The Challenge of Autism for Relational Approaches to Theological Anthropology

In this paper, I argue that autism places an important restraint upon the use of relationality in theological anthropology. This argument proceeds by outlining how the appropriation of dialectic personalism, which initiated ‘the relational turn’ in twentieth century theological anthropology, has struggled to escape the capacity or property‐based focus on individual subjects. As such, this relational account remains discriminatory against those who do not or cannot enact a particular kind of relationality, as some models of autism suggest. Moreover, attention to interpersonal relationships as a key human capacity within twentieth century theological anthropology closely parallels and may even have informed the development of autism within psychology as, in part, a social impairment. The devastating collision of these two intellectual trajectories is made apparent in explicit references by contemporary theologians to autism as a condition that prevents some humans from bearing the image of God, developing fully into persons, or receiving God’s grace by the indwelling of the Holy Spirit.     

Das Absetzen antiandrogener Medikation im ambulanten Setting

In the Forensic Therapeutic Outpatient department in Berlin a total of n?=?20 individually justified, therapeutically accompanied withdrawals from antiandrogenic treatment have been implemented. The sample was compared with n?=?20 patients under antiandrogenic treatment. Patients with withdrawal have been significantly older, than patients without withdrawal. No differences were found regarding their duration of further imprisonment and standardized risk-assessment (HCR-20, LSI-R, Static-99, Stable-2007, PCL-R). Firsts results of the monitoring of the withdrawals indicate, that the symptom-checklist SCL-90-R is not appropriate for that purpose. However, post-hoc both known sexual reoffendings could be identified by the Massachusetts General Hospital Sexual Functioning Questionnaire. By means of practical experience results are getting discussed.     

Self-compassion induction enhances recovery from social stressors: Comparing adults with social anxiety disorder and healthy controls

Background and objectives: This study evaluates the process and consequence of inducing self-compassion during recovery from social performance stressors. Though interest in self-compassion as an intervention target is growing, extant findings suggest that initially cultivating self-compassion can be challenging for those with high self-criticism and anxiety, common features of social anxiety disorder (SAD).

Design: Quasi-experimental design.

Methods: The current study evaluates the feasibility, content, and outcomes of a brief written self-compassion induction administered after consecutive laboratory social stressors, among adults with SAD (n?=?21) relative to healthy controls (HC; n?=?35).

Results: Findings demonstrate the feasibility of employing a written self-compassion induction among adults with (and without) SAD, reveal group differences in written responses to the induction, and suggest that the SAD group benefitted more from the induction than the HC group, based on greater reductions in state anxiety and greater increases in self-compassion during stressor recovery. Greater use of negative affect words within written responses to the self-compassion induction, but not during general writing, predicted lower subsequent state anxiety across groups, by a medium effect size.

Conclusions: Collectively, the findings support the feasibility and utility of cultivating self-compassion among adults with SAD.     

A Taxometric Analysis of Experiential Avoidance

Experiential avoidance, a trait-like construct referring to the tendency to rigidly avoid or change unpleasant internal experiences stemming from an unwillingness to experience them, is believed to contribute to the development and maintenance of various forms of psychopathology. Despite significant research on this construct, it remains unclear whether experiential avoidance is dimensional or categorical at the latent level. The current study examined the latent structure of experiential avoidance using three taxometric analytic approaches (MAXimum Eigenvalue, Mean Above Minus Below A Curve, Latent-Mode Factor Analysis) applied to data from two independent samples and using three widely used measures of experiential avoidance. The first sample (n = 922) completed the Multidimensional Experiential Avoidance Questionnaire (Gámez, Chmielewski, Kotov, Ruggero, & Watson, 2011), while the second sample (n = 615) completed the Brief Experiential Avoidance Questionnaire (Gámez et al., 2014) and Acceptance and Action Questionnaire-II (Bond et al., 2011). Across both samples and all three measures, experiential avoidance exhibited a dimensional structure. The clinical and research implications of this finding for experiential avoidance are discussed.     

