A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

Learning from experience in case conference: A Bionian approach to teaching and consulting

In case conferences as well as didactic seminars, the power of the group can bring psychoanalytic education to life. However, primitive anxieties activated by group dynamics may also interfere with teaching and learning. The authors offer the example of a stalemated private practice case conference that had unconsciously organized against learning as the members began to read Bion's work. The case conference leader, an analyst, presented her case conference, which was mired in basic assumption dependency dynamics, to our peer consultation group. Drawing upon Bion's early contributions on groups, as well as his later ideas about thinking and mental growth, the peer group facilitated the case conference's return to work-group functioning and learning from experience. Activated in the peer group, commensal container↔contained processes gradually spread throughout the entire relational system of peer group, case-conference leader, case-conference members, and patients. This example underscores the importance of promoting within our institutes a culture in which faculty view themselves as part of an evolving intersubjective matrix that works to foster the containing capacities of candidates, patients, and faculty alike.     

Numerical representation and cross-cut role assignments: Majority members’ responses under cooperative interaction

This research investigates why cross-cutting role assignments, compared to those that converge, may worsen the intergroup attitudes of numerical majorities. Study 1 manipulated the numerical representation of groups and role assignments in a cooperative setting. As predicted, when the cross-cut role condition included the reintroduction of the numerical imbalance, the intergroup attitudes of majorities were more favorable than when the cross-cut condition did not reintroduce this discrepancy. Also, Study 1 showed that the intergroup attitudes of the majority were more positive when roles converged. Study 2 compared a convergent condition to one with converging roles that also reduced the salience of the majority’s numerical advantage. The results for this convergent-reduced-salience condition mimicked that of the cross-cut condition, revealing less positive majority attitudes. In both studies, results suggest that the processes of ingroup identification and relative ingroup homogeneity may mediate the effect of role assignments on ingroup bias. The findings are discussed in terms of the implications for cooperative interventions designed to improve intergroup attitudes.     

Why Do Members of Disadvantaged Groups Strike Back at Perceived Negativity Towards the In‐group?

Against the background of riots in communities across London in 2011, this paper examines the implications of negative meta‐stereotypes on stigmatized group members' reactions towards members of privileged out‐groups within their communities. We hypothesized that concerns over negative opinions that the dominant out‐group is expected to hold of the in‐group (i.e. meta‐stereotypes) would be negatively associated with group members' perceptions of societal fairness and that this relationship would be mediated by members' recall of personal experiences with discrimination. We further hypothesized that views about societal fairness that are challenged in this way would lower an inclination to express discontent with the status quo via normative means while at the same time, increase nonnormative expressions. Results from two surveys (study 1, N = 50; study 2, N = 132) provided support for these hypotheses and are discussed in terms of their meaning for community relations. Copyright © 2013 John Wiley & Sons, Ltd.     

Ethnicity,Social Support,and Depression Among Elderly Chilean People

Recent evidence regarding the relationship between social support and depression in elderly people shows the important role of ethnicity. This research describes the characteristics of social support in a sample of elderly people aged 60 and above living in northern Chile (n = 493), and analyzes the differences in the relationship between social support and depression between an indigenous group (Aymara population, n = 147) and a nonindigenous group (white, Caucasian, mestizo, n = 346). Various dimensions of social support were considered: structural elements, functional social support according to source, and community participation. The results show the existence of significant differences in the characteristics and dimensions of social support depending on sex, ethnicity, and marital status. Further, the central role of the family group is observed for both Aymara and nonindigenous elderly people. The hierarchical regression models obtained result in notable differences in the role of the structural, functional, and community elements of support in explaining depression for the ethnic groups considered.     

交叉分类群体的理科性别刻板印象

为探讨以性别与专业构成的交叉分类群体的理科性别刻板印象,研究采用了内隐联想测验和自我报告两种方式,分别从内隐和外显两个加工层面对其予以考察.结果发现,内隐层面上四类交叉分类群体都存在理科性别刻板印象,但外显层面上只有理科男性、 文科男性和文科女性存在该刻板印象,而理科女性不存在.该结果表明理科性别刻板印象非常顽固,即使...     

Determinants of pro‐environmental consumption intention in rural China: The role of traditional cultures,personal attitudes and reference groups

This study aimed to identify social‐psychological predictors of pro‐environmental consumption intention in rural China. To this end, a proposed conceptual model was tested by analyzing the survey data derived from 972 rural respondents in Jiangxi province in south‐eastern China. Results showed that the endorsement of traditional cultures (man–nature orientation and collectivism) was linked with pro‐environmental consumption behaviuor, but was mediated by intentions. Personal attitudes (environmental cognition and environmental affect) and reference groups influenced both intention and behaviour. The results also provided good evidence of the intention–behaviour relationship. These findings provided a better understanding of the process in which Chinese rural residents developed their pro‐environmental consumption behaviours.     

“Can we all get along:”1 American political divisiveness in the 21st Century

The current American political divisiveness follows prior divisive periods and is not unique. The simultaneous developments of a culture war and a partisan realignment helped to create division. Disagreement over the proper role of government completed the division. Race is a significant dividing social and political issue in America. For Reinhold Niebuhr, “Democracy is a method of finding proximate solutions to insoluble problems.” Finding agreement over policing policy may be possible, but principled political compromise over underlying issues contributing to racial inequities is likely to be harder.     

The Social Context of Organized Nonbelief: County‐Level Predictors of Nonbeliever Organizations in the United States

Many recent social scientific studies have noted that the percentage of Americans with no religious affiliation is on the rise, but few have examined the nonbeliever organizations that some of these “nones” might join. This study uses an original data set, the first attempt at documenting the population of local nonbeliever organizations in the United States, to explore where these groups are more likely to flourish. Though one might assume that less religious counties, as measured by the percentage of those with no stated religious affiliation, would be more likely to contain nonbeliever organizations, this article provides evidence that they emerge more frequently and in greater numbers in counties with proportionally more evangelical Protestants. The percentage of evangelicals among a county's population is strongly associated with both the existence (dichotomously coded) and the number of nonbeliever organizations, even when controlling for a range of demographic and institutional factors.