A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

The experience of psychosis can lead to depression, anxiety and fear. Acceptance and Commitment Therapy (ACT) facilitates individuals to accept difficult mental experiences and behave in ways that are consistent with personally held values. This study was a single (rater) blind pilot randomised controlled trial of ACT for emotional dysfunction following psychosis. Twenty-seven participants with psychosis were randomised to either: ten sessions of ACT plus treatment as usual (TAU) or TAU alone. The Hospital Anxiety and Depression Scale, Positive and Negative Syndrome Scale, Acceptance and Action Questionnaire, Kentucky Inventory of Mindfulness Skills and Working Alliance Inventory were used. Individuals were assessed at baseline and 3 months post-baseline. The individuals randomised to receive ACT found the intervention acceptable. A significantly greater proportion of the ACT group changed from being depressed at time of entry into the study to not being depressed at follow-up. The ACT group showed a significantly greater increase in mindfulness skills and reduction in negative symptoms. Results indicated that individuals randomised to ACT had significantly fewer crisis contacts over the study. Changes in mindfulness skills correlated positively with changes in depression. ACT appears to offer promise in reducing negative symptoms, depression and crisis contacts in psychosis.     

Selective attention in human associative learning and recognition memory

Four experiments examined the role of selective attention in a new causal judgment task that allowed measurement of both causal strength and cue recognition. In Experiments 1 and 2, blocking was observed; pretraining with 1 cue (A) resulted in reduced learning about a 2nd cue (B) when those 2 cues were trained in compound (AB+). Participants also demonstrated decreased recognition performance for the causally redundant Cue B, suggesting that less attention had been paid to it in training. This is consistent with the idea that attention is preferentially allocated toward the more predictive Cue A, and away from the less predictive Cue B (e.g., N. J. Mackintosh, 1975). Contrary to this hypothesis, in Experiments 3 and 4, participants demonstrated poorer recognition for the most predictive cues, relative to control cues. A new model, which is based on N. J. Mackintosh's (1975) model, is proposed to account for the observed relationship between the extent to which each cue is attended to, learned about, and later recognized     

Intent Attributions and Aggression: A Study of Children and their Parents

This research aimed to further clarify the relationship between children's self-reported hostile intent attributions (for ambiguous instrumental or relational provocations) and peer-reported aggression (physical and relational) in 500 fourth-grade children. In addition, we examined whether parents' intent attributions might predict children's intent attributions and aggression. Both parents (mothers and fathers) in 393 families completed intent attribution questionnaires. Results showed, consistent with past research, that boys' instrumental intent attributions were related to physical aggression. Children's relational intent attributions, however, were not associated with relational aggression. Contrary to expectations, most children responded with hostile intent attributions for relational provocations. Finally, in regard to parent-child connections, maternal intent attributions correlated with children's intent attributions whereas paternal intent attributions corresponded with children's relational aggression.     

Extinction in human learning and memory

In two experiments, participants were given extinction training in a human causal learning task. In both experiments, three critical experimental cues were paired with different outcomes in a first phase of training and were then extinguished in a second phase. Three control cues were given the same treatment in the first phase of training, but were not then presented in the second phase. Participants' ability to correctly identify the outcome with which each cue had been paired in the first phase was lower for extinguished than for control cues. Causal attributions to the extinguished cues were also lower than those to the control cues, a difference that correlated with outcome memory. These data are consistent with the idea that extinction in causal judgement is due, at least in part, to a failure to remember the cue-outcome relationship encoded in the first phase of training.     

God and the government: testing a compensatory control mechanism for the support of external systems

The authors propose that the high levels of support often observed for governmental and religious systems can be explained, in part, as a means of coping with the threat posed by chronically or situationally fluctuating levels of perceived personal control. Three experiments demonstrated a causal relation between lowered perceptions of personal control and the defense of external systems, including increased beliefs in the existence of a controlling God (Studies 1 and 2) and defense of the overarching socio-political system (Study 4). A 4th experiment (Study 5) showed the converse to be true: A challenge to the usefulness of external systems of control led to increased illusory perceptions of personal control. In addition, a cross-national data set demonstrated that lower levels of personal control are associated with higher support for governmental control (across 67 nations; Study 3). Each study identified theoretically consistent moderators and mediators of these effects. The implications of these results for understanding why a high percentage of the population believes in the existence of God, and why people so often endorse and justify their socio-political systems, are discussed.     

