Therapeutic alliance and progress in couple therapy: multiple perspectives

Therapeutic alliance research in couple therapy using multiple perspectives and longitudinal data has been sparse. This study used structural equation modelling to explore relationships between changes in alliance and in progress from clients' and therapists' perspective in a fairly large sample of couples (N=195) during the initial stage of therapy at an on‐campus training clinic. Self‐rated alliance was measured after sessions 2 through 4 with the Working Alliance Inventory. There was very little change in alliance over the early sessions of therapy, and changes in alliance did not always account for changes in relationship satisfaction. Husbands' perceptions of satisfaction and alliance seem to play an important role in the dynamics of the therapeutic process. Findings suggest a reciprocal relationship between perceptions of alliance and progress in therapy when combining perceptions of therapists and couple clients. Clinical implications and future research are discussed.     

We're Closer than I Thought: Social Network Heterogeneity,Morality, and Political Persuasion

Literature in the area of social networks indicates that increases in perceived social network attitudinal heterogeneity generate increased openness to attitude change. Recent evidence in the area of morality, however, shows that morally based attitudes are particularly resistant to persuasion and can result in the rejection of disagreeing others. Positing that considering morality would reduce network influence, an experiment varied moral cues presented along with a non‐network persuasive message while holding the actual content constant. Results demonstrate that morality and network composition interact to predict persuasion, such that when people are not cued to consider morality increased network heterogeneity predicts increased persuasion, but when identical messages are presented in a way that invokes morality the impact of network heterogeneity disappears or even reverses marginally. This interactive effect was replicated in two very different political issues: gay adoption and nationalized healthcare. Implications for persuasion by morally motivated sources independent of the effects of specific moral arguments are discussed.     

Visual search for schematic emotional faces risks perceptual confound

Several studies have used a visual search task to demonstrate that schematic negative-face targets are found faster and/or more efficiently than positive ones, with these findings taken as evidence that negative emotional expression is capable of guiding attentional allocation in visual search. A common hypothesis is that these effects should be disrupted by face inversion; however, this has not been consistently demonstrated, and raises the possibility of a perceptual confound. One candidate confound is the feature of "closure" (see Wolfe & Horowitz, 2004) caused by the down-turned mouth adjacent to edge of the face. This was investigated in the present series of experiments. In Experiment 1, the speed advantage for upright negative faces was replicated. In Experiment 2, the effect was not disrupted with inversion, and an efficiency advantage emerged, suggesting that perceptual features could be causing the advantage. In Experiment 3, speed and efficiency effects were seen when this perceptual characteristic remained but face features were scrambled. Taken together, these findings suggest that visual search using schematic faces containing a curved-line mouth feature cannot provide a valid test of guided search by negative facial emotion unless this confound is controlled.     

Impairment in risk-sensitive decision-making in older suicide attempters with depression

Suicidal behavior is a potentially lethal complication of late-life depression. In younger adults, suicide has been linked to abnormal decision-making ability. Given that there are substantial age-related decreases in decision-making ability, and that older adults experience environmental stressors that require effective decision-making, we reasoned that impaired decision-making may be particularly relevant to suicidal behavior in the elderly. We thus compared performance on a probabilistic decision-making task that does not involve working memory ("Cambridge Gamble Task") in four groups of older adults: (1) individuals with major depression and a history of suicide attempt (n = 25), (2) individuals with major depression with active suicidal ideation but no suicide attempt (n = 13), (3) individuals with major depression without suicidality (n = 35), and (4) nondepressed control subjects (n = 22). There was a significant effect of group on quality of decision-making, whereby the suicide attempters exhibited poorer ability to choose the likely outcome, compared with the nonsuicidal depressed and nondepressed comparison subjects. There were no group differences in betting behavior. The suicide attempters differed in several aspects of social problem-solving on a self-report scale. Quality of decision-making was negatively correlated with the score on the impulsive/careless problem-solving subscale. These data suggest that older suicide attempters have a deficit in risk-sensitive decision-making, extending observations in younger adults. More specifically, older suicide attempters seem to neglect outcome probability and make poor choices. These impairments may precipitate and perpetuate suicidal crisis in depressed elders. Identification of decision-making impairment in suicidal elders may help with designing effective interventions.     

