A randomized clinical trial comparing affect regulation and social problem-solving psychotherapies for mothers with victimization-related PTSD

Addressing affect dysregulation may provide a complementary alternative or adjunctive approach to the empirically supported trauma memory processing models of cognitive behavior therapy (CBT) for posttraumatic stress disorder (PTSD). A CBT designed to enhance affect regulation without trauma memory processing—trauma affect regulation: guide for education and therapy (TARGET)—was compared to present centered therapy (PCT) and wait-list (WL) conditions in a randomized clinical trial with 146 primarily low-income and ethnoracial minority mothers with PTSD. TARGET achieved statistically and clinically significant improvement on PTSD and affect regulation measures compared to WL, with more consistent and sustained (over a 6-month follow-up period) evidence of improvement than PCT. Drop-out rates (~ 25%) were comparable in TARGET and PCT, similar to those previously reported for trauma memory processing CBTs. Symptom worsening was rare (2–8%) and transient. Affect regulation-based CBT without trauma memory processing warrants further research as a potentially efficacious therapy for victimization-related PTSD.     

Objective work–nonwork conflict: From incompatible demands to decreased work role performance

Research on work–nonwork conflict (WNC) is based on the assumption that incompatible demands from the work and the nonwork domain hamper role performance. This assumption implies that role demands from both domains interact in predicting role performance, but research has been largely limited to main effects. In this multi-source study, we analyze the incompatibility of demands by testing the interaction of work and nonwork demands on task performance and organizational citizenship behavior (OCB). The sample consisted of 61 employees of a German hospital and we used three independent sources of data: self-ratings of work demands, partner-ratings of nonwork demands, and colleague-ratings of performance. Results from hierarchical regression analyses revealed an interaction effect of work and nonwork demands on OCB, but not on task performance. We conclude that people maintain their effort invested in task-related aspects of the job even when conflicts between work and nonwork demands exist, but that they reduce their investment in activities that are perceived as more marginal and extra-role.     

Satisfying one's needs for competence and relatedness: consequent domain-specific well-being depends on strength of implicit motives

Considering the effect of implicit motives, the current study examined the link between well-being in important life domains, that is, job and relationship, and the satisfaction of needs as proposed by self-determination theory. Data on domain-specific well-being, satisfaction of needs for competence and relatedness, and the implicit achievement and affiliation motives were assessed from 259 German and Cameroonian participants. The achievement motive moderated the relation between competence and job satisfaction. Furthermore, the affiliation motive moderated the association between relatedness and relationship satisfaction. Satisfaction of the needs for competence and relatedness is linked to higher levels of job and relationship satisfaction, respectively, among individuals with strong implicit motives. Effects were found regardless of participants' culture of origin. Findings indicate that implicit motives can be understood as weighting dispositions that affect how far experiences of competence and relatedness are linked with satisfaction in relevant life domains.     

Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine mental health care: randomised controlled trial

We investigated the comparative effectiveness of cognitive-behavioural (CBT) and psychodynamic therapy (PDT) under clinically representative conditions as a subtrial of a prior study (Watzke et al., 2010, BJP). A consecutive sample of 147 patients with common mental disorders was randomised to either CBT or PDT in routine mental health care. In a primary per-protocol analysis patients randomised to CBT had a significantly better longer term outcome in the primary outcome symptom severity (General Severity Index of the SCL-14; p=.001; partial η(2)=0.073) as well as in health related quality of life (Mental Component Summary of the SF-8; p=.013; partial η(2)=.041) and concerning interpersonal issues (Inventory of Interpersonal Problems, IIP-C; p=.001; partial η(2)=.070) 6 months after treatment than patients randomised to PDT. These results could be confirmed in intention-to-treat analyses (n=180) suggesting that there was no substantial attrition bias due to drop outs at the follow-up assessment. Thus, the so called equivalence outcome paradox was not replicated in this study.     

Johann Christian August Heinroth (1773–1843): The First Professor of Psychiatry as a Psychotherapist

Heinroth is known as the first professor of psychiatry. His chair was established 200?years ago on the 21st of October 1811. His major importance for the history of psychotherapy has not yet been acknowledged. Heinroth regarded restriction as well as activation as fundamental remedies for mental illnesses. Restriction meant making a voluntary decision to live a life based on religious faith and to abstain from earthly satisfaction. Within his specific psychotherapeutical module??the ??direct-psychic?? method??he utilized the patient??s mental powers??mood, mind and will, but also his spirituality. His therapeutic approach additionally contained elements of cognitive, behavioral and conversational therapy.     

The Applied Cognitive Psychology of Attention: A Step Closer to Understanding Magic Tricks

Drawing on psychological science, magic provides a unique perspective on applied cognition. Only sparse systematic research, however, documents the thought processes associated with viewing magic tricks. With responses from over 1000 participants, here, we show how individuals construe a classic magic routine wherein a performer appears to vanish a pen. Thirty‐four percent of participants correctly identified the key moment of the disappearance with only 11% thereof knowing what actions the magician actually performed to achieve the effect. Our collective findings support what magicians have known for a long time: knowing when a critical maneuver occurs hardly reveals the associated modus operandi. In line with a modern theory of attention, we discuss our results and highlight the interaction between the when and where attention modules as a necessary component of applied cognition in ecological settings. Copyright © 2012 John Wiley & Sons, Ltd.     

Breakdowns in flexible use of information: Intelligence-related differences in transfer following equivalent learning performance

Groups of retarded and nonretarded children were investigated as they learned three rules underlying problems adapted from the Raven Progressive Matrices Test: rotation, imposition, and subtration. The interest was in evaluating group differences in the ease with which the original set of rules was learned and the flexibility with which these rules were transferred to modified contexts. In the case of either learning or transfer, the metric of performance was the amount of aid, specifically the number of computer-generated graduated hints, needed for each subject to solve the problems. The groups were matched on their entering competence to deal with the rules under scrutiny, and also on mental age. No group differences were obtained as the subjects learned the original set of rules. However, on subsequent occasions when required to make flexible use of those rules, clear group differences emerged; and those differences increased as the similarity of the training and test contexts decreased. The results were seen as consistent with theories that emphasize transfer flexibility as one potential source of individual and comparative differences in intelligence.     

Biological and social determinants of responsiveness to infants in 10-to-15-year-old girls

Subjects filled out questionnaires and were individually observed interacting with an 8-to-12-month-old infant in a waiting room. Hidden observers recorded the frequency of ignoring, responsiveness to infant bids, and of social bids to the infant. Analyses revealed that older girls ignored more, made fewer bids, and responded less than younger girls did. However, chronological age was highly correlated with measures of biological and social maturity. Multiple regression analyses were used to determine which of these factors best predicted the developmental decline in baby responsiveness. Multiple regressions showed that social maturity was the best predictor of the number of bids to the infant, followed by the development of secondary sex characteristics and menarcheal status (R=.44). Social maturity, babysitting experience, and menarcheal status were the significant predictors of ignoring (R=.48), while menarcheal status, development of secondary sex characteristics, and babysitting experience predicted responsiveness (R=.49). Possible reasons for the decreased interest in infants are discussed, as are the implications for research using baby responsiveness as a measure of sex-role-related changes in adolescence.This research was supported by grants from the Riksbankens Jubileumsfond and the Humanistisk-Samhällsvetenskapliga Forskiningsradet of Sweden to Ann M. Frodi. The authors are grateful to Sharon Bienstock for her assistance.