Being Deluded After Being Excluded? How Emotion Regulation Deficits in Paranoia-Prone Individuals Affect State Paranoia During Experimentally Induced Social Stress

Emotion regulation (ER) has become a relevant construct to understanding paranoia. While the ER strategy called expressive suppression (e.g., poker face) may foster state paranoia by increasing arousal, another strategy called reappraisal (e.g., changing the perspective on situations) may reduce negative emotions and state paranoia when adaptively used. However, if reappraisal fails, this could increase paranoia. The aim of this study was to test the proposed effects of the ER strategies on state paranoia in the socially stressful situation of being excluded in paranoia-prone individuals. We conducted an experimental online study with N=116 participants who were randomized to a social inclusion or an exclusion condition using a virtual Cyberball ball-tossing game. They completed questionnaires on paranoia proneness and habitual ER strategies. Before and after the Cyberball task, participants rated their level of state paranoia. The impact of habitual ER strategies, paranoia proneness, and social stress on changes in state paranoia was investigated using linear regression analysis. The three-way interaction of social stress, paranoia proneness, and habitual reappraisal use significantly predicted state paranoia, t(114)=2.62, p=0.010. The decomposition of the interaction term revealed that in the social stress condition, the impact of reappraisal on state paranoia was moderated by the level paranoia proneness. Specifically, in high paranoia-prone individuals the use of reappraisal predicted higher state paranoia. The findings regarding habitual use of suppression were not significant. Although reappraisal is generally considered a functional strategy, its use in distressing social situations seems to be impaired in persons with higher paranoia proneness. A working model of emotion dysregulation in delusions is presented and possible implications for cognitive therapy of psychosis are discussed.     

A computer-based intervention to reduce internalized heterosexism in men

Internalized heterosexism (IH) is a strong predictor of the psychological well-being of lesbian, gay, bisexual (LGB), or other same-sex attracted individuals. To respond to the call for interventions to address IH, the current study developed and tested an online intervention to reduce IH among gay, bisexual, and other same-sex attracted men. A total of 367 self-identified same-sex attracted adult males were recruited through various nationwide LGB-related sources and were assigned by birth month to either the experimental condition (focusing on IH reduction) or the control condition (a similarly structured invention focusing on stress management); 290 of these participants completed the intervention and all post-intervention measures. Mean levels of IH were compared by condition, indicating significant differences on the IH global score and 2 of the 3 IH subscale scores between the participants in the 2 conditions. The study findings support the promise of using the Internet to deliver IH interventions. Implications for research and practice are discussed.     

Caregiving for Patients in Vegetative and Minimally Conscious States: Perceived Burden as a Mediator in Caregivers’ Expression of Needs and Symptoms of Depression and Anxiety

Involvement of family members is crucial to provide daily informal caring to patients in vegetative state and minimally conscious state. Previous studies showed that perceived burden is a risk factor for informal caregivers as it increases psychophysical distress. This research further investigated the relationship between these factors and aimed at providing a model that thoroughly describes this mechanism of functioning. In the frame of a national survey on people with disorders of consciousness, 487 informal caregivers of children and adult patients in vegetative and minimally conscious state were administered measures of depression, anxiety, caregiver needs, and family strain. Regression models proposed by Baron and Kenny and the Sobel test were adopted to investigate the relationship between depressive and anxiety symptoms, perceived burden and needs expressed. Our study shows that the relation between those symptoms and needs is mediated by burden, where higher burden accentuates and lower burden mitigates the needs expressed by caregivers. Our findings demonstrate that psychosocial components of the burden perceived by caregivers of patients with disorders of consciousness play a key role in shaping those caregivers’ needs, especially their needs for information and communication. We recommend implementation of comprehensive steps to meet the needs of these caregivers, steps that incorporate improved economic and public health programs, social support, and use of psychological interventions to ameliorate caregivers’ psychological distress and decrease their burden.     

Sexual Double Standard: A Review of the Literature Between 2001 and 2010

The present article is a review of 26 studies on the sexual double standard. This phenomenon consists of different rules and standards of sexual behavior for men and women. Only scientific articles reporting empirical research published between 2001 and 2010 and available online in full were included. Our review was focused on the evidence of the existence of the sexual double standard and on the methods that have been used in the studies in this field. Most studies used quantitative methods based on scales or vignette tasks with a target to be evaluated by respondents. There was greater variability of results among the 6 studies using qualitative methods. These studies employed different interview techniques, focus groups and participant observation. There were also 2 studies reporting the use of mixed methods. The results of the studies showed that the sexual double standard still can be identified nowadays, although it seems that sexual behaviors and situations influenced by this phenomenon are changing. Today, premarital sex and sexual intercourse outside of committed relationships are more accepted for both genders. However, evaluations of other facets of sexuality continue to be based on different criteria for men and women.     

