The making of an abuser

This paper investigates how it is that a child has become an abuser, and by what means that process may be deconstructed. We know that abusers generally have a childhood history of abuse, though not necessarily sexual. Since not all children who have been traumatised repeat those patterns, and inflict abuse on others, then something must have happened for these particular children in response to their abuse. The author elaborates the view that there is no such thing, to paraphrase Winnicott, as ‘an abused child’ – no such child, that is, separate from the world of the relationships that formed him. He draws on the conceptualisation by Bentovim of an interlocking set of roles described as a ‘trauma organised system’; this notion reflects the fact that the child is a product not just of his specifically traumatic experiences but of a milieu in which power and control is exerted by someone who has typically succeeded in neutralising any caring function in a family in order to bring about the exploitation of a child. Clinical material is presented from the intensive psychotherapy of a nine-year-old boy, who happened also to be a refugee, for whom abusive family dynamics dominated his internal world. He was found to have identified with the abuser, his own father, in order to escape the pain of his victim self and was threatening to act this out in the treatment, making the therapist into a victim. Management of the treatment setting by the inclusion of a benign parental figure enabled the acting out to be contained. Symbolisation of the child’s inner conflicts became possible through play. As the abuser self was contained so the child’s victim experiences could be processed. The conclusion is drawn that engaging therapeutically with the residues of trauma from the beginning of treatment is essential in working with young people who have abused.     

The role of ordinary conversation and shared activity in the main effect between perceived support and affect

People with high perceived support have better mental health, but how this occurs is not well understood. We tested hypotheses from relational regulation theory that the main effect between perceived support and affect primarily reflects ordinary conversation and shared activity. In two studies (n = 193; n = 149), students rated three important network members and psychological reactions to each. In a third study (n = 72) strangers shared an activity in a round‐robin design. Affect was strongly determined by with who participants were interacting or thinking about. Perceived support, ordinary conversation, and shared activity were strongly linked, and each was related to high positive affect, low negative affect, perceived similarity, and few negative thoughts. Perceived support's link to affect emerged when strangers shared a brief activity. Thus, much of perceived support's main effect with affect could be explained as resulting from ordinary conversation and shared activity.     

The shapes associated with approach/avoidance words

People prefer curved and symmetrical shapes to their angular and asymmetrical counterparts. While it is known that stimulus valence is central to approach and avoidance motivation, the exact nature of the relationship between curvature/symmetry and approach/avoidance motivation still needs to be clarified. Experiment 1 was designed to investigate whether simple shapes are associated with approach and avoidance words. Participants found it easier to match more symmetrical shapes with approach words. In Experiment 2, symmetry was differentially associated with approach words and was rated significantly higher on the approach dimension than asymmetry. Next, we assessed whether object valence and object curvature (Experiment 3) or symmetry (Experiment 4) would lead to different associations to approach and avoidance words. Only object valence had a significant influence on participants’ ratings, with the positively-valenced objects being more closely associated with approach words than their negatively-valenced counterparts. These results highlight the complex relation between visual properties of objects, their valence, and appetitive and aversive categories.     

Personality and Everyday Functioning in Older Adults With and Without HIV

Journal of Clinical Psychology in Medical Settings - In a cross-sectional multi-method study of older adults living with and without HIV (n?=?202; 69.8% HIV seropositive), we tested...     

Language, perception, and the schematic representation of spatial relations

Schemas are abstract nonverbal representations that parsimoniously depict spatial relations. Despite their ubiquitous use in maps and diagrams, little is known about their neural instantiation. We sought to determine the extent to which schematic representations are neurally distinguished from language on the one hand, and from rich perceptual representations on the other. In patients with either left hemisphere damage or right hemisphere damage, a battery of matching tasks depicting categorical spatial relations was used to probe for the comprehension of basic spatial concepts across distinct representational formats (words, pictures, and schemas). Left hemisphere patients underperformed right hemisphere patients across all tasks. However, focused residual analyses using voxel-based lesion-symptom mapping (VLSM) suggest that (1) left hemisphere deficits in the representation of categorical spatial relations are difficult to distinguish from deficits in naming these relations and (2) the right hemisphere plays a special role in extracting schematic representations from richly textured pictures.     