Audience-contingent variation in action demonstrations for humans and computers

People may exhibit two kinds of modifications when demonstrating action for others: modifications to facilitate bottom-up, or sensory-based processing; and modifications to facilitate top-down, or knowledge-based processing. The current study examined actors' production of such modifications in action demonstrations for audiences that differed in their capacity for intentional reasoning. Actors' demonstrations of complex actions for a non-anthropomorphic computer system and for people (adult and toddler) were compared. Evidence was found for greater highlighting of top-down modifications in the demonstrations for the human audiences versus the computer audience. Conversely, participants highlighted simple perceptual modifications for the computer audience, producing more punctuated and wider ranging motions. This study suggests that people consider differences in their audiences when demonstrating action.     

Evaluating a brief prevention program for improving marital conflict in community families.

Marital conflict is related to well-being in children and adults (E. M. Cummings & P. T. Davies, 2002). Marital conflict is likely most effectively ameliorated before it becomes clinically significant. However, families without significant problems may be unwilling to participate in couples therapies or other lengthy or intensive interventions. Responding to this gap, the authors developed a 4-session psychoeducational program about marital conflict for community families. Couples with children 4-8 years of age were randomly blocked into 1 of 3 groups: (1) a parent-only group (n = 24), (2) a parent-child group (n = 33), or (3) a self-study group (n = 33). Pre- and posttest and 6-month and 1-year assessments were conducted. This report evaluates (a) whether participation in a psychoeducational program for parents improved marital conflict, especially concerning ways of expressing disagreements, and (b) whether changes in marital conflict subsequently improved marital satisfaction, parenting, and child adjustment. Greater constructive and less destructive marital conflict was observed at all assessments for treatment groups, and these changes were linked with improvements in other family processes. The findings support the promise of brief, psychoeducational programs for improving marital conflict for community samples.     

Hedonic and instrumental motives in anger regulation

What motivates individuals to regulate their emotions? One answer, which has been highlighted in emotion-regulation research, is that individuals are motivated by short-term hedonic goals (e.g., the motivation to feel pleasure). Another answer, however, is that individuals are motivated by instrumental goals (e.g., the motivation to perform certain behaviors). We suggest that both answers have merit. To demonstrate the role instrumental goals may play in emotion regulation, we pitted short-term hedonic motives and instrumental motives against each other, by testing whether individuals were motivated to experience a potentially useful, albeit unpleasant, emotion. We found that (a) individuals preferred activities that would increase their level of anger (but not their level of excitement) when they were anticipating confrontational, but not nonconfrontational, tasks and that (b) anger improved performance in a confrontational, but not a nonconfrontational, task. These findings support a functional view of emotion regulation, and demonstrate that in certain contexts, individuals may choose to experience emotions that are instrumental, despite short-term hedonic costs.     

The latent structure of anxiety sensitivity--revisited

Anxiety sensitivity has been implicated as a risk factor for the development and maintenance of panic and other anxiety disorders. Although researchers have generally assumed that anxiety sensitivity is a dimensional, rather than categorical, variable, recent taxometric research has raised questions concerning the accuracy of this assumption. The present study examined the latent structure of anxiety sensitivity by applying four taxometric procedures (MAXEIG, MAXCOV, MAMBAC, and L-Mode) to data collected from two large nonclinical samples (n = 1,025 and n = 744) using two distinct measures of anxiety sensitivity (Anxiety Sensitivity Profile and Anxiety Sensitivity Index-Revised). In contrast to previous taxometric analyses of anxiety sensitivity, results of the present research provided convergent evidence for a latent anxiety sensitivity dimension. Several potential explanations for the discrepancy between these findings and those of previous research are discussed, as well as the implications of these findings for the conceptualization and measurement of anxiety sensitivity.