Experiences and engagement with the design features and strategies of an internet-delivered treatment programme for generalised anxiety disorder: a service-based evaluation

Background: Outcome research has highlighted the efficacy of internet-based cognitive behavioural therapy (iCBT). Some process research has examined users experiences of iCBT. Understanding the user experience provides valuable feedback to developers of internet-delivered interventions.

Aim: The present study aimed to evaluate user's experiences and engagement with the design features of an internet-delivered treatment programme for anxiety.

Methods: Semi-structured interviews were conducted with 7 participant users of the Space from Anxiety programme. A thematic analysis framework was employed to analyse the data collected.

Results: Identified themes related to participants engagement and adherence with the programme material, participant's experience of personal development through interaction with the programme content and participants experience of the social features employed in the programme. Another theme investigated the various attributes or conditions necessary for internet-delivered therapy to be helpful to an individual.

Conclusion: Considering the experiences of users of online interventions provides insight into what works for whom both in terms of technological features and the various skills and strategies that may compose the treatment intervention. Knowing more about what design features and strategies/components of the intervention are attractive and keep users involved can only enhance the delivery of effective internet-delivered interventions for anxiety disorders.     

Brandom and the Second Person

Brandom is one of the main advocators of the idea that meaning is instituted within basic linguistic practices through mutual exchanges. The aim of this paper is to show that such framework cannot do the required job if the dynamics of mutual exchanges is understood in interpretational terms. After arguing that the interpretational framework does not work, the paper presents an alternative second-personal conversational model capable of meeting the challenge.     

Mindfulness and mind wandering: The protective effects of brief meditation in anxious individuals

Mind wandering can be costly, especially when we are engaged in attentionally demanding tasks. Preliminary studies suggest that mindfulness can be a promising antidote for mind wandering, albeit the evidence is mixed. To better understand the exact impact of mindfulness on mind wandering, we had a sample of highly anxious undergraduate students complete a sustained-attention task during which off-task thoughts including mind wandering were assessed. Participants were randomly assigned to a meditation or control condition, after which the sustained-attention task was repeated. In general, our results indicate that mindfulness training may only have protective effects on mind wandering for anxious individuals. Meditation prevented the increase of mind wandering over time and ameliorated performance disruption during off-task episodes. In addition, we found that the meditation intervention appeared to promote a switch of attentional focus from the internal to present-moment external world, suggesting important implications for treating worrying in anxious populations.     

A PRAGMATIC CRITIQUE OF PLURALISM IN TEXT INTERPRETATION

Abstract: I take a pragmatic approach to what interpreters do when they interpret and argue that critical pluralists have focused almost exclusively on one aspect of interpretation: the fact that it is an event taking place in a historical and cultural milieu that influences the many ways interpreters approach a given text. However, there is also in interpretation a pragmatic aspect: the fact that it is an act performed by individuals who, through the utterance of their statements, implicitly make claims, for example, regarding the truth of their interpretation. In the first part I explain what critical pluralists overlook and the consequences of such oversight. In the second part I indicate how the validity of interpretation can be assessed.     

New interpretative styles: Progress or contamination? Psychoanalysis and phenomenological psychopathology1

Psychoanalysis has started to recoup, often quite implicitly, a more phenomenological stance, ever since psychoanalysts have started working with borderline and psychotic patients. As many of these patients have commonly been through traumatic experiences, psychoanalysts have been using an approach that questions the role of traditional psychoanalytical interpretation and pays more attention to the patient's inner conscious experiences; this approach is characteristic of a specifi c form of contemporary psychiatry: phenomenological psychopathology, founded by Karl Jaspers in 1913 and developed into a form of psychotherapy by Ludwig Binswanger, with his Daseinsanalyse. If what we could call a phenomenological ‘temptation’ has been spreading over psychoanalysis, so too has a psychoanalytical ‘temptation’ always been present in phenomenological psychopathology. In fact, even though this branch of psychiatry has led us towards a deeper understanding of the characteristics of psychotic being‐in‐the‐world, its therapeutic applications have never been adequately formalised, much less have they evolved into a specifi c technique or a structured psychotherapeutic approach. Likewise, phenomenological psychotherapy has always held an anaclitic attitude towards psychoanalysis, accepting its procedures but refusing its theoretical basis because it is too close to that of the objectifying natural sciences. Psychoanalytic ‘temptation’ and phenomenological ‘temptation’ can thus be considered as two sides of the same coin and outline a trend in psychoanalytic and phenomenological literature which points out the fundamental role of the patient's inner conscious experiences in the treatment of borderline and psychotic patients.     

