Jumping to conclusions, a lack of belief flexibility and delusional conviction in psychosis: a longitudinal investigation of the structure, frequency, and relatedness of reasoning biases

Two reasoning biases, jumping to conclusions (JTC) and belief inflexibility, have been found to be associated with delusions. We examined these biases and their relationship with delusional conviction in a longitudinal cohort of people with schizophrenia-spectrum psychosis. We hypothesized that JTC, lack of belief flexibility, and delusional conviction would form distinct factors, and that JTC and lack of belief flexibility would predict less change in delusional conviction over time. Two hundred seventy-three patients with delusions were assessed over twelve months of a treatment trial (Garety et al., 2008). Forty-one percent of the sample had 100% conviction in their delusions, 50% showed a JTC bias, and 50%-75% showed a lack of belief flexibility. Delusional conviction, JTC, and belief flexibility formed distinct factors although conviction was negatively correlated with belief flexibility. Conviction declined slightly over the year in this established psychosis group, whereas the reasoning biases were stable. There was little evidence that reasoning predicted the slight decline in conviction. The degree to which people believe their delusions, their ability to think that they may be mistaken and to consider alternative explanations, and their hastiness in decision making are three distinct processes although belief flexibility and conviction are related. In this established psychosis sample, reasoning biases changed little in response to medication or psychological therapy. Required now is examination of these processes in psychosis groups where there is greater change in delusion conviction, as well as tests of the effects on delusions when these reasoning biases are specifically targeted.     

Does affluence impoverish the experience of parenting?

Acquiring greater financial resources before having children seems like an intuitive strategy for people to enhance their well-being during parenthood. However, research suggests that affluence may activate an agentic orientation, propelling people to pursue personal goals and independence from others, creating a conflict with the communal nature of parenting. Coherence between one's goals and actions has been theorized to be essential for the experience of meaning in life. Thus, we hypothesized that affluence would be associated with a diminished sense of meaning during childcare. In Study 1, using the Day Reconstruction Method (DRM), we found that socioeconomic status (SES) was negatively related to the average sense of meaning parents reported across episodes of the day when they were taking care of their children. In Study 2, a reminder of wealth produced a parallel effect; when parents were exposed to a photograph of money, they reported a lower sense of meaning in life while spending time with their kids at a children's festival. These findings contribute to our understanding of the relationship between wealth and well-being by showing that affluence can compromise a central subjective benefit of parenting—a sense of meaning in life.     

African American clergy: what are their perceptions of pastoral care and pastoral counseling?

This qualitative study explores African American clergy’s perspectives on pastoral care and pastoral counseling. Interviews were conducted with 18 African American clergy of diverse ages, locales, and educational levels who were recruited from a southern state. Two major themes emerged from the data: (a) Shepherding the Flock and (b) Distinguishable Concepts with Different Meaning and Functions. Implications for social work practice and research are addressed.     

The effect of feedback delay and feedback type on perceptual category learning: the limits of multiple systems

Evidence that learning rule-based (RB) and information-integration (II) category structures can be dissociated across different experimental variables has been used to support the view that such learning is supported by multiple learning systems. Across 4 experiments, we examined the effects of 2 variables, the delay between response and feedback and the informativeness of feedback, which had previously been shown to dissociate learning of the 2 types of category structure. Our aim was twofold: first, to determine whether these dissociations meet the more stringent inferential criteria of state-trace analysis and, second, to determine the conditions under which they can be observed. Experiment 1 confirmed that a mask-filled feedback delay dissociated the learning of RB and II category structures with minimally informative (yes/no) feedback and also met the state-trace criteria for the involvement of multiple latent variables. Experiment 2 showed that this effect is eliminated when a less similar, fixed pattern mask is presented in the interval between response and feedback. Experiment 3 showed that the selective effect of feedback delay on II learning is reduced with fully informative feedback (in which the correct category is specified after an incorrect response) and that feedback type did not dissociate RB and II learning. Experiment 4 extended the results of Experiment 2, showing that the differential effect of feedback delay is eliminated when a fixed pattern mask is used. These results pose important challenges to models of category learning, and we discuss their implications for multiple learning system models and their alternatives.     

