Effects of early child‐care on cognition,language, and task‐related behaviours at 18 months: An English study

This study investigated the effects of different characteristics of early child‐care in England on the development of cognition, language, and task‐related attention and behaviour (orientation/engagement and emotion regulation during the Bayley assessment) at 18 months. Data were drawn from a prospective longitudinal study of 1,201 infants. As found in previous studies, socio‐demographic characteristics and maternal caregiving (especially ‘opportunities for stimulation’) were significant predictors of all child outcomes. There were also effects of quantity of individual and group care, and quality of non‐maternal care. Controlling for demographics and maternal caregiving, more hours of group care (nurseries) were related to higher cognitive scores, while more hours of individual care (e.g., grandparents, nannies etc.) were related to lower orientation/engagement scores. Non‐maternal caregiving was observed in a subsample of 345 children, and after controlling for all covariates as well as quantity and stability of care, quality of care was found to be predictive of higher cognitive ability and better orientation/engagement. Although the effect sizes were small in magnitude, in line with other similar studies, such modest effects from a large English sample are important when viewed in light of the widespread use of non‐maternal care during infancy and early childhood.     

Beyond the therapeutic hour: an exploratory pilot study of using technology to enhance alliance and engagement within face-to-face psychotherapy

In this paper we introduce and investigate the capacity for a novel, technologically advanced system (goACT) to enhance face-to-face psychotherapy. Specifically, we explore the capacity for goACT to enhance therapeutic alliance (TA) and engagement, and reduce distress. Using a mixed-methods, multiple-baseline design we present the first study to examine the utility, effectiveness and user experience of goACT in a university psychology clinic setting. The introduction of between-session goACT use was staggered across patients (N = 7). Patients completed weekly measures of mood, patient-rated TA and clinician-rated engagement. Semi-structured interviews were used to qualitatively understand user experience of the system. Methodological limitations impacted the generalisability of multiple-baseline findings, yet qualitative results provide a significant contribution to the literature and groundwork upon which further study can be built. Results indicated that goACT built engagement and TA via novel change processes that were associated with expanding the parameters of the therapeutic encounter beyond the one-hour session. Change processes that underpin the qualitative success of goACT are discussed in terms of their theoretical implications. goACT is likely to be a useful tool for enhancing the quality and quantity of traditional face-to-face psychotherapy.     

The Lost Analyst and the Phoenix: Image,Word, Myth,and the Journey from Dissociation to Integration

ABSTRACT

The Phoenix myth is commonly thought of as a simple Egyptian parable of re-incarnation. In contrast, this analytic dyad found that the visual images evoked by its elaborated mythemes (sub-plots) related to the various existential moods and affects characteristic of trauma identified by Stolorow (2007 Stolorow, R. D. (2007), Trauma and Human Experience: Autobiographical, Psychoanalytic, and Philosophical Reflections [Psychoanalytic Book Series, Vol. 23]. New York: The Analytic Press. [Google Scholar]), suggesting a psychological purpose, that of emotional self-renewal. Mythology has most consistently been adopted for use in Jung’s analytical psychology, but this article demonstrates this myth’s usefulness with a contemporary relational psychoanalytic approach, that of intersubjective-systems theory. This was effective for an analysand whose former analysis had been abruptly terminated. It was found that the dialogic exploration of possible meaning in the mythemes brought dissociated experience into language, assisted with the emotional integration of the trauma, and restored the analysand’s diminished sense-of-being. Images bring together diverse somatic, cognitive, and verbal information, normally separated into different communication “codes” (Bucci, 1997a Bucci, W. (1997a), Symptoms and symbols: A multiple code theory of somatization. Psychoanal. Inq., 17: 151–172.[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). This ancient myth’s longevity may be due to a useful psychological function; its images can aid the organizing of unformulated unconscious chaotic experience and assist in the process of bringing dissociated or preverbal emotions and moods into language. The utility of the Phoenix myth in a relational dialogical process that helps symbolize unsymbolized unconscious content could assist in work with other survivors of catastrophic loss.     

Spirituality and Post-Stroke Aphasia Recovery

Journal of Religion and Health - The role of spirituality in post-stroke aphasia recovery has been ignored despite its potential contribution to positive health outcomes, particularly stroke...     

Adult Male Perpetrators’ Perspectives on What Prevention Approaches Work Best for Young Boys at Risk of Future Intimate Partner Violence Perpetration

As part of a 2-year ethnographic study, 49 adult men who had been convicted of intimate partner violence (IPV) perpetration were interviewed on what they thought would have prevented them from engaging in perpetration behaviors, or rather what they believed prevention with young boys needed to include in order to prevent future IPV perpetration. The authors’ open-ended interviews yielded five main themes: (a) messages about healthy relationship behaviors, (b) the need to promote respect for women, (c) teaching effective skills for communicating and managing anger, (d) programs that provide role models and are school-based, and (e) addressing the impact of experiencing violence as a child. The authors conclude that prevention efforts focused on changing both attitudes regarding IPV and behaviors might be most effective for reducing perpetration, and that greater attention needs to be paid towards prevention among youth most at risk of IPV perpetration, those experiencing violence in their homes.     

Counterfactuals and the fixity of the past

I argue that David Lewis’s attempt, in his ‘Counterfactual Dependence and Time’s Arrow’, to explain the fixity of the past in terms of counterfactual independence is unsuccessful. I point out that there is an ambiguity in the claim that the past is counterfactually independent of the present (or, more generally, that the earlier is counterfactually independent of the later), corresponding to two distinct theses about the relation between time and counterfactuals, both officially endorsed by Lewis. I argue that Lewis’s attempt is flawed for a variety of reasons, including the fact that his own theory about the evaluation of counterfactuals requires too many exceptions to the general rule that the past is counterfactually independent of the present. At the end of the paper, I consider a variant of Lewis’s strategy that attempts to explain the fixity of the past in terms of causal, rather than counterfactual, independence. I conclude that, although this variant avoids some of the objections that afflict Lewis’s account, it nevertheless seems to be incapable of giving a satisfactory explanation of the notion of the fixity of the past.     

Individual differences in attachment and dispositional mindfulness: The mediating role of emotion regulation

Recent interest in the relationship between individual differences in attachment and dispositional mindfulness has led to empirical investigations into this association. Although several studies have demonstrated an association between attachment and mindfulness, little is known as to why these two seemingly distinct constructs are related. In a sample of 572 individuals we explored whether the relationship between attachment and mindfulness was mediated by emotion regulation difficulties. Difficulties in emotion regulation fully mediated the association between attachment anxiety and mindfulness, and between attachment avoidance and mindfulness. Thus, the mechanism by which attachment and mindfulness are related is through emotion regulation difficulties. Theoretical and clinical implications are discussed.