The everyday dynamics of rumination and worry: precipitant events and affective consequences

ABSTRACT

Rumination and worry are two perseverative, negatively valenced thought processes that characterise depressive and anxiety disorders. Despite significant research interest, little is known about the everyday precipitants and consequences of rumination and worry. Using an experience sampling methodology, we examined and compared rumination and worry with respect to their relations to daily events and affective experience. Participants diagnosed with Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), co-occurring MDD–GAD, or no diagnosis carried an electronic device for one week and reported on rumination, worry, significant events, positive affect (PA), and negative affect (NA). Across the clinical groups, occurrences of everyday events predicted subsequent increases in rumination, but not worry. Further, higher momentary levels of rumination, but not worry, predicted subsequent decreases in PA and increases in NA. Thus, in these clinical groups, rumination was more susceptible to daily events and produced stronger affective changes over time. We discuss implications for theory and clinical intervention.     

Preparing Students to Counsel Clients With Potentially Spiritually Transformative Experiences

After defining potentially spiritually transformative experiences (pSTEs) and reviewing empirical research on the contents and aftereffects of 2 well‐researched pSTEs commonly disclosed by clients, the authors summarize research on client harm due to counselors’ lack of knowledge, attitudes, and skills to address these experiences appropriately. The authors contend that clients with pSTEs meet criteria for multicultural difference and advocate for including the topic of clients with pSTEs in counselor education diversity course curricula so that counselors are empowered to provide ethical, culturally sensitive, and clinically appropriate services. The authors conclude with suggested content for this curriculum.     

A unified approach for revealing multiple balance recovery strategies

In human balance recovery, different strategies have been proposed with generally overlooked knee motions but extensive focus on the ankle, hip, and step strategies. It is not well understood whether maintaining balance is regulated at the lower “muscular–articular” level of coordinating segment joints or at a higher level of controlling whole body dynamics. Whether balance control is to minimize joint degrees of freedom (DOF) or utilize all the available DOF also remains unclear. This study aimed to use a realistic musculoskeletal human model to identify multiple balance recovery strategies with a single optimization criterion. Movements were driven by neural excitations (which activated muscle force generation) and were assumed to be symmetric. Balance recoveries were simulated with forward-inclined straight body postures as the initial conditions. When the position of the toes was fixed, balance was regained with virtually straight knees and mixed ankle/hip strategies. Under a severely perturbed condition, use of the forward hop strategy after releasing the fixed-toes constraint indicated spontaneous recruitment or suppression of DOF, which mimicked functions of optimally computed CNS commands in humans. The results also indicated that increase/decrease in the number of DOF depends on the imposed perturbation intensity and movement constraints.     

The lived experiences of individuals with Tourette syndrome or tic disorders: A meta‐synthesis of qualitative studies

There is a growing body of qualitative literature describing the lived experiences of people with tic disorders (TDs). The aim of this paper was to conduct a systematic review of this literature, synthesizing the perspectives of individuals on their experiences. Meta‐synthesis methodology was utilized to review and draw together findings from 10 articles, from which key concepts were extracted, and over‐arching themes generated. Six themes were identified to encompass the experience of TDs, including (1) cultural, semantic issues of the condition; (2) negative experiences in organizations and treatment; (3) the value and negative impact on interpersonal relationships; (4) personal identity in the constant presence of TDs; (5) concerns for the future; and (6) strategies to control and manage the observable presence of tics. Adaptive coping strategies were found to encompass continuous social adaptation, strategies to manage tics and social perceptions, self‐acceptance, advocacy, and support from others. The results highlighted the significant role of social and cultural issues related to understanding and stigma, which underpinned many of the lived experiences. Implications for clinical practice in supporting individuals with TDs were also highlighted.