Self-help Acceptance and Commitment Therapy for Carers of People with Multiple Sclerosis: A Feasibility Randomised Controlled Trial

Journal of Clinical Psychology in Medical Settings - Acceptance and Commitment Therapy (ACT) is an established psychological therapy, but its effectiveness for carers of people with multiple...     

Views of individuals with gender dysphoria and disorders of sex development on sexism: An Iranian study

ABSTRACT

Background: Ambivalent sexist attitudes have been previously measured regarding several factors such as sex, race and religion.

Aims: In this study, we evaluated the ambivalent sexism among Iranian individuals with gender dysphoria with or without disorders of sex development (DSD).

Methods: Attitudes towards gender stereotypes were investigated using Ambivalent Sexism Inventory (ASI) among three groups of participants with varying psychosexual outcome. These groups were transpeople (N = 152, M = 25.44, SD = 6.52), people with DSD (N = 40, M = 21.2, SD = 2.24) and cisgender people (N = 195, M = 25.9, SD = 5.59).

Results: Significant differences in both types of sexism, benevolent (F (2,383) = 134.217, p < .001) and hostile (F (2,383) = 93.765, p < .001), were found between transpeople, participants with DSD and controls. While scores of transpeople and people with DSD were not significantly different from each other (p = 0.191, Cohen's d = 0.38), both groups were significantly more sexist than controls on hostile sexism (p < 0.001, Cohen's d = 1.4 and 1.1). In benevolent sexism, there were significant differences between the scores of the trans, DSD and control groups, with individuals with DSD being most sexist followed by transgender people (p < 0.001) and controls showing the least degree of sexism (p < 0.001).

Conclusion: Using the Gender Self-Socialization Model (GSSM), we propose that increased scores of ASI among individuals whose gender identity is incongruent with all or some of their physical features are attempts to attain gender typicality. This may lead to a higher degree of sexist beliefs than when all sex and gender characteristics are congruent.     

Feedback-related negativity codes outcome valence, but not outcome expectancy, during reversal learning

Optimal behavior depends on the ability to assess the predictive value of events and to adjust behavior accordingly. Outcome processing can be studied by using its electrophysiological signatures—that is, the feedback-related negativity (FRN) and the P300. A prominent reinforcement-learning model predicts an FRN on negative prediction errors, as well as implying a role for the FRN in learning and the adaptation of behavior. However, these predictions have recently been challenged. Notably, studies so far have used tasks in which the outcomes have been contingent on the response. In these paradigms, the need to adapt behavioral responses is present only for negative, not for positive feedback. The goal of the present study was to investigate the effects of positive as well as negative violations of expectancy on FRN amplitudes, without the usual confound of behavioral adjustments. A reversal-learning task was employed in which outcome value and outcome expectancy were orthogonalized; that is, both positive and negative outcomes were equally unexpected. The results revealed a double dissociation, with effects of valence but not expectancy on the FRN and, conversely, effects of expectancy but not valence on the P300. While FRN amplitudes were largest for negative-outcome trials, irrespective of outcome expectancy, P300 amplitudes were largest for unexpected-outcome trials, irrespective of outcome valence. These FRN effects were interpreted to reflect an evaluation along a good–bad dimension, rather than reflecting a negative prediction error or a role in behavioral adaptation. By contrast, the P300 reflects the updating of information relevant for behavior in a changing context.     

The neuropsychology of ventral prefrontal cortex: decision-making and reversal learning

Converging evidence from human lesion, animal lesion, and human functional neuroimaging studies implicates overlapping neural circuitry in ventral prefrontal cortex in decision-making and reversal learning. The ascending 5-HT and dopamine neurotransmitter systems have a modulatory role in both processes. There is accumulating evidence that measures of decision-making and reversal learning may be useful as functional markers of ventral prefrontal cortex integrity in psychiatric and neurological disorders. Whilst existing measures of decision-making may have superior sensitivity, reversal learning may offer superior selectivity, particularly within prefrontal cortex. Effective decision-making on existing measures requires the ability to adapt behaviour on the basis of changes in emotional significance, and this may underlie the shared neural circuitry with reversal learning.     

