Anger Can Help: Clinical Representation of Three Pathways of Anger

Anger is a powerful emotion prevalent in therapy. An integrative model situating varied manifestations of anger within a purposive context of healing and repair following relationship trauma is needed. A first paper (Butler, Meloy-Miller, Seedall, & Dicus, 2017) approached anger as a psychological and relational construction of diffuse physiological arousal and provided a conceptual model of how the experience of offense interacts with a person's view of self in relation to other (VSIRO) in the formation of anger. Three resulting trajectories and pathways of anger were outlined. Here we provide clinical representations of these pathways—two pathways of hostile anger arising from pathogenic VSIROs (inflated, with accompanying externalizing anger, and collapsed, with accompanying internalizing anger), and a third pathway of benevolent anger, arising from a balanced VSIRO. Clinical application of the model through several vignettes illuminates its use in discriminating helpful from harmful pathways of anger and developing interventions for reshaping pathogenic anger to beneficent anger.     

A qualitative analysis of the role of emotions in different patterns of long-term weight loss

Objective: To explore participant perspectives of the impact emotions have on weight loss.

Design: A qualitative design gathered data through semi-structured interviews with participants in a weight management programme. The interview addresses the following research questions: (1) how do individuals working to lose weight perceive the impact emotions have on their long-term success, and (2) what strategies do more or less successful participants use to regulate their emotions? Researchers conducted and transcribed the interviews then completed content analysis to create and organise themes.

Results: Two broad themes emerged through the interviews with 21 participants: emotional impact and emotional regulation. Further subthemes captured emotions blocking action toward goals, strategies for regulating emotions (e.g. exercise, food) and the need for new strategies to regulate emotions. Themes were also split in to three groups based on weight outcomes: regainer, moderate success (3–6% loss) and large success (>7% loss). More successful participants, compared to regainers, shared being aware of the impact of their emotions and made efforts to develop healthy regulation strategies.

Conclusions: Emotional awareness and regulation play an important role in participant’s weight management experience. Taking time to build emotional awareness and strategies to manage emotions is important to participants in weight management.     

Interviewing children and adults: the effect of question format on the tendency to speculate

In formal interviews it is important that interviewees indicate when they do not know the answer, rather than speculate. In this study we investigated whether question format affected the tendency to speculate. One hundred and twenty‐eight 5‐ to 9‐year‐olds, and 23 adults, were told two short stories, and were then asked questions about the stories. Half of the questions were answerable based on the information provided; the other half were not answerable. Within these categories, half of the questions were closed questions (i.e. only required a yes/no response), and half were wh‐questions (i.e. requested particular details to be provided). All participants performed at ceiling with the answerable questions. With the unanswerable questions, there was an effect of format. The majority of children and adults correctly indicated that they did not know the answer when asked unanswerable wh‐questions. However, the majority of children, and just over one‐fifth of adults, provided a response (i.e. ‘yes’ or ‘no’) to the closed unanswerable questions. The implications for interviews, particularly within a forensic context, are discussed. Copyright © 2001 John Wiley & Sons, Ltd.     

Aligning body and world: Stable reference frames improve young children’s search for hidden objects

This study investigated how young children’s increasingly flexible use of spatial reference frames enables accurate search for hidden objects by using a task that 3-year-olds have been shown to perform with great accuracy and 2-year-olds have been shown to perform inaccurately. Children watched as an object was rolled down a ramp, behind a panel of doors, and stopped at a barrier visible above the doors. In two experiments, we gave 2- and 2.5-year-olds a strong reference frame by increasing the relative salience and stability of the barrier. In Experiment 1, 2.5-year-olds performed at above-chance levels with the more salient barrier. In Experiment 2, we highlighted the stability of the barrier (or ramp) by maximizing the spatial extent of each reference frame across the first four training trials. Children who were given a stable barrier (and moving ramp) during these initial trials performed at above-chance levels and significantly better than children who were given a stable ramp (and moving barrier). This work highlights that factors central to spatial cognition and motor planning—aligning egocentric and object-centered reference frames—play a role in the ramp task during this transitional phase in development.     

Stimulant Treatment Reduces Lapses in Attention among Children with ADHD: The Effects of Methylphenidate on Intra-Individual Response Time Distributions

Recent research has suggested that intra-individual variability in reaction time (RT) distributions of children with ADHD is characterized by a particularly large rightward skew that may reflect lapses in attention. The purpose of the study was to provide the first randomized, placebo-controlled test of the effects of the stimulant methylphenidate (MPH) on this tail and other RT distribution characteristics. Participants were 49 9- to 12-year-old children with ADHD. Children participated in a 3-day double-blind, placebo-controlled medication assessment during which they received long-acting MPH (Concerta®), with the nearest equivalents of 0.3 and 0.6 mg/kg t.i.d. immediate-release MPH. Children completed a simple two-choice speeded discrimination task on and off of medication. Mode RT and deviation from the mode were used to examine the peak and skew, respectively, of RT distributions. MPH significantly reduced the peak and skew of RT distributions. Importantly, the two medication effects were uncorrelated suggesting that MPH works to improve both the speed and variability in responding. The improvement in variability with stimulant treatment is interpreted as a reduction in lapses in attention. This, in turn, may reflect stimulant enhancement of self-regulatory processes theorized to be at the core of ADHD.     

Eye movements are not a prerequisite for learning movement sequence timing through observation

The present experiment examined learning of a three-segment movement sequence using physical or observational practice, and whether permitting eye movements to be made during observation is a prerequisite for learning such a movement sequence. Specifically, participants were required to move a mouse cursor through a three-segment movement sequence in order to satisfy one of three movement time goals (800, 1000, 1200 ms). A yoked-participant design was used in which a physical practice group acted as a learning model, which was viewed simultaneously by two groups that carried out different observational practice procedures. An observation group was permitted to move their eyes whilst observing the model, whereas the fixation group was instructed to maintain fixation on a central target. The difference between pre-test and post-test data indicated that all the three experimental groups significantly altered their timing accuracy, variability and movement kinematics over practice, while the control group’s behaviour was unchanged. These data indicate that movement time as well as the underlying movement control was learned following observation of a movement with or without an explicit contribution from eye movements, albeit to a lesser extent during the final segment of the sequence when compared to the physical practice group. The implication is that while similar processes might normally be involved in physical and observational practice, information afforded by eye movements during observation (e.g., efference copy and eye proprioception) is not necessary for movement sequence learning.     

Studying the process of psychoanalytic parent–infant psychotherapy: Embodied and discursive aspects

This paper presents findings from an intensive, mixed methods case study of one session of psychoanalytic parent–infant psychotherapy (PPIP) addressing early relational trauma, and aims to shed light on the multimodal interactive processes that take place in the moment-to-moment exchanges comprising the therapeutic encounter. Different research methods were used on video material from PPIP sessions, including microanalysis of adult–infant interactions, discourse analysis of talk, and coding systems developed to study parent–infant interaction. These different perspectives were brought together with the clinical narrative to illuminate the complex, dynamic processes of parent–infant–therapist interaction. More specifically, the detailed analysis of one interactive episode revealed brief behavioral manifestations of fearful and disoriented states of mind, reflecting dysregulated interaction between mother and infant, which also powerfully affected the therapist. The processes through which the therapist gradually resolves this rupture are also described in detail. Through this pilot study, we were able to show that it is possible to systematically study the process of PPIP. The study contributes to the growing psychotherapy research literature that takes into account both the verbal domain and implicit, interactional processes in therapeutic practice, and underscores the therapist's comprehensive engagement in the therapeutic process.