The Silent Treatment? Changes in patient emotional expression after silence

Psychotherapy can be an emotionally laden conversation, where both verbal and nonverbal interventions may impact the therapeutic process. Prior research has postulated mixed results regarding how clients emotionally react following a silence after the therapist is finished talking, potentially due to studying a limited range of silences with primarily qualitative and self-report methodologies. A quantitative exploration may illuminate new findings. Utilising research and automatic data processing from the field of linguistics, we analysed the full range of silence lengths (0.2–24.01 s), and measures of emotional expression—vocally encoded arousal and emotional valence from the works spoken—of 84 audio recordings of Motivational Interviewing sessions. We hypothesised that both the level and the variance of client emotional expression would change as a function of silence length; however, due to the mixed results in the literature, the direction of emotional change was unclear. We conducted a multilevel linear regression to examine how the level of client emotional expression changed across silence length, and an ANOVA to examine the variability of client emotional expression across silence lengths. Results of both analyses indicated that as silence length increased, emotional expression largely remained the same. Broadly, we demonstrated a weak connection between silence length and emotional expression, indicating no persuasive evidence that silence leads to client emotional processing and expression.     

Antecedent Variables for Sociomoral Reasoning Development: Evidence from Two Cultural Settings

This study examined the developmental pattern of sociomoral reasoning in two different cultural settings, focusing on factors assumed to influence the course of growth in this particular domain. The specific hypotheses tested concerned the relationships between operational thinking within Piaget's theory and Kohlberg's conceptualization of sociomoral judgement development. Secondary school and university students from Greece and Nigeria aged 15 to 22 years (N = 281) participated in the study. Results indicated that (1) the developmental sequence was similar in the two differing cultural environments, (2) stage endorsement differed significantly in the two samples, and (3) the necessary-but-not-sufficient hypothesis was confirmed in both groups. The possible explanations of the findings are discussed in connection with the basic assumptions of the structural-developmental approach to socio-cognitive growth.     

Chronic administration of an angiotensin II receptor antagonist resets the hypothalamic-pituitary-adrenal (HPA) axis and improves the affect of patients with diabetes mellitus type 2: preliminary results

Diabetes mellitus type 2 (DM type 2) is associated with depressive symptomatology and intermittent hyperfunction of the hypothalamic-pituitary-adrenal (HPA) axis. DM type 2 is also accompanied by increased tissue levels of angiotensin II (Ang II), which stimulates the HPA axis through the Ang II type 1 receptors (AT1). We investigated the effect of candesartan, an angiotensin receptor blocker (ARB) that crosses the blood brain barrier, on the activity of the HPA axis and on the affect of 17 patients with DM type 2, aged 40-65 years, who were treated with 4 mg/day candesartan per os for at least 3 months. Before and after candesartan administration, a corticotropin-releasing hormone (CRH) stimulation test and psychological tests were performed. In response to hCRH, time-integrated secretion of ACTH was not altered by candesartan administration, however, the cortisol response was decreased significantly compared to baseline (mean +/- SEM, 2327 +/- 148.3 vs. 1943 +/- 131.9 microg/dl, P = 0.005) suggesting reduced sensitivity of the adrenals to ACTH. In parallel, there was a significant improvement in interpersonal sensitivity (0.91 +/- 0.16 vs. 0.70 +/- 0.15, P = 0.027) and depression scores (0.96 +/- 0.15 vs. 0.71 +/- 0.10, P = 0.026). We suggest that candesartan resets the HPA axis of patients with DM type 2 and improves their affect.     

Do the core self-evaluations moderate the relationship between subjective well-being and physical and psychological health?

This study investigates the role that core self-evaluations (CSE) plays on the relationship between subjective well-being (SWB) and health functioning. The findings from a sample of 160 undergraduate students revealed that CSE explains incremental variance in physical and psychological health functioning, above and beyond the effect of SWB. The results also revealed that CSE moderated the relationship of two indicators of SWB (PA/NA and satisfaction with life) with physical functioning, suggesting that individuals who have positive emotions and/or are satisfied with their lives and simultaneously are high CSE are more likely to demonstrate good physical health functioning. Contrary to expectations, the results revealed that CSE did not moderate the relationship between SWB and psychological health functioning. The findings are discussed in the context of the importance of CSE on health psychology, while implications for practice and directions for future research are proposed.     

