The use of “failure models”: An application of social comparison theory to changing maladaptive attitudes

Journal of Contemporary Psychotherapy -     

Psychological distress and resilience as risk and protective factors of psychoactive substance use among Chinese nonengaged youth

Nonengaged youth (NEY) are those who have neither been working nor studying for a prolonged period of time. They are at risk of psychoactive substance use, but relevant studies are scarce. Based on a population‐based telephone survey and referrals, we anonymously interviewed 479 Hong Kong Chinese NEY aged 15–24 years. Of them, 14.8–23.7% reported moderate to severe depression, anxiety, and stress. Moreover, one fourth of the participants (24.8%; n = 119) had used psychoactive substances. Adjusted analyses showed that these three psychological distress variables were positively associated with, while resilience was negatively associated with, both ever‐use of psychoactive substances and intention to use such substances in the next 12 months. Loneliness was associated only with intention to use psychoactive substances. The mediating role of psychological distress was shown: Anxiety significantly mediated the association between resilience and ever‐use of psychoactive substances, whereas depression mediated that between resilience and behavioural intention. Resilience was not a significant moderator on the relationship between psychological distress and ever‐use of psychoactive substance use or behavioural intention to use those substances. The findings suggest that anti‐drug interventions should outreach NEY and should include mental health support as well as building up resilience, as NEY are prone to psychological distress that increases risk of substance use.     

Problem Anger in Psychotherapy: An Emotion-Focused Perspective on Hate, Rage, and Rejecting Anger

This paper explores applies emotion-focused theory, for the first time, to the emotions of hate, rage, and destructive anger. The general case formulation proposed in this paper is that these emotions are always an elaboration of secondary anger. The body of the paper describes three clinical case formulations. First, problem anger is described in terms of an individual’s self-criticism. Second, we present a form of secondary anger, in which hostility and rage are reactive feelings to avoid more vulnerable (primary) experiences. An unfortunate example of this is has been described as a common underlying process in domestic violence. A alternate manifestation of secondary anger results from the deterioration of what may have initially been adaptive anger; thus, excessive arousal and the loss of meaning or focus that one’s anger embodied also leads to rage or destructive anger. Finally, the experience and expression of hate is described as a primary maladaptive and/or instrumental anger. This appears in-session particularly among those with certain personality disorders. The paper highlights implications for research and practice.     

A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders

Impaired social skills represent a fundamental deficit for children with Autism Spectrum Disorders (ASD). Despite the potential importance of “good sportsmanship,” this social skill has received relatively little attention in the literature. The current study utilized a Behavioral Skills Training (BST) approach to teach three sportsmanship skills (i.e., complimenting, turn taking, and being a good sport) during video game play (Wii Sports). Six children with ASD completed this study. Findings suggest BST can be used effectively to teach sportsmanship skills to children with ASD. The use of video-game technology as part of social skills intervention programs is also discussed.     

The Treatment of Social Phobia in a Young Boy With Asperger's Disorder

Anxiety disorders, including social phobia, occur often in children with autism spectrum disorders (ASD; Gillott, Furniss, & Walter, 2001; Leyfer et al., 2006; Simonoff et al., 2008); however, little is known about the conceptualization and treatment of social phobia in this population. The current study presents the case of “James,” a 6-year-old male with comorbid Asperger's disorder and social phobia. A cognitive-behavioral treatment (CBT) package, including parent training, psychoeducation, graduated exposure, and reinforced practice, was implemented to decrease avoidance behaviors in social settings. Results showed that James's avoidance behaviors were reduced significantly following intervention, suggesting that a CBT approach may be effective in treating social phobia in children with ASD. The significant influence of CBT on decreasing avoidance behavior in comorbid social phobia and ASD highlights the need for continued investigation of adapting CBT for use with children with ASD.     

Coming Out Among Lesbians, Gays, and Bisexual Individuals in Hong Kong: Application of the Theory of Planned Behavior and the Moderating Role of Attitudinal Ambivalence

The present study applied the theory of planned behavior (TPB) to identify factors associated with disclosure intention among lesbians (n?=?236), gay men (n?=?183), bisexual women (n?=?156), and bisexual men (n?=?46) (LGBs) in Hong Kong. Past disclosure behavior and the moderating role of attitudinal ambivalence were also examined. Findings showed that perceived behavioral control predicted intention significantly in all four groups. Attitude predicted intention significantly in lesbians, gay men, and bisexual women. Subjective norm predicted intention significantly in lesbians and gay men. The moderating effect of attitudinal ambivalence was supported in lesbians. Past disclosure behavior was not significant in predicting disclosure intention. The present study showed differential utility of the TPB on LGBs’ disclosure intention in Hong Kong.     

Diminutives in child-directed speech supplement metric with distributional word segmentation cues

In two experiments, we explored whether diminutives (e.g.,birdie, Patty, bootie), which are characteristic of child-directed speech in many languages, aid word segmentation by regularizing stress patterns and word endings. In an implicit learning task, adult native speakers of English were exposed to a continuous stream of synthesized Dutch nonsense input comprising 300 randomized repetitions of six bisyllabic target nonwords. After exposure, the participants were given a forced choice recognition test to judge which strings had been present in the input. Experiment 1 demonstrated that English speakers used trochaic stress to isolate strings, despite being unfamiliar with Dutch phonotactics. Experiment 2 showed benefits from invariance introduced by affricates, which are typically found at onsets of final syllables in Dutch diminutives. Together, the results demonstrate that diminutives contain prosodic and distributional features that are beneficial for word segmentation.     

Effects of ejaculation on levels of testosterone, cortisol, and luteinizing hormone in peripheral plasma of rhesus monkeys.

Plasma levels of testosterone (T), luteinizing hormone (LH), and cortisol were measured in 10 adult male rhesus monkeys before and shortly after coitus. Mean levels of T and LH did not increase significantly after coitus or in control (no ejaculation) tests, but cortisol levels did in both cases. In 10 different males, no significant change was found in the plasma levels of T after electroejaculation; but in control tests (electric current withheld), the mean level of T was significantly lower at 80 and 140 min, but not at 50 min, after the test. According to present evidence, the effect of ejaculation on T levels differs in primate and nonprimate species. The effects on T levels produced by living with sexually receptive female rhesus monkeys may differ from those produced by intimate but brief contact with them.     

Physical activity and responses to projective stimuli in neurotic vs. psychotic depression

Responses to projective material by neurotically and psychotically depressed patients were scored for fluency, movement, and primary process during light physical activity and inactivity. A depression measure was also obtained. Significant positive correlations were found between fluency, movement, and primary process. Movement scores did not increase significantly during physical activity for either group. No significant correlations were found between level of depression and production of movement and primary process. However, primary process, controlled for fluency, increased significantly during physical activity for neurotic, but not for psychotic depressives.