A cognitive-emotional model of NSSI: using emotion regulation and cognitive processes to explain why people self-injure

Non-suicidal self-injury (NSSI) is a complex behaviour, routinely engaged for emotion regulatory purposes. As such, a number of theoretical accounts regarding the aetiology and maintenance of NSSI are grounded in models of emotion regulation; the role that cognition plays in the behaviour is less well known. In this paper, we summarise four models of emotion regulation that have repeatedly been related to NSSI and identify the core components across them. We then draw on social cognitive theory to unite models of cognition and models of emotion in developing a new cognitive-emotional model of NSSI. Our model articulates how emotion regulation and cognition can work in concert to govern NSSI, and offers several new research questions that can be addressed within this framework.     

Motivation by positive or negative role models: regulatory focus determines who will best inspire us

In 3 studies, the authors demonstrated that individuals are motivated by role models who encourage strategies that fit their regulatory concerns: Promotion-focused individuals, who favor a strategy of pursuing desirable outcomes, are most inspired by positive role models, who highlight strategies for achieving success; prevention-focused individuals, who favor a strategy of avoiding undesirable outcomes, are most motivated by negative role models, who highlight strategies for avoiding failure. In Studies 1 and 2, the authors primed promotion and prevention goals and then examined the impact of role models on motivation. Participants' academic motivation was increased by goal-congruent role models but decreased by goal-incongruent role models. In Study 3, participants were more likely to generate real-life role models that matched their chronic goals.     

When the face reveals what words do not: facial expressions of emotion,smiling, and the willingness to disclose childhood sexual abuse

For survivors of childhood sexual abuse (CSA), verbal disclosure is often complex and painful. The authors examined the voluntary disclosure-nondisclosure of CSA in relation to nonverbal expressions of emotion in the face. Consistent with hypotheses derived from recent theorizing about the moral nature of emotion, CSA survivors who did not voluntarily disclose CSA showed greater facial expressions of shame, whereas CSA survivors who voluntarily disclosed CSA expressed greater disgust. Expressions of disgust also signaled sexual abuse accompanied by violence. Consistent with recent theorizing about smiling behavior, CSA nondisclosers made more polite smiles, whereas nonabused participants expressed greater genuine positive emotion. Discussion addressed the implications of these findings for the study of disclosure of traumatic events, facial expression, and the links between morality and emotion.     

Stereotypic explanatory bias: Implicit stereotyping as a predictor of discrimination

Two experiments examined whether a measure of implicit stereotyping based on the tendency to explain Black stereotype-incongruent events more often than Black stereotype-congruent events (Stereotypic Explanatory Bias or SEB) is predictive of behavior toward a partner in an interracial interaction. In Experiment 1 SEB predicted White males’ choice to ask stereotypic questions of a Black female (but not a White male or White female) in an interview. In Experiment 2 the type of explanation (internal or external attribution) made for stereotype-inconsistency was examined. Results showed that White participants who made internal attributions for Black stereotype-incongruent behavior were rated more positively and those who made external attributions were rated more negatively by a Black male confederate. These results point to the potential of implicit stereotyping as an important predictor of behavior in an interracial interaction.     

Attributional gender bias: teachers’ ability and effort explanations for students’ math performance

Research is presented on the attributional gender bias: the tendency to generate different attributions (explanations) for female versus male students’ performance in math. Whereas boys’ successes in math are attributed to ability, girls’ successes are attributed to effort; conversely, boys’ failures in math are attributed to a lack of effort and girls’ failures to a lack of ability. This bias has been shown in previous research to be committed by teachers, parents, and students themselves. The present work sought to investigate whether this bias among secondary school math teachers might be reduced over time through adoption of an incremental theory of intelligence. Findings revealed at baseline, teachers committed the expected bias in reference to their high-achieving students’ math performance. Following exposure to stimuli, teachers in both experimental and control conditions reduced this bias. Unexpectedly, teachers across conditions showed a type of compensation for the bias by reversing stereotypical attributions for girls’ and boys’ successes and failures in math. Further, participants relapsed to the original bias nearly a year later. Findings indicate the potential to modify attributional gender bias, but also the challenges for achieving long-term changes within school contexts and for emphasizing effort beyond ability in math performance.     

Emotional cascade theory and non-suicidal self-injury: the importance of imagery and positive affect

Grounded in Emotional Cascade Theory, we explored whether rumination and multisensory imagery-based cognitions moderated the relationships between affect and both odds of non-suicidal self-injury (NSSI), and frequency of the behaviour. A sample of 393 university students completed self-report questionnaires assessing the constructs of interest. Contrary to expectations, rumination did not emerge as a significant moderator of the affect-NSSI relationship. However, the relationship between affect and frequency of NSSI was moderated by the use of imagery. Further, the relationship between negative affect and NSSI was moderated by positive affect, underscoring the need to consider both negative and positive affect in models of NSSI. Most youth who self-injured reported thinking in images while the urge to self-injure was strong, with 53% thinking in images at least half the time. Future work is needed to explore how positive and negative affect work in concert to govern NSSI, and how imagery might either exacerbate or reduce risk of NSSI.     

Good supervision: On the experience of being supervised

This paper was written for presentation at a symposium of trainers when the author was a trainee in psychoanalytical psychotherapy. The original title was ‘Good Supervision: a consumer's guide’. The author drew not only on her own experience of being supervised but also on that of colleagues in training. It was found that it was essential to conceptualise the experience in terms of the triangular relationship between student, patient, and supervisor. Primitive feelings are evoked by the supervisory process and some of these are described. Characteristics of supervisors and the supervisory process and how these are felt to help, or otherwise, are discussed.