Heterogeneity of treatment changes after psychodynamic therapy within a one year follow‐up: A replication study

Naturalistic psychotherapy effect studies commonly report effect sizes for the total sample. However, a previous study of SCL‐90 Global Severity Index (GSI) improvement in a large outpatient sample used a cluster analytic strategy and reported clinical relevant outcome trajectories that could be grouped into early within‐treatment improvement, late improvement in the follow‐up period, and deteriorating patients with slight improvement that was lost at follow‐up. We explore GSI outcome trajectories and clinical significant change in a sample of 320 patients at a public psychiatric outpatient psychodynamic group therapy unit, the majority with anxiety, personality, and mood disorders. The study revealed large discharge and follow‐up effect sizes but more than one third of the patients were without measurable improvement. The major clusters described above were confirmed, and revealed unique clinical and socio‐demographic characteristics. Late improvers, as compared with early improvers, were characterized by anxiety symptoms and lack of network support after controlling for GSI at admission. Similarly, deteriorating patients had longer duration of illness and less favourable social characteristics compared with the other two groups. Early improving patients were less likely to have participated in short‐term groups, and only one third participated in additional treatment compared with more than 69% of the other patients. Severe and socially affected psychiatric patients, and patients with anxiety and agoraphobic symptoms may be less optimally treated in short‐term time limited psychodynamic groups. There is an obvious need for diversity of treatment offers, better integration of psycho‐social treatment components, and long‐term open ended treatment.     

Kant's Opus Postumum and McDowell's Critique of Kant

In this article, I have a modest goal: (1) to sketch how Kant can avoid the charge of “subjective idealism” advanced against him by John McDowell and (2) to do so with reference to Kant's last work, the so‐called Opus Postumum. I am interested in defending Kant on this point because doing so not only (a) shows how we need not—at least not because of this point about idealism—jump ship from Kant to Hegel (as McDowell and others think), but also (b) suggests that the Opus Postumum is a text that ought to be explored more by Kantians and those interested in Kant. A subsidiary, implicit point is that (c) we need not shy away from McDowell's reading of Kant in order to oppose McDowell's criticism of Kant. In order to defend against McDowell's charge, I focus on the argument of the Refutation of Idealism, showing how this argument evolves in Kant's later works, especially the Opus Postumum.     

The role of individual differences in cognitive training and transfer

Working memory (WM) training has recently become a topic of intense interest and controversy. Although several recent studies have reported near- and far-transfer effects as a result of training WM-related skills, others have failed to show far transfer, suggesting that generalization effects are elusive. Also, many of the earlier intervention attempts have been criticized on methodological grounds. The present study resolves some of the methodological limitations of previous studies and also considers individual differences as potential explanations for the differing transfer effects across studies. We recruited intrinsically motivated participants and assessed their need for cognition (NFC; Cacioppo & Petty Journal of Personality and Social Psychology 42:116–131, 1982) and their implicit theories of intelligence (Dweck, 1999) prior to training. We assessed the efficacy of two WM interventions by comparing participants’ improvements on a battery of fluid intelligence tests against those of an active control group. We observed that transfer to a composite measure of fluid reasoning resulted from both WM interventions. In addition, we uncovered factors that contributed to training success, including motivation, need for cognition, preexisting ability, and implicit theories about intelligence.     

Inclusion: Conceptualization and measurement

In the present research, we introduced a conceptual framework of inclusion and subsequently used this as a starting point to develop and validate a scale to measure perceptions of inclusion. Departing from existing work on inclusion and complementing this with theoretical insights from optimal distinctiveness theory and self‐determination theory, we proposed that inclusion is a hierarchical two‐dimensional concept consisting of perceptions of belonging and authenticity. In addition, we posed that in the process of inclusion, it is the group rather than the individual that has primary agency. From this conceptualization, we developed and validated the 16‐item perceived group inclusion scale (PGIS). Data from two samples supported our proposed configuration of inclusion. In addition, the PGIS appeared to be a reliable measure of inclusion and was demonstrated to possess both nomological and predictive validity. Taken together, this research contributes to the conceptual refinement of the inclusion construct and offers researchers a reliable and valid tool to conduct future inclusion research. Copyright © 2014 John Wiley & Sons, Ltd.     

Longitudinal Analysis of Adolescent NSSI: The Role of Intrapersonal and Interpersonal Factors

Non-suicidal self-injury (NSSI) occurs in approximately 10 % of adolescents. To establish effective prevention and intervention initiatives, it is important to understand onset, maintenance and cessation of NSSI. We explored whether the relationships between interpersonal factors (i.e. attachment, social support) and NSSI were mediated by intrapersonal factors (i.e. emotion regulation, self-esteem, self-efficacy). Participants were 1973 students (1414 female and 559 male) aged between 12 and 18 years (M?=?13.89, SD?=?0.97) recruited from 40 Australian high schools. Participants completed a questionnaire at two time-points with a 12-month interval. At baseline, 8.3 % of adolescents engaged in NSSI, increasing to 11.9 % at follow-up. Family support was most salient in onset, maintenance and cessation of NSSI. Attachment anxiety was related to NSSI onset. Of the intrapersonal variables, self-esteem and self-efficacy were significant in predicting onset of NSSI. Self-esteem, self-efficacy and cognitive reappraisal mediated the relationship between attachment anxiety and NSSI onset. A combination of interpersonal and intrapersonal variables contributes to the onset, maintenance and cessation of NSSI in adolescence. Perceived family support appears to be an important safeguard against NSSI. Strategies targeting family functioning and teaching cognitive reappraisal techniques to adolescents may reduce the number engaging in NSSI.     

Do Women Accommodate More Than Men? Gender Differences in Perceived Social Support and Negotiation Behavior by Spanish and Dutch Worker Representatives

Historically, the role of worker representatives (WRs) is traditionally perceived as masculine. With an increasing participation of women in the workforce, the number of female WRs grows all over Europe. WRs’ main task is to negotiate on behalf of the constituency. We explore how male and female WRs perceive support from their constituency and how this perceived support is related to their negotiation behavior. We test hypotheses about the impact of gender and societal culture on perceived support and accommodating behavior in negotiations. The hypotheses are tested using a quantitative approach among 219 female and 495 male WRs in Spain and 166 female and 398 male WRs in the Netherlands. Following the research question there was no evidence indicating gender differences in accommodating behavior. Results show that a) WRs accommodate less to management in Spain than in the Netherlands; b) female WRs perceive less social support than their male counterparts in Spain, but not in the Netherlands; c) social support is negatively related to accommodating behavior only for female WRs in Spain, but not in the Netherlands. We discuss theoretical and practical implications.     

On the validity and generality of transfer effects in cognitive training research

Evaluation of training effectiveness is a long-standing problem of cognitive intervention research. The interpretation of transfer effects needs to meet two criteria, generality and specificity. We introduce each of the two, and suggest ways of implementing them. First, the scope of the construct of interest (e.g., working memory) defines the expected generality of transfer effects. Given that the constructs of interest are typically defined at the latent level, data analysis should also be conducted at the latent level. Second, transfer should be restricted to measures that are theoretically related to the trained construct. Hence, the construct of interest also determines the specificity of expected training effects; to test for specificity, study designs should aim at convergent and discriminant validity. We evaluate the recent cognitive training literature in relation to both criteria. We conclude that most studies do not use latent factors for transfer assessment, and do not test for convergent and discriminant validity.