Experiential avoidance in adolescents with borderline personality disorder: comparison with a non-BPD psychiatric group and healthy controls

ABSTRACT

Previous research has identified experiential avoidance (EA) as related to a host of adolescent internalizing and externalizing problems, as well as borderline personality disorder, suggesting that it is a crosscutting factor for adolescent psychopathology. It remains unclear whether EA differs among adolescents with BPD compared to adolescents with other psychiatric disorders and healthy adolescents. The aims of this study were to 1) examine EA in adolescents with BPD compared to non-BPD inpatient adolescents and healthy adolescents, and 2) to evaluate whether EA has a unique relationship to borderline pathology over and above internalizing and externalizing. Self-report measures of BPD features, EA, and psychopathology were completed by 692 adolescents (64.5% female, M_age= 15.20). This sample included a group of psychiatric inpatient youth (n = 197 BPD; n = 403 non-BPD) and a group of healthy adolescents (n = 92). Results revealed that EA differed significantly across all three groups, with the highest level of EA evidenced in adolescents who had BPD. Furthermore, there was a significant, unique association between BPD symptoms and EA over afnd above internalizing and externalizing pathology. These findings pinpoint EA as an important risk marker and possible target of prevention or intervention for adolescent BPD.     

An Exploration of the Experiences of Elite Youth Footballers: The Impact of Organizational Culture

The present study explored how the organizational cultural experiences of elite youth footballers shaped their identity development and behavior. The first author occupied the position of sport psychology practitioner-researcher within 1 professional football club over 3 years. Traditional ethnographic research methods were employed, including observations, field notes, reflections, and informal interviews. A cultural sport psychology perspective on identity as a social construction and research on the cultural characteristics of professional football were used as frameworks to make sense of the data. Despite the introduction of the Elite Player Performance Plan in 2012, the traditional masculine culture of professional football dominated the studied club. Creative nonfiction vignettes revealed that youth players were encouraged to develop their self-stories focused on a single-minded dedication to professional football. The limited identity-related resources offered at both club and cultural level are detrimental for players in terms of their well-being and long-term psychological development. From the results of this study, we suggest that future sports psychology practice within professional football may best be delivered at an organizational level. However, for sport psychologists to be effective in this role, they must develop an understanding of the subcultural features and characteristics of the organization. In line with this, there would be great value in introducing a focus on organizational culture within sport psychology professional training and education routes.

Lay Summary: This paper explores the impact of the professional football culture on the psychological development of elite youth footballers. From the findings we suggest that sport psychology should be delivered at an organisational level.     

Finite Mixtures of Hidden Markov Models for Longitudinal Responses Subject to Drop out

Abstract

Drop out is a typical issue in longitudinal studies. When the missingness is non-ignorable, inference based on the observed data only may be biased. This paper is motivated by the Leiden 85+ study, a longitudinal study conducted to analyze the dynamics of cognitive functioning in the elderly. We account for dependence between longitudinal responses from the same subject using time-varying random effects associated with a heterogeneous hidden Markov chain. As several participants in the study drop out prematurely, we introduce a further random effect model to describe the missing data mechanism. The potential dependence between the random effects in the two equations (and, therefore, between the two processes) is introduced through a joint distribution specified via a latent structure approach. The application of the proposal to data from the Leiden 85+ study shows its effectiveness in modeling heterogeneous longitudinal patterns, possibly influenced by the missing data process. Results from a sensitivity analysis show the robustness of the estimates with respect to misspecification of the missing data mechanism. A simulation study provides evidence for the reliability of the inferential conclusions drawn from the analysis of the Leiden 85+ data.     

Evidence for different components in children's visuospatial working memory

There are a large number of studies demonstrating that visuospatial working memory (VSWM) involves different subcomponents, but there is no agreement on the identity of these dimensions. The present study attempts to combine different theoretical accounts by measuring VSWM. A battery composed of 13 tests was used to assess working memory and, in particular, the hypothesized mechanisms involved in the tasks, that is, active processing and passive recall of visual versus sequential‐spatial versus simultaneous‐spatial versus verbal tasks. The battery consisted of a number of tests already used in previous studies and new tests developed to examine specific components of working memory. We analysed the psychometric characteristics of the tests, the correlations amongst measured variables and estimated the measured variables with structural equation modelling in children attending third and fourth grades. Results revealed that the best model was composed of a specific verbal factor, three visuospatial passive factors (sequential‐spatial, simultaneous‐spatial, and visual) and one visuospatial active factor.     

The Opinions of GP's Patients About Suicide,Assisted Suicide,Euthanasia, and Suicide Prevention: An Italian Survey

A survey about opinions on end‐of‐life issues of a population represented by 1,171 people in the waiting room of general practitioners' surgeries was conducted in a province of northern Italy. Most subjects did not consider suicide as a reasonable option even in cases of a serious and incurable disease. Moreover, subjects did not consider euthanasia as a possible option either; however, they did express an opposite attitude when considering euthanasia in a third‐person perspective. People with a personal history of suicidal behavior appear to present as a different population, overall expressing more open attitudes.     

Attention AND mentalizing? Reframing a debate on social orienting of attention

ABSTRACT

People spontaneously attend where others are looking. Recently, it has been debated whether such orienting behaviour is supported by domain-general attentional processes, that involve reading the cues’ directional properties, or by processes that involve attributing mental states to agents. In this Opinion, we summarize key evidence for each position and argue that instead of favouring one or the other view, the available data point to an integrated framework in which the attribution of mental states and the operation of domain-general attentional processes both contribute to social orienting. In addition to providing a novel perspective, this view opens several fruitful future research avenues aimed at understanding how the two processes act together to influence cognitions and behaviour.     

Supportive and interpretative interventions in fostering mentalisation during counselling

ABSTRACT

This work analysed which profiles of counsellors’ supportive and interpretative actions emerged in two group counselling interventions designed to promote mentalisation in underachieving university students. The Psychodynamic Intervention Rating Scale was used to analyse this and the level of depth of defence interpretations. Two outcome measures were administered to analyse student mentalisation and their academic achievements. Process findings showed that supportive actions were used for the most part in both counselling interventions; however, only one group improved in terms of mentalisation and academic performance. In the good-outcome group, there were more defence interpretations, especially during the early sessions, and with a deeper level of elaboration. The innovative relevance of these findings and their implications for practice among counsellors are discussed.