Metacognitive Therapy Focused on Psychosocial Function in Psychosis

Metacognitive Insight and Reflection Therapy is a manual-based individual psychotherapy aimed at enhancing four metacognitive processes through patient’s personal narratives which may promote recovery by helping individuals suffering from schizophrenia to develop a richer and more integrated sense of self. This study is a single case analysis of the effects of a meta-cognitively oriented CBT on residual psychotic symptoms and functional targets. Outcome measures (PANNS, PDI 21, BAVQ-R, PSP, MAS-A) were collected at two different times: pre-CBT and 1-year. Results showed reductions in the distress, preoccupation and conviction associated with delusions and improvements in metacognitive abilities, social functioning, hopefulness and of the sense of self-confidence to cope with the psychotic symptoms. Adopting a metacognitive perspective during psychotherapy had several benefits: to foster the development of therapeutic alliance, to allow the patient to assess the efficacy and acknowledge the consequences of the different strategies he could use to cope with his symptoms and to question the predominance of his delusions in his life. To conclude, Metacognitive Reflection and Insight Therapy seem particularly adapted to address psychosocial issues, such as social or work functioning.     

Put Yourself at the Helm: Charting New Territory,Correcting Course,and Weathering the Storm of Career Trajectories

What bearing have you set you set your sights on? How do you navigate the ever-changing swells and winds of our professional landscape? Are you feeling a nebulous desire for change, that your career is not going in the direction you were expecting, worry about lack of future opportunities, or even a deep dissatisfaction in your current position? You are not alone. The formation of the Committee on Advanced Training for Certified Genetic Counselors (CATCGC) was partly in response to such sentiments, expressed within a vibrant dialogue amongst members of the genetic counseling community. The CATCGC sought to understand how genetic counselors chart courses for their careers by conducting a Decision Points exercise during a pre-conference symposium (PCS) at the 2014 NSGC Annual Education Conference. Participants were asked to identify a decision point at which they were most satisfied with their careers and one at which they were least satisfied and to describe the situation, their personal goals and intentions, any actions they took, and the outcomes. Qualitative analysis in the constructivist tradition was conducted on participants’ responses and facilitators’ notes from the PCS to explore what personal meanings were made of the decision points; twelve themes related to Career High Points, Low Points, and how genetic counselors made career transitions were identified. Using a constructivist framework, themes are presented in the context of the authors’ personal experiences, and the authors’ share their reflections on these data. We wrote this article to offer you a window into your peers’ experiences - the good, the bad, and the ugly - hoping to encourage and challenge you to reflect deeply, no matter where you are on your career journey.     

False memories in children. Evidence for a shift from phonological to semantic associations

Memory illusions in children of three age groups (5-, 8-, and 11-year-olds) were investigated using a modified version of the Deese-Roediger-McDermott (DRM) procedure. Children from each age group falsely recalled nonpresented items related to the study lists. However, the nature of the intrusions varied across the different groups. The 5-year-olds were more likely to falsely recall words that rhymed with the studied items than to recall unrelated items, whereas the 11-year-olds were more likely to falsely recall words that were semantically related to the list theme than to produce either rhyming or unrelated intrusions. Intrusions made by the 8-year-olds were equally likely to be semantic, rhyming, or unrelated to study items. The results are consistent with the notion of a developmental shift from phonological to semantic associations, leading to qualitatively different memory distortions in children of different ages.     

‘Tied together feelings’ Group psychotherapy with latency children: the process of forming a cohesive group

In this paper we describe our experience of running a psychoanalytic psychotherapy group for six children, ranging in age from 4-8 years old. The group ran for a year, with sessions held weekly for an hour. The rationale for group work, selection criteria and the treatment setting are discussed. The paper charts the evolution within the children of the concept of an internal 'work group' (Bion, 1961), as opposed to a 'gang', as their self-awareness and capacity to relate to each other improved. This reflected a corresponding shift in their relationship to the two group leaders, moving from their initial perception of us as neglectful and in conflict with each other, towards recognizing us as a therapist couple who could work together thoughtfully for their benefit. The children's relationship to the group leaders, representing a 'parental couple' in the transference, was the focus of much of the work group. The positive outcomes for most of the children, resulting from this treatment, are reported.     

What role does neuroticism play in the association between negative job characteristics and anxiety and depression?

Many studies have established an association between job characteristics and anxiety and depression and noted that personality characteristics such as neuroticism likely play a role in creating or modifying these associations. Few studies, however, have explicitly tested or compared these possible alternative roles. In this study, we tested several specific hypotheses about neuroticism and its effects on job characteristics, anxiety and depression and their association in a series of structural equation models. Participants (N = 372) completed the Big Five Inventory, Job Contents Questionnaire and General Health Questionnaire. We tested (a) whether neuroticism is likely to be an important confounder of the association between job characteristics and anxiety and depression and (b) whether neuroticism moderates the association between job characteristics and anxiety and depression. Results indicated large attenuations by neuroticism of the association between job characteristics and anxiety and depression but there remained significant effects of psychological demands on anxiety, and social support on depression independent of neuroticism. Evidence was also found for interaction effects between neuroticism and decision latitude, with those lower in neuroticism being at higher risk for depression under conditions of low control.     

