Effectiveness of an attachment-based intervention for the assessment of parenting capacities in maltreating families: A randomized controlled trial

Even though Parenting Capacity Assessments (PCAs) are essential for child protection services to support placement decisions for maltreating families, presently no evidence-based PCA protocols are available. In this randomized controlled trial, we tested the quality of an attachment-based PCA protocol based on Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). We recruited 56 parent-child dyads (M_age children = 3.48 years) in Dutch family residential clinics that conduct PCAs to support placement decisions. After pretest, families were randomized to receive the Regular Assessment Procedure (RAP) (n = 28), or an additional assessment based on VIPP-SD (n = 28). An immediate post-test and a 10-month follow-up were conducted. Multilevel models showed that therapists felt equally confident about their recommendations regarding child placement for both groups and that they equally often modified their initial placement recommendations. Moreover, children in the VIPP-SD group did not show fewer behavior problems and did not experience recurring child maltreatment less often than children in the RAP group. Thus, we found no evidence that PCAs incorporating the VIPP-SD protocol outperformed PCAs as usual. We discuss possible explanations why in the current study VIPP-SD did not seem to add to the quality of the RAP.     

Motion tracking of parents’ infant‐ versus adult‐directed actions reveals general and action‐specific modulations

Parents tend to modulate their movements when demonstrating actions to their infants. Thus far, these modulations have primarily been quantified by human raters and for entire interactions, thereby possibly overlooking the intricacy of such demonstrations. Using optical motion tracking, the precise modulations of parents’ infant‐directed actions were quantified and compared to adult‐directed actions and between action types. Parents demonstrated four novel objects to their 14‐month‐old infants and adult confederates. Each object required a specific action to produce a unique effect (e.g. rattling). Parents were asked to demonstrate an object at least once before passing it to their demonstration partner, and they were subsequently free to exchange the object as often as desired. Infants’ success at producing the objects’ action‐effects was coded during the demonstration session and their memory of the action‐effects was tested after a several‐minute delay. Indicating general modulations across actions, parents repeated demonstrations more often, performed the actions in closer proximity and demonstrated action‐effects for longer when interacting with their infant compared to the adults. Meanwhile, modulations of movement size and velocity were specific to certain action‐effect pairs. Furthermore, a ‘just right’ modulation of proximity was detected, since infants’ learning, memory, and parents’ prior evaluations of their infants’ motor abilities, were related to demonstrations that were performed neither too far from nor too close to the infants. Together, these findings indicate that infant‐directed action modulations are not solely overall exaggerations but are dependent upon the characteristics of the to‐be learned actions, their effects, and the infant learners.     

‘Something in the way you move’: Infants are sensitive to emotions conveyed in action kinematics

Body movements, as well as faces, communicate emotions. Research in adults has shown that the perception of action kinematics has a crucial role in understanding others’ emotional experiences. Still, little is known about infants’ sensitivity to body emotional expressions, since most of the research in infancy focused on faces. While there is some first evidence that infants can recognize emotions conveyed in whole‐body postures, it is still an open question whether they can extract emotional information from action kinematics. We measured electromyographic (EMG) activity over the muscles involved in happy (zygomaticus major, ZM), angry (corrugator supercilii, CS) and fearful (frontalis, F) facial expressions, while 11‐month‐old infants observed the same action performed with either happy or angry kinematics. Results demonstrate that infants responded to angry and happy kinematics with matching facial reactions. In particular, ZM activity increased while CS activity decreased in response to happy kinematics and vice versa for angry kinematics. Our results show for the first time that infants can rely on kinematic information to pick up on the emotional content of an action. Thus, from very early in life, action kinematics represent a fundamental and powerful source of information in revealing others’ emotional state.     

The challenge of merging: merger patterns, premerger status, and merger support

Employees of merging organizations often show resistance to the merger. The employees' support depends on the companies' premerger status and on the merger pattern. Based on an intergroup perspective, three studies were conducted to investigate the influence of premerger status (high, low) and merger pattern (assimilation, integration-equality, integration-proportionality, transformation) on participants' support for a pending organizational merger. Students (Study 1) and employees (Study 2) had to take the perspective of employees of a fictitious merging organization. Study 3 investigated students' perceptions of a potentially pending university merger using a 2 (status) x 3 (merger pattern: assimilation, integration-equality, integration-proportionality) design. Across all studies, the low-status group favored integration-equality and transformation whereas the high-status group preferred integration-proportionality and assimilation. Perceived threat mediated the effects. Legitimacy was a stronger mediator for effects of the low-status group.     

Negative affect and sensitization to pain

Pain usually has a strong negative affective component, which is believed to modulate pain perception. After reviewing theories on the link between negative affect and pain, mechanisms are discussed by which negative affect may either increase or inhibit pain. Possible pain-inhibiting mechanisms are endogenous opioid release, blood pressure reactivity, and distraction of attention; possible pain-increasing mechanisms are autonomic and muscular reactivity, misattribution of arousal, hypervigilance to pain, worrying, and avoidance behavior. It is emphasized that each of these mechanisms can be very adaptive in acute pain situations to prevent injury and promote recovery. In chronic pain, however, ongoing physiological arousal and hypervigilance to pain, induced or magnified by negative affect, may cause sensitization to pain. Furthermore, worrying about pain and avoidance of pain-inducing activities may increase negative affect, ypervigilance, and functional disability. It is argued that, in the long run, pain-related negative affect has sensitizing and disabling effects.     

Zum Matching bei ambulanter Psychotherapie mit Psychosepatienten

In an outpatient setting the matching of patient and psychotherapist is essential as there is – in most cases – no protecting institutional frame. Because of the disturbance in his symbolic function the psychotic patient tends to act out his basic conflict between self- and object-related tendencies. As the patient strives for differentiation and separation, naturally, struggle is involved on various levels. The therapist must feel up to all aspects of this struggle including the more concrete ones. Also psychotic patients always induce an intricate interplay of narcissistic transference and countertransference. The psychotherapist should have the capacity to gain distance from his narcissistic countertransference, which as a rule should find support through supervision. It is necessary that in the patient there exist remnants of relatedness to his fellow-men and also a minimum amount of ego-strength and structure that enables him to cope with a cycle of more or less periodical appointments.     

Insight problem solving in individuals with high versus low schizotypy

Insight problem solving requires restructuring of a problem space by stepping out of the framework provided by the commonly activated cognitive schemas and acquiring a new perspective on the problem. Schizotypy has been linked with loosened associative and overinclusive thinking that may be advantageous for this process. The present study tested this hypothesis and found that individuals with a high degree of schizotypy show better performance on a set of insight problems relative to individuals with low schizotypy, but not on a set of incremental problems that required focused goal-related thinking. Results support the notion that schizotypy is associated not only with enhanced abilities in creative processes involved in divergent thinking but also in creative operations during analytical problem solving.     

Overgeneral memory and suppression of trauma memories in post-traumatic stress disorder

The study investigated the relationship between the suppression of trauma memories and overgeneral memory in 42 assault survivors with and without PTSD. Overgeneral memory (OGM) was assessed with a standard autobiographical memory test (AMT). Participants completed two further AMTs under the instructions to either suppress or not suppress assault memories, in counterbalanced order. Participants with PTSD retrieved fewer and more general memories when following the suppression instruction than participants without PTSD, but not under the control instruction. OGM correlated with PTSD symptom severity, and measures of cognitive avoidance. The results are discussed with reference to current theories of overgeneral memory and its possible relationship with PTSD.