Manualizing psychotherapy: Aaron T. Beck and the origins of Cognitive Therapy of Depression

Abstract

This paper examines the origins of psychiatrist Aaron T. Beck’s 1979 Cognitive Therapy of Depression (CTOD). CTOD was the first psychotherapy manual designed to be used in a randomized controlled trial (RCT). Making psychotherapy amenable to the RCT design had been a ‘holy grail’ for leading American psychotherapy researchers since the late 1960s. Beck’s CTOD – which standardized his treatment so it could be compared with drug treatments in a clinical trial – delivered that holy grail, and ushered in the manualized treatment revolution. Manuals are now a sine qua non in psychotherapy research. In this paper, I explore some of the personal, political, and economic variables that made the idea of a manual irresistible to Beck and to those who first championed him.     

Children prenatally exposed to maternal anxiety devote more attentional resources to neutral pictures

Maternal anxiety during pregnancy can negatively affect fetal neurodevelopment, predisposing the offspring to a higher risk of behavioral and emotional problems later in life. The current study investigates the association between maternal anxiety during pregnancy and child affective picture processing using event‐related brain potentials (ERPs). Mothers reported anxiety during the second trimester using the anxiety subscale of the Symptom Checklist (SCL‐90). At age 4 years, child affective picture processing (N = 86) was measured by recording ERPs during viewing of neutral, pleasant, and unpleasant pictures selected from the International Affective Pictures System. The late positive potential (LPP)—an ERP component reflecting individual differences in affective processing—was used as child outcome. The expected positive association between maternal anxiety and LPP amplitude for unpleasant pictures was not found. Nevertheless, we found a positive association between maternal anxiety during pregnancy and LPP amplitudes for neutral pictures in the middle and late time window at anterior locations (all p < .05). These associations remained significant after adjusting for maternal postnatal anxiety and gestational age at birth and after FDR correction for multiple comparisons. Our study provides neurophysiological evidence that children prenatally exposed to higher maternal anxiety devote more attentional resources to neutral pictures, but not to unpleasant pictures. Possibly, these children show enhanced vigilance for threat when viewing neutral pictures. Although useful in dangerous environments, this enhanced vigilance may predispose children prenatally exposed to higher maternal anxiety to developing behavioral and/or emotional problems later in life. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=kEzYi6IS2HA     

Memory Acts: A Theory for the Study of Collective Memory in Everyday Life

History abounds in everyday life: It is in the discourse of the politician who makes a patriotic use of World War II, in the epic movie of medieval inspiration, in the latest museum opening in town, or in the magnet on your fridge that makes a humoristic use of advertisement posters from the 1950s. What tools can help us understand how history is used in these contexts, and with what purposes? And, more importantly perhaps, how to understand the effects these uses have on us? To answer these questions, this article proposes a framework to study the uses of collective memory in everyday life. After a short review of the history of collective memory, the concept of memory act is outlined, based on three theoretical traditions: James's pragmatism, Austin's speech acts, and Mead's social acts. They are used to argue that everyday uses of collective memory are better understood as intersubjective and discursive acts that are part of larger activities. Finally, some of the consequences of this theory are discussed.     

Positive Experiences at Work and Daily Recovery: Effects on Couple’s Well-Being

The present diary study investigates, at the within-person level, how job satisfaction mediates the relationship between self-rated job performance and recovery experiences (i.e., psychological detachment from work and relaxation) during off-job time. Furthermore, we explore the effects of these two recovery experiences on couple´s well-being. Data were collected from 145 dual-earner couples (N = 290 participants; N = 1450 occasions) with a daily diary design (five consecutive working days). Multilevel analyses showed that daily job performance positively predicted psychological detachment and relaxation, and that daily job satisfaction partially mediated this relationship. In addition, we found that psychological detachment and relaxation have positive effects on own and partner´s indicators of well-being (i.e., relationship satisfaction and positive emotions). The benefits of recovery go beyond the individual and affect their partner´s level of well-being.     

Parasitic egg rejection decisions of chalk-browed mockingbirds <Emphasis Type="Italic">Mimus saturninus</Emphasis> are independent of clutch composition

Obligate avian brood parasites lay their eggs in nests of other host species, which assume all the costs of parental care for the foreign eggs and chicks. The most common defensive response to parasitism is the rejection of foreign eggs by hosts. Different cognitive mechanisms and decision-making rules may guide both egg recognition and rejection behaviors. Classical optimization models generally assume that decisions are based on the absolute properties of the options (i.e., absolute valuation). Increasing evidence shows instead that hosts’ rejection decisions also depend on the context in which options are presented (i.e., context-dependent valuation). Here we study whether the chalk-browed mockingbird’s (Mimus saturninus) rejection of parasitic shiny cowbird (Molothrus bonariensis) eggs is a fixed behavior or varies with the context of the clutch. We tested three possible context-dependent mechanisms: (1) range effect, (2) habituation to variation, and (3) sensitization to variation. We found that mockingbird rejection of parasitic eggs does not change according to the characteristics of the other eggs in the nest. Thus, rejection decisions may exclusively depend on the objective characteristics of the eggs, meaning that the threshold of acceptance or rejection of a foreign egg is context-independent in this system.     

