The implementation of routine outcome measures in a Tier 3 Psychological Therapies Service: The process of enhancing data quality and reflections of implementation challenges

Background: The Newham Psychological Therapies Service (PTS) has been using the CORE System of evaluation to demonstrate effectiveness since 2004. More recently there has been the national and local drive to improve outcomes as outlined by a number of Department of Health policies and the Improving Access to Psychological Therapies (IAPT) initiative. Aims: This paper describes how, as a secondary care complex mental health service, we have engaged with the process of outcome measurement through complementing the usage of the CORE System with additional measures forming the service pilot minimum dataset. The process of implementation is outlined along with reflections on the challenges which the service faced in introducing outcome measurement. Findings: Engagement with outcome measurement by a service requires attention to be paid to the organisational and professional aspects and personal resonances for clinicians if it is to become established as a meaningful enterprise within secondary care services. Despite success at this task, challenges remain to the further development of this area of work.     

Letting go or holding on? Parents' perceptions of their relationships with their children during emerging adulthood

This qualitative interview study explored and examined the transitions surrounding emerging adulthood within the family from the parents' perspective. Interviews conducted with a purposive sample of parents (N = 59) revealed the perceived difficulties parents have in ‘letting go’ of their grown‐up children, and in acknowledging their developing autonomy; and demonstrated a range of perceived parental strategies in response to young people's growing independence. The significance of these intertwined elements of perceived dependency, emotional tensions, and interactive behaviours for relationships in the family, and the implications for ‘emerging adulthood’, was discussed.     

Dealing with deviants: The effectiveness of rejection,denial, and apologies on protecting the public image of a group

Public transgressions by group members threaten the public image of a group when outside observers perceive them as representative of the group in general. In three studies, we tested the effectiveness of rejection of a deviant group member who made a racist comment in public, and compared this to several other strategies the group could employ to protect their image. In Study 1 (N = 75) and Study 2 (N = 51), the group was judged less racist after rejecting the deviant than after claiming a non‐racist position or not responding to the transgression. Perceived typicality of the deviant partially mediated this effect in Study 2. In Study 3 (N = 81), the group was judged least racist after forcing the deviant to apologize and as most racist after denying the severity of the transgression. Results also showed a negative side‐effect of rejection. Perceived exclusion of the deviant contributed to a perception of the group as disloyal to its members, which resulted in a less favorable overall group evaluation. Potential benefits and risks of rejection, denial, and apologies are further discussed in the General Discussion. Copyright © 2009 John Wiley & Sons, Ltd.     

Gricean Expectations in Online Sentence Comprehension: An ERP Study on the Processing of Scalar Inferences

There is substantial support for the general idea that a formalization of comprehenders' expectations about the likely next word in a sentence helps explaining data related to online sentence processing. While much research has focused on syntactic, semantic, and discourse expectations, the present event‐related potentials (ERPs) study investigates neurolinguistic correlates of pragmatic expectations, which arise when comprehenders expect a sentence to conform to Gricean Maxims of Conversation. For predicting brain responses associated with pragmatic processing, we introduce a formal model of such Gricean pragmatic expectations, using an idealized incremental interpreter. We examine whether pragmatic expectancies derived from this model modulate the amplitude of the N400, a component that has been associated with predictive processing. As part of its parameterization, the model distinguishes genuine pragmatic interpreters, who expect maximally informative true utterances, from literal interpreters, who only expect truthfulness. We explore the model's non‐trivial predictions for an experimental setup which uses picture‐sentence verification with ERPs recorded at several critical positions in sentences containing the scalar implicature trigger some. We find that Gricean expectations indeed affect the N400, largely in line with the predictions of our model, but also discuss discrepancies between model predictions and observations critically.     

Motor and Visual-spatial Cognition Development in Primary School-Aged Children in Cameroon and Germany

It was the main goal of this study to investigate the motor and visual-spatial development in primary school-aged children in Cameroon and Germany. Thirty-four children from each country completed a motor test and a mental rotation test. It was found that children in Cameroon showed a better motor ability (better overall gross motor score and also on most single items) than children in Germany did. This can be explained by the early motor stimulation in infancy in Cameroon. Concerning mental rotation performance, Cameroonian children perform below chance level. A positive correlation between the overall motor ability and mental rotation performance could only be analyzed and conducted in the German sample. Therefore, this study emphasizes the need for the development of culture-fair cognitive tests.     

The pivotal role of perceived emotional synchrony in the context of terrorism: Challenges and lessons learned from the March 2016 attack in Belgium

Since the September 11, 2001 terrorist attack against the World Trade Center in New York City, terrorism has become one of the most distressing large‐scale societal threats. The March 22, 2016 terrorist attack in Brussels, the capital of Belgium undermined the collective sense of perceived security and social cohesion. The present research investigates Belgian civilians’ (N = 202) terrorist threat perception, personal emotions, and the role of perceived emotional synchrony in the construction of the perceived socioemotional climate in Belgium. The main purpose of the current study was to examine the role of perceived emotional synchrony emerging in collective gatherings as a regulatory mechanism improving the perceived socioemotional climate of the country. Additionally, the precise components (personal vs. collective) shaping the perceptions of terrorist threat were also examined. This study was conducted by a questionnaire during the collective gatherings in Brussels 1 week after the terrorist attack. The main results suggest that the terrorist threat has been perceived at the collective level rather than at the personal level. Furthermore, the perceived emotional synchrony with others mediated specifically the relationship between positive personal emotions and the perceived positive socioemotional climate in Belgium. Such findings point to the importance of considering the perceived emotional synchrony in order to provide a better understanding of lay people's psychosocial responses to terrorism and the subsequent construction of collective macro‐social phenomena in post‐terrorist contexts.     

Guiding others for their own good: Action orientation is associated with prosocial enactment of the implicit power motive

Prior research has repeatedly documented how people who are implicitly motivated by power motives may hurt other people’s interests. However, people may also enact the implicit power motive (nPower) in a prosocial manner. Using an Operant Motive Test, the authors differentiated five enactment strategies within nPower and investigated personality antecedents and personal benefits of a prosocial enactment strategy. Two studies found that demand-related action orientation (i.e., ability to self-regulate positive affect) was associated with prosocial enactment of nPower. Furthermore, prosocial enactment of nPower was associated with a higher explicit power motive among future teachers (Study 1) and future psychologists (Study 2). Finally, there was an indirect effect of action orientation through the prosocial enactment of nPower on the explicit power motive (Studies 1 and 2) and, in turn, on well-being (Study 2). Our integration of motivation and self-regulation research (the “what” and “how” of goal striving) helps to better understand the dual nature of power motives.