Defining and Measuring Mechanisms of Change in Psychological Therapies: The Path Not Taken

Metcalf and Dimidjian (this issue) have provided an important review of the current evidence base for mindfulness‐based cognitive therapy (MBCT) and presented a helpful summary of the proposed mechanisms of change. It is necessary to engage in a continuous dialogue regarding the evidence base for change mechanisms, and the article by Metcalf and Dimidjian highlights an important barrier of concern to the field of treatment outcome research. The present commentary aims to expand the discussion regarding the definition, measurement, and evaluation of “mechanisms of change.” Using MBCT as an example, this commentary addresses the ambiguity surrounding the definition and operationalisation of these mechanisms in research on psychological therapies and how the method of measurement may impact the results obtained in clinical trials. It is argued that a potentially fruitful avenue of future research would involve investigation of techniques, important client‐therapeutic processes, and mechanisms in a single study in order to comprehensively evaluate how change occurs.     

Memory indexing of sequential symptom processing in diagnostic reasoning

In diagnostic reasoning, knowledge about symptoms and their likely causes is retrieved to generate and update diagnostic hypotheses in memory. By letting participants learn about causes and symptoms in a spatial array, we could apply eye tracking during diagnostic reasoning to trace the activation level of hypotheses across a sequence of symptoms and to evaluate process models of diagnostic reasoning directly. Gaze allocation on former locations of symptom classes and possible causes reflected the diagnostic value of initial symptoms, the set of contending hypotheses, consistency checking, biased symptom processing in favor of the leading hypothesis, symptom rehearsal, and hypothesis change. Gaze behavior mapped the reasoning process and was not dominated by auditorily presented symptoms. Thus, memory indexing proved applicable for studying reasoning tasks involving linguistic input. Looking at nothing revealed memory activation because of a close link between conceptual and motor representations and was stable even after one week.     

Perceived group identity of outgroup members and anticipated rejection: People think that strongly identified group members reject non‐group members

Many studies of intergroup relations have examined the effects of group identity on various types of intergroup cognition and behavior. However, few studies have focused on the perceived group identity of outgroup members. This study examined the effects of perceptions of outgroup identity on anticipated rejection by an outgroup. In Study 1, we administered a questionnaire pertaining to 30 social groups to Japanese undergraduate and vocational students. The collective images and intra‐individual processes relating to perceived outgroup identity were investigated by applying correlation analysis and multilevel structural equation modeling. In Study 2, we conducted an experiment in which we manipulated the participants' perceptions of relative levels of outgroup members' identity. Both studies demonstrated, as predicted, that people anticipated rejection by strongly identified outgroup members more than by weakly identified outgroup members. Furthermore, in Study 2, anticipated same‐group favoritism mediated the relationship between the manipulation of perceived outgroup identity and anticipated rejection. These findings suggest the important role of perceived outgroup identity in intergroup cognition.     

BE CAREFUL WHAT YOU WISH FOR! THE SURRENDER OF GENDER

Close examination of Freud's Three Essays on the Theory of Sexuality (1905a) reveals an ambiguity in Freud's language as he simultaneously tries to escape 19th‐century psychiatric paradigms concerning sexuality and perversion while also retaining a normative approach to adult sexuality that created new categories of pathology. The result is an ambivalent legacy that has both hampered and helped contemporary clinicians as they deal with a diverse array of presentations of gender and sexual orientation in today's world.     

History Matters: Effects of Culture‐specific Symbols on Political Attitudes and Intergroup Relations

A theory of the historical anchoring and mobilization of political attitudes is proposed, arguing that culture‐specific symbols, configured by historical charters, are an important resource in defining nationhood and legitimizing public opinion in a way that makes some political attitudes difficult to change. Five studies in New Zealand and Taiwan using diverse methods converged to show that historical events with “charter status” have an additive effect in explaining variance in political attitudes regarding biculturalism in New Zealand and independence in Taiwan even after controlling for the effects of Social Dominance Orientation, Right‐Wing Authoritarianism, relevant social identities, and collective guilt. Field and lab experiments showed that the impact of historical symbols did not depend on the mobilization of social identity (e.g., increasing mean scores and indirect effects), but the historical anchoring of political attitudes in representations was resistant to change. Manipulations of the salience of historical events changed levels of social identification, but did not change mean levels of support for New Zealand biculturalism or Taiwanese independence. Even an intense and immersive pretest/posttest design taking high school students on a national museum tour failed to change attitudes towards biculturalism in New Zealand.     

Interethnic Factors as Predictors of the Subjective Well‐Being of Minority Individuals in a Context of Recent Societal Changes

Our research examined the impact of contextual intergroup variables on the subjective well‐being of ethnic Russians in Estonia (N = 190) who have experienced major social changes with the demise of the Soviet Union. A mediational model was tested where aspects of intergroup relations (i.e., relative deprivation, status legitimization, and temporal comparisons) acted as mediators of the influence of cultural identity and representations of history on subjective well‐being. Preliminary analyses indicated polemical representations of history in which Estonian historical narratives are established around the struggle for independence, and Russian representations of history are consolidated around victory in World War II. Mediation analyses demonstrated that the importance of Russian history increased the perceptions of relative deprivation, status delegitimization, and the frequency of temporal comparisons, which negatively affected life satisfaction. At the same time, the importance of Estonian history led to positive perceptions of the intergroup situation and, in turn, to greater subjective well‐being. The effect of Russian identity on well‐being was mediated by delegitimizing beliefs, but not by relative deprivation and temporal comparisons. Estonian identity did not exert a significant effect on the proposed mediators. The research demonstrates the salience of the effects of contextual intergroup factors on subjective well‐being, and the article discusses implications for the study of intergroup relations and subjective well‐being.     

New Technologies,New Identities,and the Growth of Mass Opposition in the Arab Spring

The recent revolutions known as the Arab Spring have been characterized as the products of social media. However, there is an alternative view that revolution takes place on the street or the battlefield and that the role of social media has been overstated. We argue that some new technologies can serve to facilitate rapid social change when they provide ways to overcome restrictions on the freedoms of expression and association. In doing so, communication technologies enable the formation of new social identities that can challenge existing social orders by promoting the growth of a social movement that is positioned as loyal to the nation and its people but opposed to the government. Our analyses focus on the role of social media in spreading video images of dissent and the links between this video material, satellite television, and mobile telephones in Tunisia and Egypt.     

Temporal fluctuations in driving demand: The effect of traffic complexity on subjective measures of workload and driving performance

Traffic density has been shown to be a factor of traffic complexity which influences driver workload. However, little research has systematically varied and examined how traffic density affects workload in dynamic traffic conditions. In this driving simulator study, the effects of two dynamically changing traffic complexity factors (Traffic Flow and Lane Change Presence) on workload were examined. These fluctuations in driving demand were then captured using a continuous subjective rating method and driving performance measures. The results indicate a linear upward trend in driver workload with increasing traffic flow, up to moderate traffic flow levels. The analysis also showed that driver workload increased when a lane change occurred in the drivers’ forward field of view, with further increases in workload when that lane change occurred in close proximity. Both of these main effects were captured via subjective assessment and with driving performance parameters such as speed variation, mean time headway and variation in lateral position. Understanding how these traffic behaviours dynamically influence driver workload is beneficial in estimating and managing driver workload. The present study suggests possible ways of defining the level of workload associated with surrounding traffic complexity, which could help contribute to the design of an adaptive workload estimator.