Extending the influence of positive psychology interventions into health care settings: Lessons from self-efficacy and forgiveness

The goal of this article is to explore strategies to extend the influence of positive psychology interventions into environments where strength-promotion is not generally embraced. Particularly, we are interested in examining the potential benefits and barriers to extending positive psychology interventions into health care settings (really illness-treatment settings), such as hospitals, community mental health centers, and disorder-focused psychotherapy practices where psychologists increasingly work. Patients primarily come to these settings to reduce suffering rather than to develop strengths. We argue that positive psychology interventions and concepts may become more valued within such contexts if they can be shown to be cost-effective in improving important health care targets. By examining positive psychology-based interventions that have already become relatively mainstream within health care (e.g., self-efficacy-based interventions), we identify strategies for making promising but less-influential positive psychology interventions (e.g., forgiveness training) more valued in today's health care marketplace. Through these examples, we suggest that extending the influence of positive psychology into health care settings is desirable, but will involve several conceptual, evidentiary, and educational or marketing challenges.     

Hardiness: The courage to grow from stresses

The recent emphasis on positive psychology is welcome, and has spurred much relevant research. But, there are still many unresolved conceptual and research issues, as more variables are being proposed as relevant. As part of this process, the present paper proposes hardiness as an addition to positive psychology. Hardiness is a combination of attitudes that provides the courage and motivation to do the hard, strategic work of turning stressful circumstances from potential disasters into growth opportunities. In this regard, the inherently stressful nature of living is discussed. Also clarified are the particular aspects of excellence in performance and health to which hardiness is relevant. The paper concludes with a call for issue-resolving research through which orientations and actions proposed as part of positive psychology can be compared in their contributions to performance and health. Two studies along these lines have found hardiness more powerful than optimism and religiousness in coping with stresses.     

Audiovisual speech from emotionally expressive and lateralized faces

Emotional expression and how it is lateralized across the two sides of the face may influence how we detect audiovisual speech. To investigate how these components interact we conducted experiments comparing the perception of sentences expressed with happy, sad, and neutral emotions. In addition we isolated the facial asymmetries for affective and speech processing by independently testing the two sides of a talker's face. These asymmetrical differences were exaggerated using dynamic facial chimeras in which left- or right-face halves were paired with their mirror image during speech production. Results suggest that there are facial asymmetries in audiovisual speech such that the right side of the face and right-facial chimeras supported better speech perception than their left-face counterparts. Affective information was also found to be critical in that happy expressions tended to improve speech performance on both sides of the face relative to all other emotions, whereas sad emotions generally inhibited visual speech information, particularly from the left side of the face. The results suggest that approach information may facilitate visual and auditory speech detection.     

Emotion recognition: The role of featural and configural face information

Several studies investigated the role of featural and configural information when processing facial identity. A lot less is known about their contribution to emotion recognition. In this study, we addressed this issue by inducing either a featural or a configural processing strategy (Experiment 1) and by investigating the attentional strategies in response to emotional expressions (Experiment 2). In Experiment 1, participants identified emotional expressions in faces that were presented in three different versions (intact, blurred, and scrambled) and in two orientations (upright and inverted). Blurred faces contain mainly configural information, and scrambled faces contain mainly featural information. Inversion is known to selectively hinder configural processing. Analyses of the discriminability measure (A′) and response times (RTs) revealed that configural processing plays a more prominent role in expression recognition than featural processing, but their relative contribution varies depending on the emotion. In Experiment 2, we qualified these differences between emotions by investigating the relative importance of specific features by means of eye movements. Participants had to match intact expressions with the emotional cues that preceded the stimulus. The analysis of eye movements confirmed that the recognition of different emotions rely on different types of information. While the mouth is important for the detection of happiness and fear, the eyes are more relevant for anger, fear, and sadness.     

Cross-modal integration of emotional face and voice in congruous and incongruous pairs: The P2 ERP effect

The study investigates cross-modal simultaneous processing of emotional tone of voice and emotional facial expression by event-related potentials (ERPs), using a wide range of different emotions (happiness, sadness, fear, anger, surprise, and disgust). Auditory emotional stimuli (a neutral word pronounced in an affective tone) and visual patterns (emotional facial expressions) were matched in congruous (the same emotion in face and voice) and incongruous (different emotions) pairs. Subjects (N=31) were required to watch and listen to the stimuli in order to comprehend them. Repeated measures ANOVAs showed a positive ERP deflection (P2), more posterior distributed. This P2 effect may represent a marker of cross-modal integration, modulated as a function of congruous/incongruous condition. Indeed, it shows an ampler peak in response to congruous stimuli than incongruous ones. It is suggested P2 can be a cognitive marker of multisensory processing, independently from the emotional content.     

