Distress and Avoidance in Generalized Anxiety Disorder: Exploring the Relationships with Intolerance of Uncertainty and Worry

Theory and research suggest that treatments targeting experiential avoidance may enhance outcomes for patients with generalized anxiety disorder (GAD). The present study examined the role of experiential avoidance and distress about emotions in a treatment-seeking sample with a principal diagnosis of GAD compared with demographically matched nonanxious controls and sought to explore their shared relationship with two putative psychopathological processes in GAD: intolerance of uncertainty and worry. Patients with GAD reported significantly higher levels of experiential avoidance and distress about emotions compared with nonclinical controls while controlling for depressive symptoms, and measures of these constructs significantly predicted GAD status. Additionally, experiential avoidance and distress about anxious, positive, and angry emotions shared unique variance with intolerance of uncertainty when negative affect was partialed out, whereas only experiential avoidance and distress about anxious emotions shared unique variance with worry. Discussion focuses on implications for treatment as well as future directions for research.     

体验购买与实物购买：概念、测量及其与快乐的关系

体验购买是指为了获得生活经历或经验而进行的购买, 与其相对应的是实物购买, 指的是为了拥有物质类商品而进行的消费行为。这两种购买类型对于个体的快乐有着不同的影响, 体验购买比实物购买更让人感到快乐和愉悦, 其中的原因存在于以下5个方面：体验随时间的推移而改善, 变得越来越美好; 体验与自我的联系更为紧密; 体验购买不易引起社会比较; 体验能够满足基本心理需要, 尤其是关系需要; 体验易于分享。未来研究可以从以下3个方面着手：(1) 探索购买类型对快乐感的长期影响以及对不同取向幸福感的作用, 体验优先的适用范围; (2) 改进现有回忆和想象的研究范式, 提高生态效度; (3) 结合我国实际情况开展购买类型与快乐感的本土化研究。     

The impact of experiential avoidance on the relations between illness representations,pain catastrophising and pain interference in chronic pain

Objective: The aim of this study was to examine the effects of experiential avoidance (EA) on the indirect relationship of chronic pain patients’ illness representations to pain interference, through pain catastrophising

Design and main outcome measure: The sample consisted of 162 patients diagnosed with an arthritis-related or a musculoskeletal disorder. The effects of EA on the pathway between illness representations, pain catastrophising and pain interference were examined with PROCESS, a computational tool for SPSS

Results: After controlling for patient and illness-related variables and pain severity, the ‘illness representations–pain catastrophising–pain interference’ pathway was interrupted at the higher levels of EA. The reason was that, at the high levels of EA, either the relation of illness representations to pain catastrophising or the relation of pain catastrophising to pain interference was not statistically significant.

Conclusion: The findings indicate that EA is not a generalised negative response to highly aversive conditions, at least as far as the factors examined in this study are concerned. EA may rather reflect a coping reaction, the impact of which depends on its specific interactions with the other aspects of the self-regulation mechanism. At least in chronic pain, EA should become the focus of potential intervention only when its interaction with the illness-related self-regulation mechanism results in negative outcomes.     

MARTIN LUTHER'S EXPERIENTIAL THEOLOGY AS A MODEL FOR FAITH-SCIENCE RELATIONSHIPS

The approach of experiential realism could indicate where science and faith deal with the same reality, where science questions faith assumptions, and where faith goes beyond the mandate and method of science. Although prescientific, Martin Luther's theology is the classical prototype of an experiential theology. We experience God's creative power in all of reality. We discern its regularities through observation and reason. So faith opens up all the space needed by science. However, experienced reality is highly ambiguous. It obscures God's intentions. God's intentions are revealed in the proclamation of the gospel: God is unconditionally for us and with us and not against us. This proclamation is a promise, appropriated in faith, and geared to a vision of what ought to become. It is based on the interpretation of a catastrophe—the cross of Christ—as God's pivotal redemptive act in human history. It goes beyond the mandate and method of science, yet it is capable of giving the latter a sense of purpose, criteria of acceptability, and authority to act in the interests of humanity and the earth. Theology challenges science to acknowledge the necessity of a transcendent frame of reference and moral accountability. Scientific insight challenges theology to reconceptualize its assumptions on God, creation, and eschatology to integrate best science.     

Variety Seeking,Satiation, and Maximizing Enjoyment Over Time

In this article, we examine the different ways in which consumers balance their consumption behavior in order to maximize utility. In particular, we focus on how people balance repeating the same options with the decision to seek variety. While earlier research represented variety seeking as a means of reducing physical satiation (McAlister, 1982), more recent research suggests that the relationship between choosing variety and minimizing satiation is more complex, as these behaviors may be motivated and influenced by exogenous factors. Past reviews have largely looked at the two processes separately. In this article, we discuss the nuanced relationship between these two constructs and point to future research directions that may help us further understand how consumers tackle the everyday challenge of maximizing enjoyment over time.     

