Conducting Prolonged Exposure for PTSD During the COVID-19 Pandemic: Considerations for Treatment

The unprecedented effects and duration of the COVID-19 crisis are likely to elevate the population’s level of anxiety due to psychological stress, economic hardship, and social isolation. This effect may be especially potent for individuals with preexisting mental health conditions, such as posttraumatic stress disorder (PTSD). Prolonged Exposure (PE) therapy is a highly effective treatment for PTSD across trauma-exposed populations, and has been implemented effectively via telehealth. Nevertheless, PE implementation via telehealth may require specific adaptations during the COVID-19 crisis due to public health mandates calling for sheltering in place and physical distancing. This paper discusses strategies for implementing PE for PTSD during the COVID-19 pandemic, which may also be applied to other situations in which physical distancing must be considered.     

Beyond trigger warnings: Toward a trauma‐informed andragogy for the graduate theological classroom*

Although development of trauma‐informed pedagogy for elementary and secondary classrooms has developed significantly, a dearth of resources for trauma‐informed andragogy in graduate theological classrooms remains. Theological classrooms are a unique context in which many students and professors carry experiences of trauma with them. This article makes the case for the need for a trauma‐informed andragogical model for the graduate theological classroom by: discussing the pervasiveness of trauma; providing definitions of key terms that need to be understood for elaborating a trauma‐informed andragogy; recommending trauma‐informed principles for course design and class‐session planning based in safety, trust, choice, collaboration, and empowerment; and identifying a few next steps for cultivating trauma‐informed classrooms and institutions at the graduate level.     

Perceptions of War Trauma and Healing of Marital Relations Among Torture-surviving Congolese Couples Participating in Multicouple Therapy

Citizens of the Democratic Republic of Congo (DRC) experienced widespread torture during national wars between 1998 and 2003. Couples who survived and stayed intact suffered tremendous relationship stress. This study used a critical ethnography framework to explore the prewar, wartime, and postwar experiences of 13 torture-surviving couples who participated in a 10-session Torture-Surviving Couple Group in 2008 in the DRC. The group was designed to address the relational effects of torture and war trauma. Participants reported profound negative effects of the war on their relationships; mostly positive experiences during the group, including marital and peer connection and relationship growth; and a number of improvements in their relationship after the group. Implications include support for the use of relational interventions informed by both treatments for traumatic stress and couple approaches to promote trauma healing. Future directions call for increased funding, research, training, and clinical action to treat the effects of traumatic stress on relational family dynamics.     

Displacement trauma: complex states of personal,collective and intergenerational fragmentation and their intergenerational transmission

Originally presented at the Journal’s one day conference entitled ‘Displacement: Contemporary Traumatic Experience’ held in London in November 2019, this paper expands on the author’s theory of the implicit psychological organizing gestalt, an associated pattern of psychic functions which operate in an integrated way to simultaneously structure and organize our experience of self-cohesion and self-continuity. The gestalt, which implicitly links the formation of psychic skin, body image, cultural skin and both personal and cultural identity with place, functions as an emergent non-conscious permanent presence or background ‘constant’. It develops over time and emerges out of embodied emotional experiencing with the total environment – both human and non-human. The author argues that it is the rupture of this gestalt and the disorganizing consequences of its loss which underlies the experience of displacement trauma. If disruptions in the formation of the gestalt and/or its later rupture remain unrecognized and unrepresented then the absence creates a void which can be intergenerationally transmitted. Case material is presented which describes this and which highlights the ways in which the gestalt can contribute to our understanding of collective displacement anxiety, cultural trauma and cultural complexes.     

Borderline personality disorder,complex trauma,and problems with self and identity: A social-communicative approach

Borderline personality disorder (BPD) is a relatively highly prevalent psychiatric disorder that is associated with very high personal and socioeconomic costs. This paper provides a state-of-the-art review of the relationship between complex trauma and key features of BPD, with a focus on problems with self-coherence and self-continuity. We first review evidence for the high prevalence of complex trauma in BPD patients. This is followed by a discussion of emerging knowledge concerning the biobehavioral mechanisms involved in problems related to self and identity in BPD. We emphasize three biobehavioral systems that are affected by complex trauma and are centrally implicated in identify diffusion in BPD: the attachment system, mentalizing or social cognition, and the capacity for epistemic trust—that is, an openness to the reception of social communication that is personally relevant and of generalizable significance. We formulate a new approach to personality and severe personality disorders, and to problems with self and identity in these disorders, rooted in a social-communicative understanding of the foundations of selfhood. We also discuss how extant evidence-based treatments address the above-mentioned biobehavioral systems involved in identity diffusion in BPD and related disorders, and the supporting evidence. We close the paper with recommendations for future research.     

