Individual experiences of an acceptance-based pain management programme: An interpretative phenomenological analysis

Acceptance of pain has been found to play an important role in adjusting to chronic pain, and the evidence-base is growing with regards to the effectiveness of acceptance-based interventions such as acceptance and commitment therapy, mindfulness and contextual cognitive behavioural therapy within pain management settings. Despite the growing interest in such interventions, previous studies into acceptance-based pain management programmes (PMPs) are quantitative and the exact processes at work during such programmes remain unknown. This study aims to add to previous quantitative research in the area by qualitatively exploring individual experiences of attending an acceptance-based PMP and identifying the key constituents of the programme that participants felt facilitated change. Semi-structured interviews (n = 6) were analysed using interpretative phenomenological analysis, and five themes emerged: I’m not alone, others understand my pain, Freedom from pain taking over, A new self – one with pain, Parts of the programme participants felt facilitated change and Exercise is possible. These findings are then considered in relation to past research and relevant constructs in the literature. Implications for future research and clinical practice are also discussed alongside participant reflections and suggested areas for improvement.     

Abstract argumentation and explanation applied to scientific debates

Abstract argumentation has been shown to be a powerful tool within many fields such as artificial intelligence, logic and legal reasoning. In this paper we enhance Dung’s well-known abstract argumentation framework with explanatory capabilities. We show that an explanatory argumentation framework (EAF) obtained in this way is a useful tool for the modeling of scientific debates. On the one hand, EAFs allow for the representation of explanatory and justificatory arguments constituting rivaling scientific views. On the other hand, different procedures for selecting arguments, corresponding to different methodological and epistemic requirements of theory evaluation, can be formulated in view of our framework.     

An Inconsistency-Adaptive Deontic Logic for Normative Conflicts

We present the inconsistency-adaptive deontic logic DP ^r , a nonmonotonic logic for dealing with conflicts between normative statements. On the one hand, this logic does not lead to explosion in view of normative conflicts such as O A?∧?O ～A, O A?∧?P ～A or even O A?∧?～O A. On the other hand, DP ^r still verifies all intuitively reliable inferences valid in Standard Deontic Logic (SDL). DP ^r interprets a given premise set ‘as normally as possible’ with respect to SDL. Whereas some SDL-rules are verified unconditionally by DP ^r , others are verified conditionally. The latter are applicable unless they rely on formulas that turn out to behave inconsistently in view of the premises. This dynamic process is mirrored by the proof theory of DP ^r .     

Kuhn and the Question of Pursuit Worthiness

The aim of this paper is, on the one hand, to critically investigate Kuhn’s stance on the assessment of the pursuit worthiness of scientific theories, and, on the other hand, to show the actuality of some of Kuhn’s points on this issue, in view of their critical analysis. To this end we show that Kuhn presents certain tools, which may help scientists to overcome communication breakdowns when engaging in the process of rational deliberation regarding the question whether a theory is worthy of further pursuit. These tools are persuasion, translation and interpretation. However, we argue that the perspective of epistemic semantic monism present in Kuhn’s work obstructs the full applicability of these tools. We show that dropping this perspective makes the notions of persuasion and interpretation more fruitful, and moreover, allows for a pluralism of scientific theories and practices that complements the pluralism based on disagreement among scientists, emphasized by Kuhn.     

Ambulante manualisierte Verhaltenstherapie bei Anorexia nervosa

Anorexia nervosa is a serious illness leading to high morbidity and mortality. Its treatment poses a particular challenge to psychotherapists offering outpatient treatment. Often therapists follow or work according to a treatment manual. Supervision in the treatment of anorexia nervosa patients intends to promote quality assurance as well as to foster therapists’ mental hygiene. It offers the opportunity to collect plenty of practical experiences. Some of these will be presented here to provide suggestions and support to therapists working with anorexia nervosa patients. Certain treatment modules of cognitive-behavioral therapy (CBT) such as motivation, eating behavior, case formulation and relapse prevention will be considered. Regarding the therapist-patient relationship ambivalent relation shaping and motivational interviewing will be targeted.     

Implicit and explicit components of dual adaptation to visuomotor rotations

Concurrent adaptation to two different visuomotor transformations has been shown to be possible as long as discriminative contextual cues are available. The authors examined explicit and implicit components of visually cued dual adaptation in younger and older adults. They found that only young adults, but not old adults, produced appropriate adaptive shifts of hand-movement direction to compensate for the visuomotor rotations. Aftereffects, conceived as a measure of implicit knowledge, were only poorly developed. Furthermore, only participants in the younger group exhibited systematic explicit knowledge of the visuomotor rotations. Subsequent analyses revealed strong correlations between the quality of explicit knowledge and the overall visuomotor adaptation. Thus, visually cued dual adaptation to two opposite visuomotor rotations is primarily mediated by conscious strategic corrections based on explicit knowledge of the transformations, a process, which is selectively impaired in older adults.     

The effects of mechanical transparency on adjustment to a complex visuomotor transformation at early and late working age

Mechanical tools are transparent in the sense that their input-output relations can be derived from their perceptible characteristics. Modern technology creates more and more tools that lack mechanical transparency, such as in the control of the position of a cursor by means of a computer mouse or some other input device. We inquired whether an enhancement of transparency by means of presenting the shaft of a virtual sliding lever, which governed the transformation of hand position into cursor position, supports performance of aimed cursor movement and the acquisition of an internal model of the transformation in both younger and older adults. Enhanced transparency resulted in an improvement of visual closed-loop control in terms of movement time and curvature of cursor paths. The movement-time improvement was more pronounced at older working age than at younger working age, so that the enhancement of transparency can serve as a means to mitigate age-related declines in performance. Benefits for the acquisition of an internal model of the transformation and of explicit knowledge were absent. Thus, open-loop control in this task did not profit from enhanced mechanical transparency. These findings strongly suggest that environmental support of transparency of the effects of input devices on controlled systems might be a powerful tool to support older users. Enhanced transparency may also improve simulator-based training by increasing motivation, even if training benefits do not transfer to situations without enhanced transparency.     

Counterfactual closeness and predicted affect

Empirical research on counterfactual thinking has found a closeness effect: people report higher negative affect if an actual outcome is close to a better counterfactual outcome. However, it remains unclear what actually is a “close” miss. In three experiments that manipulate close counterfactuals, closeness effects were found only when closeness was unambiguously defined either with respect to a contrasted alternative, or with respect to a categorical boundary. In a real task people failed to report greater negative affect when encountering a close numerical miss, while they predicted greater negative affect hypothetically. These results show that counterfactual closeness effects on affect depend on closeness being accessible and unambiguously defined.     

Examining the pathways between gratitude and self-rated physical health across adulthood

The current study examined whether dispositional gratitude predicts physical health among adults, and if so, whether this relationship occurs because grateful individuals lead healthier lives, either psychologically or physically. Specifically, we examined whether psychological health, healthy activities, and willingness to seek help for health concerns mediated the link between gratitude and self-reported physical health, as well as if these mediational pathways are moderated by age, in a broad sample of Swiss adults (N = 962, M_age = 52 years, age range: 19–84). Dispositional gratitude correlated positively with self-reported physical health, and this link was mediated by psychological health, healthy activities, and willingness to seek help for health concerns. However, the indirect effects for psychological health and healthy activities were stronger for older than younger adults. In other words, the mechanisms explaining why gratitude predicts health appear to differ across adulthood.