Psychotherapy with compulsively striving professional women 1: Introducing the patient group

In this paper I develop a profile of compulsively striving professional women with whom I have found myself working in private psychotherapy practice. I put them into a developmental, systemic and cultural context, and suggest a theoretical perspective. In a subsequent article (‘Clinical issues’) I shall describe the challenge they present from a clinical point of view and how these difficulties might be addressed in individual psychotherapy.     

From goal motivation to goal progress: the mediating role of coping in the Self-Concordance Model

Abstract

The present studies examined the mediating role of self-regulatory mechanisms in the relationship between goal motivation and goal progress in the Self-Concordance Model. First, a systematic review, using meta-analytical path analysis, supported the mediating role of effort and action planning in the positive association between autonomous goal motivation and goal progress. Second, results from two additional empirical studies, using structural equation modeling, lent credence to the mediating role of coping in the relationship between goal motivation and goal progress of university students. Autonomous goal motivation was positively associated with task-oriented coping, which predicted greater goal progress during midterm exams (Study 1, N=702) and at the end of the semester in a different sample (Study 2, N=167). Controlled goal motivation was associated with greater disengagement-oriented coping (Study 1 and Study 2) and lesser use of task-oriented coping (Study 2), which reduced goal progress. These results held up after controlling for perceived stress (Study 2). Our findings highlight the importance of coping in the “inception-to-attainment” goal process because autonomous goal motivation indirectly rather than directly predicts goal progress of university students through their usage of task-oriented coping.     

Spoken Narrative Assessment: A Supplementary Measure of Children’s Creativity

This study developed a spoken narrative (i.e., storytelling) assessment as a supplementary measure of children’s creativity. Both spoken and gestural contents of children’s spoken narratives were coded to assess their verbal and nonverbal creativity. The psychometric properties of the coding system for the spoken narrative assessment were investigated with 30 Cantonese-speaking children aged six to nine. The internal consistency and the intercoder agreement were good. In addition, children’s scores on the 3 coded variables were moderately correlated with their creativity-relevant skills as measured by Alternate Uses Task (Guilford, 1967) and subjective ratings of creativity provided by judges. Children with higher verbal skills, as measured by Similarities (The Wechsler Intelligence Scale for Children – 4th Edition (Hong Kong); WISC-IV HK), also scored higher in the speech composite of the coding system. The findings showed that the coding system of the spoken narrative assessment is reliable and valid for measuring children’s creativity objectively. An age-related norm will be established in future.     

The stress of food allergy issues in daily life

Objective: Food allergies are a growing health concern, but their implications for daily psychological functioning are unknown. This micro-longitudinal study investigated the daily frequency of food allergy issues and how this related to experiences of stress, mood and physical energy.

Design: One hundred and eight adults with physician-diagnosed food allergies completed an initial Internet survey followed by a 2-week Internet daily diary survey.

Main outcome measures: The initial survey collected socio-demographic and food allergy information. The daily survey collected information about the participants’ experiences of stress, mood, physical energy and food allergy issues during that day.

Results: Commonly experienced allergy issues included negative physical symptoms, higher food prices, anxiety about safety of food, trouble maintaining a healthy diet and anxiety/stress at social occasions. Furthermore, multilevel modelling analyses showed that stress and negative mood were significantly higher on days with more allergy issues. Older adults experienced lower positive mood and physical energy on days with more issues.

Conclusion: This is the first study to incorporate near to real-time tracking to examine the frequency of food allergy issues and the implications for daily psychological functioning. Targeting the issues we identified could reduce stress in patients with food allergies and improve their overall quality of life.