A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

Learning from experience in case conference: A Bionian approach to teaching and consulting

In case conferences as well as didactic seminars, the power of the group can bring psychoanalytic education to life. However, primitive anxieties activated by group dynamics may also interfere with teaching and learning. The authors offer the example of a stalemated private practice case conference that had unconsciously organized against learning as the members began to read Bion's work. The case conference leader, an analyst, presented her case conference, which was mired in basic assumption dependency dynamics, to our peer consultation group. Drawing upon Bion's early contributions on groups, as well as his later ideas about thinking and mental growth, the peer group facilitated the case conference's return to work-group functioning and learning from experience. Activated in the peer group, commensal container↔contained processes gradually spread throughout the entire relational system of peer group, case-conference leader, case-conference members, and patients. This example underscores the importance of promoting within our institutes a culture in which faculty view themselves as part of an evolving intersubjective matrix that works to foster the containing capacities of candidates, patients, and faculty alike.     

Numerical representation and cross-cut role assignments: Majority members’ responses under cooperative interaction

This research investigates why cross-cutting role assignments, compared to those that converge, may worsen the intergroup attitudes of numerical majorities. Study 1 manipulated the numerical representation of groups and role assignments in a cooperative setting. As predicted, when the cross-cut role condition included the reintroduction of the numerical imbalance, the intergroup attitudes of majorities were more favorable than when the cross-cut condition did not reintroduce this discrepancy. Also, Study 1 showed that the intergroup attitudes of the majority were more positive when roles converged. Study 2 compared a convergent condition to one with converging roles that also reduced the salience of the majority’s numerical advantage. The results for this convergent-reduced-salience condition mimicked that of the cross-cut condition, revealing less positive majority attitudes. In both studies, results suggest that the processes of ingroup identification and relative ingroup homogeneity may mediate the effect of role assignments on ingroup bias. The findings are discussed in terms of the implications for cooperative interventions designed to improve intergroup attitudes.     

Aggression and school social dynamics: The good, the bad, and the ordinary

A social dynamics perspective of aggression in school is presented. This framework focuses on the role of natural social processes in the establishment and maintenance of aggressive behavior in the school context. The five articles in this special issue are briefly reviewed and a synthesis of their contributions for understanding the social dynamics of aggression in school is underscored. Future research and intervention implications are also discussed. The need for examining the role of school social dynamics in conducting social skills interventions, functional behavioral assessments, and the development of positive behavioral support plans is emphasized.     

The Individual or the Group: A Multilevel Analysis of Cyberbullying in School Classes

In this study, we focus on the relevance of social influence to explain cyberbullying experiences among German high school students. Social influence is discussed in the context of computer‐mediated communication. To obtain individual and sociostructural data, we conducted a survey study among German high school students (N = 4,282). Using multilevel modeling, we found that the attributes of the school class only contributed to the risk of being involved in cyberbullying to a small extent. Still, procyberbullying norms in class did enhance the risk of perpetration and victimization for students, even more so than their individual beliefs. Previous experiences with bullying and intensive, unrestricted use of the Internet were the strongest individual predictors of cyberbullying involvement.     

Rejection sensitivity as a mediator of the relationship between experienced rejection and borderline characteristics

Experiences of rejection in childhood play an important role in the etiology of borderline personality disorder (BPD). Additionally, individuals who report borderline symptoms report high levels of rejection sensitivity. The current study aimed to disentangle the relationship between experiences of rejection, rejection sensitivity and borderline characteristics. Therefore, we retrospectively assessed experiences of parental and peer rejection, collected data of self-reported rejection sensitivity and social support and prospectively investigated borderline characteristics in a sample of 193 students. Results indicated that rejection sensitivity fully mediated the previously significant relationship between experiences of parental rejection and borderline characteristics, whereas peer rejection maintained a significant effect on borderline traits. Social support was identified as a protective factor. Results indicated a crucial role of rejection sensitivity in borderline symptomatology.     

