Emotion-focused Therapy: The Transforming Power of Affect

Emotion-focused therapy (EFT) is an empirically supported humanistic treatment that views emotion as fundamental to experience, as contributing to both adaptive and maladaptive functioning, and as essential to therapeutic change. EFT combines both following and guiding the client’s experiential process, emphasizing the importance of both relationship and intervention skills. Utilizing markers of particular emotional processing difficulties at the core of client problems, therapists intervene with matched interventions aimed to resolve the emotional processing difficulty. This process helps clients access new adaptive emotional resources, transform maladaptive emotional responses, address emotional interruption and regulation, make sense of experience, and construct new meaning and self-narrative.     

Impact of contingency manipulations on accessory stimulus effects

Accessory tone stimuli facilitate response performance despite being irrelevant for the current task. In order to investigate which processes are affected by accessory stimuli, we presented accessory tones in a simple response time (RT) task while varying the contingencies between accessory stimulation and either responses(Experiment 1) or stimulus conditions (Experiment 2). Accessory tones speeded up responding to a larger degree when they were conjointly presented within go compared with no-go trials. In contrast, contingency variation with stimulus conditions did not alter the impact of accessory stimuli. Additionally, accessory tones increased response force. Thus, we conclude that in simple RT tasks accessory tones influence response-related stages such as response selection and response execution rather than perceptual processes.     

Increased brain serotonin turnover in panic disorder patients in the absence of a panic attack: reduction by a selective serotonin reuptake inhibitor

Since the brain neurotransmitter changes characterising panic disorder remain uncertain, we quantified brain noradrenaline and serotonin turnover in patients with panic disorder, in the absence of a panic attack. Thirty-four untreated patients with panic disorder and 24 matched healthy volunteers were studied. A novel method utilising internal jugular venous sampling, with thermodilution measurement of jugular blood flow, was used to directly quantify brain monoamine turnover, by measuring the overflow of noradrenaline and serotonin metabolites from the brain. Radiographic depiction of brain venous sinuses allowed differential venous sampling from cortical and subcortical regions. The relation of brain serotonin turnover to serotonin transporter genotype and panic disorder severity were evaluated, and the influence of an SSRI drug, citalopram, on serotonin turnover investigated. Brain noradrenaline turnover in panic disorder patients was similar to that in healthy subjects. In contrast, brain serotonin turnover, estimated from jugular venous overflow of the metabolite, 5-hydroxyindole acetic acid, was increased approximately 4-fold in subcortical brain regions and in the cerebral cortex (P < 0.01). Serotonin turnover was highest in patients with the most severe disease, was unrelated to serotonin transporter genotype, and was reduced by citalopram (P < 0.01). Normal brain noradrenaline turnover in panic disorder patients argues against primary importance of the locus coeruleus in this condition. The marked increase in serotonin turnover, in the absence of a panic attack, possibly represents an important underlying neurotransmitter substrate for the disorder, although this point remains uncertain. Support for this interpretation comes from the direct relationship which existed between serotonin turnover and illness severity, and the finding that SSRI administration reduced serotonin turnover. Serotonin transporter genotyping suggested that increased whole brain serotonin turnover most likely derived not from impaired serotonin reuptake, but from increased firing in serotonergic midbrain raphe neurons projecting to both subcortical brain regions and the cerebral cortex.     

Using Adult Learning Theory Concepts to Address Barriers to Cancer Genetic Risk Assessment in the African American Community

Utilization of cancer genetic risk assessment can be profoundly influenced by an individuals’ knowledge of risk assessment, attitudes regarding illness and healthcare, and affective reactions derived from social norms. Race and ethnicity play a powerful role in the development of an individual's attitudes and should be considered when attempting to understand a person's openness to cancer genetic risk assessment (Lannin et al., 1998). Until recently, however, cancer screening and prevention programs have been primarily based on data from studies conducted with the Caucasian population, yielding data that are not fully applicable to the African American community. In the last several years, research findings regarding African American's knowledge, attitudes, and feelings about genetic counseling and testing have grown (Matthews et al., 2000; Singer et al., 2004; Thompson et al., 2003). However, to the authors’ knowledge, these data have yet to be presented in a manner that both summarizes the barriers that African Americans have reported regarding cancer genetic risk assessment, while at the same time suggesting methods individual genetic counselors can utilize during community presentations to help address these barriers. This article will first summarize previous empirical findings regarding African Americans’ knowledge, attitudes, and feelings about cancer genetic risk assessment. The article will then apply adult learning theory to those findings to provide genetic counselors with practical, theory based techniques to apply toward community based educational programs with African American groups.     