Predictors of outcome in patients consulting their general practitioners for headache: a prospective study

Headache is the most common neurological symptom presenting to general practitioners (GPs). Identifying factors predicting outcome in patients consulting their GPs for headache may help GPs with prognosis and choose management strategies which would improve patient care. We followed up a cohort of patients receiving standard medical care, recruited from 18 general practices in the South Thames region of England, approximately 9 months after their initial participation in the study. Of the baseline sample (N=255), 134 provided both full baseline and follow-up data on measures of interest. We determined associations between patients' follow-up scores on the Headache Impact Test-6 and baseline characteristics (including headache impact and frequency scores, mood, attributions about psychological/medical causes of their headaches, satisfaction with GP care and illness perceptions). Greater impact and stronger beliefs about the negative consequences of headaches at baseline were the strongest predictors of poor outcome at follow-up.     

Does understanding relational terminology mediate effects of intervention on compare word problems?

The purpose of this study was to assess whether understanding relational terminology (i.e., more, less, and fewer) mediates the effects of intervention on compare word problems. Second-grade classrooms (N=31) were randomly assigned to one of three conditions: researcher-designed word-problem intervention, researcher-designed calculation intervention, or business-as-usual (teacher-designed) control. Students in word-problem intervention classrooms received instruction on the compare problem type, which included a focus on understanding relational terminology within compare word problems. Analyses, which accounted for variance associated with classroom clustering, indicated that (a) compared with the calculation intervention and business-as-usual conditions, word-problem intervention significantly increased performance on all three subtypes of compare problems and on understanding relational terminology, and (b) the intervention effect was fully mediated by students' understanding of relational terminology for one subtype of compare problems and partially mediated by students' understanding of relational terminology for the other two subtypes.     

Cues to personality and health in the facial appearance of chimpanzees (Pan troglodytes)

Humans (Homo sapiens) and chimpanzees (Pan troglodytes) can extract socially-relevant information from the static, non-expressive faces of conspecifics. In humans, the face is a valid signal of both personality and health. Recent evidence shows that, like humans, chimpanzee faces also contain personality information, and that humans can accurately judge aspects of chimpanzee personality relating to extraversion from the face alone (Kramer, King, and Ward, 2011). These findings suggest the hypothesis that humans and chimpanzees share a system of personality and facial morphology for signaling socially-relevant traits from the face. We sought to test this hypothesis using a new group of chimpanzees. In two studies, we found that chimpanzee faces contained health information, as well as information of characteristics relating to extraversion, emotional stability, and agreeableness, using average judgments from pairs of individual photographs. In a third study, information relating to extraversion and health was also present in composite images of individual chimpanzees. We therefore replicate and extend previous findings using a new group of chimpanzees and demonstrate two methods for minimizing the variability associated with individual photographs. Our findings support the hypothesis that chimpanzees and humans share a personality signaling system.     

Personally familiar proper names are relatively successfully processed in the human right hemisphere; or, the missing link

Responding to our abstract in Brain and Language (Ohnesorge & Van Lancker, 1999), which proposed that famous proper nouns are successfully processed in both cerebral hemispheres, Schweinberger, Landgrebe, Mohr, and Kaufmann (2001) claimed that the "link" between personal names and the right hemisphere is "illusory." Ohnesorge and Van Lancker (2001) further described six experimental studies in which LVF/RH recognition of famous proper nouns was influenced by task conditions and stimulus familiarity. Here presenting two more experiments performed to explore the refutation presented by Schweinberger et al., this article confirms an ability of the right hemisphere to recognize famous proper nouns and explains why appropriate stimulus development and task conditions are essential in furthering our understanding of the role of the right hemisphere in processing personal relevance.     

Dependency,impulsivity, and self-harm: traits hypothesized to underlie the association between cluster B personality and substance use disorders

Cluster B personality disorders (PDs) (i.e., antisocial, borderline, histrionic, and narcissistic) typically show a high degree of comorbidity with substance use disorders (SUDs). Previous research suggests that the broad-based personality domains of Disinhibition and Negative Temperament/Neuroticism may be common factors to both types of disorders. Using a two-phase process (i.e., screening and follow-up), this study examined three lower-order personality traits (i.e., dependency, impulsivity, and self-harm) that fall within the Disinhibition and Neuroticism domains. The study evaluated the hypotheses that these traits (a) are related both to cluster B PDs and to SUDs; and (b) underlie the association between the two types of disorders. Results indicate that impulsivity and self-harm play a significant role in cluster B PDs and SUDs, as well as in their association with each other. However, dependency was not associated with either type of disorder. These results indicate that sets of individual traits can be of significant utility in understanding the comorbidity between PDs and SUDs.