Intergenerational Transmission of Trauma-Related Distress: Maternal Betrayal Trauma,Parenting Attitudes,and Behaviors

The purpose of this study was to elucidate mechanisms involved in the intergenerational transmission of trauma-related distress. This study investigated whether betrayal trauma (BT; abuse by a person close to the victim) and specific parenting attitudes and behaviors among mothers with child abuse histories predicted internalizing and externalizing symptoms in their children. Mothers and children (ages 7–11) were recruited for a project on parenting and stress (N = 72). Maternal betrayal trauma predicted both internalizing (β = 0.33, p < .01) and externalizing symptoms (β = 0.25, p < .05) even when controlling for mothers’ trauma-related symptoms. Negative attitudes toward limit setting predicted externalizing symptoms (β = ?0.33, p < .05). Poorer communication (β = ?0.39, p < .05) but higher parenting satisfaction (β = 0.38, p < .01) predicted internalizing symptoms. These findings demonstrate the importance of assessing maternal trauma and parenting characteristics as part of interventions with symptomatic children.     

Critical reflection in midwifery practice: the protection motivation theory

Background: The aim of this paper is to shed light on the notion of fear and inter-personal working relationships, and to promote safe midwifery practice, by critically reflecting on our practice and being aware of fear appeals and the protection motivation theory (PMT).

Theory: PMT provides a general account of the impact of persuasive communication, emphasising the cognitive processes that mediate behaviour change and questions whether ‘fear appeals’ could influence behaviour. Discussion: It is possible that when a midwife decides on a particular care pathway, she determines the degree and perception of the four elements of the PMT; severity, vulnerability, response-efficacy and self-efficacy. If the midwife decides that both the degree of severity and her perception of vulnerability are high, whereas response and self-efficacy perceptions are low, she will probably decide against her original care pathway. For the PMT to be used safely, an appropriate judgement call is required and is based on full understanding of the situation, effective communication with the multidisciplinary team, full knowledge of the proposed care, and competence and confidence in the proposed care. Conclusion: By critically reflecting on their practice and using the PMT, the author believes that midwives will be able to work in partnership with obstetricians to provide safe and effective care within their sphere of practice and in the absence of fear.     

Past and present,day by day: Communication with former romantic partners,relationship-contingent self-esteem,and current relationship outcomes

In an effort to illuminate factors delineating when communication with former romantic partners can be beneficial versus detrimental, this work examines how communication affects both the current and former relationships, and whether these associations vary as a function of one’s self-worth being tied to the relationship (i.e., relationship-contingent self-esteem, RCSE). Over three weeks, undergraduates in relationships who regularly communicated with a former partner (N = 46) completed nightly measures of former partner communication and satisfaction with current and former relationships. Results indicated that among those higher in RCSE, communication with former partners undermined current relationship satisfaction and bolstered former relationship satisfaction, patterns not evident among those lower in RCSE. For some, communication with former partners can be problematic for the current relationship.     

Mortality salience increases language style matching and well-being

The present research examined whether people imitate the language style of others (i.e., the use of function words) as a form of liking when mortality concerns are salient. In Study 1, participants answered questions about death or public speaking and then engaged in an instant messaging conversation with a confederate. In Study 2, participant pairs verbally discussed a news article about increasing homicide rates or the rise in academic pressure. Next, everyone completed measures of self-esteem, life satisfaction, and relationship need satisfaction. The results revealed that, in comparison to the control conditions, participants exhibited greater language style matching (LSM) following reminders of death (Studies 1 & 2). Further, mediational analyses showed that higher LSM after mortality salience was associated with better psychological and social well-being (Study 2). Although the threat of death has been shown to make people more hostile and disparaging toward dissimilar others, the present work suggests that individuals, even strangers, may feel closer through language coordination following thoughts of mortality.     

Prosociality enhances meaning in life

A central feature of meaning in life is a consideration of more than oneself. We extend this logic to suggest that altruistically motivated prosociality – acting in ways that benefit others – is a self-transcending action that may provide meaning in life. Study 1 provided evidence of a relationship between self-reported prosocial behavior and meaning in life, even after statistically controlling for personality traits and self-esteem. Study 2 provided evidence that engaging in a prosocial action, via writing notes of gratitude, increased meaning in life. Study 3 provided evidence that individuals bolster perceptions of prosociality following threats to meaning. Study 4 suggested relationship satisfaction partially mediates the link between prosocial actions and meaning in life. These studies provide initial evidence that prosociality enhances meaning in life.     

