Postpartum depression and attachment: Is anybody here?

Abstract

The paper presents a developmental and dynamic multitheoretical overview of many dimensions of attachment-related processes activated under the conditions of maternal depression. The clinical vignette (from the analytic practice of Eva D. Papiasvili) of reconstructive anaytic work with an adult patient illustrates the profound impact of maternal depression on precocious early differentiation between the attachment styles, of the depressed parent and the substitute caregiver, at the root of early “counterdependent” self-sufficiency. Through reconstructive interpretive work, first with enactments and then dreams, pertaining to not-remembered, represented, or symbolized events of earliest infancy, the patient is able to make a series of developmentally transformative symbolic leaps, restoring the capacity for intimacy, hope, trust, and pleasure. This breaks the intergenerational mother–daughter transmission of postpartum depression and related problematic attachment.     

The adoption of physical activity and eating behaviors among persons with obesity and in the general population: the role of implicit attitudes within the Theory of Planned Behavior

Obesity can be prevented by the combined adoption of a regular physical activity (PA) and healthy eating behaviors (EB). Researchers mainly focused on socio-cognitive models, such as the Theory of Planned Behavior (TPB), to identify the psychological antecedents of these behaviors. However, few studies were interested in testing the potential contribution of automatic processes in the prediction of PA and EB. Thus, the main objective of this study was to explore the specific role of implicit attitudes in the pattern of prediction of self-reported PA and EB in the TPB framework, among persons with obesity and in adults from the general population. One hundred and fifty-three adults participated to this cross-sectional study among which 59 obese persons (74% women, age: 50.6 ± 12.3 years, BMI: 36.8 ± 4.03 kg m^–²) and 94 people from the general population (51% women; age: 34.7 ± 8.9 years). Implicit attitudes toward PA and EB were estimated through two Implicit Association Tests. TPB variables, PA and EB were assessed by questionnaire. Regarding to the prediction of PA, a significant contribution of implicit attitudes emerged in obese people, β = .25; 95%[CI: .01, .50]; P = .044, beyond the TPB variables, contrary to participants from the general population. The present study suggests that implicit attitudes play a specific role among persons with obesity regarding PA. Other studies are needed to examine which kind of psychological processes are specifically associated with PA and EB among obese people.     

Development and validation of the REMINT: a reflection measure for individuals and teams

A growing number of studies have investigated the role of team reflexivity, the extent to which teams reflect on and adapt their functioning. However, the way team reflexivity has been conceptualized and operationalized reveals several weaknesses, in particular the conception as a unidimensional construct. To provide greater conceptual clarity, we therefore propose a team reflexivity framework that integrates four interacting but distinct reflexive processes. In four studies, we focus on reflection as a fundamental reflexive process, and develop and validate an extended multidimensional reflection measure that captures the relevant dimensions of quality and quantity of reflection and the key transition processes of information seeking and information evaluation. Moreover, in order to delineate two common composition methods, we develop and validate a direct consensus and a referent-shift consensus version of the reflection measure. Data collected from a total of 803 students and employees in four studies revealed excellent construct validity, as well as good nomological validity (Studies 1 and 2). Furthermore, we found evidence of the criterion-related validity at the team level (Study 3) and the individual level (Study 4). Together, the results demonstrate the effectiveness of our measure, revealing consistent relations with outcome measures and diverse behavioural indicators across different contexts.     

Asking, Witnessing, Interpreting, Knowing: Conducting Qualitative Research in Community Psychology

We present a framework to describe the process of conducting community-based qualitative research. Qualitative research activities are presented as a series of interrelated acts called asking, witnessing, interpreting, and knowing. Each act in the research process is described in terms of current qualitative research practices, and illustrated with examples from our own research projects on families with schizophrenia and men's mutual support and batterer intervention groups. We critically examine the assumption that qualitative research serves to reveal or amplify the voices of participants. We examine connections between qualitative research and social change and describe the use of qualitative research to not only empower marginalized groups, but also to critique and transform privileged groups. The framework is intended to help community researchers to more fully conceptualize, understand, and engage in the practice of qualitative research.     

Cognitive developmental biology: history, process and fortune's wheel

Biological contributions to cognitive development continue to be conceived predominantly along deterministic lines, with proponents of different positions arguing about the preponderance of gene-based versus experience-based influences that organize brain circuits irreversibly during prenatal or early postnatal life, and evolutionary influences acting through selection on small numbers of genes. This article discusses evolutionary, mechanistic and probabilistic aspects of developmental processes that cognitive scientists need to better integrate. Developmental processes inseparably fuse experience-dependent and experience-independent components, have important stochastic contributions, and exhibit a greater degree of mechanistic continuity between developing and adult nervous systems than previously thought. Their balanced integration leads to new models for "critical or sensitive" period phenomena and behavioral biases. A general understanding of behavioral development - cognitive developmental biology--will require better coordination between comparative animal and human developmental research programs.     