Is death really the worm at the core? Converging evidence that worldview threat increases death-thought accessibility

According to terror management theory, if the cultural worldview protects people from thoughts about death, then weakening this structure should increase death-thought accessibility (DTA). Five studies tested this DTA hypothesis. Study 1 showed that threatening Canadian participants' cultural values (vs. those of another culture) increased DTA on a word-fragment completion task. Study 2 showed that when participants could dismiss the threat, DTA remained low. Study 3 replicated the results of Study 1, but DTA was measured using a lexical decision task. Response latencies to death, negative, and neutral content were measured. Worldview threat increased DTA relative to accessibility for negative and neutral content. Study 4 showed that the DTA effect emerged independently of the arousal of anger or anxiety. Finally, Study 5 demonstrated that participants with a pro-creation (vs. pro-evolution) worldview had higher DTA after reading an anti-creation article. Discussion focused on theoretical implications and directions for further research.     

Nursing specialty and burnout

We examined the relationship between perceived control and burnout among three nursing specialties: nurse practitioners, nurse managers, and emergency nurses. Survey data were collected from 228 nurses from 30 states. Findings indicated that emergency nurses had the least control and the highest burnout, whereas nurse practitioners had the most control and the least burnout. Mediational analyses showed that expected control, hostility, and stressor frequency explained differences between specialties in burnout. The implications of these findings for interventions that reduce burnout and promote nursing retention are discussed.     

The effects of wording on the understanding and use of uncertainty information in a threshold forecasting decision

Many believe that information about small chances of severe weather would be useful to the general public for precautionary action. What is the best way to explain this kind of information to a non‐expert audience? The studies reported here investigated effects of framing (negative vs. positive), format (frequency vs. probability), likelihood (low vs. high) and compatibility (task‐match) on interpretation of verbal expressions of forecast uncertainty and on subsequent forecasting decisions. The crucial factor was the match between the verbal expression and the overall task goal. Errors increased when there was a mismatch between the expression (e.g. winds less than 20 knots) and the task (e.g. post an advisory when winds will exceed 20 knots). However, framing and format had little impact. We conclude that consideration of user expectations arising from the overall task goal is crucial in explaining uncertainty information to a naïve audience. Global expectations overpower other potential effects. Copyright © 2008 John Wiley & Sons, Ltd.     

Evidence That Self-Relevant Motives and Metaphoric Framing Interact to Influence Political and Social Attitudes

ABSTRACT— We propose that metaphor is a mechanism by which motivational states in one conceptual domain can influence attitudes in a superficially unrelated domain. Two studies tested whether activating motives related to the self-concept influences attitudes toward social topics when the topics' metaphoric association to the motives is made salient through linguistic framing. In Study 1, heightened motivation to protect one's own body from contamination led to harsher attitudes toward immigrants entering the United States when the country was framed in body-metaphoric, rather than literal, terms. In Study 2, a self-esteem threat led to more positive attitudes toward binge drinking of alcohol when drinking was metaphorically framed as physical self-destruction, compared with when it was framed literally or metaphorically as competitive other-destruction.     

On the optimality of serial and parallel processing in the psychological refractory period paradigm: Effects of the distribution of stimulus onset asynchronies

Within the context of the psychological refractory period (PRP) paradigm, we developed a general theoretical framework for deciding when it is more efficient to process two tasks in serial and when it is more efficient to process them in parallel. This analysis suggests that a serial mode is more efficient than a parallel mode under a wide variety of conditions and thereby suggests that ubiquitous evidence of serial processing in PRP tasks could result from performance optimization rather than from a structural bottleneck. The analysis further suggests that the experimenter-selected distribution of stimulus onset asynchronies (SOAs) influences the relative efficiency of the serial and parallel modes, with a preponderance of short SOAs favoring a parallel mode. Experiments varying the distribution of SOAs were conducted, and the results suggest that there is a shift from a more serial mode to a more parallel mode as the likelihood of short SOAs increases.     

Managing terror when self-worth and worldviews collide: Evidence that mortality salience increases reluctance to self-enhance beyond authorities

Terror management theory posits that one’s self-esteem and worldview operate jointly to manage mortality concerns. Accordingly, past research shows that mortality salience (MS) increases self-enhancement and worldview defense. The current research is the first to examine MS effects when self-enhancement threatens to undermine aspects of the worldview, in this case the credibility and status of worldview-representative authorities. MS led to reluctance to self-enhance following positive personality test feedback when the test was judged negatively by institutional authorities (Study 1a), as well as unwillingness to contradict self-esteem threatening feedback sanctioned by authorities (Study 1b). Mortality salient participants also rated themselves higher on valued dimensions unless it meant viewing themselves more positively than their parents (Study 2) and admired political icons (Study 3). Taken together, these results show that MS increases self-enhancement unless doing so challenges important representatives of the worldview. Theoretical and practical implications are discussed.