Social Comparison as the Thief of Joy: Emotional Consequences of Viewing Strangers’ Instagram Posts

This experiment investigates the emotional consequences of viewing strangers’ positive posts on Instagram. From a social comparison perspective, strangers’ positive posts on social media are expected to negatively affect viewers’ emotions. From an emotional contagion perspective, strangers’ positive posts should positively affect viewers’ emotions. The current lab experiment examines both the social comparison and the emotional contagion perspective while taking individual differences into account. Participants viewed positive, neutral, or no posts of confederates. In support of the social comparison perspective, individuals who tend to compare themselves to others reported lower positive affect if they had viewed positive posts than if they had viewed neutral or no posts. In support of the emotional contagion perspective, individuals who tend not to engage in social comparison reported higher positive affect after viewing positive posts than after viewing neutral or no posts. These findings indicate that individual differences in processing tendencies lead people to respond to social information on social media in opposite ways.     

Screening for intellectual disability in Dutch police suspects

The screener for mild intellectual disability (SCIL) was developed to screen for mild intellectual disability (IQ below 85). The aims of this study were (a) to examine the predictive validity of the SCIL in screening for intellectual disability among police suspects and (b) to explore the prevalence of cognitive intellectual disability among suspects in police custody in the Netherlands. An unselected sample of police suspects (N = 178) charged with a variety of offences was assessed with the SCIL, a Wechsler Adult Intelligence Scale (WAIS)‐III‐NL short form, and a malingering measure. The SCIL screened 50.0% of the sample as having mild intellectual disabilities, whereas the short WAIS classified 84.3% of the sample with an IQ below 85. A principal component analysis of the SCIL showed ambiguous results. Furthermore, the short WAIS classified 55.6% of our sample with a borderline IQ (IQ = 70–84), 84.3% with an IQ below 85 and 28.7% with an IQ below 70. The prevalence of intellectual disability in this sample of Dutch (police) suspects appears to be higher than prevalence rates found in previous international studies. More exhaustive research is needed to examine the prevalence of intellectual disabilities in police suspects, and the utility of the SCIL to screen for these disabilities.     

Academic Misconduct in Nigerian Medical Schools-A Report from Focus Group Discussions among House Officers

Concern is growing as research continues to find evidence of academic misconduct among medical students. There is, however, paucity of information on this issue among medical students and medical graduates in Africa. We determined the perceptions and attitude of house officers on academic misconduct within Nigerian medical schools. We conducted 7 focus group discussions (FGDs) among pre-registration house-officers (PRHOs) working in a Nigerian Teaching hospital between October and November 2013. A FGD guide containing 7 broad questions related to their perception and attitude on academic misconduct was employed. Ethnographic content analysis and manual coding were adopted in identifying themes, issues and representative quotations. A total of 58 participants out of an eligible pool of 76 PRHOs were recruited. All the groups associated academic misconduct chiefly with cheating in examinations, and perceived it as a commonplace problem. “It is a part of school life”, admitted one PRHO. Copying during exam appeared to be the commonest form of cheating. Another respondent opined that “The lecturers should be more concerned with helping students understand better. They should not make passing an exam a do-or-die affair.” The perception and attitudes towards academic misconduct may be a reflection of the prevailing moral decline in the contemporary Nigerian society. Underlying the reasons adduced by the participants for getting involved in academic misconduct is the fear of failure in examinations. Apart from consolidating formal and informal medical ethics education, the medical schools should ensure that the opportunities and pressures to indulge in academic misconduct are minimized.     

Do Pantheistic,Theistic, and Deistic Views of God Moderate the Relationship Between Financial Strain and Physical Health Status?

The purpose of this study is to see if a pantheistic view of God (i.e., God is all around us in nature), a theistic view of God (i.e., God is the creator of the universe who protects us), and a deistic view of God (i.e., God created the universe and then left people to fend for themselves) moderate the relationship between chronic financial strain and three measures of health (self-rated health, the number of chronic conditions, and functional disability). The data come from a recent nationwide survey of adults of all ages (N = 2,768). The findings suggest that neither pantheistic nor theistic views of God offset the effects of financial strain on any of the health outcomes. In contrast, the data further reveal that the relationship between ongoing economic difficulties and all three health outcomes is more pronounced for study participants who have a deistic view of God.