Sudden gains in interpersonal psychotherapy for depression

Sudden, precipitous improvements in depressive symptom severity have been identified as occurring among unipolar depressed individuals. These "sudden gains" have been associated with superior acute treatment outcome in several treatment modalities, including cognitive therapy. A better understanding of sudden gains may provide insight into the mechanisms of action in these and other psychotherapies. One efficacious therapy that has been overlooked in sudden gains research is interpersonal psychotherapy (IPT; Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books). The present research examined the rates and concomitant features of sudden, precipitous improvements in depressive symptomotology among 185 women receiving IPT for recurrent depression. Sudden gains, defined using extant criteria for the Beck Depression Inventory, were assessed over 12 weeks of acute IPT treatment for depression and occurred for 33.5% of the sample. Sudden gains were not associated with diagnostic and demographic characteristics or with differential likelihood of achieving depression remission with IPT monotherapy during active treatment. Further, those with sudden gains were no more likely to maintain their recovery through maintenance treatment. The lack of impact of sudden gains on eventual outcome is discussed in terms of potentially disparate emphases and mechanisms of change between IPT and cognitive-behavioral therapy (CBT).     

Reviews: Books and Films

INFINITE GRACE: WHEN THE WORDS OF SCIENCE AND SPIRITUAL HEALING MEET. By Diane Goldner. 346 pp. Hampton Roads, VA: Hampton Roads Publishing, 1999, $23.95. DEATH ANXIETY AND CLINICAL PRACTICE. By Robert Langs. 250 pp. London: Karnac Books, 1997. $33. THE FORCE OF CHARACTER AND THE LASTING LIFE. By James Hillman. 236 pp. New York: Ballantine Books, 1999. $14. THE DEAD MOTHER: THE WORK OF ANDRE GREEN. Edited by Gregorio Kohon. 228 pp. London and New York: Routledge, 2000. $. A DARWINIAN LEFT: POLITICS, EVOLUTION AND COOPERATION. By Peter Singer. 70 pp. New Haven: Yale University Press, 2000. Hardback $. THE ECSTATIC IMAGINATION: PSYCHEDELIC EXPERIENCES AND THE PSYCHOANALYSIS OF SELF-ACTUALIZATION. By Dan Merkur. 226 pp. Albany, New York: State University of New York Press, 1998. $19.95. THE UNKNOWN GOD: SEARCHING FOR SPIRITUAL FULFILLMENT. By Alister McGrath. 123 pp. Grand Rapids: Wm. B. Eerdmans, 1999. $18.00. Films: Crouching Tiger, Hidden Dragon; Girlfight; Gladiator; The Contender     

Integrity of Literature on Expressed Emotion and Relapse in Patients with Schizophrenia Verified by a p‐Curve Analysis

There is growing concern that much published research may have questionable validity due to phenomena such as publication bias and p‐hacking. Within the psychiatric literature, the construct of expressed emotion (EE) is widely assumed to be a reliable predictor of relapse across a range of mental illnesses. EE is an index of the family climate, measuring how critical, hostile, and overinvolved a family member is toward a mentally ill patient. No study to date has examined the evidential value of this body of research as a whole. That is to say, although many studies have shown a link between EE and symptom relapse, the integrity of the literature from which this claim is derived has not been tested. In an effort to confirm the integrity of the literature of EE predicting psychiatric relapse in patients with schizophrenia, we conducted a p‐curve analysis on all known studies examining EE (using the Camberwell Family Interview) to predict psychiatric relapse over a 9‐ to 12‐month follow‐up period. Results suggest that the body of literature on EE is unbiased and has integrity, as there was a significant right skew of p‐values, a nonsignificant left skew of p‐values, and a nonsignificant test of flatness. We conclude that EE is a robust and valuable predictor of symptom relapse in schizophrenia.     

The effect of anomalous utterances on language production

Speakers sometimes encounter utterances that have anomalous linguistic features. Are such features registered during comprehension and transferred to speakers’ production systems? In two experiments, we explored these questions. In a syntactic-priming paradigm, speakers heard prime sentences with novel or intransitive verbs as part of prepositional-dative or double-object structures (e.g., The chef munded the cup to the burglar or The doctor existed the pirate the balloon). Speakers then described target pictures eliciting the same structures, using the same or different novel or intransitive verbs. Speakers overall described targets with the same structures as the primes (abstract syntactic priming), but more so when the primes and targets had the same novel or intransitive verbs (a lexical boost), an effect that was only observed when the novel words served as the verbs in both the prime and target sentences. Such a lexical boost could only manifest if speakers formed associations between the verbs and structures in the primes during comprehension, and if these associations were then transferred to their production systems. We thus showed that anomalous utterance features are not ignored but persist (at least) in speakers’ immediately subsequent production.     

The Relationship between Sex Offender Height and Pedophilic Interest

The current study examined the relationship between offender height and pedophilic interest (as measured by having a victim under 13 years old) in a sample of 22,228 registered sex offenders in the United States. Results revealed that offenders with victims age 12 and under were, on average, nearly one-quarter inch shorter than offenders of adults, and .18 inches shorter than those with minor teen victims. Implications for future research about the biological etiology of child sexual abuse perpetration are discussed, including the role of adverse childhood experiences in the neurodevelopment of offenders.     

Doing Gender Online: New Mothers’ Psychological Characteristics,Facebook Use,and Depressive Symptoms

Online social networking sites, such as Facebook, have provided a new platform for individuals to produce and reproduce gender through social interactions. New mothers, in particular, may use Facebook to practice behaviors that align with their mothering identity and meet broader societal expectations, or in other words, to “do motherhood.” Given that Facebook use may undermine well-being, it is important to understand the individual differences underlying new mothers’ experiences with Facebook during the stressful first months of parenthood. Using survey data from a sample of 127 new mothers with Facebook accounts residing in the U.S. Midwest, we addressed two key questions: (a) Are individual differences in new mothers’ psychological characteristics associated with their use and experiences of Facebook? and (b) Are new mothers’ psychological characteristics associated with greater risk for depressive symptoms via their use and experiences of Facebook? Regression analyses revealed that mothers who were more concerned with external validation of their identities as mothers and those who believed that society holds them to excessively high standards for parenting engaged in more frequent Facebook activity and also reported stronger emotional reactions to Facebook commentary. Moreover, mothers who were more concerned with external validation were more likely to have featured their child in their Facebook profile picture. Mediation analyses indicated that mothers who were more prone to seeking external validation for their mothering identity and perfectionistic about parenting experienced increases in depressive symptoms indirectly via greater Facebook activity.