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.     

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.

An evaluation of matrix training to teach college students piano notes and rhythms

Twelve college students learned to tact the names of notes and rhythms and play them when presented with compound stimuli (visuals of notes and rhythms on a musical staff). In Experiment 1, we assessed generalization by presenting novel notes, rhythms, and compound stimuli not previously paired together. In the second experiment, we added a metronome that played at 60 beats per minute in all conditions for 3 out of 6 participants to ensure consistent tempo. Across both experiments, participants passed almost all posttests with the exception of tacting and playing in the presence of sound clips. Our data suggest that matrix training is an effective procedure to teach music skills to college students.     

Trauma,Healing and The Reconstruction Of Truth

The author analyzes recent developments in trauma theory, made necessary especially after the massive psychic traumas following World War II and the Shoah. The theories of Freud and Ferenczi are analyzed, especially, their different views of reality and their clinical attitude. When working with survivors of any trauma (from incest to genocide) it is necessary to reconstruct the historical details as carefully as possible, with the appropriate timing. Psychoanalysis is therefore viewed as an ethical and political practice similar to testimony, allowing the reconstruction of truth within the community and interrupting the cycle of the death instinct from one generation to the next.     

Peer relationships in counseling psychology training

Twelve students from APA-accredited counseling psychology doctoral programs were interviewed about their experiences with peers in their program, and about their values and beliefs about peer relationships in graduate school. Interview data were analyzed using consensual qualitative research. Participants reported a wide range of positive (e.g. collaborative and supportive) and negative (e.g. competitive and hostile) interactions with peers inside and outside of the classroom, in research, and in clinical work. Compared to advisory and supervisory relationships, peer relationships were typically less formal and more open. The sharing of common training experiences generally facilitated mutual understanding among trainees. In addition, a visual analog scale, the peer relationship scale (PRS), was used to measure participants’ closeness with peers. Results from the PRS appeared to be useful in distinguishing participants with the most positive and negative peer relationships, warranting further investigation of its psychometric properties and application in program evaluation and research on training. Implications for training are discussed.     

Sense of justice in school and civic attitudes

Contending that justice experiences in school serve as a hidden curriculum that conveys messages about the wider society and impact student attitudes and behavior, we investigate the effects of students’ sense of distributive and (school) procedural justice on democratic-related attitudes: liberal democratic orientation (civil rights), social trust and institutional trust. The study was carried out among about 5,000 8th- and 9th-grade students in a national sample of 48 junior high schools in Israel in the 2010–2011 school year. The two-level data—individual and school—were analyzed by the hierarchical linear model (HLM7) program. Findings basically support our hypotheses: sense of distributive instrumental and, especially, of relational justice at school have a positive effect on liberal democratic orientation and on trust in people and in formal institutions. Furthermore, school (aggregate) sense of procedural justice adds to these positive effects and, in the case of democratic orientation, also interacts with instrumental justice and intensifies its effect on this outcome. However, these attitudes are also dependent on sectorial affiliation (Jewish secular, Jewish religious, Israeli–Arab), which explains a considerable portion of between-school variation in student attitudes.