Sensory processing sensitivity and its relation to parental bonding, anxiety, and depression

Sensory processing sensitivity is a recently proposed construct referring to a tendency to process a variety of information more strongly and deeply than others. Although some research has found links between sensory processing sensitivity and psychological difficulties, highly sensitive people may not necessarily be predisposed to negative affect, but may be more sensitive to poor parenting. Two hundred thirteen college students were given a measure of sensory processing sensitivity (the HSPS), the parental bonding scale (measuring parental care and over-protection), the trait anxiety scale, and the Beck depression inventory. Sensory processing sensitivity predicted both anxiety and depression above and beyond parental factors, indicating that it may be an independent risk factor. An interaction was found between sensory processing sensitivity and parental care when measuring depression. Highly sensitive people may be particularly sensitive to uncaring parents. Results indicate that sensory processing sensitivity may be a temperamental disposition that interacts meaningfully with environmental factors.     

How probable is probably? It depends on whom you're talking about

Two studies tested whether people interpreted verbal chance terms in a self‐serving manner. Participants read statements describing the likelihood of events in their own future and in the future of a randomly chosen other. They interpreted the chance terms numerically. Chance terms were interpreted as denoting a higher probability when they were used to describe the likelihood of pleasant events in one's own future than when they were used to describe the likelihood of pleasant events in someone else's future (Study 1). Similarly, chance terms were interpreted as denoting a lower probability when they were used to describe the likelihood of unpleasant events in one's own future than when they were used to describe the likelihood of unpleasant events in someone else's future (Studies 1 and 2). These differences occurred primarily when the risk statements were threatening. Copyright © 2005 John Wiley & Sons, Ltd.     

上海博物馆藏战国楚竹书《周易》研究综述

上海博物馆藏战国楚竹书<周易>具有多重文化学术意义.它的发表,立刻掀起了一股研究热潮.一年来,对它的研究主要集中在文字考释、文本解读、楚竹书<周易>特殊符号以及卦序问题上.其中又以文字考释和特殊符号问题的讨论最多.     

大一新生网络心理问题调查研究

采用自编网络心理问卷研究了669名大一新生在情绪反应、动机冲突、现实疏离、躯体症状四个维度上的性别、家庭来源、家庭气氛、父母教养方式上的差异。结果表明．大一新生网络使用的负性心理总体上不严重;在情绪反应和现实疏离上存在极其显著的家庭气氛主效应;在动机冲突和躯体症状上存在极显著的家庭气氛与父母教养方式交互作用。     

Riddles in serial murder: A synthesis

This article blends the conclusions of four former law enforcement personnel who have investigated and apprehended serial killers, with pertinent principles derived primarily from the field of psychoanalysis. The four—John Douglas, Roy Hazelwood, Robert Keppel, and Robert Ressler—have written extensively about their investigations of serial killers. In their writings, they have answered many questions about the personality development of serial killers while leaving other questions only partially answered. This article expands the answers to three fundamental questions: What is the origin of the dynamics of serial killing? Why is the aggressive drive so singularly powerful and persistent in serial killers? Why is it that serial killers often reveal their identities to the police? In answering these three riddles, the contributions of four emotional pillars in the personality of killers are emphasized. The pillars include emotional hunger, anxiety and aggression, eroticism, and conscience structure. At times, these pillars merge and drive murderous behavior but the pillars lack the integration needed for healthy personality development. This synthesis offers a fuller understanding of the psychodynamics involved in serial killings.