Seeing Is Believing: Using Video Feedback in Cognitive Therapy for Social Anxiety Disorder

Distorted negative self-images and impressions appear to play a key role in maintaining Social Anxiety Disorder (SAD). In previous research, McManus et al. (2009) found that video feedback can help people undergoing cognitive therapy for SAD (CT-SAD) to develop a more realistic impression of how they appear to others, and this was associated with significant improvement in their social anxiety. In this paper we first present new data from 47 patients that confirms the value of video feedback. Ninety-eighty percent of the patients indicated that they came across more favorably than they had predicted after viewing a video of their social interactions. Significant reductions in social anxiety were observed during the following week and these reductions were larger than those observed after control periods. Comparison with our earlier data (McManus et al., 2009) suggests we may have improved the effectiveness of video feedback by refining and developing our procedures over time. The second part of the paper outlines our current strategies for maximizing the impact of video feedback. The strategies have evolved in order to help patients with SAD overcome a range of processing biases that could otherwise make it difficult for them to spot discrepancies between their negative self-imagery and the way they appear on video.     

Therapy Expectations of Adolescents with Depression Entering Psychodynamic Psychotherapy: A Qualitative Study

Patient expectations about therapy have been regarded as a common factor affecting the course and outcome of psychotherapy. However, little is known about the expectations of adolescents. We aimed to explore the therapy expectations of young people (YP) with depression prior to psychotherapy. We conducted semi-structured interviews with six YP (5 female, 15–19 years old) entering psychodynamic outpatient treatment. Interviews were transcribed verbatim and analyzed using Interpretative Phenomenological Analysis. The careful analysis of the YPs’ accounts yielded the following four key themes: not knowing but being cautiously hopeful; therapy as a long and difficult process; therapy as a place to understand oneself and to develop; and the importance of the professional and interpersonal skills of the therapist. The findings suggest to foster realistic treatment and outcome expectations while at the same time individual therapists should pay careful attention to the specific expectations that YP bring into therapy.     

Parents’ experience of child contact within entrenched conflict families following separation and divorce: a qualitative study

Child contact arrangements with parents following separation and divorce are strongly endorsed for children in both public policy and law where safe, but can be difficult to sustain. Entrenched high-conflict post-separation relationships between parents can cause substantial emotional risks to children as well as impacting severely on parents’ mental health. This paper describes a qualitative study, aimed at examining parents’ experiences of contact arrangements post-separation, undertaken within a mixed methods random allocation study of therapeutic outcomes for parents in entrenched conflict over their children. Two established semi-structured interviews with 22 parents were jointly subjected to thematic analyses. A thematic analysis across interviews revealed three main themes: ‘Dealing with contact evokes extreme states of mind’ for parents; when speaking of contact, the child is ‘everywhere and nowhere’ in the parents’ minds; ‘the hardest thing about contact is dealing with my ex-partner’. These findings indicate the immense strain children and parents are under and shed much light on the desperate states of mind for parents, particularly the anxieties driving relentless child contact disputes. This paper may contribute to the understanding of parents’ experiences of contact arrangements post-separation, potentially providing important information which can inform best practice for professionals working with this population.     

Subtyping obsessive-compulsive disorder: A taxometric analysis

Obsessive-compulsive disorder (OCD) is a heterogeneous condition comprising multiple symptoms. Researchers have identified OCD subtypes using a range of symptom-based research methods, including factor and cluster analyses and examination of differential treatment response. These methods can be challenged on the grounds that they fail to demonstrate the existence of discrete taxonomic entities. Furthermore, no study has examined subtyping on the basis of cognitive characteristics. In the present study, the categorical vs. dimensional status of 6 possible subtypes of OCD was examined using taxometric methods. Three potential cognitive subtypes (based on high levels of responsibility/threat estimation, perfectionism/certainty, and importance/control of thoughts) and 3 potential symptomatic subtypes (based on elevated levels of contamination obsessions and cleaning compulsions, checking, and obsessionality) were examined using the MAXEIG and MAMBAC procedures in a sample of 404 diagnosed cases of OCD. Findings favored dimensional models of the potential responsibility, perfectionism, checking, and contamination subtypes, but offered qualified support for taxonic models of the importance/control of thoughts and obsessional subtypes. Implications for the subclassification of OCD are discussed.     