Acceptance-Enhanced Behavior Therapy for Trichotillomania in Adolescents

Although several studies have examined the efficacy of Acceptance Enhanced Behavior Therapy (AEBT) for the treatment of trichotillomania (TTM) in adults, data are limited with respect to the treatment of adolescents. Our case series illustrates the use of AEBT for TTM in the treatment of two adolescents. The AEBT protocol (Woods & Twohig, 2008) is a structured treatment manual that was adapted to the individual clients’ needs and clinical progress. Both clients reported clinically significant gains in treatment as determined by at least 2 weeks of abstinence from pulling, and subjective reports of decreased distress and impairment, although one required a booster session due to relapse. AEBT is worth further exploration as a treatment for adolescents with TTM.     

Parent-Youth Rating Concordance for Hair Pulling Variables,Functional Impairment,and Anxiety Scale Scores in Trichotillomania

ABSTRACT

Knowledge of cross-informant rating concordance is critical for the assessment of child and adolescent problems in clinical and research settings. We explored parent-youth rating concordance for hair pulling variables, functional impairment, and anxiety symptoms in a sample of child and adolescent hair pullers (n = 133) satisfying conservative diagnostic criteria for trichotillomania (TTM). Whole group analyses reveal significant parent-youth agreement on all study variables. Split group analyses, however, reveal superior parent-youth concordance for the adolescent (15–17 years old) versus younger (10–12 years old) hair pullers for awareness of hair pulling and anxiety scale scores. These results highlight the need for both parent and youth ratings when assessing younger children with TTM.     

Attachment Mediates the Childhood Maltreatment–Daily Hassles Link in Low-Income,Suicidal African American Women

This study examined if attachment patterns mediated the link between childhood maltreatment and total daily and interpersonally oriented life hassles in 135 low-income, inner-city, suicidal African American women. Participants completed self-report measures of childhood maltreatment, attachment styles, and daily life hassles dimensions. Bootstrapping analyses revealed that (a) negative views of self mediated the relationship between childhood maltreatment and social and cultural difficulties and social acceptability; and (b) negative views of other mediated the relationship between childhood maltreatment and total daily life hassles, social victimization, and social and cultural difficulties. These findings can inform interventions for suicidal African American women with a history of childhood maltreatment and subsequent maladaptive attachment styles.     

Managing diversity in organizations: An integrative model and agenda for future research

The literature on policies, procedures, and practices of diversity management in organizations is currently fragmented and often contradictory in highlighting what is effective diversity management, and which organizational and societal factors facilitate or hinder its implementation. In order to provide a comprehensive and cohesive view of diversity management in organizations, we develop a multilevel model informed by the social identity approach that explains, on the basis of a work motivation logic, the processes by, and the conditions under which employee dissimilarity within diverse work groups is related to innovation, effectiveness, and well-being. Building on this new model, we then identify those work group factors (e.g., climate for inclusion and supervisory leadership), organizational factors (e.g., diversity management policies and procedures, and top management's diversity beliefs), and societal factors (e.g., legislation, socioeconomic situation, and culture) that are likely to contribute to the effective management of diversity in organizations. In our discussion of the theoretical implications of the proposed model, we offer a set of propositions to serve as a guide for future research. We conclude with a discussion of possible limitations of the model and practical implications for managing diversity in organizations.     

Cognitive Neurorehabilitation of HIV-associated Neurocognitive Disorders: A Qualitative Review and Call to Action

Despite significant advances in the virologic management of HIV infection over the last two decades, effective treatments for HIV-associated neurocognitive disorders (HAND) remain elusive. While pharmacological interventions have yielded some success in improving neurocognitive outcomes in HIV, there is a dearth of rigorous studies examining the efficacy of cognitive rehabilitation for remediating HIV-associated neurocognitive impairment. This qualitative review summarizes and critiques the emerging literature on cognitive and behavioral treatments for HAND, which provides many reasons for optimism, but also has major limitations that underscore the scope of the work that lies ahead. Considering the notable real-world consequences of HAND, the development, validation, and clinical deployment of cognitive neurorehabilitation interventions tailored to the needs of persons living with HIV infection is a priority for clinical neuroAIDS investigators. In describing potential future directions for this endeavor, particular attention was paid to the application of cognitive neuropsychological principles in developing theory-driven approaches to managing HAND, improving everyday functioning, and enhancing HIV health outcomes.