Modelling the acceptance of fully autonomous vehicles: A media-based perception and adoption model

As the technology matures, fully autonomous vehicles (AVs) are on the corner. This calls for exploring the factors that might influence potential users’ perception and acceptance of AVs. Limited existing studies related to acceptance modeling investigated the effects of media and human on fully AVs’ beliefs. Hence, a media-based perception and adoption model (MPAM) is developed to investigate how information and opinion (from mass media and social media) affect human self-perception (including self-efficacy and subjective norms) and product value perception (including perceived usefulness and risks), which in turn drive users’ adoption intention to private AVs and public AVs as well. Through a questionnaire survey, 355 samples from two universities were collected in Beijing. The structural equation model results confirm that media channels have salient effects on consumer and product with different emphases. Mass media enhances potential users’ self-efficacy of fully AVs, while social media strengthens subjective norms. Both usefulness and risks of AVs are perceived simultaneously via mass media, whereas risks perception can be significantly eliminated by social media. All constructs of user’s self-perception and product perception are verified to drive users’ intention to using AVs and public AVs. Besides the theoretical and modeling contributions, practical implications are provided for the marketers and stakeholders in the early stages of AVs launch.     

未成年犯童年期受虐待程度与攻击行为的关系：有调节的中介模型

采用问卷法对广东省未成年犯管教所417名男性未成年犯进行调查,考察了自尊在未成年犯童年期受虐待程度与其攻击行为关系间的中介效应,以及感觉寻求在其中的调节作用。结果发现：（1）在控制了年龄、家庭月收入和父母受教育水平后,童年期受虐待程度可显著正向预测攻击行为;（2）自尊在童年期受虐待程度与攻击行为之间起部分中介作用;（3）感觉寻求显著调节自尊对攻击行为的影响,间接效应对于低感觉寻求的个体不显著,对于高感觉寻求的个体显著。     

Conceiving of entities as objects and as stuff

What is the difference between conceiving of an entity as an object of some kind and conceiving of it as an amount of solid stuff? We propose that the difference lies in how one thinks about the entity's structure. Object construals require thinking of the structure as being nonarbitrary, whereas substance construals require thinking of the structure as being arbitrary. We report six experiments that provide empirical support for this proposal. Regularity of structure, repetition of structure, and the existence of structure-dependent functions, all of which provide reasons to consider the structure of an entity to be nonarbitrary, were shown to bias participants towards object construals. We also discuss how the proposed account of what it means to construe an entity as an object or as some stuff can account for a range of findings in the literature on lexical development. These include the relation between cohesiveness and ontological category, shape and ontological category, and complexity of shape and ontological category. Finally, we discuss the nature of construals and the relation of object and substance construals to the physical, design, and intentional stances.     

Therapeutic Implications of a Social Interaction Model of Posttraumatic Stress

Out of the many aspects of posttraumatic adaptation the role of self-process is emphasized, where self is conceptualized as the representation of social interaction: Not only the messages conveyed by others, but also a person's inner response to that messages, forms ongoing self-processes. Traumatic experiences lead to distorted self-processes, to a great extent due to posttraumatic inner dialogues. Therapeutic implications and experiences from Bosnia are discussed, where this model has been applied.     

Quantity judgments and individuation: evidence that mass nouns count

Three experiments explored the semantics of the mass-count distinction in young children and adults. In Experiments 1 and 2, the quantity judgments of participants provided evidence that some mass nouns refer to individuals, as such. Participants judged one large portion of stuff to be "more" than three tiny portions for substance-mass nouns (e.g. mustard, ketchup), but chose according to number for count nouns (e.g. shoes, candles) and object-mass nouns (e.g. furniture, jewelry). These results suggest that some mass nouns quantify over individuals, and that therefore reference to individuals does not distinguish count nouns from mass nouns. Thus, Experiments 1 and 2 failed to support the hypothesis that there exist one-to-one mappings between mass-count syntax and semantics for either adults or young children. In Experiment 3, it was found that for mass-count flexible terms (e.g. string, stone) participants based quantity judgments on number when the terms were used with count syntax, but on total amount of stuff when used with mass syntax. Apparently, the presence of discrete physical objects in a scene (e.g. stones) is not sufficient to permit quantity judgments based on number. It is proposed that object-mass nouns (e.g. furniture) can be used to refer to individuals due to lexically specified grammatical features that normally occur in count syntax. Also, we suggest that children learning language parse words that refer to individuals as count nouns unless given morpho-syntactic and referential evidence to the contrary, in which case object-mass nouns are acquired.