Undoing the Effects of Seizing and Freezing: Decreasing Defensive Processing of Personally Relevant Messages

Health messages are directed at those who are at risk of incurring adverse consequences. However, previous experiments have found that people process personally relevant health messages in a biased, defensive manner. We examine the role of elaboration as a mechanism to encourage less biased processing of personally relevant health appeals. Results demonstrate that high-relevance consumers freeze on the threatening information, leading to lower change appraisal (perceived severity, self-efficacy, and response efficacy) and decreased message persuasion. For these individuals, renewed elaboration on the consequences of caffeine (Experiment 1) and olestra (Experiment 2) consumption reduces defensive processing. This elaboration "unfreezes" message processing, leading to greater change appraisal and increased persuasion. These experiments provide guidelines for practitioners to design more effective messages.     

Technical Considerations When Handling Questions in the Initial Phase of Psychotherapy

Responding to patients' questions throughout the therapeutic process can be challenging. Questions posed at the beginning of treatment have unique features which make them especially difficult to negotiate. When handled skillfully and tactfully, questions asked during this phase can provide the therapist with important opportunities to foster engagement in treatment. Questions can provide valuable information about the patient's internal world, afford the opportunity to socialize the patient to the therapeutic process, and aid in rapport-building. This article will focus on ways to understand and handle questions patients ask during the initial phase of treatment. Vignettes will be presented and specific responses therapists can offer to patients will be discussed.     

The Psychometric Properties of the Orthogonal Cultural Identification Scale in Asian Americans

Reliability (internal consistency and test‐retest) and validity (construct and factorial) of the Orthogonal Cultural Identification Scale (OCIS; E. R. Oetting & F. Beauvais, 1990–1991) were evaluated in a sample of Asian American university students. Ethnic identification, measured using the OCIS, and acculturation, measured using the Suinn‐Lew Asian Self‐Identity Acculturation Scale (R. M. Suinn, K. Rickard‐Fugueroa, S. Lew, & P. Vigil, 1987), are hypothesized to measure related but separate constructs. Análisis de fiabilidad (consistencia interna y estabilidad temporal), y de validez (conceptual y factorial) de la Escala Ortagonal de Identificación Cultural (OCIS; E. R. Oetting & F. Beauvais, 1990–1991) fueron evaluados en un grupo de estudiantes universitarios Asiáticos Americanos. La identificación étnica fue medida usando la OCIS, y la aculturación fue medida usando la Escala de Identidad de Ser y Aculturación Asiática de Suinn‐Lew (R. M. Suinn, K. Rickard‐Figueroa, S. Lew, & P. Vigil, 1987). Se presenta la hipótesis que la identificación étnica y la aculturación miden conceptos separados que estan relacionados.     

Psychological experiences of renal transplant patients: A qualitative analysis

Introduction: Organ‐sourcing developments now permit increasing numbers of renal transplants. Recipients commonly experience negative affect pre‐ and/or post‐transplant yet research on patient experience is lacking. Aims: This study aims to develop theory based on the lived experience of recipients, and to guide psychological and support interventions by counsellors and professional carers for the benefit of patients. Methods: A sample of eight participants was interviewed about their transplant experiences. The interview data were analysed using grounded theory methodology. Uniquely the research was conducted by a renal transplant patient, which potentially adds interpretive insight. Results: The central finding is that the issues facing transplant patients before and after transplant may be summarised as living with paradox and conflict. Thus, recipients may need to juxtapose anger/sadness about losses with an adaptive attitude to making the most of a second chance at life, and negotiate a positive relationship with an ‘alien’ organ. Conclusions/implications: The study offers evidence‐based guidance to counsellors supporting recipients to adjust to a changing sense of self, and to form adaptive relationships with self, others and the new kidney. Finally the research recommends action on improving awareness of and access to counselling and other supports for renal transplantees, and the need for in‐depth experiential research in this expanding area.     

