An Emotion Regulation Treatment for Young People With Complex Substance Use and Mental Health Issues: A Case-Series Analysis

Individuals accessing treatment within the youth alcohol and other drug (AoD) sector represent a highly vulnerable population who present with complex patterns of substance use and mental health comorbidity. Current treatments often fail to address this complexity. Emotion regulation (ER) has been identified as a promising transdiagnostic treatment target for this population of young people. The current study aimed to investigate the acceptability and feasibility of an adjunct ER intervention, ERIC (Emotion Regulation and Impulse Control) in young people receiving AoD treatment at a residential rehabilitation service. A mixed methods case series design was utilized. Ten participants aged between 16–20 years old completed 4–6 sessions of ERIC as an adjunct to their existing residential treatment. Participants undertook a post intervention feedback session and completed a number of self-report measures of ER, depression and anxiety at baseline and 2 weeks after receiving ERIC. Qualitative feedback from young people following the delivery of ERIC was positive, and suggested that ERIC was a viable and useful intervention. Participants reported that the components of ERIC, which involved metaphors and experiential exercises, were particularly beneficial and memorable. Pre-post measures indicated that 60% of the young people had both reliable and clinically significant reductions in overall emotion dysregulation, while reliable and clinically significant reductions in depression and anxiety were observed in 50% and 60% of participants respectively. Results support the acceptability of ERIC for this cohort of young people with complex substance use and mental health needs. Furthermore, these findings support the viability of delivering flexible and adjunctive ER treatments to young people seeking AoD treatment.     

Re‐examination of Oostenbroek et al. (2016): evidence for neonatal imitation of tongue protrusion

The meaning, mechanism, and function of imitation in early infancy have been actively discussed since Meltzoff and Moore's (1977) report of facial and manual imitation by human neonates. Oostenbroek et al. (2016) claim to challenge the existence of early imitation and to counter all interpretations so far offered. Such claims, if true, would have implications for theories of social‐cognitive development. Here we identify 11 flaws in Oostenbroek et al.'s experimental design that biased the results toward null effects. We requested and obtained the authors’ raw data. Contrary to the authors’ conclusions, new analyses reveal significant tongue‐protrusion imitation at all four ages tested (1, 3, 6, and 9 weeks old). We explain how the authors missed this pattern and offer five recommendations for designing future experiments. Infant imitation raises fundamental issues about action representation, social learning, and brain–behavior relations. The debate about the origins and development of imitation reflects its importance to theories of developmental science.     

Interpersonal Transgressions and Interest in Spiritual Activities: The Role of Narcissism

As levels of narcissism rise among Americans, it is important to understand how being narcissistic affects individuals’ day-to-day lives. One domain in which narcissism may have particularly interesting effects is individuals’ spirituality. When interpersonal expectations have been violated, individuals experience a variety of emotions. Chief among these emotions is guilt, which is linked both thematically and empirically to many aspects of Western religion. Given narcissism’s complex relationship with guilt, it is important to investigate how narcissists may react to failings in the interpersonal domain, particularly in a spiritual context. The current study investigated the effects of a simulated interpersonal failing on narcissists’ interest in a variety of spiritual behaviors, including prayer, seeking spiritual guidance, and participating in spiritual activities aimed at self-enhancement. After reading a scenario designed to induce feelings associated with interpersonal failings, participants reported their interest in a variety of religious activities, including prayer. Results indicated that the manipulation tended to decrease interest in a variety of spiritual activities across the sample, but that these effects were only robust among participants high in narcissism.     