Will recalling a purchase increase your well‐being? The sequential mediating roles of postpurchase sharing and relatedness need satisfaction

To shed light on the underlying mechanisms of the relationship between purchase type and well‐being (including hedonic and eudaimonic well‐being), this study explored the mediating roles of both postpurchase sharing and relatedness need satisfaction in a Chinese sample. In the current study, participants were required to recall an impressive past purchase and report the level of postpurchase sharing, relatedness need satisfaction, and well‐being experienced after the purchase. The results indicated that (a) participants in the experiential purchase group reported higher levels of both hedonic and eudaimonic well‐being than did those in the material purchase group, and (b) postpurchase sharing and relatedness need satisfaction sequentially mediated the relationship between purchase type and well‐being. Specifically, individuals were more willing to share with others after experiential purchases than after material ones. Therefore, in turn, they experienced higher levels of relatedness need satisfaction, which was conducive to higher levels of both hedonic and eudaimonic well‐being.     

Using Photography to Enhance Development of Self,Professional Identity,and Multicultural Awareness

Counseling can be a vulnerable process for clients and counselors alike. Counselors-in-training often find their early development to be an ambiguous and anxiety-provoking process. Both metaphors and experiential activities are effective methods in counselor training for addressing the ambiguity of counseling and the concerns experienced by counseling students. This article describes how counselor educators can use photography as a metaphor to support counselor development. We also outline four creative photography activities designed to foster self-reflection, professional identity development, and multicultural awareness among counselors-in-training.     

自我隐瞒对消防员创伤后应激反应的影响：经验回避和反刍的链式多重中介作用

人格特质和情绪调节策略是创伤后应激反应的重要影响因素。作为一种在个人感到痛苦时有意地向他人隐藏自身状况的人格特质,自我隐瞒会通过适应不良的情绪调节策略影响心理健康。然而,鲜有研究考察自我隐瞒、适应不良的情绪调节策略与创伤后应激反应的关系。对创伤后应激反应的情绪调节策略的研究发现,经验回避和反刍是两种有重要影响的适应不良的情绪调节策略。在创伤后应激反应的研究对象上,前人主要关注在创伤事件中幸存的直接受害者身上,而对频繁处理各类突发事件而成为创伤后应激反应高危人群的消防员一直缺乏研究。因此,本研究意在考察自我隐瞒对经历职业创伤的消防员创伤后应激反应的影响以及经验回避和反刍这两种适应不良的情绪调节策略的中介作用。 研究被试为215名将个人经历的职业创伤作为首要创伤事件的一线消防员。他们来自我国3个城市,均为男性,平均年龄22.90±3.38岁。使用中文修订版的埃森创伤问卷、自我隐瞒量表、反刍反应量表、接受与承诺问卷第二版和事件影响量表进行现场调查。被试均匿名填写调查问卷。使用SPSS20.0进行描述性统计和相关性分析。使用Mplus7.4进行结构方程模型的分析。采用Harman单因子检验的方法进行共同方法偏差检验。采用偏差矫正的百分位Bootstrap方法进行中介效应的显著性检验。 结果表明,自我隐瞒、经验回避、反刍和创伤后应激反应之间存在两两显著正相关;自我隐瞒对创伤后应激反应具有直接效应;自我隐瞒通过反刍对创伤后应激反应产生间接效应;自我隐瞒通过经验回避-反刍的中介链对创伤后应激反应产生间接效应;自我隐瞒影响创伤后应激反应的总效应值为0.427,其中总间接效应值为0.217,占总效应值的50.82%。本研究还发现,64名(29.77%)将个人经历的职业创伤作为首要创伤事件的一线消防员达到了严重创伤后应激反应的水平。 总之,自我隐瞒可以通过三条路径影响创伤后应激反应：直接影响、反刍的中介作用和经验回避-反刍的系列中介作用。在理论层面,这拓展了对影响创伤后应激反应的人格特质的理解和对自我隐瞒影响的心理健康状况的理解。在实践层面,这提示我们重视自我隐瞒、经验回避和反刍在预防和治疗创伤后应激反应中的潜在贡献。此外,本研究还发现,消防员确实是创伤后应激反应的高危人群。作为突发事件的第一响应人,消防员的心理健康应该得到更多关注与研究。     

On emotional innumeracy: Predicted and actual affective responses to grand-scale tragedies

The present research demonstrates that people overestimate the intensity of their emotional responses to grand-scale tragedies. Participants predicted that they would feel significantly worse if thousands of people were killed in a disaster than if only a few people were killed, and yet they exhibited an “emotional flatline,” feeling equally sad regardless of the number of people killed. This unforeseeable emotional flatline was demonstrated in response to deaths stemming from human violence and natural disasters, both close to home and far away (including hurricanes in the United States, a forest fire in Spain, and the Iraq War). Participants’ actual emotional responses were calibrated with fatalities only when abstract death tolls were translated into concrete images. We argue that affective forecasts and emotional experiences may arise from separate systems, leading to reliable forecasting errors, as well as influencing subsequent judgments.