The role of avoidance of emotional material in the anxiety disorders

Many psychotherapeutic traditions have conceptualized clinical levels of anxiety as resulting from the avoidance of threatening or emotional material. In this paper, we examine behavioral models of avoidance of emotions and emotional material, integrating findings that support established behavioral theories of emotional avoidance and anxiety, and that extend these theories to further explain the intense, intrusive, and interfering nature of clinical anxiety. Research on the suppression and avoidance of emotional material suggests that emotional avoidance and thought suppression may not only hinder the learning process and maintain anxious responding, but may also (a) paradoxically heighten anxious responding to threatening cues and (b) interfere with emotion functionality, thereby further impeding adaptive responding. Findings are discussed in terms of future research and implications for clinical treatment of anxiety disorders.     

Psychological experiences of renal transplant patients: A qualitative analysis

Introduction: Organ‐sourcing developments now permit increasing numbers of renal transplants. Recipients commonly experience negative affect pre‐ and/or post‐transplant yet research on patient experience is lacking. Aims: This study aims to develop theory based on the lived experience of recipients, and to guide psychological and support interventions by counsellors and professional carers for the benefit of patients. Methods: A sample of eight participants was interviewed about their transplant experiences. The interview data were analysed using grounded theory methodology. Uniquely the research was conducted by a renal transplant patient, which potentially adds interpretive insight. Results: The central finding is that the issues facing transplant patients before and after transplant may be summarised as living with paradox and conflict. Thus, recipients may need to juxtapose anger/sadness about losses with an adaptive attitude to making the most of a second chance at life, and negotiate a positive relationship with an ‘alien’ organ. Conclusions/implications: The study offers evidence‐based guidance to counsellors supporting recipients to adjust to a changing sense of self, and to form adaptive relationships with self, others and the new kidney. Finally the research recommends action on improving awareness of and access to counselling and other supports for renal transplantees, and the need for in‐depth experiential research in this expanding area.     

Individual differences in coping with criticism of one's physical appearance among Taiwanese students

When someone is criticized for some failure or deficiency, he or she is faced with a dilemma about whether or how to respond. To date, most research on responses to criticism has adopted a communication approach and has focused on general social complaints. The present study instead adopted the perspective of stress and coping and aimed to delineate possible responses to criticism pertaining to one's physical appearance. We investigated the efficacy of three coping styles, namely acceptance, avoidance, and retaliation in explaining emotional reactions towards such criticism, and we additionally controlled for personality characteristics, in particular assertion and harmony beliefs. A sample of Taiwanese university students (N = 300) was surveyed for their coping styles and psychological outcomes, and personality traits were examined as possible predictors of response options. We found that (1) acceptance, retaliation, and avoidance were three broad coping styles in this problematic social situation; (2) the individual trait of assertion was negatively related to the use of avoidance, while harmony beliefs were positively related to acceptance and avoidance, but negatively related to retaliation; and (3) the use of acceptance and avoidance were positively related to positive emotions, whereas retaliation was positively related to negative emotions. Males tended to use more acceptance. Implications of these findings were discussed in relation to existing studies of communication, stress and coping. Possible influences of the Chinese collectivist culture on people's responses to criticism were also delineated, such as valuing interpersonal harmony and face-work in social situations.     

The semantic red effect: Processing the word red undermines intellectual performance

Recent research has shown that a two second glimpse of color can have an important influence on affect, cognition, and behavior. The present research examined whether perceiving color is necessary to produce an effect on psychological functioning or whether the mere act of processing a color word might be sufficient. Specifically, four experiments tested the hypothesis that processing the word red undermines intellectual performance, much like actually perceiving the color red. Supportive data were obtained with three different types of subtle manipulation, with three different types of control words, and on two different types of IQ test performance. Worry, but not mood or general arousal, was shown to mediate the semantic red effect, which appears to take place outside of individuals’ awareness. The theoretical and practical implications of the results are discussed.     

Transfer of avoidance responding to a sensory preconditioned cue: Evidence for the role of S-S and R-S knowledge in avoidance learning

In avoidance learning studies, a warning signal (Sd) is directly paired with an aversive unconditioned stimulus (US) unless a particular response is performed. Research by Augustson and Dougher (1997) demonstrated that not only warning signals but also stimuli that are indirectly paired with the aversive event are capable of affecting the avoidance response. In the present study, we extended these results by incorporating a sensory preconditioning paradigm in an avoidance learning procedure. Sensory preconditioning training influenced the selection of avoidance responses in the presence of warning signals that were never paired directly with the aversive events. Moreover, results suggest that the selection of the avoidance responses was based on an integration of knowledge about the relation between the Sd and the US (S-S knowledge) and knowledge about the relation between the avoidance response and the US (R-S knowledge). As the expectancy-based theory of Lovibond (2006) is the only theory of avoidance that incorporates both knowledge structures, the results provide unique support for this theory.     