How to Supervise the Use of Homework in Cognitive Behavior Therapy: The Role of Trainee Therapist Beliefs

Encouraging and facilitating homework completion is a core cognitive behavior therapy (CBT) skill. Consequently, it represents an important part of training practitioners. Oftentimes the process of integrating homework into therapy is rushed, poorly executed, or forgotten, and trainees are surprised to find that some patients do not complete homework. We advocate for increased therapist responsibility in accounting for homework nonadherence. Therefore, problems with the use of homework in therapy are frequently an agenda item in the supervision of trainee cognitive behavior therapists. In our experience, trainee CBT practitioners exhibit a number of interrelated automatic thoughts, assumptions, and in-session behaviors that influence their use of homework assignments. The Cognitive Behavior Therapy Homework Project has proposed a “model for practice” to guide the use of homework in CBT [Kazantzis, N., MacEwan, J., & Dattilio, F. M. (2005). A guiding model for practice. In: Kazantzis, N., Deane, F. P., Ronan, K. R., & L’Abate, L. (Eds.), Using homework assignments in cognitive behavior therapy (pp. 359–407). New York: Routledge]. The present article will draw from those practice recommendations and discuss the role and impact of the therapeutic relationship and therapist beliefs on the use of homework assignments, with reference to the different levels of CBT conceptualization. Clinical examples from the supervision of trainees enrolled in the practicum component of the Massey University Postgraduate Diploma in Cognitive Behavior Therapy are used to illustrate supervising the use of homework assignments.     

Motivational Climate and Achievement Goals at the Situational Level of Generality

Based on the rule of compatibility, according to which motivational climate scales should capture both the objective environment and whether it activates particular goals, a measure is presented assessing achievement goals and climate perceptions in physical education at a particular point of time. In Study 1, students completed the questionnaires following an experimental manipulation where eight classes had task-involving drills (n = 185 students), eight classes had ego-involving drills (n = 174 students) and nine classes (n = 221) served as the control group. Study 2 was an intervention consisting of nine consecutive physical education lessons. Students in the intervention group (n = 174) pursued mastery goals and control group students (n = 181) participated in typical classes. Questionnaires were completed prior to the intervention and every third lesson. The structure of the model consisting of four achievement goals (mastery, performance approach, performance avoidance, and social approval) and four perceptions of teachers' emphasis on these goals was satisfactory and superior to the structure of all alternative models. Factor correlation results and the relationship of the current scales with intrinsic-extrinsic motivation and amotivation provided evidence of convergent and divergent validity for the measures. Results from multi-sample confirmatory factor analyses supported the invariance of factor loadings across samples and the invariance of covariances for the goals construct. In both studies, the differences that emerged between groups provided additional support to the construct validity of the present scales. Practitioners interested in the effects of teaching and coaching on motivational climate and achievement goal adoption could acquire useful feedback using these scales.     

The mind and heart (literally) of the negotiator: personality and contextual determinants of experiential reactions and economic outcomes in negotiation

The authors developed and tested a model proposing that negotiator personality interacts with the negotiation situation to influence negotiation processes and outcomes. In 2 studies, the authors found that negotiators high in agreeableness were best suited to integrative negotiations and that negotiators low in agreeableness were best suited to distributive negotiations. Consistent with this person-situation fit argument, in Study 1 the authors found that negotiators whose dispositions were a good fit to their negotiation context had higher levels of physiological (cardiac) arousal at the end of the negotiation compared with negotiators who were "misplaced" in situations inconsistent with their level of agreeableness, and this arousal was in turn related to increased economic outcomes. Study 2 replicated and extended the findings of Study 1, finding that person-situation fit was related to physiological (heart rate), psychological (positive affect), and behavioral activation (persistence) demonstrated during the negotiation, and these measures in turn were related to the economic outcomes achieved by participants.     

Skills Evaluator: a multicriteria decision support system for the evaluation of qualifications and skills in Information and Communication Technologies

Employees need to acquire new qualifications throughout their lives in order to deal with the multiple changes in the labour market. This knowledge and competences (formally or non-formally acquired) must be identified and evaluated. For that reason, an integrated approach to the evaluation of Information and Communication Technology knowledge and skills is proposed. The multicriteria method that has been developed refers to professionals who wish to be accredited in a particular specialization through the evaluation of their professional experience, studies and vocational training. The aim of this paper is to present the multicriteria decision support system, Skills Evaluator, which brings into effect the aforementioned method. Copyright © 2007 John Wiley & Sons, Ltd.     

Integrating Homework Assignments Based on Culture: Working with Chinese Patients

Cognitive therapy as espoused by A. T. Beck (A. T. Beck, Rush, Shaw, & Emery, 1979) is increasingly used as a therapeutic modality and applied to a variety of cultural groups throughout the world. However, the majority of the literature on empirical and clinical practice has been focused on the use of cognitive therapy for Western cultures. In this article, we discuss Chinese patients’ adherence to therapy homework assignments in terms of Chinese cultural values and practices, their customary problem-solving process, and other traditional beliefs. Through the use of a case study, we illustrate how some of these culturally specific beliefs can influence the process of integrating homework assignments into the course of therapy. This resource on supervising practitioners’ treatment of Chinese patients with cognitive behavior therapy is offered as a contribution to the emerging literature on CBT for non-Western cultures.