A thematic analysis of practitioners' understanding of domestic abuse in terms of post‐traumatic stress disorder (PTSD) and complex‐PTSD (C‐PTSD)

There is a growing body of evidence suggesting that domestic abuse (DA) should be conceptualised within the complex post‐traumatic stress disorder (C‐PTSD) model. Recently, in the draft of the International Classification of Diseases, Eleventh Revision, produced by the World Health Organization (WHO), C‐PTSD was included as a separate criterion in which DA is incorporated (ICD‐11, WHO, 2018). In this study, a thematic analysis was used to explore to what extent practitioners working with DA survivors are familiar with PTSD and C‐PTSD. Research into such a prevalent and detrimental problem as DA is important to understand whether the development of theoretical knowledge about DA and C‐PTSD is addressed in practice. In a Women's Centre in South London, six semi‐structured interviews with middle‐aged female practitioners were conducted to investigate each counsellor's experiences, knowledge and reflections. Six final themes were constructed to summarise the main results. The findings demonstrate limited practitioner understanding of DA in terms of C‐PTSD, which seems to impact not only the effectiveness of treatment plans with DA survivors, but also counsellors’ own psychological and physical states. It is also indicated that DA can be conceptualised within the C‐PTSD model that corresponds with previous literature indicating the complex nature of DA. The overall results of the current research acknowledge that DA sectors should not be neglected and better funding and effective psychoeducation in this field are needed.     

时间信息加工与信息加工时间特性双视角下的重要时间参数及其证据

时间既是人类信息加工的对象, 也是(非时间)信息加工的制约因素。数十毫秒至数秒之间的时间加工与人类日常生活关联紧密, 譬如主观计时、演奏及言语等活动。根据以往文献分析可知, 在该时间区域内, 20~ 60 ms、1/3~1 s、2~3 s是研究者关注的重要时间参数, 但是支持这些参数的证据尚存分歧。首先从“时间信息加工”和“信息加工的时间特性”的视角介绍时间参数的基本观点及其提出背景, 然后基于“时间信息加工”视角从行为学研究、脑损伤研究、神经药理学研究, 脑电研究、脑成像研究、经颅磁刺激研究、经颅直流电刺激研究等领域介评了1/3~1 s和2~3 s分界区域的证据, 接着基于“信息加工的时间特性”视角从时序知觉阈限研究、感觉运动同步研究、主观节奏研究、言语行为研究、知觉逆转研究、返回抑制研究及失匹配负波研究等领域介评了20~60 ms和2~3 s时间窗口的证据。未来研究既要注意构建基于分界区域与时间窗口的更强解释力的理论假说, 也要厘清分界区域与时间窗口的联系与区别。     

反馈间隔影响反馈加工：整合行为和电生理研究的视角

反馈在现实生活中扮演着重要角色, 通过反馈信息进行学习是人类获取知识和技能的有效手段。反馈间隔是指个体行为发生到反馈刺激呈现之间的时间间隔。在反馈加工过程中, 反馈间隔是一个重要影响因素, 但反馈间隔影响反馈加工的研究结果不一。对反馈间隔影响反馈加工的行为和电生理研究分别做了介绍, 对结果出现差异的原因进行了分析。未来的研究应考虑结合行为研究与电生理研究, 并统一反馈间隔的操作定义。     

医疗信息的风险感知

从信息加工视角探究个体对医疗信息的风险感知过程, 通过医疗信息来源、医疗信息内容与呈现形式和信息加工主体三个方面归纳其影响因素, 并基于经验-分析式加工理论和字面-要义加工理论探讨医疗信息风险感知的认知机制。今后研究可更注重医疗信息风险感知的通用研究与特殊主题研究的平衡、风险感知测量工具的规范性与特异性的结合, 并立足于中国医疗体系建立具有循证依据的预防措施和配套政策。     

Resistance and outcome expectations in cognitive‐behavioural therapy for generalised anxiety disorder

Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, p < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes.     

瞳孔是心灵的窗口吗?——瞳孔在心理学研究中的应用及测量

瞳孔大小是眼动研究中一个重要的参数指标, 在一定程度上能够反映人的心理活动并影响他人的心理与行为。一方面, 瞳孔变化受到自上而下的知觉与注意、情绪与动机、心理努力、社会认知与发展等因素的影响, 另一方面, 大瞳孔能引起他人更多的积极评价和积极行为。瞳孔的神经机制(蓝斑-去甲肾上腺素系统)和自适应增益理论解释了瞳孔与心理之间存在紧密联系的原因。瞳孔测量(pupillometry)作为一种有效的眼动追踪方法有助于理解瞳孔与心理的关系, 研究者在测量瞳孔时需要关注无关变量(如亮度、注视位置), 原始数据处理(如基线校正、眨眼处理)及瞳孔指标选取(如瞳孔直径、震颤频率)等问题, 未来研究应继续探讨瞳孔与其他心理之间的关系, 并探索更有效地处理和使用瞳孔指标的方法。