The Interpersonal Model of Health Anxiety: Testing predicted paths and model specificity

Health anxiety involves persistent worry about one’s health and is characterized by dysfunctional interpersonal processes such as excessive health-related reassurance-seeking and feelings of alienation from others. Cognitive-behavioral models largely ignore cyclical, interpersonally averse behaviors and social cognitions observed amongst health anxious individuals. The Interpersonal Model of Health Anxiety (IMHA) proposes health anxiety is maintained through activated anxious attachment insecurities, which drive frequent, but ineffective, health-related reassurance-seeking from others. Such excessive health-related reassurance-seeking leads to health-related alienation and beliefs others are unconcerned about one’s perceived health problems. Feeling alienated from others fuels further health-related worry, resulting in continued self-defeating attempts at health-related reassurance-seeking. The present study offers the first comprehensive articulation and test of the IMHA. Using a cross-sectional design and 107 undergraduates, path analysis supported five of six hypothesized paths in the model; all paths except that from anxious attachment to health-related reassurance-seeking were significant and in the expected direction. Specificity tests suggested anxious attachment was more central than avoidant attachment to the IMHA. The present test of the IMHA as a single, coherent model provides a conceptual foundation for future research on interpersonal processes in health anxiety. Clinical implications are discussed.     

The Psychophysiology of Social Action: Facial Electromyographic Responses to Stigmatized Groups Predict Antidiscrimination Action

We introduced facial electromyography as a tool for predicting advantaged group members' engagement in antidiscrimination action on behalf of a disadvantaged outgroup. Heterosexual men's corrugator supercilii (brow “frowning” muscles) activity while viewing videos of male–male and male–female couples interacting was measured. Corrugator (negative affect) response to male–male versus male–female targets, but not self-reported attitudes toward gay men, predicted number of flyers calling for action to reduce antigay violence and discrimination that participants privately took to distribute. Our discreet behavioral measure mirrored real-life collective action possibilities such as voting against laws prohibiting same-sex marriage in the privacy of one's voting booth.     

Entrevista con Klaus R. Scherer

RESUMEN

El profesor Scherer es uno de los Psicólogos Sociales más importantes de la actualidad, un importante investigador en temas de psicoacústica o de la conducta no verbal no vocal (como a él le gusta llamar a su campo). La contribución del profesor Scherer a la investigación del análisis psicológico de la voz y de las relaciones entre personalidad y los sitemas vocales no verbales de la comunicación ha sido muy importante para el desarrollo de la investigación en la dimensión no-verbal de la conducta. En esta entrevista Scherer reflexiona sobre el pasado y presente de la psicología alemana, refleja los hitos principales de su área de estudio y plantea el problema de la responsabilidad del investigador en la aplicación de sus hallazgos y productos. Se presenta, en esta entrevista, un ejemplo esclarecedor de la importancia de los factores interdisciplinarios en la génesis y apertura de nuevas áreas para la investigación.     

The sociology of regulation: the case of psychotherapy and counselling and the experience of the arts therapies

ABSTRACT

This article draws on insights from the sociology of professions to explore the regulatory debate in the psychotherapy and counselling field contrasted with the regulation of arts therapists (art, drama and music therapists). A partial explanation is offered, illustrating the applicability of theory to these groups, but with adaptations to reflect the modern context in which professions and regulation now exist.     

Racial Discrimination and African American Adolescents’ Adjustment: Gender Variation in Family and Community Social Support, Promotive and Protective Factors

The current investigation explores the promotive and protective role of family and community-specific social support on the association between perceived racial discrimination and African American adolescents’ adjustment (e.g., depressive symptoms, school suspensions, school engagement). One thousand nine-hundred forty-two African American adolescents (ages 12–18, M = 15.12; SD = 1.83; 59 % female) from a large Midwestern city participated in this investigation. Regression analyses revealed that perceived racial discrimination was associated with less positive adjustment outcomes for boys and girls. Additionally, there was partial support for gender variation in the promotive role of social support and adolescent adjustment. In particular, while only maternal support was associated with boys’ adjustment, both maternal and paternal support was associated with girls’ adjustment. Also, there was partial support for gender differentiation in the strength and directionality of protective factors. Though in an unpredicted direction, father support moderated the relationship between perceived racial discrimination and girls’ adjustment. Community supports (religious connection and mentor presence) emerged as protective factors for boys’. Findings highlight the role of gender in understanding potential promotive and protective factors for African American adolescents.     

Reconstruction of the self: Life-span-oriented group psychotherapy

Abstract

Traumatic events affect the individual at many levels of functioning. They can have profound and lingering consequences for self-identity. Affective, cognitive, and behavioral components of the functioning of the self are experienced as disjointed, producing at times a sense of a lack of control of the self and a feeling of schism between the pre- and posttrauma identities. Therapeutic interventions drawing on constructivist theory and integrative techniques are useful in helping the traumatized individual regain self-understanding and mastery. The design and operation of a life-span-oriented group developed for work with individuals who have posttraumatic stress disorder are described. Guidelines for the structure and process of the group are provided, as are principles for technique selection and use within a structured, self-reflective group format.     

The Good of New Age Goods

Critical writing on cultural appropriation and commodification is often predicated on the assumption that the transformation of cultural goods into commodities is essentially a process of alienation: of consumers from themselves and of indigenous people from their cultural products. The consumption of indigenous practices and images by practitioners of New Age and alternative spiritualities has been the subject of particularly harsh criticism, with ‘New Agers’ excoriated as exploitative culture thieves. In this paper, I draw on ethnographic research into the use of commodified images of Australian Aboriginal people by practitioners of New Age and alternative spiritualities—and by Aboriginal people themselves—to suggest that the producers and consumers of such goods, and indeed the goods themselves, have a greater agency than is commonly recognised. I argue that, many critics of cultural and spiritual commodification fail to recognise or fail to take seriously, the meaning cultural goods can acquire when removed from the market place and personalised by their consumers. More to the point, the suggestion that such transformations are inherently alienating tends to elide the involvement of indigenous people in the production of imagery that complements (as well as competes with) New Age representations.     

Review of Clinical Medicine and Religious Practice

The purpose was to evaluate faith-based studies within the medical literature to determine whether there are ways to help physicians understand how religion affects patients’ lives and diseases. We reviewed articles that assessed the influence of religious practices on medicine as a primary or secondary variable in clinical practice. This review evaluated 49 articles and found that religious faith is important to many patients, particularly those with serious disease, and patients depend on it as a positive coping mechanism. The findings of this review can suggest that patients frequently practice religion and interact with God about their disease state. This spiritual interaction may benefit the patient by providing comfort, increasing knowledge about their disease, greater treatment adherence, and quality of life. The results of prayer on specific disease states appear inconsistent with cardiovascular disease but stronger in other disease states.