Disorganization and Individual Psychotherapy for Schizophrenia: A Case Report of Metacognitive Reflection and Insight Therapy

Despite being a characteristic symptom of schizophrenia, implications for therapy with persons experiencing prominent disorganization have received less attention in the psychotherapy literature than have other aspects of the disorder. As such, formal thought disorder may be viewed largely as a barrier to effective participation in therapy. In contrast, though, a range of writers from varied traditions have stressed that this feature of schizophrenia is meaningful and improved coherence of speech is an important and viable component of treatment and recovery. This paper suggests that an emergent integrative psychotherapy, metacognitive reflection and insight therapy (MERIT), may be well-suited for work with persons experiencing disorganization symptoms. A brief overview of MERIT is provided, followed by a case report of an 18-month course of therapy with a man with severely disorganized speech.     

‘It’s silly these doors don’t open’: a six-year-old girl emerges from a chronic state of emotional withdrawal

This clinical paper explores the way in which the first two years of a long-term psychotherapy helped six-year-old Anna to lessen her retreat into a chronic withdrawn emotional state. Over the course of the first year she would occasionally pick up the fridge from the doll’s house and try to open the doors, but because the fridge was actually a block of wood the doors could not open. In treatment, this inquiry came to represent the difficulties of engaging and making contact with a baby who found it very hard to feed. The author describes how, as Anna entered into a therapeutic relationship, it slowly became clear that there was an inner world jam-packed with persecutory anxieties and a family history of unmourned loss and trauma. Through fear Anna slammed the doors to her mind – to knowing herself – and by not feeding, Anna starved herself of opportunities for mental growth. It took some time for her to state, “it’s silly these doors don’t open, they should”. In the discussion of this clinical material the author draws on the work of Francis Tustin, Alessandra Piontelli and Marguerite Reid to consider the link between intergenerational and prenatal trauma and subsequent emotional disturbance in the child.     

Does “Violent” Mean “Bad”? Individual Definitions of Violence

People use the word “violent” to describe a wide range of behaviors. When referring to acts of force, however, past research indicates that people often reserve the word “violent” to refer to acts of force that they define as “bad.” In the current study we use vignettes to explore variation in people’s definitions of a particular instance of the use of force. The findings indicate support for the idea that people reserve the word “violent” to refer to acts of force they view as “bad.” Findings indicate there is variation in perceptions of the level of violence, and whether the incident was even violent. Characteristics of the incident as well as the gender of those involved account for the majority of the variance explained.     

Visual search for emotional expressions: Effect of stimulus set on anger and happiness superiority

Prior reports of preferential detection of emotional expressions in visual search have yielded inconsistent results, even for face stimuli that avoid obvious expression-related perceptual confounds. The current study investigated inconsistent reports of anger and happiness superiority effects using face stimuli drawn from the same database. Experiment 1 excluded procedural differences as a potential factor, replicating a happiness superiority effect in a procedure that previously yielded an anger superiority effect. Experiments 2a and 2b confirmed that image colour or poser gender did not account for prior inconsistent findings. Experiments 3a and 3b identified stimulus set as the critical variable, revealing happiness or anger superiority effects for two partially overlapping sets of face stimuli. The current results highlight the critical role of stimulus selection for the observation of happiness or anger superiority effects in visual search even for face stimuli that avoid obvious expression related perceptual confounds and are drawn from a single database.     

Salespersons’ empathy as a missing link in the customer orientation–loyalty chain: an investigation of drivers and age differences as a contingency

Salespersons’ customer orientation has attracted considerable attention from practitioners and researchers. By distinguishing customer-oriented attitude from behavior, this study sheds light on customers’ perceptions of salespersons’ empathy, as a missing link between customer orientation and customer-related outcomes. Noting the increasing age diversity among salespersons and customers, this study also investigates whether age differences in salesperson–customer dyads moderate the relationships of salespersons’ customer-oriented attitude and behavior with customer outcomes. Finally, this study examines salespersons’ climate perceptions as antecedents of their customer-oriented attitudes. Results of multilevel modeling with data from 164 salespersons and 405 customers reveal that salesperson empathy, as perceived by customers, is an important facilitator of the customer orientation–satisfaction relationship. When there are large age differences, salespersons’ customer-oriented attitude becomes more important for making customers feel understood by salespersons. Regarding antecedents, salespersons’ customer-oriented attitude is influenced by their perceptions of team-member exchange and age-inclusive climate.     