Say one for me: the implicit religion of prayers from the street

Within the field of the psychology of prayer, there has been a growing interest in empirical studies concerned with the analysis of the content of ordinary people's private prayers, with a view to providing a more nuanced understanding of the psychological correlates of prayer among those who engage in the activity. One research tradition has focused on the content analysis of intercessory prayer requests left in church-related settings, and it is within this context that the present study is located, examining 417 intercessory prayer requests, collected on the streets by bishops in the Church of England as part of the 2011 “Say One for Me” Lent Prayer initiative. The study was informed by the constructs of implicit religion and ordinary theology, and employed ap Siôn's general analytical framework for intercessory prayer requests. Three types of implicit religion were found to be present in the prayer content: societal consensus, the source of explicit religion, and the effect of explicit religion, and the significance of these results is discussed.     

Examination of the reliability and validity of the personality assessment inventory

The reliability, discriminant validity, and construct validity of the Personality Assessment Inventory (PAI) — a multidimensional self-report measure of abnormal personality traits — were examined within the Australian context. Subjects included 151 normals, 30 alcoholics, and 30 schizophrenic patients. A subsample of 70 nonpsychiatric adults responded to the PAI items twice over a test-retest interval of 28 days. The resulting median retest coefficient was 0.7, indicating less than optimal stability. The median alpha (KR₂₁) coefficient was 0.8, suggesting somewhat narrow measurement scales. A significant multivariate main effect was obtained across groups after the effects of age and gender were removed. Multiple comparisons for each of the PAI scales revealed significant differences between the respective groups, as discussed. A higher-order scale factoring did not strongly support the purported PAI structure. In reanalyses of the correlation matrices included in the Professional Manual, the purported PAI factor structure was unable to be replicated for the standardization clinical sample (N=1246), and a confirmatory factor analysis using the normative (validation) correlational data (N=1000) revealed poor fit indices, raising further concerns about construct validity.     

Stability in alexithymia levels: A longitudinal analysis on various emotional answers

Alexithymia refers to a specific disturbance in emotional processing that is manifested through difficulties in identifying and verbalizing feelings, and a tendency to focus and amplify the somatic sensations accompanying emotional arousal. The main purpose of the present study was to investigate the stability levels of alexithymia related to changes in emotional distress levels caused by university exams at two different times: after and during the exams. We carried out a 17-week follow-up on 36 university students, alexithymic features and self-reported emotional distress (anxiety, depression and somatic illness) were measured. Whereas emotional distress measures changed significantly during the follow-up period, the degree of alexithymia remained unchanged. We conclude therefore that alexithymia presents a constant trait in non-clinical samples, in contrast to anxiety and depression, which are state phenomena, influenced by stress levels.     

The Church of England’s Pray One for Me intercessory prayer site: a virtual cathedral?

Over the past decade there has been a growing number of studies examining the prayer content of people’s personal prayers left in intercessory church-related contexts. Since 2012, these studies have extended to include the cathedral intercessory prayer board and the online intercessory prayer site. Both ‘the cathedral’ and ‘the online site’ are distinctive contexts for intercessory prayer in terms of their openness and accessibility for a broad range of people, who are allowed to enter and use these prayer facilities. What is not known, however, is whether the cathedral prayer board and the online site are functioning in similar ways. This study presents an analysis of 500 prayers posted on the Church of England’s ‘Pray One for Me’ (POFM) website over a period of six months in 2012. The analysis employs the ap Siôn Analytic Framework for Intercessory Prayer (apSAFIP), which distinguishes among prayer intention, prayer reference, and prayer objective. The results of the analysis are compared with the results from recent cathedral studies employing the same analytic tool, and it is concluded that these two prayer contexts are functioning differently.     

Contributions of Multicultural Counseling to Counselor Competence With Lesbian,Gay, and Bisexual Clients

This article outlines the contributions of multicultural counseling to 3 areas of counselor competence with lesbian, gay male, and bisexual male and female (LGB) clients: conceptualization of competence, counselor education, and assessment of counselor competence. The authors describe the foundations of multicultural counseling and extend the concepts to counselor competence with LGB clients. Este artículo resume las contribuciones de la consejería multicultural a tres campos de habilidad consejera con clientes homosexuales y hombres y mujeres bisexuales: la conceptualización de la competencia, educación del consejero, y evaluación de competencia para consejería. Los autores describen los fundamentos de la consejería multicultural y extienden estos conceptos a la competencia consejera con clientes homosexuales, lesbianas, y bisexuales.