Treatment Engagement: Building Therapeutic Alliance in Home-Based Treatment with Adolescents and their Families

Client engagement is an essential yet challenging ingredient in effective therapy. Engaged clients are more likely to bond with therapists and counselors, endorse treatment goals, participate to a greater degree, remain in treatment longer, and report higher levels of satisfaction. This study explored the process of engaging high-risk youth and their parents in a unique home-based family therapy intervention. Qualitative interviews were conducted with 19 families who completed family therapy sessions that included a core component aimed at increasing treatment engagement. Parents’ and youths’ perceptions of engagement suggest the importance of developing therapeutic alliance with therapists, who facilitated building a shared alliance among family members. Implications for improving client engagement are discussed within the context of alliance building with the therapist and among family members.     

Optimistic,Approach-oriented,and Avoidance Strategies in Social Situations: Three Studies on Loneliness and Peer Relationships

The aim of the three studies was to examine the extent to which the cognitive and behavioural strategies young adults apply in social situations are associated with their subsequent feelings of loneliness, their peer relationships, and social behaviour. In Study 1, 303 young adults first filled in the Strategy and Attribution Questionnaire (SAQ) and, 1 year later, the revised UCLA Loneliness scale. In Study 2, 71 young adults filled in first the SAQ and, 4 months later, the UCLA Loneliness scale and a sociometric questionnaire measuring popularity and unpopularity. In Study 3, 35 young adults who had participated in Study 1 were rated by student tutors according to their social behaviour in an academic group situation. The results showed that the less optimistic the subjects were, the less they applied an approach-oriented strategy, and the more they used a social avoidance strategy, the more lonely they were. Furthermore, the more they used an approach-oriented strategy and the less they reported social avoidance, the more successful they were in their peer relationships. These two strategies were also associated with the ways in which an observer perceived their behaviour in a group situation, whereas social optimism was not.     

Dysregulated Motherhood: Exploring the Risk Features in a Mother’s Caregiving Representations

In the case of a mother with dysregulating attachment experiences and current enrolment in a parent-infant psychotherapy process, we explored which insecure, hostile/helpless, and prementalizing risk features were similar in her attachment and caregiving representations; which risk features were specific to her caregiving representations; and how these theory-defined features overlapped in detecting caregiving risks. Risk features in the attachment representations were assessed from the adult attachment interview and risk features in the caregiving representations from written psychotherapy notes. We found similar insecure (preoccupied and disorganized), prementalizing and hostile/helpless instances from both the attachment and the caregiving representations. However, confusion between self and child, greater variance in lapses into prementalizing, and specific and concrete fears and helplessness were unique to the caregiving representations. Hostile/helpless instances were found in tandem with almost all insecure and prementalizing instances, indicating this conceptualization captured risks in the caregiving representations most comprehensively. Fearful and helpless caregiving representations occurred somewhat independently from other risk conceptualizations, suggesting they need to be identified as independent phenomena. The results imply that detecting specific manifestations of intergenerational risks from caregiving representations is possible.     

Interpersonally traumatised patients’ view of significant and corrective experiences in the psychotherapeutic relationship

Background: Clinical experience points to the importance of significant experiences in the therapy relationship for patients who have been interpersonally traumatised but the empirical research is limited.

Aim: The aim was to gain increased knowledge about how significant and potentially corrective experiences within the therapeutic relationship were described by patients in trauma-focused therapy and how the participants thought such experiences might have affected the therapeutic work.

Method: Five patients who were, or recently had been, in trauma-focused therapy were interviewed about their experiences of the therapy relationship. Thematic analysis was used to analyse the interviews.

Results: Four themes were identified: ‘Human contact’, ‘Validation’, ‘To face the painful’ and ‘Development of trust’. Positive experiences in the therapeutic relationship were sometimes seen as crucial for the therapeutic work and for patients’ improvement.

Conclusions: Previous findings about the significance of corrective experiences in psychotherapy were confirmed, particularly experiences of the therapist’s accepting stance, personal and human contact and encouragement. The therapist’s ability to evoke trust in the patient and her capacity to help patients to face painful material may be particularly important for traumatised patients.     

