Dialogue and Dominance in Couple Therapy for Depression: Exploring Therapists’ Responses in Creating Collaborative Moments

Previous investigations have found specific communication patterns in couples dealing with depression, specifically when depression concurs with conjugal conflicts. The presence of these patterns can reflect couples’ difficulties in engaging in collaborative communication during their sessions, posing a real challenge for therapists. This exploratory study uses a dialogical approach to examine issues of dominance and type of dialogue in two couples who differed in terms of their levels of dyadic adjustment. The therapists’ reactions were explored in order to detect the kinds of responses that were most effective at engendering a collaborative attitude in therapy sessions. The method used to analyze the dialogue was Dialogical Investigations of Happenings of Change (DIHC). Results on dominance indicated that the degree of quantitative and semantic dominance displayed by a different member of the couple in each case was illustrative of their relational dynamics, while in both cases interactional dominance was exercised by the therapists. Results on dialogue revealed that dialogic dialogue might help to coconstruct new shared meanings of depression. The findings indicated that certain responses by therapists as part of the dialogue could be useful in bringing about a reduction in hostility between the members of a couple, provided that the responses are maintained over the course of the session. Some research and clinical implications that emerge from the results are discussed.     

Domestic chicks perceive stereokinetic illusions

Stereokinetic illusions occur when certain 2-D patterns are set in slow rotation in a plane perpendicular to the line of sight. Such phenomena have never been investigated in animal species other than our own. We used the domestic chick (Gallus gallus) to check whether these illusions are experienced by non-human species, taking advantage of filial imprinting. Newly hatched visually naive chicks were individually exposed for 4 h to 2-D stimuli producing, to a human observer, the perception of a stereokinetic cone (experiment 1) or of a stereokinetic cylinder (experiment 2). Thereafter, each chick underwent a free-choice test between a solid 3-D cone and a solid 3-D cylinder. A control group of newly hatched but not imprinted chicks underwent the same testing procedure, to check for the presence of any spontaneous preference for one or other of the two solid objects. Imprinted chicks approached the 3-D stimulus closely resembling the stimulus they had been exposed to during imprinting (the cone in experiment 1 and the cylinder in experiment 2). Non-imprinted chicks did not show any preference. These results suggest that domestic chicks experience stereokinetic illusions.     

Predictive Testing of Eighteen Year Olds: Counseling Challenges

Genetic counseling of teenagers is challenging and complex. The ability to think abstractly, a sense of self and independence from family all develop during adolescence. Predictive genetic testing counseling protocols presuppose that these qualities exist, requiring the at-risk individual to consider the short and long term consequences of testing as well as their motivations. Eighteen year olds are in transition from adolescence to adulthood; eligible for predictive genetic testing, they may not yet be independent of their family or able to articulate their feelings. This paper presents case studies from the authors' clinical practice to illustrate some of the difficulties faced by genetic counselors when 18 year olds request predictive testing for Hereditary Non-Polyposis Colorectal Cancer. By reflecting upon their experiences with these young adults and their families, the authors' intention is to generate discussion about genetic counseling strategies, particularly for predictive genetic testing, that are both age-appropriate and family-sensitive.     

Simultaneous multiple stressors in the environment: physiological stress reactions, performance, and stress evaluation

Interactive effects of two environmental stressors when simultaneous ly present, i.e., noise and crowding, were analyzed. Four experimental conditions with two intensities of stress for each stressor (high versus low) were created. The stressors were concurrently introduced in laboratory conditions and their effects analyzed using several methodological approaches. More intense and negative effects were expected when the two highest intensities of noise and crowding concurred. 40 people (20 men and 20 women) participated in a study with a 2 x 2 factorial design. Analysis showed an increase in the measures of hemodynamic, endocrine, and neuroendocrine values of participants after being exposed simultaneously to noise and crowding. Similarly, their performance on complex tasks decreased, and they reported a subjective increase in stress. Capacity to cope was indicated by a statistically significant lower mean on the Dimension of Stress scale, tolerance of frustration during the multiple stress condition.     

The influence of contrast and spatial factors in the perceived shape of boundaries

When an edge can be perceived to continue either with a collinear edge of the opposite contrast polarity or with a noncollinear edge of the same contrast polarity, observers perceive an alignment between the edges of the same contrast polarity, even though they are noncollinear. Using several stimulus configurations and both free and tachistoscopic viewing, we studied the luminance and spatial factors affecting the perceived distortion and binding. The results showed that the two noncollinear edges tended to align when they had the same contrast polarity (Experiment 1A) and to misalign when they had opposite contrast polarity (Experiment 2), providing that (1) they were separated by a distance larger than 1 arcmin and smaller than 3-4 arcmin (for all configurations) and (2) they laterally overlapped for about 7 arcmin (Experiment 1B). The results also showed that the direction of apparent distortion depended on the direction of overlapping. The results of Experiment 3 ruled out the local attraction/repulsion explanation but, instead, supported the suggestion that the interaction concerned the global edges, or part of them, and produced an inward tilt, which made the edges of the same contrast polarity perceptually to align, or an outward tilt, so that the edges of opposite contrast polarity were perceived to be more misaligned. From the overlap and distance limits found, it can be inferred that for two noncollinear contours to join perceptually, the tilt must not exceed 18 degrees, a limit compatible with the orientation bandwidth of contrast-sensitive early cortical mechanisms.     

