A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.     

Assessing the impact of a family nurse-led intervention on young mothers’ references to internal states

A mother's propensity to refer to internal states during mother–child interactions is important for her child's developing social understanding. However, adolescent mothers are less likely to reference internal states when interacting with their children. We investigated whether young mothers’ references to internal states are promoted by the Family Nurse Partnership (FNP) intervention, an intensive home-visiting programme designed to support adolescent mothers in England. We also investigated family, maternal, and child factors associated with young mothers’ references to inner states during interactions with their children. Adolescent mothers (n = 483, aged ≤ 19 years when recruited in pregnancy) and their children participated in an observational substudy of a randomized controlled trial investigating the impact of FNP compared to usual care. Mother–child dyads were video-recorded during free play, and mothers’ speech was coded for use of internal state language (references to cognitions, desires, emotions, intentions, preferences, physiology, and perception). We found no differences in mothers’ use of internal state language between the FNP and usual care groups. A sample-wide investigation identified that other features of mothers’ language and relationship status with the child's father were associated with internal state language use. Findings are discussed with reference to targeted interventions and implications for future research.     

To Challenge the Morning Lark and the Night Owl: Using Smartphone Sensing Data to Investigate Day–Night Behaviour Patterns

For decades, day–night patterns in behaviour have been investigated by asking people about their sleep–wake timing, their diurnal activity patterns, and their sleep duration. We demonstrate that the increasing digitalization of lifestyle offers new possibilities for research to investigate day–night patterns and related traits with the help of behavioural data. Using smartphone sensing, we collected in vivo data from 597 participants across several weeks and extracted behavioural day–night pattern indicators. Using this data, we explored three popular research topics. First, we focused on individual differences in day–night patterns by investigating whether ‘morning larks’ and ‘night owls’ manifest in smartphone-sensed behavioural indicators. Second, we examined whether personality traits are related to day–night patterns. Finally, exploring social jetlag, we investigated whether traits and work weekly day–night behaviours influence day–night patterns on weekends. Our findings highlight that behavioural data play an essential role in understanding daily routines and their relations to personality traits. We discuss how psychological research can integrate new behavioural approaches to study personality.     

No indication that the ego depletion manipulation can affect insight: a comment on DeCaro and Van Stockum (2018)

Abstract

Recently, DeCaro and Van Stockum have suggested that ego depletion following intensive self-control can improve insight problem-solving; this finding was interpreted in terms of insight relying on decreased control over attention and memory. However, DeCaro and Van Stockum used three variants of the single matchstick arithmetic problem. Experiment 1 involved low sample and non-standard problem application, while the more powered Experiment 2 yielded a surprisingly low solution rate. These facts made both studies problematic and called for their replication. In the two present studies, the DeCaro and Van Stockum ego-depletion manipulation and their matchstick problems were administered to a total of 316 people. Furthermore, various other insight problems, subjective ratings of insight experience, analytical problems and executive control tests were applied. The key result was that no reliable effect of ego depletion could be found for any of these measures.     

消极身体意象对青少年的负面影响

消极身体意象是青少年健康成长所面临的重要问题之一。了解消极身体意象对青少年的危害以及其形成的影响因素, 对于青少年群体身心健康发展具有重要意义。消极身体意象对青少年的负面影响主要包括自我概念、情绪体验、体重控制策略、饮食失调和社会生活五个方面; 并且青少年消极身体意象形成的影响因素主要有生物因素(BMI)、社会文化因素(父母、同伴和大众媒体)和心理因素(人格因素、认知方式)。未来可从以下几个方面进一步深入研究：(1) 基于生物-心理-社会模型的视角完善青少年身体意象发展的理论模型; (2) 考察社交媒体等新兴因素的作用; (3) 阐明青少年在加工身体相关信息时的认知特点; (4) 推进中国青少年消极身体意象本土化研究。     

身体拥有感及其可塑性：基于内外感受研究的视角

身体自我表征中的身体拥有感(即我的身体属于我的感受)问题一直是自我意识研究的核心话题。大量的已有研究表明, 身体拥有感的体验涉及不同感官信号的整合, 当前大多数研究只重视视觉、触觉等外感受的作用, 一方面忽视了内感受的作用, 另一方面也缺乏对两类感受整合的关注。橡胶手错觉实验和身体障碍患者身上所表现出的外感受和内感受对身体拥有感的影响支持了身体拥有感的可塑性假设, 自由能量原理认为身体拥有感形成的基础是大脑不断评估更新可能性表征来维持稳定。未来的研究需要从改善内感受的测量和刺激呈现方法, 探索影响内感受的高阶认知因素以及关注某些神经症患者的内感受等方面寻求突破。     

身体表征的分离:二分解释模型及其证据

身体表征是一种内部结构,它具有追踪身体状态并对其进行编码的功能。这种结构可以对身体进行错误的表征,并可以从身体中分离出来。来自海豹肢症与躯体失认症等方面的病例,证实部分身体畸形与脑损伤患者的身体表征存在分离;来自橡胶手错觉与全身错觉的实验证据,验证了健康个体身体表征分离的事实。基于上述证据,以身体图式和身体意象为二分维度的模型解释了身体表征的分离。未来的研究可以从神经心理学实验和虚拟现实技术着手,对身体表征的分离进行深入探究。     

精神分析视域下的身心观

身心关系问题是人类长期探究的重要议题。精神分析学家对身心关系具有诸多独特见解,具体表现为：身体是心理的基础,身体是心理的象征,身体与心理的交织。此三种观点不仅反映出不同精神分析学家在方法论、认识论以及本体论上的差异,也蕴含着精神分析不同流派的理论脉络。厘清精神分析视域下的身心观,既有助于自然科学心理学与人文科学心理学在精神分析中寻求一种主客交织的研究视角,也可为心理学和其他学科领域研究身心关系问题提供新的切入点。     

术后乳腺癌患者体象对创伤后应激障碍和创伤后成长的影响：反刍的中介作用

为探讨乳腺癌患者反刍这一认知情绪调节方式在体象和创伤后应激障碍（PTSD）、创伤后成长（PTG）之间的中介作用,采用体象量表（BIS）、认知情绪调节问卷中文版（CERQ-C）、创伤后应激障碍量表（PSS）和创伤后成长问卷（PTGI）对150名乳腺癌术后患者进行研究。结果发现：（1）乳腺癌患者的体象可以正向预测PTSD和PTG;（2）乳腺癌患者的反刍在体象和PTSD的闯入性症状、回避性症状中起中介作用,在体象与PTG中的中介作用不显著。结果表明,体象既可以正向预测乳腺癌患者的PTSD和PTG,也可以通过反刍的中介作用影响PTSD。     

Body size as a determinant of aggression during heterosexual encounters in hormone-treated gonadectomized pigs

Aggressive and sexual behavior was studied in 5-minute paired encounters between testosterone-treated castrated boars and estrogen-treated ovariectomized gilts. The boars were either 15 kg heavier (N = 6), or lighter (N = 6), than the gilts (N = 8). Tests were carried out over a 4-week period, during which time each boar was paired once with each gilt; the procedure was replicated over a further 4 weeks. Gilts usually initiated the aggression, especially in the first 4-week period; however, the degree of aggression was positively correlated with body size, irrespective of sex. Aggression was reduced in the second 4-week period in both sexes in tests with large, but not with small, boars. Large boars were more sexually active than small boars, and their sexual performance improved markedly with time, unlike that of the small boars. Champing was positively correlated with aggression duration in pigs of both sexes, and salivation was seen more often in boars than gilts.