Cognitive biases in processing infant emotion by women with depression,anxiety and post-traumatic stress disorder in pregnancy or after birth: A systematic review

Perinatal psychological problems such as post-natal depression are associated with poor mother–baby interaction, but the reason for this is not clear. One explanation is that mothers with negative mood have biased processing of infant emotion. This review aimed to synthesise research on processing of infant emotion by pregnant or post-natal women with anxiety, depression or post-traumatic stress disorder (PTSD). Systematic searches were carried out on 11 electronic databases using terms related to negative affect, childbirth and perception of emotion. Fourteen studies were identified which looked at the effect of depression, anxiety and PTSD on interpretation of infant emotional expressions (k = 10), or reaction times when asked to ignore emotional expressions (k = 4). Results suggest mothers with depression and anxiety are more likely to identify negative emotions (i.e., sadness) and less accurate at identifying positive emotions (i.e., happiness) in infant faces. Additionally, women with depression may disengage faster from positive and negative infant emotional expressions. Very few studies examined PTSD (k = 2), but results suggest biases towards specific infant emotions may be influenced by characteristics of the traumatic event. The implications of this research for mother–infant interaction are explored.     

Arts for the blues – a new creative psychological therapy for depression

ABSTRACT

Routinely prescribed psychological therapies for depression are not always effective. Arts therapies, particularly Dance Movement Psychotherapy, may offer additional therapeutic mechanisms for depression. Therefore, client-reported helpful factors from various therapy types, along with client preferences, are key in devising new therapeutic interventions. We present a framework for a new pluralistic “meta-approach” of therapy for depression, based on an interdisciplinary thematic synthesis (Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8[1], 45) of active ingredients from both talking therapies and creative approaches. Lastly, we offer an illustrative group therapy workshop based on this approach, to be piloted with clients and practitioners within an NHS mental health service. Further research is required to evaluate this pilot and to devise a full treatment for trialling within the service.     

Communion-orientation as an antidote for aggressive behaviour among high provocation sensitive individuals

The current study explored whether high provocation sensitive individuals would declare less anger and therefore fewer physical aggressive acts if they are high in communal values. Three samples, students, prisoners and psychotherapy patients, were compared for differences in occurrence of aggressive reactions and preassembly communion-orientation. Data was tested using Structural Equation Modelling (SEM).Among students, communion-orientation itself and in interaction with sensitivity to provocation had a diminishing effect on anger. Among prisoners and patients, there was no support for the notion that communion-orientation had an effect on anger. Among patients, the relationship between sensitivity to provocations and physical aggression was fully mediated by anger, but among prisoners a provoking situation was enough to lead to physical aggression.Although based on data from self-reports, possibly biased by impression management, results suggest that communion-orientation should be considered in research on aggression.     

From single case to database: A new method for enhancing psychotherapy, forensic, and other psychological practice

This article proposes a new model for knowledge generation in applied and professional psychology—the pragmatic case study (PCS) method. Drawing from both psychology's traditional, quantitative and alternative, qualitative approaches, the PCS method involves the creation of systematic, peer-reviewed case studies (in all areas of applied psychology) that follow D. Peterson's “disciplined inquiry” epistemological model. The studies would be organized into “journal-databases” that combine (a) individual studies; (b) articles that address epistemological, theoretical, methodological, logistical, economic, political, and ethical issues in the PCS method; and (c) substantive cross-case analyses of groups of individual cases already published in the database. To lay out the proposal's arguments, the article begins by setting forth relevant historical and philosophical context, and then examines a possible set of initial methodological guidelines for ensuring rigorous quality in each case study. Next the PCS method's value in creating new and useful applied knowledge is demonstrated for two areas: psychotherapy efficacy research and forensic psychology. Finally, the implications of the present proposal are explored. Throughout, the emphasis is on creating an integrative, pragmatic alternative for gaining new useful knowledge in our discipline.