Alcohol-related knowledge and attitudes in people with a mild learning disability – the effects of a ‘sensible drinking’ group

Alcohol-related knowledge and attitudes in people with a mild learning disability, who were either living, or being prepared to live, in relatively independent conditions in the community, were assessed through a structured interview format. Compared with non-learning-disabled teenagers, adults and a hospitalized patient sample, alcohol-related knowledge in the people with a learning disability was found to be significantly poorer, alcohol was reported as having particularly negative effects and susceptibility to social pressure to drink alcohol was greater. A ‘sensible drinking’ group, taking a social skills and influences approach to alcohol education, was conducted with a subgroup of the individuals with a learning disability. The group format and methods, including in vivo sessions in a public house, are described. Follow-up evaluations suggested some significant positive changes in knowledge, attitudes and sensible drinking skills. It is concluded that this population, which is increasingly living, or being moved into, independent conditions in the community, is at least as vulnerable to social influences on alcohol use and abuse as are young people. As with young people, the usefulness of making available such alcohol-education programmes as described in this study, is discussed.     

The effect of repeated testing on judgement bias in domestic dogs (Canis familiaris)

Animal Cognition - Judgement bias paradigms are increasingly being used as a measure of affective state in dogs. Approach to an ambiguous stimulus is commonly used as a measure of affect, however,...     

The role of self-criticism, dependency, and hassles in the course of depressive illness: a multiwave longitudinal study

The current study utilized a multiwave longitudinal design to examine whether dependency and/or self-criticism influence the course of depressive symptoms in a community sample of adults with a history of major depression. In addition, the authors examined whether self-esteem serves as a buffer against the development of depressive symptoms following increases in hassles in individuals possessing such traits. At Time 1, 102 participants completed measures assessing depressive symptoms, self-criticism, dependency, and self-esteem. Every 6 weeks for the next year, participants completed measures assessing depressive symptoms and hassles. High self-criticism was associated with greater elevations in depressive symptoms following elevations in hassles in low but not high-self-esteem individuals. Results with respect to dependency, however, were contrary to hypotheses. High dependency was associated with elevations in depressive symptoms following elevations in hassles in high-self-esteem individuals. In contrast, high dependency was associated with chronically elevated depressive symptoms in low-self-esteem individuals.     

Confirmatory Factor Analysis of the Depression–Anxiety–Stress Scales in Depressed and Anxious Patients

The Depression–Anxiety–Stress Scales (DASS; P. F. Lovibond & S. H. Lovibond, 1995) have shown considerable promise in their ability to differentially assess depression and anxiety symptoms. Most of the work to date has relied on normal or predominantly anxious clinical samples. To extend this research to a predominantly depressed sample, a psychiatric sample from a mood disorders program (N = 439) was used to investigate the factor structure of the DASS. Confirmatory factor analyses indicated that a 3-factor model for the 21-item DASS was supported. A 3-factor model with crossloading items for the 42-item version showed no practical improvement. Further confirmatory analyses evaluated the ability of item subsets from the DASS to represent the constructs specified in the tripartite model (L. A. Clark & D. Watson, 1991). Strong support was obtained for the DASS to represent the construct of anhedonia and physiological hyperarousal, and their relative importance is consistent with predictions of the tripartite model in understanding the relationship between anxiety and depression.     

A Psychometric Evaluation of the Approach and Avoidance of Alcohol Questionnaire (AAAQ) in Alcohol Dependent Outpatients

The Approach and Avoidance of Alcohol Questionnaire (AAAQ; McEvoy et al. in Addiction 99:482–497, 2004) was administered to a clinical sample of 138 alcohol dependent men and women. An exploratory factor analysis was used to determine the AAAQ factor structure and a confirmatory analysis run on a second administration of the AAAQ. Convergent validity was examined by conducting an alcohol cue reactivity test and by administering the Timeline Follow-Back (TLFB), a retrospective calendar method for assessing alcohol consumption, and several measures of alcohol-related problems. The factor analysis supported a two-factor solution representing approach and avoidance dimensions. Regressions predicting measures of alcohol cue reactivity, alcohol consumption, and other alcohol-related constructs with the AAAQ provide support for its convergent validity. The results suggest that alcohol craving may be viewed as a multi-dimensional construct that includes both approach and avoidance inclinations which may vary depending on the population under examination.