Second thoughts on the alleged failure of free will theodicies

In this paper I further the discussion on the adequacy of free will theodicies initiated by Joel Tierno. Tierno’s principal claim is that free will theodicies fail to account for the wide distribution of moral evil. I attempt to show that, even if Tierno need not rely on a compatibilist conception of free will in order to substantiate the aforementioned claim, there remains good reason to think that free will theodicies are not explanatorily inadequate in the way suggested by Tierno.     

An examination of the processing capacity of features in the Thatcher illusion

Detection of the Thatcher illusion (Thompson, Perception, 9:483–484, 1980) is widely upheld as being dependent on configural processing (e.g., Bartlett & Searcy, Cognitive Psychology, 25:281–316, 1993; Boutsen, Humphreys, Praamstra, & Warbrick, NeuroImage, 32:352–367, 2006; Donnelly & Hadwin, Visual Cognition, 10:1001–1017, 2003; Leder & Bruce, Quarterly Journal of Experimental Psychology, 53A:513–536, 2000; Lewis, Perception, 30:769–774, 2001; Maurer, Grand, & Mondloch, Trends in Cognitive Sciences, 6:255–260, 2002; Stürzel & Spillmann, Perception, 29:937–942, 2000). Given that supercapacity processing accompanies configural processing (see Wenger & Townsend, 2001), supercapacity processing should occur in the processing of Thatcherised upright faces. The purpose of this study was to test for evidence that the grotesqueness of upright Thatcherised faces results from supercapacity processing. Two tasks were employed: categorisation of a single face as odd or normal, and a same/different task for sequentially presented faces. The stimuli were typical faces, partially Thatcherised faces (either eyes or mouth inverted) and fully Thatcherised faces. All of the faces were presented upright. The data from both experiments were analysed using mean response times and a number of capacity measures (capacity coefficient, the Miller and Grice inequalities, and the proportional-hazards ratio). The results of both experiments demonstrated some evidence of a redundancy gain for the redundant-target condition over the single-target condition, especially in the response times in Experiment 1. However, there was very limited evidence, in either experiment, that the redundancy gains resulted from supercapacity processing. We concluded that the oddity signalled by inversion of eyes and mouths does not arise from positive interdependencies between these features.     

Search for multiple targets of different colours: Misguided eye movements reveal a reduction of colour selectivity

Searching for two targets simultaneously is often less efficient than conducting two separate searches. Eye movements were tracked to understand this dual‐target cost. Findings are discussed in the context of security screening. In both single‐target and dual‐target search, displays contained one target at most. Stimuli were abstract shapes modelled after guns and other threat items. With these targets and distractors, colour information helped more in guiding search than shape information. When the two targets had different colours, distractors with colours different from either target were fixated more often in dual‐target search than in single‐target searches. Thus a dual‐target cost arose from a reduction in colour selectivity, reflecting limitations in the ability to represent two target features simultaneously and use them to guide search. Because of these limitations, performance in security searches may improve if each image is searched by two screeners, each specializing in a different category of threat item. Copyright © 2011 John Wiley & Sons, Ltd.     

Economic inequality is linked to biased self-perception

People's self-perception biases often lead them to see themselves as better than the average person (a phenomenon known as self-enhancement). This bias varies across cultures, and variations are typically explained using cultural variables, such as individualism versus collectivism. We propose that socioeconomic differences among societies--specifically, relative levels of economic inequality--play an important but unrecognized role in how people evaluate themselves. Evidence for self-enhancement was found in 15 diverse nations, but the magnitude of the bias varied. Greater self-enhancement was found in societies with more income inequality, and income inequality predicted cross-cultural differences in self-enhancement better than did individualism/collectivism. These results indicate that macrosocial differences in the distribution of economic goods are linked to microsocial processes of perceiving the self.