories of psychosis.     

When seeing is knowing: the role of visual cues in the dissociation between children's rule knowledge and rule use

The Dimensional Change Card Sort (DCCS) task requires children to switch from sorting cards based on shape or color to sorting based on the other dimension. Typically, 3-year-olds perseverate, whereas 4-year-olds flexibly sort by different dimensions. Zelazo and colleagues (1996, Cognitive Development, 11, 37-63) asked children questions about the postswitch rules and found an apparent dissociation between rule knowledge and rule use, namely that 3-year-olds demonstrate accurate knowledge of the postswitch rules despite sorting cards incorrectly. Here, we show that children's success with these questions is grounded in their use of available visual cues; children who fail sorting use the target cards to correctly answer questions, and when the cards are unavailable they guess. This suggests that there might not be a dissociation between children's rule knowledge and rule use in the DCCS.