Social anxiety in body dysmorphic disorder

Although clinical impressions suggest that patients with body dysmorphic disorder (BDD) experience distress in social situations, social anxiety in BDD has received little investigation. This study examined social anxiety in 81 patients with BDD and change in social anxiety with pharmacotherapy. Subjects completed the Social Avoidance and Distress Scale (SADS) and were assessed with measures of BDD symptomatology. Participants in a placebo-controlled fluoxetine trial completed measures at baseline and endpoint. The mean SADS score was 1.3 SD units higher than nonclinical sample means but consistent with other clinical sample means. Social anxiety was significantly correlated with BDD severity. Greater depressive symptoms as well as comorbid avoidant personality disorder, but not comorbid social phobia, were also associated with higher SADS scores. Social anxiety did not improve more with fluoxetine than placebo, yet it improved significantly more in fluoxetine responders than in nonresponders. Understanding social anxiety in BDD has implications for reducing rates of misdiagnosis and treatment dropout.     

Crowd reception influences avoidance behavior during football penalty-kicks,but you wouldn’t know it: A retrospective analysis of professional games

For most soccer players, penalty-kicks are unpleasantly valenced, but the extent to which intensity of emotions affects their decision-making is unclear. We hypothesized that a hostile crowd raises emotional intensity more than a supportive crowd during penalty-kicks, which causes players to make avoidance based decisions more often in the presence of a hostile crowd. We sourced video footage of penalty-kicks during professional games between 2000 and 2005 (N = 91), during which the goalkeeper was marginally off-center (1.6%–3.0%) or obviously off-center (>3.0%). Taking the easiest option is a marker of avoidance behavior, so we analysed the proportion of penalty-kicks directed towards the larger side of the goal. Players kicked towards the larger side more often in front of a hostile crowd than a supportive crowd, but only when the goalkeeper was marginally off-center. The findings suggest that in the high-pressure environment of penalty-kicks, emotional intensity moderates the decisions that kickers make, without their awareness.     

If only I had taken my usual route… : Age-related differences in counter-factual thinking

ABSTRACT

Previous research suggests that young adults can shift between rational and experiential modes of thinking when forming social judgments. The present study examines whether older adults demonstrate this flexibility in thinking. Young and older adults completed an If-only task adapted from Epstein, Lipson, and Huh's (1992 Epstein, S., Lipson, A. and Huh, E. 1992. Irrational reactions to negative outcomes: Evidence for two conceptual systems. Journal of Personality and Social Psychology, 62: 328–339. doi:10.1037/0022-3514.62.2.328[Crossref], [PubMed], [Web of Science ®] , [Google Scholar], Journal of Personality and Social Psychology, 62, 328) examination of individuals' ability to adopt rational or experiential modes of thought while making a judgment about characters who experience a negative event that could have been avoided. Consistent with our expectations for their judgments of the characters, young adults shifted between experiential and rational modes of thought when instructed to do so. Conversely, regardless of the mode of thought being used or the order with which they adopted the different modes of thought (i.e., shifting from experiential to rational in Study 1 and from rational to experiential in Study 2), older adults consistently offered judgments and justifications that reflected a preference for experiential-based thought.     

Working Experientially and Somatically with Couples

SUMMARY

Working experientially and somatically with couples is a powerful method of accessing, exploring, and transforming both intra-psychic issues and interactional patterns. In this article, a number of methods of working experientially will be described, along with their underlying rationale. Basic assumptions about the nature of couple's difficulties and the role of the therapist also will be explored along with an integrated approach to assessment that provides a solid basis for these dramatic interventions.     

All eyes on me?! Social anxiety and self-directed perception of eye gaze

To date, only little is known about the self-directed perception and processing of subtle gaze cues in social anxiety that might however contribute to excessive feelings of being looked at by others. Using a web-based approach, participants (n=174) were asked whether or not briefly (300 ms) presented facial expressions modulated in gaze direction (0°, 2°, 4°, 6°, 8°) and valence (angry, fearful, happy, neutral) were directed at them. The results demonstrate a positive, linear relationship between self-reported social anxiety and stronger self-directed perception of others' gaze directions, particularly for negative (angry, fearful) and neutral expressions. Furthermore, faster responding was found for gaze more clearly directed at socially anxious individuals (0°, 2°, and 4°) suggesting a tendency to avoid direct gaze. In sum, the results illustrate an altered self-directed perception of subtle gaze cues. The possibly amplifying effects of social stress on biased self-directed perception of eye gaze are discussed.