A preliminary look at loneliness as a moderator of the link between perfectionism and depressive and anxious symptoms in college students: does being lonely make perfectionistic strivings more distressing?

An integrative model involving perfectionism [Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470] and loneliness as predictors of depressive and anxious symptoms was proposed and tested in 383 college students. Beyond the expected additive influences of the two predictors in the prediction of symptoms, loneliness was also hypothesized to moderate the link between perfectionism and symptoms. Results indicated that other-oriented perfectionism predicted anxious symptoms, whereas socially prescribed perfectionism predicted both depressive and anxious symptoms. Loneliness was found to add incremental validity to these predictions. Moreover, the Perfectionism x Loneliness interaction was found to further augment the prediction of depressive and anxious symptoms. These findings are taken to offer support for a more contextual model of perfectionism. Some implications of the present findings are discussed.     

How do People Attribute their Polydrug Use? A Mixed Methods Approach

ABSTRACT

In Finland, polydrug use is generally seen as stigmatized deviant behavior. By means of the mixed methods approach, this article focuses on how people explain their polydrug use and what they attribute it to. Our findings show that these explanations vary according to sociodemography. Moreover, polydrug use is not always presented as planned and goal-oriented behavior, but also something that can occur due to sudden situational factors beyond the control of the person. Our findings implicate that the judgments regarding the deviance of polydrug use are contextual and different sociodemographic groups consider whether it is deviant behavior or not differently.     

CRF受体对五羟色胺系统的调节作用及早期环境因素的影响

早期环境因素持续影响脑与行为的发展,增加个体成年后应激相关精神疾病患病的易感性.应激反应的中枢启动因子促肾上腺皮质激素释放因子(corticotropin-releasing factor,CRF)通过两种受体CRF1和CRF2调节中缝背核(dorsal raphe nucleus,DRN)-五-羟色胺(serotonin,5-HT)系统,后者已被证实在应激相关情绪疾患发病和治疗过程中发挥重要作用.已知CRF受体以相互影响相互拮抗的方式动态调节DRN-5-HT系统,提示这两种受体相对作用的调节对于协调复杂环境中DRN-5-HT系统的应激反应过程起着关键性作用.早期环境因素和遗传因素交互作用导致CRF受体的分布和反应性持续改变并造成DRN-5-HT系统反应异常,可能是导致应激反应和精神疾病易感性个体差异的重要神经基础.     

GROUP RESEARCH TRENDS IN SOCIAL AND ORGANIZATIONAL PSYCHOLOGY:

We report the results of an archival study of group research published in three organizational psychology journals (Journal of Applied Psychology, Organizational Behavior and Human Decision Processes, and Academy of Management Journal) from 1975 through 1994 Moreland, Hogg, and Hains (1994), in a review of three social psychology journals (Journal of Personality and Social Psychology, Journal of Experimental Social Psychology, and Personality and Social Psychology Bulletin), suggested there is an increasing enthusiasm for the social psychological study of groups However, their data relations. We tested the proposal that research traditionally viewed as intragroup (e g, group performance) has been taken up by organizational psychologists. Our data support this contention, as the publication Pattern for intragroup research topics in the three organizational journals was an inverse of that reported by Moreland et al. Results are discussed in terms of historical and interdisciplinary     

Integrating temporal biases: the interplay of focal thoughts and accessibility experiences

We provide an integrative account of temporal biases (confidence changes, planning fallacy, impact bias, and hindsight bias). Students listed either 3 or 12 thoughts about success or failure before an upcoming real-life exam or immediately after learning their grades. Previous explanations had focused on how thought content alone (what comes to mind) influences temporal biases. We found, however, an interaction between thought content and accessibility experiences (how easily or difficultly thoughts come to mind). Thinking about 3 ways to succeed (success was easy to bring to mind) was equivalent to thinking about 12 ways to fail (failure was difficult to bring to mind), and conversely, thinking about 3 ways to fail was equivalent to thinking about 12 ways to succeed. In no case was thought content alone sufficient to predict the biases. These results have implications for debiasing strategies and other judgments over time.