Defining and diagnosing involuntary emotional expression disorder

Uncontrollable episodes of emotional expression occur in a variety of neurological conditions. This emotional disinhibition syndrome is characterized by episodes of crying or laughing that are unrelated to or out of proportion to the eliciting stimulus. This syndrome is common among patients with amyotrophic lateral sclerosis, multiple sclerosis, stroke, and traumatic brain injury and a variety of terms and definitions have been used to describe it. The confusing nomenclature has been a barrier to understanding, diagnosis, and treatment of this disorder. The authors propose a unifying term, involuntary emotional expression disorder (IEED), and provide diagnostic criteria for this disorder.     

Transdiagnostic Internet treatment for anxiety disorders: A randomized controlled trial

Clinician-guided Internet-based cognitive behavioural therapy (iCBT) programs are clinically effective at treating specific anxiety disorders. The present study examined the efficacy of a transdiagnostic Internet-based cognitive behavioural treatment (iCBT) program to treat more than one anxiety disorder within the same program (the Anxiety Program). Eighty six individuals meeting diagnostic criteria for generalized anxiety disorder (GAD), panic disorder, and/or social phobia were randomly assigned to a treatment group, or to a waitlist control group. Treatment consisted of CBT based online educational lessons and homework assignments, weekly email or telephone contact from a clinical psychologist, access to a moderated online discussion forum, and automated emails. An intention-to-treat model using the baseline-observation-carried-forward principle was employed for data analyses. Seventy-five percent of treatment group participants completed all 6 lessons within the 8 week program. Post-treatment data was collected from 38/40 treatment group and 38/38 control group participants, and 3-month follow-up data was collected from 32/40 treatment group participants. Relative to controls, treatment group participants reported significantly reduced symptoms of anxiety as measured by the Generalized Anxiety Disorder - 7 Item, Social Phobia Screening Questionnaire, and the Panic Disorder Severity Rating Scale - Self Report Scale, but not on the Penn State Worry Questionnaire, with corresponding between-groups effect sizes (Cohen’s d) at post-treatment of 0.78, 0.43, 0.43, and 0.20, respectively. The clinician spent a total mean time of 46 min per person over the program, participants rated the procedure as moderately acceptable, and gains were sustained at follow-up. Modifications to the Anxiety program, based on post-treatment feedback from treatment group participants, were associated with improved outcomes in the control group. These results indicate that transdiagnostic programs for anxiety disorders may be successfully administered via the Internet.     

Personality Processes in Anger and Reactive Aggression: An Introduction

ABSTRACT The situational factors precipitating anger and reactive (i.e., emotional) aggression have been well documented in the social psychology literature. However, there are pronounced individual differences in reactivity to hostile cues that are equally important in understanding such outcomes. Indeed, in predicting tendencies toward anger and reactive aggression, it appears critical to simultaneously consider both individual difference and situational factors. This case is first made. Subsequently, the utility of this individual difference realm in understanding wider personality processes related to social cognition, reactivity, and self-regulation is highlighted. Individual difference frameworks of this type are scattered across multiple literatures. For this reason, the present special section of the Journal of Personality invited contributions from experts in developmental, social, cognitive, trait, and biological subdisciplines of psychology. The final section introduces the invited papers and makes a brief case for broader process-related conclusions that are generally apparent.     

On misunderstanding science

Abstract

The paper examines the differences between Kuhn's account, in The Structure of Scientific Revolutions, of the sciences as necessarily communal activities with internally set standards of procedure and achievement, and that view of the sciences which calls itself ‘Scientific Realism’ and regards them as striving toward, and perhaps asymptotically approaching, some external and objective reality that bestows truth or falsity on scientific theories.

The main argument turns on Poincaré's demonstration that Newton's Second Law (f = ma) is not a testable, provable proposition with a truth value, but something that is simply adopted. It is adopted in the light of experience, certainly, but there is no logical necessity in the adoption. My suggestion is that it is a ‘way of looking’ and ‘a method of analysis’ and that the necessity of its adoption by any individual lies in its being a necessary condition of entry into the scientific community. That community itself adopts ways of looking or methods of analysis for their fruitfulness in dealing with old problems and defining new ones.

Incoherences in the ‘approach’ account of scientific progress are looked at, and the individualistic assumptions that motivate it. These require the sciences to be presented as the source and basis of agreement and community amongst separated individuals. This picture and its requirement inverts reality as well as Kuhn's account, which makes community and agreement the starting point. The notion of reality as a transcendental convergence point becomes redundant.

The old problem of the incommensurability of paradigms is discussed by relating them to the notions of ways of looking and methods of analysis. These may be incompatible in that one cannot look at things in two different ways at once, but at the same time they cannot be measured on any common scale.     

The Process of Personal Change Through Reading Fictional Narratives: Implications for Psychotherapy Practice and Theory

This qualitative study provides an understanding of how and when individuals experience transformational change as a consequence of reading narratives. Six participants who attributed significant personal changes to reading were recruited and interviewed. The investigators used grounded theory method to analyze these interviews and identify processes through which change unfolded. The core category of the analysis was identification with characters' experiences created a safe venue to consider threat and experiment with new possibilities and perspectives. Empathizing with protagonists enabled readers to integrate new modes of responding to personally difficult situations. Implications for bibliotherapy and narrative therapy are discussed.     

Incarnation and Semiotics: A Theological and Anthropological Hypothesis Part 2: Semiotics,Anthropology, and Religious Transformation

This is the second in a pair of articles in which we draw on C.S. Peirce's semiotics (theory of signs) to develop a new approach to the Christian concept of Incarnation. In Part 1 we used Peirce's taxonomy of signs to explore what it means to understand the life of Jesus as the embodiment of the quality of God within the fabric of the created order. In this article (Part 2), we explore some ways in which this semiotic approach to the Incarnation offers constructive opportunities in theological anthropology, and suggests some empirically testable hypotheses about human evolution.