A qualitative investigation into the online counselling relationship: To meet or not to meet,that is the question

Background and aim: Online counselling, as a psychotherapeutic approach, provokes debate amongst practitioners and researchers concerning its efficacy and validity. This reflexive study extends existing research into the nature of the online counselling relationship when it is conducted asynchronously (by email) and explores the possibility this approach may facilitate both online and face‐to‐face therapeutic engagement. Method: Semi‐structured interviews were conducted electronically with ten former email counselling clients of a university counselling service and six counsellors delivering email counselling in other higher education settings, to explore, in depth, their experiences of the online therapeutic relationship and its impact on the counselling process and outcomes. These were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Four areas of focus emerged relating to: (1) the importance of the structure and processes involved; (2) their impact on thinking and feeling; (3) their impact on self and relationships (within and outside counselling), and (4) changes that followed email counselling. Having ‘time to think’ within the asynchronous exchanges, the anonymity and disinhibition afforded by the online medium, the creation of transitional space and the rich use of metaphor, visualisation and imagery all contributed to a sense of empowerment and relational depth for individuals who might have otherwise avoided seeking help. This led to positive change in many cases and for some, facilitated subsequent face‐to‐face counselling. Implications: The findings support the provision of counselling and therapy online and particularly its integration within existing face‐to‐face services.     

Domain-specific perfectionism in intercollegiate athletes: Relationships with perceived competence and perceived importance in sport and school

ObjectivesTo examine the domain-specific nature of perfectionism in sport and school, and to examine potential links between domain-specific perceived competence, perceived importance (task value), and perfectionism in sport and school.Design and MethodA total of 255 male and female varsity student-athletes from a successful intercollegiate sport program completed domain-specific (i.e., sport and school) versions of Hewitt and Flett's (1991) Multidimensional Perfectionism Scale (HF-MPS). Participants also completed an inventory designed to assess perceived competence (PC) in sport versus school and perceived importance (PI) of success in sport versus school.ResultsExploratory factor analyses conducted on perfectionism data indicated that perfectionist orientations were organized around domain-specific as opposed to global perfectionist tendencies. Regression analyses indicated that PC was a significant predictor of domain-specific levels of self-oriented and socially prescribed perfectionism (ps < .05), and PI was a significant predictor of domain-specific levels of self-oriented, socially prescribed, and other-oriented perfectionism (ps < .001). A repeated-measures MANOVA revealed that student-athletes had significantly higher levels of perfectionism in sport than school (ps < .0001) across all three HF-MPS subscales.ConclusionResults reinforce the value of measuring perfectionism as a domain-specific (rather than global) personality disposition, and identify the potential role that perceived competence and perceived importance may play in the development of domain-specific perfectionism.     

Correlates of satisfaction with body function and body appearance in middle- and older aged adults: The activity counseling trial (ACT)

Abstract

This study examined the dimensional structure and correlates of body satisfaction among middle-aged and older adult men (n = 471) and women (n = 383) who were participants in the Activity Counseling Trial. Correlates were grouped as (1) fitness parameters, (2) demographic characteristics, and (3) components of subjective well-being. Factor analyses demonstrated that body function and body appearance were independent components of satisfaction in this population. Body composition and cardiorespiratory fitness were directly related to satisfaction with body appearance; however, satisfaction with body function was most strongly related in expected directions to measures of subjective well-being. Age was positively related to both measures of body satisfaction, whereas data on race revealed that blacks were more satisfied with their body appearance and function than whites. The observed relationships for body satisfaction suggest that older adults may value body function more than body appearance. Furthermore, the associations of race and age with body satisfaction have important implications for intervention research.     

Development of the Significant Other Survey: An Interview for Family Members of Substance Users

The Significant Other Survey (SOS) is a semi-structured interview designed to measure the multidimensional problems experienced by family members with a substance abusing loved one. This article describes the development of the SOS and its psychometric properties based on data obtained from significant others of 110 substance abusing adults. Interrater and test-retest reliability estimates were within acceptable ranges, adequate internal consistency was demonstrated for six of seven problem domains, and the problem domains were low to moderately correlated with each other. Issues related to future instrument development and the utility of the SOS for both family practitioners and researchers are described.