The social dynamics involved in recovery and return to sport following a sport-related concussion: A study of three athlete-teammate-coach triads

An athlete's connection to their team and team members is an important part of their sport experience. However, researchers currently know little about the nature of these social dynamics with respect to concussed athletes. Our study explored athletes' recovery and reintegration into the team environment following a sport-related concussion. We conducted semi-structured interviews with each member of three athlete-teammate-coach triads (N = 9). We analysed the data using thematic narrative analysis and present the results as three stories that focused on each athlete's experience. For Cassie, we found two major plot points in her story: the transition in her role (and shift in identity) from athlete to student assistant coach/team manager and, once recovered, back to an athlete on the team. For Jess, we found that the main plot in her story was “pressure”. Specifically, the interplay between internal (placed on herself) and external (perceived from teammates and coaches) pressures to return to sport. In the third and final story, the main plot point was the tensions that arose from Jaden's preferences for social support and the type of support that his teammates and coaches believed he needed during his recovery. Our results highlight the interplay between athlete's personal and social identities, feelings of pressure to return and readiness, and the challenges of providing the right amount and type of social support. This research contributes to our limited understanding of the social dynamics involved in athletes' return to sport following a concussion.     

EDITORIAL Building bridges with mixed methods research?

Mixed methods refers to the use of both qualitative and quantitative approaches and methods in one study or sequentially in two or more studies. Without a mixed methods approach there is – to our minds ‐ a risk that only part of a phenomenon or experience is being explored. Our own involvement in mixed methods research has grown out of a shared interest in the concept ‘research‐practitioner’. Psychotherapy is a notoriously complex and ever‐developing field, and our growing sense has been that mixed methods research can contribute to a more complete – both broad and deep ‐ sense of knowledge and understanding.     

The catharsis hypothesis,aggressive drive,and the reduction of aggression

The import of the concept of aggressive drive for the construct of catharsis, particularly the trend toward alternatives to drive concepts, is considered. Three conceptions of catharsis are distinguished—the Dramatic model, the Clinical model and the Experimental model. The Dramatic and Clinical models are seen to focus on affective engagement and change, while differing in the vicarious nature of the cathartic experience, in the degree of cognitive representation entailed, and in the nature of the interpersonal context. The Experimental model is seen to be addressed to the more general problem of aggression reduction through aggressive acts. The Dramatic and Clinical models of catharsis are viewed as more specific and germane, and the hypothesis is proposed that catharsis obtains in the case of inhibited rather than persistent or unresolved affect.     

Generating interior search directions for multiobjective linear programming

A new multiobjective linear programming (MOLP) algorithm is presented. The algorithm uses a variant of Karmarkar's interior-point algorithm known as the affine-scaling primal algorithm. Using this single-objective algorithm, interior search directions are generated and used to provide an approximation to the gradient of the (implicitly known) utility function. The approximation is guided by assessing locally relevant preference information for the various interior directions through interaction with a decision maker (DM). The resulting algorithm is an interactive approach that makes its progress towards the solution through the interior of the constraints polytope.     

The Nature of Client Agency Prior to Therapy: A Qualitative Study on Clients’ Narratives

Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.     

Subjectifying the Personality State: Theoretical Underpinnings and an Empirical Example

Recent developments in personality research highlight the value of modelling dynamic state-like manifestations of personality. The present work integrates these developments with prominent clinical models addressing within-person multiplicity and promotes the exploration of models centred on state-like manifestations of personality that function as cohesive organizational units. Such units possess distinct subjective qualities and are characterized by specific affects, behaviours, cognitions, and desires that tend to be co-activated. As background, we review both theory and research from the fields of social cognition, psychotherapy, and psychopathology that serve as the foundation for such models. We then illustrate our ideas in greater detail with one well-supported clinical model—the schema therapy mode model, chosen because it provides a finite and definite set of modes (i.e. cohesive personality states). We assessed these modes using a newly developed experience-sampling measure administered to 52 individuals (four times daily for 15 days). We estimated intraindividual and group-level temporal and contemporaneous networks based on the within-person variance as well as between-person network. We discuss findings from exemplar participants and from group-level networks and address cross-model particularities and consistencies. In conclusion, we consider potential idiographic and nomothetic applications of subjective states dynamic personality research based on intensive longitudinal methods. © 2020 European Association of Personality Psychology     

Integrated mindfulness-based intervention: Effects on mindfulness skills,cognitive interference and performance satisfaction of young elite badminton players

ObjectivesMindfulness- and acceptance-based interventions (MABI) in sport settings need further development and validation to fulfil the desired outcomes related to sport performance. The current study aimed to design and implement a MABI integrated into the badminton training of young elite players (MBI programme), and to investigate its impact on sport performance-related outcomes.DesignTwo stages: (a) design and implementation of the MBI programme, and (b) evaluation using a mixed methods approach.MethodParticipants were young elite badminton players, assigned either to the 8-week MBI programme (n = 18; M_age = 16.22), or the 8-week placebo programme (n = 11; M_age = 16.64). Participants completed pre- and post-intervention measures of mindfulness skills, cognitive interference, and performance satisfaction. Social validation interviews were conducted with MBI participants to collect their overall perceptions of the programme.ResultsMANCOVA indicated a large intervention effect on the main outcome variables (partial η² = 0.58). The results of univariate ANCOVAs showed that post-intervention awareness, performance worries and task-irrelevant thoughts differed significantly across the groups. In addition, follow-up t-tests provided additional information regarding changes from pre- to post-intervention among the MBI and control groups separately. Social validation data gave further insights into what athletes had retained and applied from the MBI programme.ConclusionsContrasting results highlighted the need to better explore mindfulness mechanisms in MABI and the way they are inter-related, in order to strengthen changes in sport performance-related outcomes.     

Combined cognitive-behavioral therapy for fibromyalgia: Effects on polysomnographic parameters and perceived sleep quality

Background/Objective: Cognitive-behavioral therapy (CBT) is one of the first-line treatments in the management of fibromyalgia (FM) and it has been applied with considerable success to treat the psychological processes associated with pain and insomnia. We hypothesized that treating sleep and pain jointly with new combined modalities of CBT may offer greater sleep-related benefits to patients. Method: Thirty-nine female patients with FM and insomnia were randomly allocated to receive CBT centered on pain (CBT-P) or combined CBT focused on pain and insomnia (CBT-C). Participants were assessed at baseline and post-treatment with the Pittsburgh Sleep Quality Index and an ambulatory polysomnography.Results: Participants who received CBT-P showed increases in time in bed and total sleep time and decreases in light sleep, but there was no improvement in perceived sleep quality. Participants who received combined CBT-C showed more meaningful improvements related to refreshing sleep (i.e., higher sleep efficiency and less time awake and longer time in Stage 4 sleep), and these changes were concordant with a significant improvement in self-perceived sleep quality. Conclusions: This study suggests that new CBT-C approaches can improve insomnia-related clinical aspects.