Relations between infants’ emerging reach‐grasp competence and event‐related desynchronization in EEG

Recent reports of similar patterns of brain electrical activity (electroencephalogram: EEG) during action execution and observation, recorded from scalp locations over motor‐related regions in infants and adults, have raised the possibility that two foundational abilities – controlling one's own intentional actions and perceiving others’ actions – may be integrally related during ontogeny. However, to our knowledge, there are no published reports of the relations between developments in motor skill (i.e. recording actual motor skill performance) and EEG during both action execution and action observation. In the present study we collected EEG from 21 9‐month‐olds who were given opportunities to reach for toys and who also observed an experimenter reach for toys. Event‐related desynchronization (ERD) was computed from the EEG during the reaching events. We assessed infants’ reaching‐grasping competence, including reach latency, errors, preshaping of the hand, and bimanual reaches, and found that desynchronization recorded in scalp electrodes over motor‐related regions during action observation was associated with action competence during execution. Infants who were more competent reachers, compared to less competent reachers, exhibited greater ERD while observing reaching‐grasping. These results provide initial evidence for an early emerging neural system integrating one's own actions with the perception of others’ actions.     

Diagnostic thinking processes: evidence from a constructive interaction study of electrocardiogram (ECG) interpretation

This paper examines the use of different types of knowledge at different levels of expertise in the domain of electrocardiogram (ECG) interpretation. Analyses of constructive interaction protocols from expert, novice and intermediate subjects working in same-skill pairs on six ECG traces indicated that: novice and intermediate pairs produced proportionately more trace characterizing statements than the other groups; expert pairs produced proportionately more clinical hypothesis statements and proportionately fewer but more complex biomedical inference statements than the other groups. © 1997 John Wiley & Sons, Ltd.     

Labor, delivery, and early parenthood: an attachment theory perspective

Having a baby is a powerful experience that, according to attachment theory, should activate the attachment system and elicit attachment needs and motives. The current study investigated first-time parents' perceptions of and responses to events surrounding labor and delivery and early parenthood. Couples expecting their first child completed measures of attachment orientations and questionnaires assessing key aspects of the experience of labor, delivery, and early parenthood. Attachment anxiety and avoidance significantly predicted individuals' perceptions of themselves and their partners, reactions to their partners' behavior, and emotional responses to their infants. Jealousy of the infant, perceptions of support given to or received from partners, and feelings of closeness to the infant were all associated with attachment orientations in theoretically meaningful ways.     

Development and initial reliability and validity of a new measure of distorted maternal representations: The Mother–Infant Relationship Scale

Distorted maternal representations (DMRs)—mother's ideas, understanding, and feelings about the infant—shape early interaction and the emerging relationship. Distorted interactions reportedly affect infant attachment and socioemotional development and may be associated with maternal early adversity and trauma. Limited measures are available that could be used as screening tools of DMRs. The aims of this study were to (a) describe the development of the Mother–Infant Relationship Scale (MIRS) and (b) to evaluate its psychometric properties. The development and validation of the MIRS closely followed standard guidelines for the development of psychometric tests. Psychometric properties were examined across two samples: 78 adult psychiatric patients with features of borderline personality and 86 individuals from a nonclinical sample (N = 164). The scale demonstrated excellent internal consistency (Cronbach's α = .91) for the clinical sample and adequate internal consistency (.78) for the nonclinical sample, excellent test-retest reliability (intraclass correlation coefficient = .81), and good concurrent validity with an observational (Pearson's correlation coefficients = −.35 to −.54) and a representational measure (.53). Factor analysis revealed three components: DMRs specific to (a) maternal hostility/rejection of the infant, (b) issues about parenting/attachment, and (c) anxiety/helplessness about infant care. Findings suggest that the MIRS is a reliable and valid screening tool of DMRs. Potential uses in clinical and research settings are discussed.     

Ideal Standards in Close Relationships: Their Structure and Functions

This article describes the Ideals Standards Model, which deals with the content and functions of partner and relationship ideals in intimate relationships. This model proposes that there are three distinct categories of partner ideals (warmth-loyalty, vitality-attractiveness, and status-resources), and that ideals have three distinct functions (evaluation, explanation, and regulation). The model also explains how perceived discrepancies between ideals and perceptions of one's current partner or relationship can have different consequences, depending on which of two motivating forces is active (the need to see the partner or relationship positively or the need to be accurate). Recent empirical studies that support some of the main features of the model are described.