Cognitive Alexithymia Mediates the Association Between Avoidant Attachment and Interpersonal Problems in Patients With Somatoform Disorder

Patients with somatoform disorder (SFD) are characterized by the presence of chronic physical complaints that are not fully explained by a general medical condition or another mental disorder. Insecure attachment patterns are common in this patient group, which are often associated with interpersonal difficulties. In the present study, the mediational role of two types of alexithymia and negative affectivity (NA) was examined in the association between attachment styles and interpersonal problems in a group of 120 patients with SFD. Patients were requested to fill out several self-report questionnaires for the assessment of attachment strategies, alexithymia, NA, and interpersonal problems. Cognitive alexithymia (i.e., the inability to identify and verbalize emotions) mediated the relationship between avoidant attachment patterns and interpersonal problems, even after controlling for NA. Preliminary findings also suggested that NA acted as a moderator of the mediator cognitive alexithymia. These results have important implications for clinical practice, as this study clearly shows that interpersonal problems do not automatically follow from insecure attachment strategies, but are contingent upon alexithymic features. It is recommended to target alexithymic features in patients with SFD, particularly in the context of negative emotions. Therefore, cognitive alexithymia may be an important therapeutic focus, specifically in the treatment of avoidant ptients with SFD.     

Clients’ experiences of dynamic interpersonal therapy (DIT): opportunities and challenges for brief,manualised psychodynamic therapy in the NHS

Dynamic interpersonal therapy (DIT) is a brief manualised psychodynamic intervention for depression. This is a first study exploring clients’ experiences of DIT specifically and brief, manualised psychodynamic psychotherapy (PP) in general. Interpretative phenomenological analysis was the methodology employed. Five participants completed a semi-structured interview, three weeks to ten months after completing DIT. The scores of pre- and post-therapy outcome measures of depression and anxiety were also available. Two emerging superordinate themes are presented here: (1) ‘The Distinct Features of DIT’, referring to how its therapeutic style and time limitations were experienced and (2) the ‘Impact of Therapy’, referring to perceived outcomes. While previous findings showed that therapist’s perceived limited activity in long-term PP was experienced as hindering/unhelpful, the perceived sense of direction in DIT appeared adequate to most participants. Secondly, the time limitations provoked complex responses. Reactions to the distinct elements of DIT are to be treated both as therapeutic opportunities and as challenges. Further, in line with psychoanalytic theory, most participants described relational changes that went beyond symptom relief and remained in progress after therapy ended. Intriguingly, there was no consistency between participants’ qualitative accounts of change and the scores of the outcome measures.     

Dynamic interpersonal therapy in an NHS tertiary level specialist psychotherapy service

We describe the introduction of dynamic interpersonal psychotherapy (DIT) into an National Health Service (NHS) tertiary psychoanalytic specialist psychotherapy service. Training in DIT began as our contribution to Improving Access to Psychological Therapies and primary care services, supporting the training and supervision of their DIT practitioners. We then discovered DIT could be a valuable treatment within our own tertiary NHS service for patients with complex presentations. Currently fighting for survival, like many NHS psychoanalytic psychotherapy services nationally, we have adopted a manual-guided, psychoanalytically based therapy to broaden our tertiary clinical psychoanalytic service and accommodate trends in mental health service provision, whilst protecting the quality and integrity of our psychotherapy. DIT helped us continue providing relevant and beneficial psychoanalytic and psychodynamic services to individual patients despite limitations of the financially challenged NHS, NICE guidelines and Payment by Results. We outline the progress and outcomes for patients with complex mental health presentations, include individual case discussion and our experience of using the DIT approach within a traditionally longer term psychoanalytic psychotherapy service.     

组织中的人际冲突:类型、模型与表达

组织中的人际冲突是组织成员在分歧、负面情绪与干扰的相互作用下,通过意义建构导致互动双方在认知、情感与行为方面产生的一系列反应过程。现有研究将组织中的人际冲突分为单特征型和多特征型,集中探讨作用模型,并基于表达层面解析冲突的维度和作用模式。本文尝试将冲突类型、表达方式以及作用模型进行嵌入式整合,提出组织中人际冲突的具体应对策略。未来研究可将认知差异嵌入过程框架,探求冲突显现的临界点,验证应对方式的有效性,探究组织权力的影响,开展基于多元亚文化下组织中人际冲突的本土化研究。     

