Trial-based psychotherapy and the efficacy of trial-based thought record in changing unhelpful core beliefs and reducing self-criticism

IntroductionThe best prevention against relapse results when patients are taught to restructure negative core beliefs (CBs). Efficacy of the trial-based thought record (TBTR) in decreasing the credit given by patients to negative CBs and corresponding emotions was evaluated.MethodPatients (n = 166) were submitted to a simulation of a legal trial to assess their adherence to negative CBs and corresponding emotions after each cognitive therapy technique incorporated by TBTR. RESULTS: Significant reductions existed in percent values after the first and second defense attorney pleas, as well as after jury's verdict and initial preparation for the appeal (p < 0.001), relative to the investigation phase. Significant differences also emerged between the defense attorney's first and second pleas and between the defense attorney's second plea and jury's verdict, as well as preparation for the appeal (p < 0.001). There was no significant difference between percentages presented by patients submitted to TBTR used in the empty chair format relative to the conventional format. Similarly, there was no difference between outcomes, regardless of therapists' level of exposure to TBTR.ConclusionTBTR may help patients reduce attachment to negative CBs and corresponding emotions. Outcomes were significantly favorable regardless of the format use and therapists' level of exposure to TBTR.     

Illness representations in patients with multimorbid long-term conditions: Qualitative study

Most research on illness representations explores how patients view single conditions, but many patients report more than one long-term condition (known as multimorbidity). It is not known how multimorbidity impacts on patient illness representations. This exploratory qualitative study examined patients’ representations of multimorbid long-term conditions and sought to assess how models of illness representation might need modification in the presence of multimorbidity. We explored two major issues: (1) the impact of multimorbidity on patient representations of their individual conditions and (2) the representation of multimorbidity itself. Twenty eight adults with at least two long-term conditions (mean of 4) were interviewed. The presence of multimorbidity impacted on patient illness representations in relation to the dimensions of identity, perceived cause, coherence and consequences. Representations of multimorbidity itself concerned representations of the burden of medication and perceived priorities among conditions and synergies and antagonisms between conditions and their management. The results have implications for the measurement of multimorbidity (through scales such as the Illness Perception Questionnaire) and the use of illness representations in the design and delivery of interventions to improve health behaviour and outcomes of patients with multiple long-term conditions.     

Specific language deficiencies in children with early onset hydrocephalus

Specific language abilities of children with early onset hydrocephalus were compared to nonhydrocephalic comparison groups. Ninety children, aged 5 to 7 years, composed six subject groups: three groups having a history of hydrocephalus due to spina bifida, prematurity-intraventricular hemorrhage, or aqueductal stenosis. and three comparison groups of children with spina bifida who had never been shunted, premature children with no hydrocephalus, and normal controls. Group performance scores were compared on measures of phonological awareness, semantics, fluency, and word retrieval. Children with hydrocephalus performed below their peers on all measures. These results indicate that early onset hydrocephalus has a substantial adverse impact on the development of a wide range of specific language abilities.     

Developmental change in the neuropsychological functioning of very low birth weight infants

Research on very low birth weight (VLBW) infants has not carefully evaluated developmental patterns of neurological and neuropsychological functioning across time. This study reports on a broad range of developmental outcomes for VLBW infants of low (LR, n = 116) and high (HR, n = 84) medical risk compared to full term infants (FT, n = 120) across 6, 12, and 24 months of age. While low risk infants showed initial delays in most areas, faster rates of change in motor and neurological development resulted in catch-up by 2 years of age as compared to the FT infants. The lack of acceleration in development of mental skills demonstrates a persistent lag in this area. In contrast, HR infants showed initial delays in all areas as compared to both LR and FT infants with slower rates of change in mental and expressive language skills. Although faster rates of change were evident for HR infants in motor, neurological, and receptive language skills, scores in these areas remain lower than those for the LR and FT infants. The absence of accelerated rates of development for certain VLBW infants has implications for prognosis and patient access to early intervention services.     

