Recalling happy memories in remitted depression: A neuroimaging investigation of the repair of sad mood

Major depressive disorder (MDD) is a recurrent mood disorder. The high rate of recurrence of MDD suggests the presence of stable vulnerability factors that place individuals with a history of major depression at an increased risk for the onset of another episode. Previous research has linked the remitted state, and therefore increased vulnerability for depressive relapse, with difficulties in the use of pleasant autobiographical memories to repair sad mood. In the present study, we examined the neural correlates of these difficulties. Groups of 16 currently euthymic, remitted depressed individuals and 16 healthy (control) women underwent functional magnetic resonance imaging (fMRI) during sad mood induction and during recovery from a sad mood state through recall of mood-incongruent positive autobiographical memories. Sad mood was induced in participants by using film clips; participants then recalled positive autobiographical memories, a procedure previously shown to repair negative affect. During both the sad mood induction and automatic mood regulation, control participants exhibited activation in the left ventrolateral prefrontal cortex (vlPFC) and cuneus; in contrast, remitted participants exhibited a decrease in activation in these regions. Furthermore, exploratory analyses revealed that reduced activation levels during mood regulation predicted a worsening of depressive symptoms at a 20-month follow-up assessment. These findings highlight a dynamic role of the vlPFC and cuneus in the experience and modulation of emotional states and suggest that functional anomalies of these brain regions are associated with a history of, and vulnerability to, depression.     

Grit Across Nations: The Cross-National Equivalence of the Grit-O Scale

Journal of Happiness Studies - Despite its popularity in practice, the Grit-O Scale has shown inconsistent factorial structures and differing levels of internal consistency in samples outside the...     

The limits of love: Predicting immediate versus sustained caring behaviors in close relationships

Do the same kinds of processes predict spontaneous acts of kindness and long-term caring behavior in relationships? Three studies examined predictors of immediate behaviors versus delayed, sustained behaviors. Positive feelings toward the relationship partner predicted pro-relational behaviors when the behaviors could be completed in an immediate and fairly short timespan, but not when the behaviors required performance after several days delay (Study 1) or when the behavior required continued self-regulation over a period of a week (Studies 2 and 3). Sustained behavior regulation was better predicted by factors related to self-regulation strength, such as trait conscientiousness, than it was by positive relationship feelings. However, when feelings were primed daily, the feelings-behavior link remained strong for sustained behaviors (Study 3). Together, these studies suggest that immediate pro-relational behaviors are more likely to be acts of the heart, whereas delayed, sustained pro-relational behaviors are more likely to be acts of will.     

The effect of question expectedness and experience on lying about intentions

In recent years researchers have started to focus on lying about intentions (Granhag, 2010). In the present experiment participants were interviewed about their forthcoming trip. We tested the hypothesis that liars (N=43) compared to truth tellers (N=43) would give fewer details to unexpected questions about planning, transportation and the core event, but an equal amount or more detail to expected questions about the purpose of the trip. We also tested the hypothesis that participants who had previously experienced the intention (i.e., they had made such a trip before) would give more detail than those who had never experienced the intended action. The unexpected question hypothesis was supported, whereas the previous experience effect only emerged in interactions. The benefit of using different types of questions for lie detection purposes is discussed.     

The Facilitation and Maintenance of the Therapeutic Alliance in Family Therapy

The formation and maintenance of the therapeutic alliance in family therapy involves complexities pertaining to the stabilizing tendency of family systems, and the necessity for negotiation of the goals and tasks of therapy with and among multiple individuals (i.e., the family members) in a context of systemic reciprocity and mutual influence. This article explores the complexities associated with the establishment and maintenance of the therapeutic alliance in family therapy. Alliance stances are presented as clinical applications designed to assist therapists in working with split alliances, establishing within family collaboration, and in negotiating homeostatic processes.     

Current developments in the practice of individual psychoanalytic psychodrama in France

The authors present the history of individual psychoanalytic psychodrama and its current developments as practised in France. They put forward the technique, objectives and rules, along with the indications, limits and risks that ensue from the specific nature of this therapeutic approach. Through its technical adjustments, individual psychoanalytic psychodrama provides a therapeutic option that is appropriate to the defences prevalent in many patients that cause classical psychotherapies to fail: massive inhibition, operative functioning far removed from affects or in false self mode; phobias, disavowal or splitting of the internal psychic life and emotions; prevalence of short discharge circuits in acted-out behaviours and bodily or visceral complaints and expressions. Psychodrama utilizes these defences not in order to eliminate them but to 'subvert' them so that they can continue to carry out their protective role, in particular ensuring narcissistic continuity. At the same time, psychodrama relaxes these defences and facilitates a possible filtering through of the repressed material. Through the number of actors and the diffraction of transference that this allows, psychodrama provides a possibility of adjusting the potentially traumatic effect of the encounter with the object and the instigation of the transference in the regressive dimension induced by any psychotherapeutic process.     

A randomized clinical trial of a manual-guided risk reduction intervention for HIV-positive injection drug users.

This study randomized 90 HIV-seropositive, methadone-maintained injection drug users (IDUs) to an HIV Harm Reduction Program (HHRP+) or to an active control that included harm reduction components recommended by the National AIDS Demonstration Research Project. The treatment phase lasted 6 months, with follow-ups at 6 and 9 months after treatment entry. Patients in both treatments showed reductions in risk behaviors. However, patients assigned to HHRP+ were less likely to use illicit opiates and were more likely to adhere to antiretroviral medications during treatment; at follow-up, they had lower addiction severity scores and were less likely to have engaged in high risk behavior. Findings suggest that enhancing methadone maintenance with an intervention targeting HIV-seropositive IDUs increases both harm reduction and health promotion behaviors.