认知抑制与人际宽恕:特质宽恕的调节作用

采用《特质宽恕量表》测量了102名大学生的特质宽恕能力,并通过Flanker任务和情景回忆法评估了被试的认知抑制和人际宽恕水平,目的是探讨特质宽恕、认知抑制与人际宽恕三者之间的关系。结果发现:(1)认知抑制、特质宽恕与人际宽恕各维度之间存在两两显著相关(除认知抑制与仁慈动机之外);(2)特质宽恕对回避、报复和仁慈动机均具有预测作用,而认知抑制则只对报复动机具有预测作用;(3)特质宽恕与认知抑制对回避动机具有负向的调节作用,对仁慈动机具有正向的调节作用。     

情境与互动：人际互倚及其模

人际互倚理论主要关注群体中个体之间的相互依附关系。文章介绍了互倚理论的历史发展,论述了人际互倚理论发展中研究方法的改进：从结果矩阵到转换细目表。方法的改进推动了重视情境的人际互倚情境模式的发展,使人际互倚理论从研究静态人际互倚关系转向研究动态人际互倚的转换过程。该文还对人际互倚研究进行了评价和展望     

大学生人际信任变迁的横断历史研究

在当代剧烈的社会变迁背景下, 人们的信任水平可能会发生改变。本文采用横断历史研究方法, 对采用Rotter “人际信任量表”调查大学生人际信任水平的53篇研究报告进行了元分析, 这些文献涉及24233名大学生, 调查的时间跨度为1998年至2009年。研究结果表明：(1)我国大学生人际信任水平在这11年间显著降低, 相比1998年, 2009年时大学生的人际信任水平下降了1.19个标准差; (2)无论男生还是女生, 人际信任水平在11年间均显著下降, 其变化趋势和人际信任水平本身均不存在性别差异; (3)农村生源大学生的人际信任下降趋势呈边缘显著, 而城市生源大学生的人际信任水平没有明显变化, 但人际信任得分本身不存在生源地差异。     

大学生控制信念及其与人际信任的关系

以290名大学生为被试,采用量表法考察其控制信念和人际信任的特点及两变量之间的关系。结果表明,（1）被试的认知控制信念得分最高,情感控制最低,直接控制和间接控制信念得分居中;且控制信念得分存在显著性别和生源地差异,女生的认知控制和情感控制得分都高于男生,农村生源学生的间接控制信念得分显著低于城市生源学生;（2）被试人际信任得分较低,且不存在性别和生源地差异;（3）控制信念与人际信任的关系因被试性别和生源地的不同而有差异,对于女生和农村生源大学生来说,直接控制、认知控制信念得分越高,人际信任得分也越高;而对     

自我建构研究的现状与展望

在回顾自我建构理论发展脉络的基础之上, 介绍了特质性自我建构的测量和情境性自我建构的激活方法, 并从自我建构的性别与文化差异以及自我建构与认知风格、社会比较、人际交往、个人自主、自我调控的关系等几方面概述了该领域现状。该领域研究的进一步推进依赖于自我建构理论基本思想的完善、测查工具的改进以及研究者能否用辩证视角看待变量间关系。特质性自我建构对个体稳定的个性心理特征以及适应状况的影响, 特质性自我建构个体差异的影响因素应在未来研究中得到重视。     

Trait interpersonal vulnerability attenuates beneficial effects of constructive criticism on failure responses

The extant literature on interpersonal criticism suggests that relative to destructive criticism, constructive criticism significantly minimizes the injurious psychological aftermath people experience after failure. However, we propose the possibility that for some people, these psychological benefits of constructive criticism are less apparent. Specifically, we hypothesized that for people high in trait interpersonal vulnerability, a construct marked by maladaptive cognitive‐emotional responses in interpersonal contexts and/or by dysfunctional relational concerns, effects of constructive (vs. destructive) criticism on reduced maladaptive appraisals will diminish, and this diminution of reduced maladaptive appraisals will predict downstream effects on worsened post‐failure mood. An experiment had a college sample (N = 349) complete four instruments represented under an interpersonal vulnerability construct (IVC). Next, participants imagined failing in various domains and receiving subsequent feedback from emotionally important others. Feedback type was manipulated to typify either destructive criticism or constructive criticism. Finally, participants provided ratings of maladaptive appraisals and post‐failure mood. Latent variable path modelling supported hypotheses. Effects of constructive (vs. destructive) criticism on reduced maladaptive appraisals (namely, shame proneness) diminished as IVC increased, which predicted worsened post‐failure mood. Findings have implications for multidisciplinary theoretical perspectives relevant to interpersonal vulnerability and offer practical considerations for clinicians working with vulnerable clients.