Evaluation of a Web-based introductory psychology course: II. Contingency management to increase use of on-line study aids

In a Web-based general psychology course, students were observed to postpone use of on-line study aids until 2 days prior to examinations, thus negating any influence of advance organizers (Taraban, Maki, & Rynearson, 1999). We attempted to modify this behavior by providing course credit in the form of short quizzes as rewards for using on-line study aids to preview each chapter. Some students received quizzes after previewing frequently asked questions (FAQ); other students received quizzes after previewing chapter outlines. Students who received quizzes for previewing FAQ pages accessed those pages more frequently than did students who received quizzes for previewing outline pages. Increased access to FAQs was associated with higher scores on FAQ-related midterm examination questions. However, the advantage on examination items was not apparent on a cumulative final examination. Navigational structures and reward values need to be considered when one is managing contingencies in Web courses.     

Parents' convergence on sharing and marital satisfaction,father involvement,and parent–child relationship at the transition to parenthood

This study examines determinants of father involvement, the parents' convergence on marital satisfaction, and mothers' and fathers' interactive behavior in dual‐earner families at the transition to parenthood. Sixty dual‐earner Israeli couples and their five‐month‐old firstborn child were interviewed and videotaped in infant–mother and infant–father interactions. Interactions were coded globally for 21 interactive behaviors and composited into measures of parent sensitivity and infant readiness to interact. Five determinants of each parent's involvement in house and childcare were assessed as predictors of parent–infant interactions: the sharing of household and childcare responsibilities, the amount of time each parent spends with the infant during the week and on weekends, and the range of childcare activities the parent typically performs. Marital convergence was indexed by the absolute difference score between mothers' and fathers' marital satisfaction. Father sensitivity was related to the sharing of household and childcare responsibilities, to the amount of time the father spends with the child on weekends (but not during the week), to the range of childcare activities father performs, and to marital convergence. Mother sensitivity was related only to the sharing of responsibilities between spouses. The range of the father's childcare activities predicted maternal interactive sensitivity. Infant readiness to interact with the father, but not with the mother, was related to the sharing of childcare responsibilities, to the range of father's childcare activities, and to marital convergence. Results further specify the differential associations between the marital and the parent–child relationship for mothers and fathers and point to the importance of the father's instrumental involvement in childcare to the development of fathering. © 2000 Michigan Association for Infant Mental Health.     

Affect regulation and synchrony in mother—infant play as precursors to the development of symbolic competence

This study examines relationships between organizing processes of affective communication in infancy and the development of symbolic competence. Thirty six mother—infant dyads were observed at 3 and 9 months, and 32 dyads were reassessed at 24 months. Mother's and infant affective states during face-to-face play at 3 and 9 months were coded in .25-second frames. The underlying structure of infant affect and the time-lag synchrony between mother and infant affective states were assessed with time-series analyses. In addition, interactions at 3 and 9 months were assessed for the global level of infant positive affect and maternal affect attunement. At 2 years, three dimensions of symbolic competence were evaluated: symbolic play, verbal IQ, and the child's use of internal states words. Infant affect regulation at 3 months, defined by the existence of a non-random, stochastic-cyclic organization of affective states, predicted all three domains of symbolic competence at 2 years. Maternal synchrony and attunement each had an independent contribution to the prediction of symbolic play and internal state talk. The microanalytic and global indices of affect each added meaningfully to the prediction of symbolic functioning. The organization of behavioral sequences into coherent affective configurations is discussed as a possible precursor to the general capacity to develop symbols. © 1997 Michigan Association for Infant Mental Health     

Blue is in the Eye of the Beholder: A Cross-Linguistic Study on Color Perception and Memory

Journal of Psycholinguistic Research - The linguistic relativity hypothesis states that the language one speaks affects how one thinks. Color categorization across languages has often been studied...     

Human faces capture attention and attract first saccades without longer fixation

Human faces attract attention, evidenced by reaction time (RT) advantages over non-face stimuli in visual search tasks. In the current study, participants’ eye movements were tracked during a search task to test how the attentional capture of faces is related to looking behaviour. On each trial, participants were cued with a category name (automobiles, birds, chairs, dogs, faces, bodies, or plants). An array of images, one exemplar from each category, was then presented until participants indicated whether the target matched the cue. Results showed that faces as targets resulted in faster search times and were more likely to capture first fixations. Fixations on faces were also shorter compared to other categories. Faces captured attention, attracting first fixations, and participants appeared to be more fluent at processing faces, resulting in shorter fixations. Reaction time advantages for faces could be due to both attention capture and ultra-rapid processing.