Cultural variation in psychopathology: From research to practice

In the context of a Professional Doctorate in Psychoanalytic Research, we examined how a group of psychoanalytic therapists responded to the ethos and methods of qualitative research. Although experienced therapy practitioners, the students were mostly new to qualitative research. We were interested in the extent to which students found psychoanalytic training and qualitative research compatible or in conflict. The data for the study was a focus group in which students discussed the experience of becoming researchers. The focus group was recorded, transcribed and analysed using Discursive Psychology but also informed by psychoanalytic analysis, in an iterative process including the participants. We concentrate here on some of the main discourses emerging, including intrinsic and extrinsic motivations for the course – bound up with life stage, sense of previous unfulfilled aspirations and the current challenges of working in UK mental health services. We also focus on tensions with the concept of developing a researcher identity, both concerning clinician identities and other roles. The sense of an uncomfortable ‘assimilation’ into a ‘foreign territory’ was explored, both in the focus group and the analysis. We use this to highlight some of the expectations and taboos of both psychoanalytic and research communities.     

Storymaking: In-between anthropological enquiry and Transactional Analysis Psychotherapy

The author discusses the relationship between anthropological enquiry and Transactional Analysis (TA) counselling and psychotherapy practice. Both disciplines of anthropology and TA offer an exploration of the individual's story. The concept of in-between-ness can add an extra dimension to working with clients in acknowledging the place of the client's story and the psychotherapist's role in witnessing as a way of making meaning of the whole. Ethnographical extracts are examined to illuminate how the application of anthropological insights and concepts can enhance TA psychotherapy practice.     

Event-related potentials as brain correlates of item specific proportion congruent effects

The item-specific proportion congruency (ISPC) effect is consistent with the idea that control processes can be applied rapidly in accord with previously experienced conflict for a particular category. An alternative account of this effect is that it reflects item-specific learning processes unrelated to control at the level of the category. The accounts predict the same behaviour but differ in terms of electrophysiological predictions. Two experiments examined the ISPC effect with a particular focus on neural correlates that might reveal whether, and how early in processing, high and low proportion congruent items are treated as distinct classes of stimuli. For both tasks, the proportion congruency category was distinguished prior to the congruence of the specific stimulus, as early as 100 ms post-stimulus onset for the global/local identification task (Experiment 1) and 150 ms for the Stroop task (Experiment 2). The results support an on-line control account of ISPC effects.     

The State-Trait Depression Scales: An International Comparison

Equivalent English and German versions of the State-Trait Depression Scales (STDS) were developed and presented to samples of American and German students who were comparable with regard to gender and age. Factorial structure and equivalence of the two versions were determined by confirmatory factor analyses (CFA). The CFAs included multiple group analyses which were employed to compare factor patterns, loadings, factor variances and covariances across the two samples. In addition, statistical and psychometric properties of the items and scales were determined and mean differences between nationalities and genders on these scales were tested. In order to obtain information about the external validity, relationships between the STDS and tests which already exist in English and German (several depression scales as well as the State-Trait Personality Inventory, the State-Trait Anger Expression Inventory, and the Mainz Coping Inventory) were analysed.     

A Critical Methodological Review of Discourse and Conversation Analysis Studies of Family Therapy

Discourse (DA) and conversation (CA) analysis, two qualitative research methods, have been recently suggested as potentially promising for the study of family therapy due to common epistemological adherences and their potential for an in situ study of therapeutic dialog. However, to date, there is no systematic methodological review of the few existing DA and CA studies of family therapy. This study aims at addressing this lack by critically reviewing published DA and CA studies of family therapy on methodological grounds. Twenty‐eight articles in total are reviewed in relation to certain methodological axes identified in the relevant literature. These include choice of method, framing of research question(s), data/sampling, type of analysis, epistemological perspective, content/type of knowledge claims, and attendance to criteria for good quality practice. It is argued that the reviewed studies show “glimpses” of the methods’ potential for family therapy research despite the identification of certain “shortcomings” regarding their methodological rigor. These include unclearly framed research questions and the predominance of case study designs. They also include inconsistencies between choice of method, stated or unstated epistemological orientations and knowledge claims, and limited attendance to criteria for good quality practice. In conclusion, it is argued that DA and CA can add to the existing quantitative and qualitative methods for family therapy research. They can both offer unique ways for a detailed study of the actual therapeutic dialog, provided that future attempts strive for a methodologically rigorous practice and against their uncritical deployment.     