How school-based dancing classes change affective and collaborative networks of adolescents

ObjectiveThe present research investigated the effects of adolescents' co-participation in a federally funded dance intervention project on students' affective and collaborative networks. In the intervention, students instructed by professional dancers collaboratively developed a dance-choreography during regular class hours in student groups. We expected that the number of reciprocated affective and collaborative ties should increase in classrooms participating in the intervention, but that boys should particularly benefit from the intervention.DesignWe used a quasi-experimental untreated control group design with dependent pretest and posttest samples. Participants were 421 youths (48% boys) in 23 classrooms of primary and secondary schools in Berlin, Germany. Of these, 226 (54%) participated in the intervention. Classrooms from the same grade and school were recruited as comparison groups. We assessed both networks using sociometric questionnaires.Method/ResultsWe found a significant Treatment × Gender interaction showing that reciprocated collaborative relations increased only for boys in the intervention group. Analyses probing potential mechanisms showed this was due to their choosing more collaboration partners, in particular more girls.ConclusionFindings suggest that school-based dancing programs encouraging coordinated physical activity in student groups may be particularly beneficial for boys, encouraging them to consider girls as academic cooperation partners and to proactively develop their collaborative networks.     

Why Do Members of Disadvantaged Groups Strike Back at Perceived Negativity Towards the In‐group?

Against the background of riots in communities across London in 2011, this paper examines the implications of negative meta‐stereotypes on stigmatized group members' reactions towards members of privileged out‐groups within their communities. We hypothesized that concerns over negative opinions that the dominant out‐group is expected to hold of the in‐group (i.e. meta‐stereotypes) would be negatively associated with group members' perceptions of societal fairness and that this relationship would be mediated by members' recall of personal experiences with discrimination. We further hypothesized that views about societal fairness that are challenged in this way would lower an inclination to express discontent with the status quo via normative means while at the same time, increase nonnormative expressions. Results from two surveys (study 1, N = 50; study 2, N = 132) provided support for these hypotheses and are discussed in terms of their meaning for community relations. Copyright © 2013 John Wiley & Sons, Ltd.     

Prejudice‐reduction in Culturally Mixed Classrooms: The Development and Assessment of a Theory‐driven Intervention Among Majority and Minority Youth in Finland

The aim of this field experiment was to develop and assess an intervention promoting positive intergroup relations in culturally diverse schools. The intervention was based on extended contact and social learning and utilized behavioural journalism as its method. Intervention effects were assessed on out‐group attitudes, perceived importance of future contact, perceived peer norms and intergroup anxiety among ethnic majority (N = 583) and minority (N = 214) youth in grades 7–9 in Finnish secondary schools (total N_experimental = 388; total N_control = 409). As a result of the intervention, both groups showed a tendency to perceive future intergroup contact as more important, and this effect was most notable for younger participants and girls. Prototypicality of in‐group and out‐group peer models contributed positively to intervention effects. However, unexpectedly, the intervention also increased experiences of intergroup anxiety among the oldest participants. The results are discussed taking into account the developmental stage of the youth studied. Besides critically assessing the effectiveness of the intervention, recommendations for improving theory‐driven prejudice‐reduction and for the development of future interventions in culturally diverse contexts are given. Copyright © 2013 John Wiley & Sons, Ltd.     

Peer victimization and subsequent disruptive behavior in school: The protective functions of anger regulation coping

Peer victimization is linked to adjustment problems in youth, including aggressive behavior, yet not all victimized youth are aggressive. The present study investigated whether youth’s anger regulation coping might attenuate the positive association between peer victimization and subsequent aggressive behavior. Longitudinal data from 485 7th-grade students (55% female, mean age = 12.84 years) and their teachers were collected in the fall and six months later. Teacher ratings of youth aggressive behavior at follow-up were the primary outcome, with statistical adjustments for baseline aggressive behavior and demographics. Results from multilevel models showed significant interactive effects of baseline anger regulation and peer victimization on residualized teacher-rated aggressive behaviors that were consistent with the hypothesis that anger regulation played a protective role: under high levels of peer victimization, youth with higher levels of anger regulation displayed lower levels of aggressive behavior than their counterparts with lower levels of anger regulation. These findings suggest that targeting and improving students’ ability to regulate their anger may be protective in the face of peer victimization and reduce subsequent aggressive behavior.