Alliance rupture and repair processes in borderline personality disorder: A case study using dialogical sequence analysis

Objective: This study examined alliance rupture and repair processes in borderline personality disorder (BPD) and how the content of sessions interacts with the quality of the alliance.

Design: A mixed methods single case study design was employed incorporating quantitative and qualitative measures of process and outcome.

Methods: This case study examined a 22-year-old female with BPD who received 16 sessions of Cognitive Analytic Therapy. Measures of alliance, symptoms and global functioning were taken across multiple time-points. Selected sessions were analysed using dialogical sequence analysis (DSA), a theory-driven method of psychotherapy research that analyses utterances according to their author, addressee and referential object.

Results: Quantitative data indicated symptom reduction without functional improvement. DSA demonstrated that the first exchanges in therapy were reflective of key relational themes. The case suggests that, rather than simply negotiating tasks and goals, repairing ruptures involves systematically linking the manifest topic to the client’s core problems.

Conclusions: This case study points to the mediating role that the content of sessions has on alliance quality. Results underline the importance of the therapist stance, the need for a shared formulation to make sense of relational processes and the use of responsively timed interventions to decrease desperation and improve self-reflection.     

I feel you feel what I feel: Perceived perspective‐taking promotes victims' conciliatory attitudes because of inferred emotions in the offender

In the context of bullying in a nursing workplace, we test the argument that an offender's perspective‐taking promotes victim conciliation, mediated by perceived perspective‐taking, that is, the extent to which the victim perceives the offender as taking their perspective. Perceived perspective‐taking facilitates the attribution of moral emotions (remorse, etc.) to the offender, thereby promoting conciliatory victim responses. However, perceived perspective‐taking would be qualified by the extent to which the severity of consequences expressed in the offender's perspective‐taking matches or surpasses the severity for the victim. In Studies 1 and 2 (Ns = 141 and 122, respectively), victims indicated greater trust and/or forgiveness when the offender had taken the victim's perspective. This was sequentially mediated by perceived perspective‐taking and victim's inference that the offender had felt moral emotions. As predicted, in Study 2 (but not Study 1), severity of consequences qualified victims' perceived perspective‐taking. Study 3 (N = 138) examined three potential mechanisms for the moderation by severity. Victims attributed greater perspective‐taking to the offender when the consequences were less severe than voiced by the offender, suggesting victims' appreciation of the offender's generous appraisal. Attributions of perspective‐taking and of moral emotions to the offender may play an important role in reconciliation processes. Key outcome: To the extent that victims perceive the offender as taking their perspective (perceived perspective‐taking), they infer that the offender feels more moral emotions, prompting victims to be more conciliatory. Perceived perspective‐taking benefits from the offender over‐stating the consequences to the victim.     

Factors that distinguish aggression toward animals from other antisocial behaviors: Evidence from a community sample

Animal cruelty is a form of passive and active aggression that is largely undocumented and unreported. Given that animals are voiceless victims, we have to rely on witnesses and frontline staff (e.g., veterinarians) to report incidents of abuse, which suggests the number of convicted animal abusers is an under‐representation of actual perpetrators. The primary aim of the current study was to identify the static and dynamic factors that distinguish animal abusers from non‐abuse offenders (i.e., individuals who self‐reported antisocial behavior, but not animal abuse), and non‐offenders (i.e., individuals who have not engaged in any antisocial behavior) in a community sample. The secondary aim was to identify the potential pathways that distinguish animal abuse perpetration from other types of antisocial behavior. Three hundred and eighty‐four participants took part in this retrospective, correlational study. We found that animal abusers share similar socio‐demographic characteristics to other offenders but are distinct in their exposure to animal harm/killing during childhood. Low animal‐oriented empathy and low self‐esteem distinguished animal abusers from non‐abuse offenders when controlling for confound variables and other psychological characteristics. We also found that low animal‐oriented empathy mediated the relationship between childhood exposure to animal killing and animal abuse perpetration, and that this relationship was stronger among participants with anger regulation issues. This is the first study to examine similarities and differences between animal abusers, non‐abuse offenders, and non‐offenders on socio‐demographic and psychological characteristics. The findings highlight potential treatment targets that are unique to animal abusers with implications for prevention and intervention strategies.

