Understanding the Ageing Process: A Developmental Perspective of the Psychosocial and Spiritual Dimensions

SUMMARY

This chapter describes a perspective of psychosocial and spiritual development in the later years of life. It outlines a study of nurses conducted in six nursing homes using pre and post workshop tests to identify changes in nurses' assignment of a list of behaviours as psychosocial or spiritual. Use of SPSS found significant changes between the pre and post tests. Pre workshop tests only identified items as spiritual if they included the word God, or Bible. Results from this study highlight the potential role for nurses in aged care to provide spiritual care as part of holistic care. It also highlights the fact that many nurses feel ill prepared for this role.     

The relationship between different components of national identities and psychosocial adjustment among high-school adolescent immigrants from Russia and Ukraine in Israel

This study investigated the relationship between different components of national identities of immigrants (related to both the country of origin and host country), and psychosocial adjustment in pre-migration and post-migration periods. Adolescents who immigrated from Russia and Ukraine to Israel (N = 151) completed questionnaires at four time points: about six months prior to, and in the first, second, and third years after, immigration. At each point, adolescents were assessed on degree of identification they felt with the citizens of their country of origin and Israel and on their attitudes towards the two countries. Five indexes of psychosocial adjustment were measured: emotional and behavioural problems, self-esteem, social competence, school competence and loneliness. Adolescents' positive attitudes towards the host country were associated with higher psychosocial adjustment, both before and after immigration. Positive attitudes towards the country of origin were associated with higher psychosocial adjustment in the post-migration period. Degree of identification with either nation was not related to psychosocial adjustment. Findings suggest that it may not be identity per se that is the critical factor for adjustment for adolescent immigrants, but rather the extent to which they feel affirmation, pride and positive regard towards the two countries. For adolescent immigrants, idealization of origin and host countries may fulfil an important developmental role allowing them to de-idealize parental figures and create new objects of idealization.     

“I want to behave prosocially and I can choose to do so”: Effectiveness of TIGER (Kanjertraining) in 8- to 11-year-olds

This study examined whether TIGER (“Kanjertraining” in the Netherlands) reduces psychosocial problems in eight- to eleven-year-olds in a mental health-care setting. TIGER is a cognitive behavioural intervention in the peer group, with an additional parent component. Characterizing features include the emphasis on affirming children's prosocial intentions and feelings of responsibility for their own behaviour. To study effectiveness in routine daily practice, a quasi-experimental design with 185 intervention and 39 waiting list control children was used. Results indicated that TIGER significantly reduced externalizing and internalizing problems. Children with clinical-level internalizing problems at pretest benefited more from TIGER than children with subclinical or nonclinical internalizing problems. Effect sizes (between .33 and .46) were in the small to medium range and comparable to behavioural parent-training and cognitive-behavioural therapy. Future interesting topics to study are the long-term effects of TIGER and mechanisms of change.     

The mediating and moderating role of planning on mothers’ decisions for early childhood dietary behaviours

Objective: Examine the roles of action and coping planning on the intention–behaviour relationship for mothers’ decisions for their young children’s dietary behaviours.

Design: Prospective design with two waves of data collection, one week apart.

Main outcome measures: Mothers (N = 197, M_age = 34.39, SD = 5.65) of children aged 2–3 years completed a main questionnaire assessing planning constructs and intentions, and a one-week follow-up of the target behaviours – ‘healthy eating’ and ‘discretionary choices’.

Results: Intention was the strongest predictor of behaviour for both dietary behaviours. For healthy eating, intention moderated the indirect relationship between intention–behaviour via planning; coping planning was less important when intention was strong. Further, intention was not a direct predictor of behaviour when intention was relatively low. Action planning was not a direct predictor of either behaviour after accounting for intention and coping planning; action planning on behaviour was mediated by coping planning (only for healthy eating). Intention was not a direct predictor of coping planning; intention on coping planning was mediated by action planning. Neither type of planning predicted discretionary choices.

Conclusion: Current findings contribute novel information on the mechanisms underpinning the effect of action and coping planning on the intention–behaviour relationship.     

Pushing mom away: Embodied cognition and avoidant attachment

The objective of this research was to examine embodied psychological defense—the way in which defensive processes are manifest in basic motor responses. Forty-one participants were instructed to physically push or pull a lever in response to lexical stimuli presented on a computer display. Participants who were relatively avoidant with respect to attachment were faster to push the lever away from themselves when presented with the word “mom.” These results suggest that basic avoidant motives are automatically primed when attachment-related stimuli are processed, and that these tendencies manifest themselves in basic, motor-specific ways.     

