Trauma,personality disorders and chronic depression – the role of the conversational model of psychodynamic psychotherapy in treatment resistant depression

Objective: To report preliminary data describing the interim treatment outcome of 44 patients referred with treatment-resistant depression (TRD), comorbid personality disorders and histories of early childhood trauma using the Conversational Model (CM) of psychodynamic psychotherapy. Method: Patients (N = 44), 13 males and 31 females with long histories of depression ranging from 2 to 30 years, resistant to multiple trials of treatment, were referred by mental health practitioners, including psychiatrists. They were treated with twice weekly CM psychotherapy by multidisciplinary trainees and supervised by experienced trained clinicians. Questionnaires were administered at assessment and at 12 months to assess symptoms, functioning, self-esteem, history of trauma, personality functioning and suicidality. In this preliminary study, there was no separate control group, and patients served as their own controls. Results: Patients with TRD were found to have comorbid severe personality disorders and histories of early childhood trauma. Significant improvement in symptoms, self-esteem, functioning and suicidality was noted after 12 months. Conclusion: Patients responded with symptomatic and functional improvement to twice weekly CM therapy.     

Attachment and Relational Aggression: Power as a Mediating Variable

Evidence illustrates that insecure romantic attachment predicts higher levels of relational aggression. However, no research has attempted to explain that relationship with mediating variables, such as relationship power, which is associated with attachment and partner violence. Data for this study included 457 couples from Wave 2 of the Flourishing Families Study. Actor Partner Interdependence results indicated that insecure attachment was significantly predictive of relational aggression actor effects. There was also a significant partner effect between male insecure attachment and female relational aggression, and power was a significant mediator between attachment and relational aggression for males and females.     

High Hopes? Educational,Socioeconomic, and Ethnic Differences in Parents’ Aspirations for their Unborn Children

Parents’ aspirations shape children’s development. In this study, over 6700 pregnant women and over 4300 of their partners from the Growing Up in New Zealand cohort responded to a question about their hopes, dreams, and expectations for their unborn children. Responses were coded according to a Maslowian hierarchy of needs. Mothers and their partners predominantly mentioned self-actualization and physiological aspirations for their unborn children, but their responses varied as a function of parental ethnicity and level of educational achievement and less so as a function of socioeconomic status. Mothers of European ethnicity, and parents with higher levels of educational achievement, mentioned more aspirations for their children—especially for self-actualization and belonging—than mothers of non-European ethnicity and parents with lower levels of educational achievement. These findings are discussed with respect to Maslowian theory and cultural developmental theories, and in terms of understanding the aspirations of parents from diverse backgrounds.     

Enhancing the Conceptualization and Measurement of Implicit and Explicit Affective Evaluations: A Case Study in Disordered Eating

Affective evaluations (i.e., evaluations of affectively evocative stimuli) play important roles in many behaviors, including clinically relevant behaviors like disordered eating. Understanding automatic and controlled affective evaluations can enhance prediction and treatment of more deliberate versus more impulsive clinical behaviors, respectively. However, methodological and theoretical shortcomings cloud the implicit affective evaluation literature, particularly as applied in clinical psychology. This article aims to improve the clinical science of implicit and explicit affective evaluation by capitalizing on theoretical and methodological advancements drawn from implicit social cognition. We recommend three key enhancements to the affective evaluation literature: improve the structural comparability between indirect and direct measures, assess evaluations on both valence and arousal dimensions of affect, and carefully characterize and select stimuli. Additional improvements to analytic approaches (e.g., mixed effects modeling and process dissociation) are also recommended. Such efforts will advance our theoretical understanding of the relative contributions of automatic and controlled processes to clinically relevant affective evaluation, thereby informing assessment and improving intervention. Applying advanced methodologies of implicit cognition to clinical phenomena will also reiterate and reinforce the use of these advances in social psychology.     

Positive Contact with Feminist Women as a Predictor of Feminist Solidarity,Gender Privilege Awareness,and Public and Domestic Support for Gender Equality in Straight Men

Men can play an important role in supporting gender equality. In the present research, we draw on Intergroup Contact Theory to examine positive intergroup contact with feminist women as one factor that can encourage men to support gender equality. In one cross-sectional study (N?=?170) and one half-longitudinal panel study (N?=?240), we found that straight men who reported more positive contact with feminist women also reported greater feminist solidarity. Cross-sectional results indicated that straight men’s solidarity with feminists, in turn, predicted more support for gender equality in public and domestic spheres and greater awareness of their gender privilege. The longitudinal results also supported the association between solidarity with feminists and gender privilege awareness, but not public and domestic support for gender equality. Decades of research has shown that positive intergroup contact can change attitudes. Our research suggests that, when it comes to gender equality, positive contact with feminist women may also encourage men to identify with feminists and raise their gender consciousness.

     

The spatial distribution of attention within and across objects

Attention operates to select both spatial locations and perceptual objects. However, the specific mechanism by which attention is oriented to objects is not well understood. We examined the means by which object structure constrains the distribution of spatial attention (i.e., a "grouped array"). Using a modified version of the Egly et al. object cuing task, we systematically manipulated within-object distance and object boundaries. Four major findings are reported: 1) spatial attention forms a gradient across the attended object; 2) object boundaries limit the distribution of this gradient, with the spread of attention constrained by a boundary; 3) boundaries within an object operate similarly to across-object boundaries: we observed object-based effects across a discontinuity within a single object, without the demand to divide or switch attention between discrete object representations; and 4) the gradient of spatial attention across an object directly modulates perceptual sensitivity, implicating a relatively early locus for the grouped array representation.     

Validity for an Integrated Laboratory Analogue of Sexual Aggression and Bystander Intervention

This study sought to develop and validate an integrated laboratory paradigm of sexual aggression and bystander intervention. Participants were a diverse community sample (54% African American) of heterosexual males (N = 156) between 21 and 35 years of age who were recruited to complete the study with a male friend and an ostensibly single, heterosexual female who reported a strong dislike of sexual content in the media. Participants viewed a sexually explicit or nonsexually explicit film clip as part of contrived media rating task and made individual choices of which film clip to show the female confederate. Immediately thereafter, participants were required to reach consensus on a group decision of which film clip to show the female confederate. Subjecting a target to an unwanted experience with a sexual connotation was operationalized as selection of the sexually explicit video, whereas successful bystander intervention was operationalized as the event of one partner individually selecting the sexually explicit video but then selecting the nonsexually explicit video for the group choice. Results demonstrated that a 1‐year history of sexual aggression and endorsement of pertinent misogynistic attitudes significantly predicted selection of the sexually‐explicit video. In addition, bystander efficacy significantly predicted men's successful prevention of their male peer's intent to show the female confederate a sexually explicit video. Discussion focused on how these data inform future research and bystander intervention programming for sexual aggression. Aggr. Behav. 38:309–321, 2012. © 2012 Wiley Periodicals, Inc.