Positive Psychology: What Impact has it had on Sex Research Publication Trends?

Throughout history, Americans have been bitterly divided as to whether passionate love and sexual desire are positive experiences (that give meaning to life), whether they constitute a political, social, and spiritual danger, or whether sex in itself is not inherently bad, but certain sexual behaviors are wrong or dangerous. As previously noted by H. L. Horowitz, R. L. Rapson, and L. Stone, political and religious authorities—preaching the virtues of social control, chastity, and circumspection—have prevailed over reformers advocating “free love,” gender equality, birth control, the elimination of the double standard, sex education, and the like. In this paper we ask: Do we see any bias in the publication of modern-day sexuality research—specifically, do published studies tend to focus primarily on the positive or the negative aspects of sexuality? We attempted to answer this question by conducting a content analysis of articles appearing in four prestigious journals: The Journal of Sex Research, Archives of Sexual Behavior, The New England Journal of Medicine, and Obstetrics and Gynecology, from 1960 to the present. As expected, only a slim minority of articles investigated the delights of love, sex, and intimacy; the vast majority focused on the problems associated with sexual behavior. The positive psychology movement does not appear to have altered this time-tested bias.     

The face of fear: Effects of eye gaze and emotion on visual attention

We investigated whether a fearful expression enhances the effect of another's gaze in directing the attention of an observer. Participants viewed photographs of faces whose gaze was directed ahead, to the left or to the right. Target letters then appeared unpredictably to the left or right. As expected, targets in the location indicated by gaze were detected more rapidly. In nonanxious volunteers the effects of fearful gaze did not differ from neutral gaze, but fearful expression had a more powerful influence in a selected high anxious group. Attention is thus more likely to be guided by the direction of fearful than neutral gaze, but only in anxiety-prone individuals.     

Rethinking the Connections between Religion and Civic Life for Immigrants: The Case of the Chinese Diaspora

Through interviews with 33 Chinese American first- and second-generation immigrants, we ask how narratives that describe the link between religion and civic life differ among Buddhists, Christians, and nonreligious Chinese. All groups stress the tight institutional connections between religion and politics in the United States. For Chinese Christians, congregations provide opportunities to serve their fellow parishioners and the wider community, as well as political rhetoric to guide practices. Buddhists actively criticize a religious organizational approach to community service and the US connection between politics and religion, emphasizing the development of inherent ethical dimensions for motivating service to others. And the non-religious stressed the role of religious organizations in facilitating volunteering. There is also a difference between the responses of first- and second-generation immigrants, with first-generation immigrants having a more difficult time understanding the meaning of American community service. Results expand scholarship on the connection between religion and civic life.     

文化差异与性的自我表露

性的自我表露(sexual self-disclosure)是自我表露中最亲密的形式。它是一个亲密的二人关系中一方把他(她)的性事表露给伴侣的程度。出乎意料的是, 和对于大量关于其他方面的自我表露相比, 学界对这方面的研究很少。在这些为数不多的研究中, 一些研究发现：性的自我表露和人们的性满意度是相关的。因此研究性的自我表露或许有助于了解或增益人们的性生活。过去的研究从未调查过文化是否影响人们对性的自我表露。在不同的文化中, 人们性的自我表露的程度和内容都应该会有所差异。现有的关于人们自我表露中的文化差异的理论研究对未来研究性的自我表露受文化差异的影响提供了方向。     

Atheists and Agnostics Negotiate Religion and Family

Through in‐depth interviews with scientists at elite academic institutions—those particularly likely to have no firm belief in God—we provide insight into the motives scientists who are not religious have for joining a religious group and the struggle faced by these individuals in reconciling personal beliefs with what they consider the best interests of their families. Narratives stress the use of resources from identities as scientists to provide their children with religious choices consistent with science and in negotiating spousal influence and a desire for community. Findings expand the religious socialization and identities literatures by widening the range of understanding of the strategies parents utilize to interface with religious communities as well as lead to more nuanced public understanding of how atheist and agnostic scientists relate to religious communities.