Social Anxiety Disorder and Perceived Criticism in Intimate Relationships: Comparisons With Normal and Clinical Control Groups

Individuals with social anxiety disorder (SAD) have difficulties in their romantic relationships, including decreased satisfaction and intimacy, but the reasons for these difficulties are poorly understood. Because fear of negative evaluation is a cardinal feature of SAD, perceived criticism from a romantic partner may play a central role in socially anxious individuals’ relationships. In the present study, we compared levels of perceived, expressed, and observed criticism and reactions to criticism among individuals with SAD and their partners (n = 21), individuals with other anxiety disorders and their partners (n = 35), and couples free of psychopathology (n = 30). Participants rated both global criticism and criticism during a 10-minute problem-solving task, which was also coded for criticism by observers. Individuals with anxiety disorders showed elevated levels of interaction-specific perceived criticism, expressed criticism, and upset and stress due to criticism relative to normal controls; they also reported that the interaction was more stressful. However, there were no group differences on global measures of criticism, and the two anxious groups did not differ on any measures. Findings suggest that the high levels of criticism anxious individuals perceive and their corresponding negative reactions to criticism, though not specific to SAD, may account for some of the relationship difficulties that have been identified in SAD. Results also indicate that anxious individuals may contribute to their relationship difficulties by being highly critical themselves. Overall, our findings point to the need for a clinical focus on decreasing perceived criticism among individuals with anxiety disorders.     

Can imagined intergroup contact change (internal) dialogues on differences between ingroup and outgroup?

Several positive functions have been ascribed to integrative internal dialogues (IDs), which are based on mutual openness to a partner's viewpoint and a readiness to consider his/her arguments in order to potentially modify one's own stance. As the technique of imagined intergroup contact (IIC) favorably influences attitudes towards outgroup members, it was hypothesized that IIC would have a beneficial impact on IDs with an outgroup member when the dialogue is focused on differences between ingroup and outgroup. In the experiment, 151 people (80 women) participated. It revealed that after IIC, both the dialogue author's confrontational attitude and the interlocutor's integrative attitude decreased. Thus, IIC made participants less inclined to gain an advantage over their imagined outgroup interlocutors and more inclined to give them freedom in IDs. However, the effect was significant only when the author's involvement in ID was high or medium.     

“Digging in” or “Giving in”: Attachment-related threat moderates the association between attachment orientation and reactions to conflict

Prior research suggests that individuals higher in attachment anxiety react to conflict in a more hostile manner than those lower in attachment anxiety. Although less pronounced, there is also evidence that attachment anxiety is associated with submissive behavior in conflict. Thus, the literature presents a paradox, as attachment anxiety is associated with both domineering and submissive responses to relationship conflict. We proposed that attachment-related threat moderates the effects of attachment orientations on conflict behavior, such that under conditions of low threat attachment anxiety would be associated with dominance, whereas under conditions of high threat attachment anxiety would be associated with submission. Further, we expected that this interaction between attachment anxiety and threat condition would be stronger for individuals lower in attachment avoidance, relative to those higher in avoidance. We found support for our hypotheses, such that attachment anxiety, attachment avoidance, and threat interacted to predict responses to relationship conflict.     

Approach and avoidance relationship goals and couples’ nonverbal communication during conflict

Approach relationship goals are pursued in order to achieve desirable outcomes, whereas avoidance relationship goals are pursued to prevent undesirable outcomes in relationships. We investigated how partners’ approach and avoidance relationship goals are related to their nonverbal communication during conflict. A sequential analysis of observational data from 365 couples (28,470 observations) revealed that individuals with more (vs. fewer) approach goals displayed more positive involvement (e.g., head nods, smiles) and less avoidant withdrawal (e.g., shaking head, folded arms). The reverse pattern emerged for avoidance goals. Furthermore, women (but not men) matched their partner's positive involvement to a greater extent the more approach goals and the fewer avoidance goals they pursued. In contrast, approach/avoidance relationship goals were not associated with how much individuals matched their partner's avoidant withdrawal. Results suggest that relationship goals are related to partners’ nonverbal communication and the extent to which women match their partner's positive involvement during conflict.     

The Multilevel Relationships of HIV‐Related Stigma to Child and Caregiver Mental Health among HIV‐Affected Households in South Africa

HIV/AIDS‐related (HAR) stigma is still a prevalent problem in Sub‐Saharan Africa, and has been found to be related to mental health of HIV‐positive individuals. However, no studies in the Sub‐Saharan African context have yet examined the relationship between HAR stigma and mental health among HIV‐negative, HIV‐affected adults and families; nor have any studies in this context yet examined stigma as an ecological construct predicting mental health outcomes through supra‐individual (setting level) and individual levels of influence. Multilevel modeling was used to examine multilevel, ecological relationships between HAR stigma and mental health among child and caregiver pairs from a systematic, community‐representative sample of 508 HIV‐affected households nested within 24 communities in KwaZulu‐Natal, South Africa. Two distinct dimensions of HAR stigma were measured: individual stigmatizing attitudes, and perceptions of community normative stigma. Findings suggest that individual‐level HAR stigma significantly predicts individual mental health (depression and anxiety) among HIV‐affected adults; and that community‐level HAR stigma significantly predicts both individual‐level mental health outcomes (anxiety) among HIV‐affected adults, and mental health outcomes (PTSD and externalizing behavior scores) among HIV‐affected children. Differentiated patterns of relationships were found using the two different stigma measures. These findings of unique relationships identified when utilizing two conceptually distinct stigma measures, at two levels of analysis (individual and community) suggest that HAR stigma in this context should be conceptualized as a multilevel, multidimensional construct. These findings have important implications both for mental health interventions and for interventions to reduce HAR stigma in this context.