The fear of the body in psychotherapy

This paper identifies the fear of attending to and engaging with the patient's body and the therapist's body, regardless of therapeutic orientation, as a topic rarely explored in books and articles but pervasively experienced because of the cultural norms brought to the consulting room. It explores how we might name the constituent parts of this fear and describes how they inter-link. A case study then exemplifies learning about and transforming such fear in both patient and therapist. Finally, the paper offers suggestions of how therapists might increase their awareness and turn this fear into a tool which extends their range of skills.     

Moral judgments and the role of social harm: Differences in automatic versus controlled processing

The social intuitionist model has served as an important corrective to the earlier dominance of rational deliberation in moral psychology. Yet the relationship between intuition and deliberation in moral judgments remains largely unexplored. Three studies were conducted to explore the role of automatic and controlled processes in moral judgments. Results suggest that controlled processing is attuned to instances of social harm. Immoral acts (i.e., cases of serious academic dishonesty) that involved diffuse harm in the form of flouting societal rules did not result in increased moral censure under deliberation. In contrast, similar dishonest acts that involved direct social harm to others resulted in harsher, more punitive moral judgments under deliberation, providing evidence of augmentation of automatic responses under controlled processing. The results suggest that the intuitionist sensitivity to direct physical harm has parallels in the controlled processing system, which seems sensitive to non-physical instances of social harm, such as over-benefiting the self at the expense of deserving others.     

Psychometric analysis of the Empathy Quotient (EQ)

This study assessed the dimensionality of the Empathy Quotient (EQ) using two statistical approaches: Rasch and Confirmatory Factor Analysis (CFA). Participants included N = 658 with an autism spectrum condition diagnosis (ASC), N = 1375 family members of this group, and N = 3344 typical controls. Data were applied to the Rasch model (Rating Scale) using WINSTEPS. The Rasch model explained 83% of the variance. Reliability estimates were greater than .90. Analysis of differential item functioning (DIF) demonstrated item invariance between the sexes. Principal Components Analysis (PCA) of the residual factor showed separation into Agree and Disagree response subgroups. CFA suggested that 26-item model with response factors had the best fit statistics (RMSEA.05, CFI .93). A shorter 15-item three-factor model had an omega (ω) of .779, suggesting a hierarchical factor of empathy underlies these sub-factors. The EQ is an appropriate measure of the construct of empathy and can be measured along a single dimension.     

Modality differences in timing and temporal memory throughout the lifespan

The perception of time is heavily influenced by attention and memory, both of which change over the lifespan. In the current study, children (8 yrs), young adults (18–25 yrs), and older adults (60–75 yrs) were tested on a duration bisection procedure using 3 and 6-s auditory and visual signals as anchor durations. During test, participants were exposed to a range of intermediate durations, and the task was to indicate whether test durations were closer to the “short” or “long” anchor. All groups reproduced the classic finding that “sounds are judged longer than lights”. This effect was greater for older adults and children than for young adults, but for different reasons. Replicating previous results, older adults made similar auditory judgments as young adults, but underestimated the duration of visual test stimuli. Children showed the opposite pattern, with similar visual judgments as young adults but overestimation of auditory stimuli. Psychometric functions were analyzed using the Sample Known Exactly-Mixed Memory quantitative model of the Scalar Timing Theory of interval timing. Results indicate that children show an auditory-specific deficit in reference memory for the anchors, rather than a general bias to overestimate time and that aged adults show an exaggerated tendency to judge visual stimuli as “short” due to a reduction in the availability of controlled attention.     

New Sexism in Couple Therapy: A Discursive Analysis

The persistence of gender inequality in postindustrial societies is puzzling in light of a plethora of changes that destabilize it, including shifts in economy, legislation, and the proliferation of feminist politics. In family relations, such persistence manifests as a disconnect between couples aspiring to be more egalitarian yet continuing to enact traditional gender roles and hierarchies. There is an emerging consensus that gender inequality persists because of people's continued reliance on sexist ideology or gendered assumptions that constitute women as innately distinct from and inferior to men. Sexist ideology changes its form to accommodate to changing socio‐economic conditions. Contemporary forms of sexism are old ways of legitimizing male power articulated in new and creative ways, often by incorporating feminist arguments. To effectively recognize and address “new sexism,” scholars and practitioners require new, innovative research frameworks. Our objective in writing this article is two‐fold. First, we seek to advance discursive (i.e., focused on language in use) approaches to the study of sexism. Second, we present the results of a discursive analysis of “new” sexist discourse in the context of couple therapy. The study provides preliminary evidence that, despite endorsing egalitarian norms, couples studied continue to rely on gender binaries and remain entrenched in old‐fashioned patterns of gender inequality. Implications of these results for the practice of couple therapy and for future research are discussed.