Psychometric Properties of the Italian Version of the Distress Tolerance Scale (DTS)

Journal of Psychopathology and Behavioral Assessment - Distress tolerance represents the capacity to bear and manage negative psychological states associated with distress. Low distress tolerance...     

Treatment outcome in personality disorder: The effect of social,psychological and behavioural variables

The study followed-up 245 patients referred to the Henderson Hospital (194 admitted for treatment and 51 not admitted) and for whom information had been collected on their social background and certain psychological variables allowing a classification and typology of personality disorder to be worked out. The study indicates that the therapeutic community treatment is effective with selected individuals showing the antisocial behaviour associated with such disorder. In particular this treatment is of benefit to the offenders with only one conviction and who are able to persevere with treatment for a period of 6 months for treatment to be maximally effective. The variation of psychological types within the broad category of personality disorder was demonstrated and this has a bearing on the outcome of treatment, the extrapunitive neurotic being of poorest prognosis with or without treatment. Yet even in this group, therapeutic community treatment can be effective.     

Longitudinal treatment mediation of traditional cognitive behavioral therapy and acceptance and commitment therapy for anxiety disorders

ObjectiveTo assess the relationship between session-by-session putative mediators and treatment outcomes in traditional cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) for mixed anxiety disorders.MethodSession-by-session changes in anxiety sensitivity and cognitive defusion were assessed in 67 adult outpatients randomized to CBT (n = 35) or ACT (n = 32) for a DSM-IV anxiety disorder.ResultsMultilevel mediation analyses revealed significant changes in the proposed mediators during both treatments (p < .001, d = .90–1.93), with ACT showing borderline greater improvements than CBT in cognitive defusion (p = .05, d = .82). Anxiety sensitivity and cognitive defusion both significantly mediated post-treatment worry; cognitive defusion more strongly predicted worry reductions in CBT than in ACT. In addition, cognitive defusion significantly mediated quality of life, behavioral avoidance, and (secondary) depression outcomes across both CBT and ACT (p < .05, R² change = .06–.13), whereas anxiety sensitivity did not significantly mediate other outcomes.ConclusionsCognitive defusion represents an important source of therapeutic change across both CBT and ACT. The data offered little evidence for substantially distinct treatment-related mediation pathways.     

Religious/Spiritual Well-Being,Coping Styles,and Personality Dimensions in People With Substance Use Disorders

Religiosity and spirituality have been found to be negatively associated with a range of addictions. It has been suggested that religious/spiritual well-being might play an important role in the development, course, and recovery from addictive disorders. A sample of addiction in-patients (N = 389) was assessed using the Multidimensional Inventory for Religious/Spiritual Well-Being (MI-RSWB) and compared with a matched group of nonaddicted community controls (N = 389). RSWB was found to be substantially lower in people with substance use disorders compared to the normal sample. Discriminate functional analysis showed that Experiences of Sense and Meaning, General Religiosity, and Forgiveness were the dimensions of RSWB that strongly distinguished the groups. Within the group of people with substance use disorders, RSWB was strongly positively associated with the personality dimensions of Conscientiousness, Agreeableness, and Openness as well as Sense of Coherence and positive Coping styles. The study suggests that therapeutic intervention programs focusing on building a positive and meaningful personal framework, akin to that of a religious/spiritual orientation, may contribute to positive outcomes in addiction treatment.     

Self-Other Differentiation and the Mother-Child Relationship: The Effects of Sex and Birth Order

We examined the effect of sex and birth order on the experience of a separate sense of self and its connection to mothers' differential involvement with sons and daughters. Results from two samples of college-age students are reported. Men showed a more separate sense of self than women, and mothers were reported to be more highly involved with and intrusive in the lives of their daughters than their sons. Results for birth order were consistent though not always statistically significant: First-born women had the least separate sense of self and reported the greatest degree of maternal involvement and intrusiveness. Implications of these findings for developmental theory and criteria of Psychological well-being are discussed.