A New Approach To The Identification Of Cognitive Conflicts In The Repertory Grid: An Illustrative Case Study

The concept of cognitive conflicts and its relation to the success of psychoanalytically oriented psychotherapy are discussed. According to this model of therapy, patients should achieve insight into their conscious as well as unconscious conflicts. Therefore in the present study we assumed that demonstrable cognitive changes would occur over treatment for chronic pain, as measured by Kelly's (1955) Repertory Grid Test. Grids were analyzed with regard to conflicts on the basis of the concept of unbalanced triads. A triad may be described as unbalanced when logical inconsistencies can be demonstrated on the basis of a correlative comparison of three corresponding construct pairs. Construct systems were checked for unbalanced triads by means of a new computer program derived by the authors. A case study serves to demonstrate the possibilities for analysis and interpretation of unbalanced triads offered by this novel method. Results indicate that cognitive restructuring had indeed taken place during therapy and had decreased the relative number of cognitive conflicts.     

The role of context in remembering familar persons: insights from semantic dementia

Semantic dementia (SD) is a progressive condition characterized by an insidious and gradual breakdown in semantic knowledge. Patients suffering from this condition gradually lose their knowledge of objects and their attributes, concepts, famous persons, and public events. In contrast, these patients maintain a striking preservation of autobiographical memory. The aim of the present study was to examine in a patient suffering from SD the role of context in the ability to recall knowledge of familiar persons. In an experiment, patient J.M. was asked to name and identify familiar persons that appeared on family photographs from recent and remote periods of her life. In the first experimental condition, the pictures represented personally familiar persons present in a specific spatial and temporal context. In a second experimental condition, the pictures showed personally familiar persons who were presented without any specific episodic context. Results indicate that the patient was able to name and identify familiar persons irrespective of the context of presentation (with/without context) and of the time period (recent/remote). No temporal gradient was found using family photographs. Finally, in contrast with familiar persons, J.M. presented a severe anomia for celebrities. Results are discussed in light of recent research in the field.     

Empirically and clinically useful decision making in psychotherapy: differential predictions with treatment response models

In the delivery of clinical services, outcomes monitoring (i.e., repeated assessments of a patient's response to treatment) can be used to support clinical decision making (i.e., recurrent revisions of outcome expectations on the basis of that response). Outcomes monitoring can be particularly useful in the context of established practice research networks. This article presents a strategy to disaggregate patients into homogeneous subgroups to generate optimal expected treatment response profiles, which can be used to predict and track the progress of patients in different treatment modalities. The study was based on data from 618 diagnostically diverse patients treated with either a cognitive-behavioral treatment protocol (n = 262) or an integrative cognitive-behavioral and interpersonal treatment protocol (n = 356). The validity of expected treatment response models to predict treatment in those 2 protocols for individual patients was evaluated. The ways such a procedure might be used in outpatient centers to learn more about patients, predict treatment response, and improve clinical practice are discussed.     

Stimulus-based lexical distinctiveness as a general word-recognition mechanism

Word recognition is generally assumed to be achieved via competition in the mental lexicon between phonetically similar word forms. However, this process has so far been examined only in the context of auditory phonetic similarity. In the present study, we investigated whether the influence of word-form similarity on word recognition holds in the visual modality and with the patterns of visual phonetic similarity. Deaf and hearing participants identified isolated spoken words presented visually on a video monitor. On the basis of computational modeling of the lexicon from visual confusion matrices of visual speech syllables, words were chosen to vary in visual phonetic distinctiveness, ranging from visually unambiguous (lexical equivalence class [LEC] size of 1) to highly confusable (LEC size greater than 10). Identification accuracy was found to be highly related to the word LEC size and frequency of occurrence in English. Deaf and hearing participants did not differ in their sensitivity to word LEC size and frequency. The results indicate that visual spoken word recognition shows strong similarities with its auditory counterpart in that the same dependencies on lexical similarity and word frequency are found to influence visual speech recognition accuracy. In particular, the results suggest that stimulus-based lexical distinctiveness is a valid construct to describe the underlying machinery of both visual and auditory spoken word recognition.     

The motivational bases of right-wing authoritarianism and social dominance orientation: relations to values and attitudes in the aftermath of September 11, 2001

Research suggests that different motivational dynamics underlie right-wing authoritarianism (RWA) and social dominance orientation (SDO). These differences may be framed in the theory of basic human values. RWA may trace back to conservation versus openness-to-change values, and SDO to self-enhancement versus self-transcendence values. Based on a large-scale German survey, associations of RWA and SDO with personal values and attitudes in the aftermath of September 11, 2001, were analyzed. Results indicated that RWA related more strongly than SDO to conservation values and threat-related attitudes toward Islam as an expression of the motivational goals of social control and security, whereas RWA and SDO related equally to self-enhancement versus self-transcendence values and concern for negative consequences of military action as an expression of the motivational goal of altruistic concern. Thus, the motivational bases of RWA and SDO appear to be only partly different.     

The ingroup as pars pro toto: projection from the ingroup onto the inclusive category as a precursor to social discrimination

In an approach to intergroup discrimination and tolerance, it is assumed that the outgroup's difference from the ingroup is evaluated with reference to the prototype of the higher-order category that includes both groups. Two correlational studies yielded evidence that (a) group members tend to perceive their ingroup as relatively prototypical for the inclusive category (projection), (b) members highly identified with both ingroup and inclusive category (dual identity) tend to project most, and (c) relative prototypicality is related to negative attitudes toward the outgroup. The latter relation was further specified in Study 3, manipulating the valence of the inclusive category. Projection was related to more negative attitudes toward the outgroup when the inclusive category was primed positively but to more positive attitudes when it was primed negatively. The meaning of dual identities for intergroup relations is discussed.     

Self-perceived clinical competence,gender and workplace setting predict burnout among psychotherapists

Work-related stress, or burnout, is elevated among healthcare staff but the specific risk factors for psychotherapists are not clear, which makes it difficult to design interventions to target this population. Therefore, the aim of this study was to investigate a set of background variables and work-related risk factors for burnout among psychotherapists. Potential protective factors such as level of education, number of years in the profession and access to clinical supervision were investigated. Symptoms of burnout were measured with the Copenhagen Burnout Inventory, and data were collected from 327 psychotherapists. In this group, 62% reported moderate or high levels of burnout symptoms, with significantly higher levels of personal- and work-related burnout than client-related burnout. Being female, having low self-perceived competence and working in the public sector were associated with higher levels of burnout. Other factors, such as age, work experience, level of education or having clinical supervision, were not associated with burnout after controlling for gender, perceived competence and workplace setting. These results confirm previous research that underlines the importance of perceived competence and control over one's work environment, and that women are at higher risk of burnout, possibly because of factors outside of work. The importance of perceived competence as a protective factor suggests that methods that increase therapeutic competence may play an important role in countering work-related stress. In conclusion, there may be a need to continue to develop and integrate specific burnout prevention interventions for psychotherapists.     

A new semantical approach to the logic of preference

A possible world semantics for preference is developed. The remainder operator () is used to give precision to the notion that two states of the world are as similar as possible, given a specified difference between them. A general structure is introduced for preference relations between states of affairs, and three types of such preference relations are defined. It is argued that one of them, actual preference, corresponds closely to the concept of preference in informal discourse. Its logical properties are studied and shown to be plausible.