     

Reactive and proactive aggression as meaningful distinctions at the variable and person level in primary school‐aged children

Reactive and proactive aggression is a dichotomous classification of aggression in adults and children. This distinction has been supported by a number of variable‐based and factor analytic studies. Due to high inter‐correlations, however, the reactive—proactive aggression distinction may not be entirely useful for understanding how group or individual aggressive behavior varies in children and adolescents. Drawing on a sample of primary school‐aged children (N = 242) aged 7–12 years, this study sought to determine whether reactive and proactive aggression could be distinguished at the variable‐level and the person‐level in children. Exploratory Factor Analysis of data from an aggression instrument measuring both functions and forms of aggression, found a two‐factor construct of aggression constituted by a reactive and proactive aggression factor. A person‐based analysis was then conducted after classifying children according to the presence of reactive and/or proactive aggression. Discriminant function analysis was used to discern whether classifications on the basis of aggression function produced meaningful distinctions in terms of antisocial traits and emotional valence and intensity measures. Two functions were identified which distinguished children with different combinations of reactive and proactive aggression. Reactive‐only aggressive children were defined primarily by high levels of impulsivity, while proactive‐only children were defined primarily by higher levels of antisocial traits. Children high in both types of aggression exhibited both the presence of antisocial traits and impulsivity. Contrary to recent findings, this suggests that differences in aggression functions remain meaningful at the person level in children. Implications for interventions are discussed.

     

Lessons from Examining Same-Sex Intimate Partner Violence

Even though scientific and legal recognition of same-sex relationships has increased, same-sex intimate partner violence (IPV) has not been included in the core conceptualization of the research and theorizing about IPV. Because of its inherent disjuncture from the patriarchal and hetero-normative marriage model, battering in the lesbian, gay, bisexual, and transgendered community needs a much closer examination. Examining the violence that occurs in same-sex relationships allows us to reframe how we look at IPV and scrutinize the ideological frameworks, cultural narratives, and stereotypes that have been set forth as well investigate further the predictors of violence and the use of scales created. This article reviews the research on same-sex IPV primarily within the United States. In placing the lessons of same-sex IPV in the foreground, we are able to uncover some common truths about IPV in general. Viewing IPV through a same-sex lens removes gender-based assumptions about the manifestations of IPV, enabling us to see how other cultural and systemic factors may contribute to IPV. At the same time, incorporating the experience of same-sex couples facilitates viewing gender as a marker for variables requiring further study rather than as an explanation. When we change our focus of IPV in such a way, we discover it is a function of a complex interaction of culture, social structures, social status, and interpersonal dynamics.     

Male and Female Voices in Commercials: Analysis of Effectiveness, Adequacy for the Product, Attention and Recall

In radio advertising, there is a strong tendency to employ male voices more often than female voices in the belief that male voices sound more convincing. As a result, a gender stereotype is established which would appear to be upheld more by tradition than actual advertising effectiveness. This experimental study analyses the influence of gender on the effectiveness of the voice in terms of adequacy to the product, the ability to attract listeners’ attention and the degree to which voice gender contributes to recall. The objective is to ascertain whether or not the patent infra-use of the female voice is justified. To this end, a gender-balanced sample of 372 students of journalism from Spain was employed. The findings show that when a question is asked about an alleged association with a pre-existing vocal stereotype the answer is consistent with the gender of the voice and the type of product, though this does not occur when the aspects are unrelated, such as voice effectiveness, attention or recall. Accordingly, the supremacy of the male voice over the female voice in radio advertising and the repeated association between voices and types of products is more based on tradition than on alleged advertising effectiveness.     

