Health-Related Quality of Life,Functioning and Social Experiences in People with Psychotic Disorders

Applied Research in Quality of Life - To inform development of a model for health-related quality of life (HRQoL) in people with psychotic disorders, we aimed to assess correlations between...     

Promoting an Empathic Dialectic for Therapeutic Change: An Integrative Review

This integrative review is focused on a formulation of therapeutic empathy. We describe the “empathic dialectic” as therapists’ capacity to emotionally resonate with patients’ internal states, such as during ruptures, and to coregulate their own and the patients’ states through mentalization. The first aim was to provide a theoretical framework for the empathic dialectic, by summarizing background literature on the empathic process, intersubjectivity, rupture repair, relational psychoanalysis, and attachment. The second aim was to conduct an integrative review of peer-reviewed articles published between the years of 2016 and 2021. After conducting a review of 28 articles, we sought to identify (1) research that supports the existence of an empathic dialectic, (2) evidence that therapists’ attachment influences the empathic dialectic, and (3) implications of the empathic dialectic for training and supervision. Results pointed to the central role of therapists’ attachment security in the empathic dialectic, and the negative repercussions of therapists’ insecurity when mentalization is underdeveloped. Results also highlighted the role of supervision as a means of enhancing trainees’ self-awareness of their attachment, and its impact on the alliance. As the American Psychological Association embraces a clinical competencies model in its accreditation of clinical psychology doctoral programs, the importance of attaining an integrative understanding of therapeutic empathy has become increasingly imperative. To this end, we conclude by promoting the empathic dialectic as a key clinical competency, and providing further recommendations for training and supervision.

     

Female Self-Sexualization in MySpace.com Personal Profile Photographs

This article reports the results of a content analysis of female self-sexualization in personal profile pictures on MySpace.com (N = 24,000). Photographs were analyzed according to three measures: ritualization of subordination, body display, and objectification. Trained evaluators coded the photographs for each measure by race/ethnicity, body type, sexual orientation, and education level. Findings reveal that rates of ritualization of subordination were significantly higher for Hispanics, average body types, and bisexuals. Body display and objectification were both significantly higher for Blacks and Hispanics, bisexuals, and women with higher education levels. Body display and objectification rates were significantly lower for larger body types while body display alone was significantly lower for lesbians. Overall self-sexualizing behavior in this study sample is low based upon study measures. Images presented on MySpace.com do reveal, however, an acceptance of constrained and stereotypical notions regarding both gender and sex roles.     

Development and exploratory cluster-randomised opportunistic trial of a theory-based intervention to enhance physical activity among adolescents

This article reports the development and exploratory testing of a school-based intervention programme designed to enhance levels of physical activity in adolescents. The intervention is based on social cognitive theory (SCT), self-regulation theory (SRT) and planning as evidence-based mediators of physical activity changes. Two classes, paired on socio-economic variables, were selected from each of eight Portuguese schools and randomly assigned to an intervention or control group (N = 291). Primary outcome was ‘moderate to vigorous physical activity’ (International Physical Activity Questionnaire) measured pre and post intervention and at three and nine months follow-up. SCT, SRT and planning variables were secondary outcomes measured pre and post intervention. At post test, participants in the intervention group reported 18 min per week more physical activity (PA), adjusted for pre-intervention, age and sex, than those in the control group (95% confidence interval ?10 to 46; p = 0.249). This difference increased to 33 min (95% CI–4 to 71; p = 0.082) at three months and to 57 min (95% CI 13 to 101, p = 0.008) at nine month follow-up. Moreover, the intervention resulted in changes of some of the theoretical target variables, including outcome expectancies and coping planning. However, no evidence was found for the changes in theoretical moderators to mediate the intervention effects on behaviour. Implications for theory and for future research are discussed.     

Improving Discrimination and Face Matching with Caricature

Identification of faces from photographs is a common security measure, but matching unfamiliar faces produces high rates of error. Caricatures of familiar people are highly identifiable because they exaggerate distinctive features. We investigated whether exaggerating unfamiliar faces through caricaturing could also improve face‐matching accuracy. In Experiment 1, face‐matching arrays were caricatured relative to an average by 30%, 50% and 70%. Correct rejection of the target‐absent arrays was improved at all levels. Accurate matches increased at 30%, but at 70%, the transformation was too extreme, and all of the arrays were more likely to be rejected. In Experiment 2, photographic identification (ID) images were caricatured by 30% and 50% and matched to life‐size photographs. Rejection of foils improved, but the ID of matching images was impaired. Modest levels of caricature may improve discrimination in unfamiliar face matching, but at stronger levels, a conservative response bias may inhibit accurate ID. Copyright © 2013 John Wiley & Sons, Ltd.     

Changes in Limb Stiffness Under Conditions of Mental Stress

In 2 experiments, the effects of mental stress on limb stiffness were investigated. The relative contribution to arm stiffness of individual muscle activity, co-contraction, muscle reflexes, and postural adjustments were examined. In each experiment, participants (N = 24, Experiment 1; N = 16, Experiment 2) held their supinated hand under a tray that they were required to return to horizontal after it had been suddenly released. Electromyographic activity in the biceps and triceps muscles was recorded, as were elbow and wrist angles and tray displacement. In Experiment 1, mental arithmetic stress was shown to lead to decreased tray displacement (i.e., increased resistance) compared with displacements under the control, unstressed condition, as well as to increased elbow flexion before tray release. In Experiment 2, the increased resistance to perturbation caused by mental stress was found to be independent of initial elbow angle, but to vary as a function of the amount of upward force exerted before tray release. The authors conclude that stress-induced increases in limb stiffness result from changes in the initial position of the elbow, specified by its angle, together with the initial force exerted by participants to counteract the mechanical perturbations.     

Vocal learning of a communicative signal in captive chimpanzees, Pan troglodytes

We hypothesized that chimpanzees could learn to produce attention-getting (AG) sounds via positive reinforcement. We conducted a vocal assessment in 76 captive chimpanzees for their use of AG sounds to acquire the attention of an otherwise inattentive human. Fourteen individuals that did not produce AG sounds during the vocal assessment were evaluated for their ability to acquire the use of an AG sound through operant conditioning and to employ these sounds in an attention-getting context. Nine of the 14 chimpanzees were successfully shaped using positive reinforcement to produce an AG sound. In a post-training vocal assessment, eight of the nine individuals that were successfully trained to produce AG sounds generalized the use of these newly acquired signals to communicatively relevant situations. Chimpanzees possess the ability to acquire the use of a communicative signal via operant conditioning and can generalize the use of this newly acquired signal to appropriate communicative contexts.     

Love in cross-cultural perspective: Mozambique-France comparison

The study aimed to characterise the conceptualisation of love in Mozambique (a collectivist society) and France (an individualistic society) on three attributes: passion, intimacy, and commitment. The study sample comprised 310 Mozambican adults (females = 57%; age range = 18-64) and 220 French adults (females = 54%; age range = 18-64). They completed 27 information scenarios on passion, intimacy, and commitment. The data were analysed utilising mixed-method estimation of the variance accounted for by the three components of love. Results indicated that for the Mozambican participants passion was the most important factor (46%) in love expression, followed by commitment (37%), and intimacy (17%). For the French participants, passion was the most important factor (50%), followed by intimacy (28%), and commitment (22%). Across countries, the weight given to passion was reported to decline over age while the weight assigned to commitment was reported to increase with age.