An economic perspective on the Reinforcement Sensitivity Theory of personality

Reinforcement Sensitivity Theory postulates personality factors of ‘reward sensitivity’ and ‘punishment sensitivity’ linked to neural systems that control approach and avoidance, respectively. In contrast, behavioural economics distinguishes gain (‘reward’) and loss (‘punishment’) valuation systems that are orthogonal to approach/avoidance behaviour. We combined gain and loss with both their presentation and omission and found evidence for separate gain valuation, loss valuation, approach, and avoidance systems. This suggests that it is possible to integrate valuation/input and behaviour/output views of ‘reward’ and ‘punishment’ in a way that may be of use to both personality theory and economics and so forge closer links between these two major perspectives on decision-making and behaviour.     

Mentalizing Family Violence Part 2: Techniques and Interventions

This is the second of two companion papers that provide an overview of mentalization‐based concepts and techniques when working with the seeming “mindlessness” of intra‐family violence. The focus of this paper is on general mentalization‐oriented approaches and specific interventions that aim to (1) disrupt the non‐mentalizing cycles that can generate intra‐family violence and (2) encourage the emergence of patterns of family interactions that provide the foundation for non‐violent alternatives. Various playful exercises and activities are described, including the taking of “mental state snapshots” and “selfies” in sessions and staging inverted role‐plays, as well as using theatrical masks and creating body–mind maps and scans. These can make “chronic” relationship issues come alive in session and permit “here and now” experiences that generate a safe context for mentalizing to take place. At the core of the work is the continuous focus on integrating experience and reflection. Without acute awareness of the thoughts and feelings occurring in the sessions, mere reflection is not likely to enable change. By increasing mentalizing in the family system, family members’ trusting attitudes grow, both within and outside the family.     

Approaching Environmental Sustainability: Perceptions of Self-Efficacy and Changeability

This paper describes a model focused on the role of self-efficacy and belief in changeability of behavior in motivating environmentally sustainable behavior. The model was tested in two studies. The first study found that participants who had greater self-efficacy for sustainability behavior and a greater belief in their changeability of sustainability behavior had a higher level of approach motivation toward sustainability behavior and reported more such actual behavior. The second study investigated the effect of brief interventions intended to increase perception of self-efficacy for sustainability-related purchasing and changeability of sustainability-related purchasing. The intervention that focused on enhancing self-efficacy for making sustainability-related purchases had the strongest impact on intention to purchase. These findings have implications for interventions intended to change behavior related to environmental sustainability.     

Japanese normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) Scales for adults who stutter

PurposeThis study reports Japanese normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales. We outline the translation process, and evaluate the psychometric properties of the Japanese version of the UTBAS scales.MethodsThe translation of the UTBAS scales into Japanese (UTBAS-J) was completed using the standard forward-backward translation process, and was administered to 130 Japanese adults who stutter. To validate the UTBAS-J scales, scores for the Japanese and Australian cohorts were compared. Spearman correlations were conducted between the UTBAS-J and the Modified Erickson Communication Attitude scale (S-24), the self-assessment scale of speech (SA scale), and age. The test-retest reliability and internal consistency of the UTBAS-J were assessed. Independent t-tests were conducted to evaluate the differences in the UTBAS-J scales according to gender, speech treatment experience, and stuttering self-help group participation experience.ResultsThe UTBAS-J showed good test-retest reliability, high internal consistency, and moderate to high significant correlations with S-24 and SA scale. A weak correlation was found between the UTBAS-J scales with age. No significant relationships were found between UTBAS-J scores, gender and speech treatment experience. However, those who participated in the stuttering self-help group demonstrated lower UTBAS-J scores than those who did not.ConclusionGiven the current scarcity of clinical assessment tools for adults who stutter in Japan, the UTBAS-J holds promise as an assessment tool and outcome measure for use in clinical and research environments.     

Intolerance for approach of ambiguity in social anxiety disorder

Previous research has utilised the approach–avoidance task (AAT) to measure approach and avoidance action tendencies in socially anxious individuals. “Neutral” social stimuli may be perceived as ambiguous and hence threatening to socially anxious individuals, however it is unclear whether this results in difficulty approaching ambiguous (“neutral”) versus unambiguous threat (e.g. disgust) faces (i.e. intolerance of ambiguity). Thirty participants with social anxiety disorder (SADs) and 29 non-anxious controls completed an implicit AAT in which they were instructed to approach or avoid neutral and disgust faces (i.e. pull or push a joystick) based on colour of the picture border. Results indicated that SADs demonstrated greater difficulty approaching neutral relative to disgust faces. Moreover, intolerance for approach of ambiguity predicted social anxiety severity while controlling for the effects of trait anxiety and depression. Our results provide further support for the role of intolerance of ambiguity in SAD.