Reducing depressive intrusions via a computerized cognitive bias modification of appraisals task: Developing a cognitive vaccine

A feature of depression is the distressing experience of intrusive, negative memories. The maladaptive appraisals of such intrusions have been associated with symptom persistence. This study aimed to experimentally manipulate appraisals about depressive intrusions via a novel computerized cognitive bias modification (CBM) of appraisals paradigm, and to test the impact on depressive intrusion frequency for a standardized event (a depressive film). Forty-eight participants were randomly assigned to either a session of positive or negative CBM. Participants then watched a depressing film (including scenes of bereavement and bullying) and subsequently monitored the occurrence of depressive intrusions related to the film in a diary for one week. At one-week follow-up, participants completed additional measures of intrusions – the Impact of Event Scale (IES) and an intrusion provocation task. As predicted, compared to the negative condition, participants who underwent positive CBM showed a more positive appraisal bias. Further, one week later, positive CBM participants reported fewer intrusions of the film and had lower IES scores. Our findings demonstrate that it is possible to manipulate maladaptive appraisals about depressive intrusions via a computerized CBM task. Further, this effect transfers to reducing intrusive symptomatology related to a standardized event (a depressive film) over one week, suggesting novel clinical implications.     

Hierarchical forms processing in adults and children

Two experiments examined child and adult processing of hierarchical stimuli composed of geometric forms. Adults (ages 18-23 years) and children (ages 7-10 years) performed a forced-choice task gauging similarity between visual stimuli consisting of large geometric objects (global level) composed of small geometric objects (local level). The stimuli spatial arrangement was manipulated to assess child and adult reaction times and predisposition toward local or global form categorization under two distinct trial conditions, with varied density of the local forms comprising the global forms. In Experiment 1, children and adults were presented with common, simple geometric shape hierarchical forms composed of ovals and rectangles. In Experiment 2, adults were presented with hierarchical forms composed of the simple geometric shapes, ovals and rectangles, and additional novel complex geometric shapes, “posts” and “arches.” Results show a clear increase of global processing bias across the age ranges of the individuals in the study, with children at 10 years performing similarly to adults on the simple stimuli. In addition, adults presented with the novel complex geometric shapes showed a significant reduction in global processing bias, indicating that form novelty and complexity lead to additional attention to local features in categorization tasks.     

Mindfulness, Big Five personality, and affect: A meta-analysis

Mindfulness is purposefully and nonjudgmentally paying attention to the present moment. The primary purpose of this study is to provide a more precise empirical estimate of the relationship between mindfulness and the Big Five personality traits as well as trait affect. Current research results present inconsistent or highly variable estimates of these relationships. Meta-analysis was used to synthesize findings from 32 samples in 29 studies. Results indicate that, although all of the traits display appreciable relationships with mindfulness, the strongest relationships are found with neuroticism, negative affect, and conscientiousness. Conscientiousness, in particular, is often ignored by mindfulness researchers; results here indicate it deserves stronger consideration. Although the results provide a clearer picture of how mindfulness relates to these traits, they also highlight the need to ensure an appropriate conceptualization and measurement of mindfulness.     

Toward a Model Informed Consent Process for BRCA1 Testing: A Qualitative Assessment of Women's Attitudes

As an initial part of a project to develop a model informed consent process for BRCA1 testing, we conducted a series of focus groups. At the groups, women initially expressed great interest in testing, but their interest diminished after learning more. If offered testing, women would most want to learn about test accuracy, practical details of testing, and management options if the result was positive. Perceived benefits of testing included gaining information leading to risk reduction, relief of uncertainty, more responsible parenting, and assisting in research. Perceived risks included the discomfort and cost of the testing process itself, and anxiety after a positive result. The risk of possible insurance discrimination was rarely mentioned spontaneously. Many women would want their providers to make recommendations, rather than be nondirective about testing. We observed that women vary greatly in their informational and counseling needs, and suggest that the informed consent process should be individualized, taking into account a woman's perception and her preferences for how testing decisions should be made.