Comparison of Methods for Collecting and Modeling Dissimilarity Data: Applications to Complex Sound Stimuli

Sorting procedures are frequently adopted as an alternative to dissimilarity ratings to measure the dissimilarity of large sets of stimuli in a comparatively short time. However, systematic empirical research on the consequences of this experiment-design choice is lacking. We carried out a behavioral experiment to assess the extent to which sorting procedures compare to dissimilarity ratings in terms of efficiency, reliability, and accuracy, and the extent to which data from different data-collection methods are redundant and are better fit by different distance models. Participants estimated the dissimilarity of either semantically charged environmental sounds or semantically neutral synthetic sounds. We considered free and hierarchical sorting and derived indications concerning the properties of constrained and truncated hierarchical sorting methods from hierarchical sorting data. Results show that the higher efficiency of sorting methods comes at a considerable cost in terms of data reliability and accuracy. This loss appears to be minimized with truncated hierarchical sorting methods that start from a relatively low number of groups of stimuli. Finally, variations in data-collection method differentially affect the fit of various distance models at the group-average and individual levels. On the basis of these results, we suggest adopting sorting as an alternative to dissimilarity-rating methods only when strictly necessary. We also suggest analyzing the raw behavioral dissimilarities, and avoiding modeling them with one single distance model.     

Young men’s minimisation of their body dissatisfaction

Abstract

Objective: To examine men’s body dissatisfaction qualitatively.

Design: Forty-two British men aged 18–45 years took part in a two-session group intervention across 12 groups. The intervention was designed to improve body dissatisfaction by engaging them in a critique of the appearance ideal through written and behavioural exercises.

Main outcome measures/results: Analysis of the topics discussed during the intervention generated two core themes. Theme 1 showed that, in general, men minimised the existence of their own body dissatisfaction while (somewhat surprisingly) outlining the ubiquity and potency of the appearance ideal for men in general. Theme 2 involved men reporting the problematic impact of body dissatisfaction in their lives (despite earlier minimisation), such as social avoidance, strict eating and supplement regimes, or difficulty in situations where the body was exposed.

Conclusion: The results stress the need to acknowledge that men experience a range of impacts of body dissatisfaction beyond clinical presentations (such as disordered eating) that influence their everyday lives, while also recognising that they tend to minimise this dissatisfaction in conversation. These findings have important implications for advocacy and interventions to improve men’s body dissatisfaction.     

The impact of thin idealized media images on body satisfaction: Does body appreciation protect women from negative effects?

This article examines whether positive body image can protect women from negative media exposure effects. University women (N = 112) were randomly allocated to view advertisements featuring ultra-thin models or control images. Women who reported high levels of body appreciation did not report negative media exposure effects. Furthermore, the protective role of body appreciation was also evident among women known to be vulnerable to media exposure. Women high on thin-ideal internalization and low on body appreciation reported appearance-discrepancies that were more salient and larger when they viewed models compared to the control group. However, women high on thin-ideal internalization and also high on body appreciation rated appearance-discrepancies as less important and no difference in size than the control group. The results support the notion that positive body image protects women from negative environmental appearance messages and suggests that promoting positive body image may be an effective intervention strategy.     

What works in secondary schools? A systematic review of classroom-based body image programs

Governments, schools, and curriculum authorities are increasingly recognizing that body image during adolescence is a public health issue that warrants attention in the school setting. After 30 years of eating disorder prevention research, and given the current interest in this area, it seems timely to review the research on interventions to improve body image in schools. We reviewed universal-selective, classroom-based programs that have been conducted since the year 2000, among adolescents, and found 16 eligible intervention programs. Seven of these programs were effective in improving body image on at least one measure, from pre to post test, though effect sizes were small (d = 0.22–0.48). These effective programs were conducted among younger adolescents 12.33–13.62 years, and included activities focusing on media literacy, self esteem, and the influence of peers. Implications for school personnel and curriculum authorities are discussed, and we provide recommendations for a strategic approach to future research in this area.