Five-year-old children's difficulty with false belief when the sought entity is a person

A total of 153 children (excluding those who erred on control questions), mainly 5 and 7 years of age, participated in two experiments that involved tests of false belief. In the task, the sought entity was first at Location 1 and then, unknown to the searching protagonist, it moved to Location 2. In Experiment 1, performance was well below ceiling in 5-year-olds when the sought entity was a person, and this contrasted with a task in which the sought entity was a physical object. Performance was especially inaccurate when the sought person moved of his or her own volition rather than when the sought person was requested to move by a third party. Interestingly, 5-year-olds were more likely to nominate Location 1 when asked where the searching protagonist would look first than when asked what he or she would do next. In Experiment 2, however, 5-year-olds also tended to nominate Location 1 following a question that included the word "first" even in a test of true belief--a patently incorrect response. Altogether, the results suggest that 5-year-old children have considerable difficulty with a test of false belief when the sought entity is a person acting under his or her own volition. This suggests that 5-year-olds' handle on states of belief is surprisingly fragile in this kind of task.     

Design efficiency for imbalanced multilevel data

The importance of accurate estimation and of powerful statistical tests is widely recognized but has rarely been acknowledged in practice in the social and behavioral sciences. This is especially true for estimation and testing when one is dealing with multilevel designs, not least because approximating accuracy and power is more complex due to having multiple variances and research units at several levels. The complexity further increases for imbalanced designs, often necessitating simulation studies that perform accuracy and power calculations. However, we show, using such simulation studies, that the distortion of balance can be ignored in most cases, making efficiency studies simpler and the use of existing software valid. An exception is suggested for imbalanced data from a large majority of small groups. Furthermore, an empirical sampling distribution of variance parameters may show substantial skewness and kurtosis, depending on the number of groups and, for the random slope, depending also on the group’s size, adding another caveat to the recommendation to ignore imbalance.     

Perpetrator and victim perceptions of perpetrator's masculinity as a risk factor for violence: A meta-ethnography synthesis

Men are over-represented as both perpetrators and victims of violence. The purpose of this systematic review was to examine the relationship between masculinity and violence from the perspectives of the perpetrators and victims. In order to provide the best available scientific evidence, four databases were searched and a Critical Appraisal Skills Programme tool was used to evaluate 10 studies. A meta-ethnography approach was also employed to synthesize the selected studies. The analysis revealed a number of reciprocal themes that act as risk factors for violence. This included a masculinization process, available resources, ethnic minority identification and alcohol and substance abuse. This review highlights the need for further research exploring different reciprocal themes and their association with masculinity and violence. Further research in this field could help clinicians improve their practice by helping clinicians widen their discussions about the violence committed by some males. Additional investigations could also improve offender treatment programs, which, in turn, could assist offenders by helping them challenge schemas and cognitive distortions that may precipitate their violence.     

Emotional arousal and overeating in restrained eaters.

We tested the effects of 3 mood inductions (neutral, positive, and negative) on food intake in 91 women of varying degrees of dietary restraint. Mood induction was accomplished by exposure to 1 of 3 film segments: a travelogue (neutral affect), a comedy film (positive affect), and a horror film (negative affect). In subjects exposed to the neutral film, food intake decreased with increasing levels of dietary restraint. Among subjects who viewed either the comedy film or the horror film, however, food intake increased with increasing restraint. Although the horror film appeared to be more disinhibiting than the comedy film, this effect may have resulted from a difference in the intensity of the emotions induced rather than from their valence. These results suggest that emotional arousal, regardless of valence, may trigger overeating among restrained eaters.     

Serotoninergic regulation of emotional and behavioural control processes

5-Hydroxytryptamine (5-HT, serotonin) has long been implicated in a wide variety of emotional, cognitive and behavioural control processes. However, its precise contribution is still not well understood. Depletion of 5-HT enhances behavioural and brain responsiveness to punishment or other aversive signals, while disinhibiting previously rewarded but now punished behaviours. Findings suggest that 5-HT modulates the impact of punishment-related signals on learning and emotion (aversion), but also promotes response inhibition. Exaggerated aversive processing and deficient response inhibition could underlie distinct symptoms of a range of affective disorders, namely stress- or threat-vulnerability and compulsive behaviour, respectively. We review evidence from studies with human volunteers and experimental animals that begins to elucidate the neurobiological systems underlying these different effects.