The role of career adaptability and work conditions on general and professional well-being

This study, conducted with a representative sample of employed and unemployed adults living in Switzerland (N = 2002), focuses on work conditions (in terms of professional insecurity and job demands), career adaptability, and professional and general well-being. Analyses of covariance highlighted that both unemployed and employed participants with low job insecurity reported higher scores on career adaptability and several dimensions (notably on control) than employed participants with high job insecurity. Moreover, structural equation modeling for employed participants showed that, independent of work conditions, adaptability resources were positively associated both with general and professional well-being. As expected professional outcomes were strongly related to job strain and professional insecurity, emphasizing the central role of the work environment. Finally, career adaptability partially mediated the relationship between job strain and professional insecurity, and the outcome well-being.     

Should We All be Scientists? Re-thinking Laboratory Research as a Calling

In recent years there have been major shifts in how the role of science—and scientists—are understood. The critical examination of scientific expertise within the field of Science and Technology Studies (STS) are increasingly eroding notions of the “otherness” of scientists. It would seem to suggest that anyone can be a scientist—when provided with the appropriate training and access to data. In contrast, however, ethnographic evidence from the scientific community tells a different story. Scientists are quick to recognize that not everyone can—or should—be a scientist. Appealing to notions such as “good hands” or “gut feelings”, scientists narrate a distinction between good and bad scientists that cannot be reduced to education, access, or opportunity. The key to good science requires scientists to express an intuitive feeling for their discipline, but also that individuals derive considerable personal satisfaction from their work. Discussing this personal joy in—and “fittingness” of—scientific occupations using the fields of STS, ethics and science policy is highly problematic. In this paper we turn to theology discourse to analyze the notion of “callings” as a means of understanding this issue. Callings highlight the identification and examination of individual talents to determine fit occupations for specific persons. Framing science as a calling represents a novel view of research that places the talents and dispositions of individuals and their relationship to the community at the center of flourishing practices.     

The effects of response stimuli interval on error priming in sequential object naming

Two experiments are reported, which examine the effect of altering response stimulus interval on the positive and negative error priming effects found during sequential object naming. Positive error priming refers to errors that relate to earlier responses at above chance rates. Negative error priming refers to the absence of errors that refer to the immediately preceding trial in particular (Lag 1), and this has been interpreted as a brief inhibitory effect. In Experiment 1, a series of pictures of animals were presented, with either 4 or 8sec intervening between response and next stimulus (RSI). Positive and negative error priming was evident in both conditions, though the positive error priming appeared to be attributable to only a subsection of the participants. Errors began to emerge at shorter lags in the 8sec RSI condition than the 4sec RSI condition, and this is inconsistent with any account which suggests inhibition is released after the next trial. In Experiment 2, the RSIs between related animal pictures were just over 8 and 16sec, and an intervening unrelated item was included between related pictures. Lag 1 errors were now the most frequent response in the long RSI condition, and there was an increase in the incidence of Lag 1 errors across RSI conditions. A preliminary assessment of the effects of adding an unrelated item suggested that it may cause a partial release from inhibition. Taken together, the data are consistent with the theory that inhibition decays over time, and the results are discussed with reference to other inhibitory effects in cognition.     

Moving Life Science Ethics Debates Beyond National Borders: Some Empirical Observations

The life sciences are increasingly being called on to produce “socially robust” knowledge that honors the social contract between science and society. This has resulted in the emergence of a number of “broad social issues” that reflect the ethical tensions in these social contracts. These issues are framed in a variety of ways around the world, evidenced by differences in regulations addressing them. It is important to question whether these variations are simply regulatory variations or in fact reflect a contextual approach to ethics that brings into question the existence of a system of “global scientific ethics”. Nonetheless, within ethics education for scientists these broad social issues are often presented using this scheme of global ethics due to legacies of science ethics pedagogy. This paper suggests this may present barriers to fostering international discourse between communities of scientists, and may cause difficulties in harmonizing (and transporting) national regulations for the governance of these issues. Reinterpreting these variations according to how the content of ethical principles is attributed by communities is proposed as crucial for developing a robust international discourse. To illustrate this, the paper offers some empirical fieldwork data that considers how the concept of dual-use (as a broad social issue) was discussed within African and UK laboratories. Demonstrating that African scientists reshaped the concept of dual-use according to their own research environmental pressures and ascribed alternative content to the principles that underpin it, suggests that the limitations of a “global scientific ethics” system for these issues cannot be ignored.