Persistence of stereotypic behavior: examining the effects of external reinforcers

Basic research has shown that behavioral persistence is often positively related to rate of reinforcement. This relation, expressed in the metaphor of behavioral momentum, has potentially important implications for clinical application. The current study examined one prediction of the momentum metaphor for automatically reinforced behavior. Participants were 3 children who had been diagnosed with an autism spectrum disorder and who engaged in stereotypic behavior maintained by automatic reinforcement. Results suggested that stereotypic behavior was more resistant to disruption following periods of access to preferred stimuli delivered on a variable-time schedule than following periods without access to preferred stimuli. The implications of these findings for the treatment of automatically reinforced behavior are discussed.     

Groups, group members and individual decision processes: the effects of decision strategy, social interaction style and reception of decision-threatening information on post-decision processes

In two experiments, one conducted at an individual level and one at a group level, it was investigated how decision strategies and the reception of decision-threatening information affect the degree of post-decision consolidation for both individual and group decision-makers. In Experiment 1, roughly half the 55 participants made decisions in three-person groups and the other half individually. The type of decision strategies subjects employed (compensatory, non-compensatory, other) was assessed by questionnaire. In two post-decision sessions, consolidation was assessed using a memory task, either decision-supporting or decision-threatening information being provided at the start of the last post-decision session. In Experiment 2, the same design and procedure were used at a group level. In both experiments, the groups (and the single group members) were analyzed with the SYMLOG instrument. The results indicated that individual decision-makers consolidated their own decisions more than members of decision-making groups. There was also greater post-decision consolidation with the use of non-compensatory decision strategies as well as with reception of decision-threatening information, this latter result being seen as providing an explanation for the greater consolidation that individual decision-makers showed. Furthermore, single task-oriented group members and groups with a task-oriented leader consolidated the decision made by their group.     

Preattentive processing of alcohol stimuli

An experiment was conducted to test the automatic analysis of briefly presented alcohol stimuli in alcohol-dependent individuals. Alcoholics and controls were exposed to four different conditions: two brief (30 ms) and two long (130 ms) exposure conditions, each containing alcoholic and non-alcoholic pictures. Heart rate (HR) interbeat intervals were recorded and phasic cardiac responses assessed. Alcoholics had a stronger initial HR deceleration after exposure to masked alcohol slides compared with masked control slides, indicating a preattentive analysis of alcohol stimuli. This initial HR deceleration in the masked condition suggests an automatic attentional focusing to degraded alcohol cues. No such attentional effect was found when the pictures were presented unmasked and were clearly perceived. The implication of these results for the understanding of relapse in addictive behavior is discussed.     

Alzheimer's disease disrupts arithmetic fact retrieval processes but not arithmetic strategy selection

Three groups of healthy younger adults, healthy older adults, and probable AD patients, performed an addition/number comparison task. They compared 128 couples of additions and numbers (e.g., 4 + 9 15) and had to identify the largest item for each problem by pressing one of two buttons located under each item. Manipulations of problem characteristics (i.e., problem difficulty and splits between correct sums and proposed numbers) enabled us to examine strategy selection and specific arithmetic fact retrieval processes. Results showed that arithmetic facts retrieval processes, which were spared with aging, were impaired in AD patients. However, AD patients were able to switch between strategies across trials according to problem characteristics as well as healthy older adults, and less systematically than healthy younger adults. We discuss implications of these findings for further understanding AD-related differences in arithmetic in particular, and problem solving in general.     

Punishment insensitivity and parenting: temperament and learning as interacting risks for antisocial behavior

We review ideas about individual differences in sensitivity or responsiveness to common disciplinary behaviors parents use to correct aggressive and antisocial behavior in children. At extremes, children may be seen as punishment-insensitive, an heuristic with some value relevant to models of the development of antisocial and aggressive behavior disorders. Literature from diverse fields, such as psychopathy, child temperament, socialization and the development of moral conscience, conditioning theory, and personality theory, have all utilized the idea that humans differ in their sensitivity to aversive stimuli and the cues that signal their occurrence, as well as their ability to inhibit reward-driven behavior, in the presence of punishment cues. Contemporary thinking places these dispositions squarely as basic biological aspects of temperament that moderate the effects of the environment (e.g., parenting) on outcomes (e.g., mental health). We review a largely forgotten literature that shows clearly that sensitivity to punishment is also reliably influenced by the environment itself. An attempt is then made to model the interactional processes by which parenting and punishment sensitivities in children magnify or diminish each other's progress toward healthy or antisocial development. Implications for parenting of children with low responsiveness to punishment strategies are discussed.