Mnemonic differences and similarities across opposing social groups: The linguistic conflict at the University of Leuven as a case study

In the 1960s, a historical event occurred at one of Europe's most prestigious universities: The Dutch-speaking students forced the French-speaking students to relocate and establish their own university. We compared the extent to which members of each social group developed elaborate memories of the events surrounding the conflict and whether they were associated with differences in rehearsal type (media, conversational, rumination) and initiating conditions (importance, political engagement, and negative/positive emotions). All participants were university students at the time of the conflict. We found that Dutch-speakers exhibited more elaborate memories compared to French-speakers and that importance was associated with elaborate memories only for the Dutch-speakers. However, positive emotions appear to be critical in the formation of elaborate memories across the social groups. We found no such associations for negative emotions. We discuss these results in terms of the social/cognitive processes transcending social group membership in understanding how individuals remember past conflicts.     

Does the Test of Self-Conscious Affect (TOSCA) measure maladaptive aspects of guilt and adaptive aspects of shame? An empirical investigation

The purpose of this study was to examine whether the Test of Self-Conscious Affect (TOSCA; Tangney, J. P., Wagner, P. E., & Gramzow, R. (1989). The Test of Self-Concious Affect. Fairfax, VA: George Mason University) measures maladaptive forms or aspects of guilt and adaptive aspects of shame that have been described in the literature. First, a judgmental and logical analysis showed that the TOSCA primarily measures mild and adaptive forms and aspects of guilt and maladaptive aspects of shame. Next, principal components analyses (PCAs) in a student (N=328) and adult (N=542) sample showed that items that had a high loading on the guilt factor primarily were items that referred to reparative behavior, while items that had high loadings on the shame factor consisted primarily of items that referred to low self-esteem. To investigate to which extent these items were responsible for correlations found with the TOSCA, we constructed a revised guilt scale containing only items that referred to reparative behavior and a revised shame scale consisting of items that only referred to negative self-esteem, and related these to indices of interpersonal and intrapersonal functioning. The revised TOSCA scales reproduced both the pattern and magnitude of correlations obtained with the original TOSCA scales. Thus, taken together, the results of this study support the interpretation of the TOSCA guilt scale as a measure of mild and adaptive forms of guilt and the TOSCA shame scale as a measure of maladaptive aspects associated with shame. Implications of these findings for further research on the nature of guilt and shame are discussed.     

A study of emotion and reason in products and services

This study investigates the relationship between emotion, reason and perceived risk. Evidence is presented using an aggregative data set of 146 products and services which were randomly selected from the SIC (Standard Industrial Classification Codes) manual. It is demonstrated that emotional factors account for a significant and substantial portion of the variance in perceived risk even after the effect of rational factors (perceived differences between alternatives) has been taken into account. It is suggested that emotion be explicitly modelled in future conceptualisations of perceived risk. Copyright © 2002 Henry Stewart Publications.     

Effects of Damage to Right-Hemisphere Brain Structures on Spontaneous Emotional and Social Judgments

Recent work in cognitive and social neuroscience has focused on the neural substrates of social judgment. The present study explores the effects of damage to the right-hemisphere somatosensory cortices (RSS), a region known for its role in emotion recognition. Seven subjects with RSS damage were shown a short movie depicting objects that move in socially suggestive ways, a stimulus that typically elicits spontaneous social and emotional attributions from normal subjects. The spontaneous verbal responses of RSS-damaged subjects to this movie were compared to those of normal subjects as well as brain-damaged control subjects; the data were derived using a word count and categorization computer program. This method measures spontaneous social and emotional judgments rather than the more typical rating and labeling measures used in neuropsychological studies of social judgment. As predicted, relative to brain-damaged and normal controls, subjects with RSS damage reacted to the stimulus movie with fewer words in categories describing emotional and social processes, despite using a similar total number of words (and slightly more words describing movement, a control category). These results provide further evidence for the role of the RSS in social/emotional processing and identify a role for the RSS in automatic representation in ourselves of body states of others to foster emotion recognition and social cognition.