Determinants and Predictive Value of Clinician Assessment of Short‐Term Suicide Risk

We examine the interrelations among clinicians' judgment of patients' suicide risk, clinicians' emotional responses, and standard risk factors in the short‐term prediction of suicidal thoughts and behaviors. Psychiatric outpatients (n = 153) with a lifetime history of suicide ideation/attempt and their treating clinicians (n = 67) were evaluated at intake. Clinicians completed a standard suicide risk instrument (modified SAD PERSONS scale), a 10‐point Likert scale assessment of judgment of patient suicide risk (Clinician Prediction Scale), and a measure of their emotional responses to the patient (Therapist Response Questionnaire‐Suicide Form). The Columbia Suicide Severity Rating Scale and the Beck Scale for Suicide Ideation were administered at a one‐month follow‐up assessment (n = 114, 74.5%). Clinician judgment of risk significantly predicted suicidal thoughts and behaviors at follow‐up. Both the standard suicide risk instrument and clinician emotional responses contributed independently to the clinician assessment of risk, which, in turn, mediated their relationships with suicidal thoughts and behaviors. Our findings validate the importance of clinical judgment in assessing suicide risk. Clinical judgment appears to be informed both by concrete risk factors and clinicians' emotional responses to suicidal patients, highlighting emotional awareness as a promising area for research and training.     

Recollections of Being in Child Expressive Arts Group Therapy: A Qualitative Study of Adult Former Clients’ Conceptions of Their Therapy as Children

The current study aims to explore, through the eyes of adult former clients, the experience of being in expressive arts group therapy (EAGT) as a child. By focusing on the memories of adults, the study allowed the exploration of former clients’ understanding of what the therapy was about and its effects on their lives. Semi-structured open-ended interviews were conducted with 20 adult former clients who, as children, had participated for at least one year in EAGT. Findings point toward the background of the empathic, attuned, safety, together with the fostering of the capacity to enter into spontaneous creative states, as central themes in participant’ recollections of the therapeutic process. Further findings relate to the implicit and long-term quality of the therapeutic effect.     

Psychosocial mediators of a theory-based resistance training maintenance intervention for prediabetic adults

Objective: Examine psychosocial mediators of the effects of high vs. low-dose resistance training (RT) maintenance interventions among older (ages 50–69), overweight and pre-diabetic adults.

Design: Participants (N = 123) completed a three-month supervised RT initiation phase and were subsequently randomised (time 1) to high or low-dose six-month unsupervised RT maintenance interventions (time 2), followed by a six-month no-contact phase (time 3).

Main Outcome Measures: Online measures of putative mediators and RT behaviour.

Results: RT intervention condition (high vs. low dose) had significant effects on change from time 1 to time 2 in behavioural expectation, self-regulation and perceived satisfaction (f² = .04–.08), but not outcome expectancies, RT strategies or behavioural intentions (f² ≤ .02). Change in each of the putative mediators, except for outcome expectancies (f² ≤ .02), had significant effects on RT behaviour at times 2 (f² = .12–.27) and 3 (f² = .23–.40). In a multiple mediation model, behavioural expectation (f² = .11) and self-regulation (f² = .06) mediated the effects of RT intervention condition on time 2 RT behaviour, whereas perceived satisfaction did not (f² = .01). Self-regulation was a significant mediator of intervention effects on time 3 RT behaviour (f² = .11), but behavioural expectation and perceived satisfaction were not (f² = .04).

Conclusions: Findings suggest that behavioural expectation and self-regulation are appropriate targets for RT maintenance interventions among at-risk older adults.     

Predictors of Morale in U.S. Peacekeepers1

In this prospective study, we examined pre‐ and postmission predictors of morale in U.S. military peacekeepers deployed to Kosovo. After controlling for demographic and military characteristics, current general life stressors, unit cohesion, and reports of patriotism and nationalism were predictive of predeployment morale. We also found that positive military experiences, general overseas military stressors, and postdeployment unit cohesion were significant predictors of postdeployment morale after controlling for demographic and military characteristics and predeployment morale, cohesion, and patriotism/nationalism. The results suggest the need to broaden our understanding of the factors that may assist and motivate soldiers during demanding peacekeeping operations and the factors that may mitigate the impact of stressful demands and associated mission‐related strain.     

Becoming a vampire without being bitten: the narrative collective-assimilation hypothesis

We propose the narrative collective-assimilation hypothesis--that experiencing a narrative leads one to psychologically become a part of the collective described within the narrative. In a test of this hypothesis, participants read passages from either a book about wizards (from the Harry Potter series) or a book about vampires (from the Twilight series). Both implicit and explicit measures revealed that participants who read about wizards psychologically became wizards, whereas those who read about vampires psychologically became vampires. The results also suggested that narrative collective assimilation is psychologically meaningful and relates to the basic human need for connection. Specifically, the tendency to fulfill belongingness needs through group affiliation moderated the extent to which narrative collective assimilation occurred, and narrative collective assimilation led to increases in life satisfaction and positive mood, two primary outcomes of belonging. The implications for the importance of narratives, the need to belong to groups, and social surrogacy are discussed.     

On some limits of hypothetical thinking

Faced with extreme demands, hypothetical thinking runs the danger of total failure. Paradoxical propositions such as the Liar (“I am lying”) provide an opportunity to test it to its limits, while the Liar's nonparadoxical counterpart, the Truthteller (“I am telling the truth”), provides a useful comparison. Two experiments are reported, one with abstract materials (“If I am a knave then I live in Emerald City”) and one with belief-laden materials (a judge says: “If I am a knave then I enjoy pop music”). In both experiments, conditionals with Truthteller-type antecedents were “collapsed” to responses of conditional probability closely resembling estimates of control items. Liar-type antecedents, in contrast, dramatically weakened belief in conditionals in which they were embedded. The results are discussed in the framework of the theory of hypothetical thinking.     

Moderators of Social Power Use for In‐Group/Out‐Group Targets: An Experimental Paradigm1

Studies of social power use have frequently employed self‐report instruments that are prone to response bias. In the present study, an experimental design was conducted in which 100 participants were asked to gain compliance from in‐group and out‐group members. We tested whether harsh tactics—often used for elevating self‐image at the dyadic level—also provide a means for gaining advantage at the group level. For this purpose, self‐esteem and self‐efficacy were examined as possible moderators. Findings indicated that self‐esteem interacted with target group: Low self‐esteem participants used harsh tactics more frequently toward in‐group than out‐group members; and moderate and high self‐esteem participants used harsh tactics more frequently toward out‐group than in‐group members. The process involved in this interaction is discussed.