The Silent Treatment? Changes in patient emotional expression after silence

Psychotherapy can be an emotionally laden conversation, where both verbal and nonverbal interventions may impact the therapeutic process. Prior research has postulated mixed results regarding how clients emotionally react following a silence after the therapist is finished talking, potentially due to studying a limited range of silences with primarily qualitative and self-report methodologies. A quantitative exploration may illuminate new findings. Utilising research and automatic data processing from the field of linguistics, we analysed the full range of silence lengths (0.2–24.01 s), and measures of emotional expression—vocally encoded arousal and emotional valence from the works spoken—of 84 audio recordings of Motivational Interviewing sessions. We hypothesised that both the level and the variance of client emotional expression would change as a function of silence length; however, due to the mixed results in the literature, the direction of emotional change was unclear. We conducted a multilevel linear regression to examine how the level of client emotional expression changed across silence length, and an ANOVA to examine the variability of client emotional expression across silence lengths. Results of both analyses indicated that as silence length increased, emotional expression largely remained the same. Broadly, we demonstrated a weak connection between silence length and emotional expression, indicating no persuasive evidence that silence leads to client emotional processing and expression.     

Novice therapist,the client and therapy: Integrating the triad

Therapy process research focuses on understanding how therapy is conducted by professionals in the field. It is a nascent field of psychotherapy enquiry in India. This paper explores how novice therapists in India perceive their clients, and how this influences the process of therapy. In depth interviews were conducted with ten novice therapists, with less than six years of practice experience, from Mumbai, India. The data was thematically analysed. The data revealed that therapists' perceptions of their clients were defined by socio-demographic features of age and gender, along with presenting complaints and personal attributes. Participants had defined beliefs about good clients as contrasted with difficult ones. Distinct preferences for particular client types were identified. The antecedents to these beliefs were attributed to the therapist's worldview, their training and the supervision received. These views, and the conceptualisation of the client, influenced the choice of client, the process of therapy and how they proceeded with sessions, and their methods of referral. The data from the study has implications for therapist training, supervision and further research.     

A test of psychotherapists' and nontherapists' recognition of correct and incorrect process in managing client resistance

Objective

Psychotherapist management of client resistance (i.e., opposition to change or the therapy process) has a significant impact on therapy outcomes. This study aimed at assessing psychotherapists' and nontherapists' abilities to recognise empirically supported correct and erroneous therapist responses to client resistance.

Method

Seventy-eight therapists and 111 nontherapists completed a rapidly administered novel skills test, Therapist Errors in Resistance Management (TERM), assessing recognition of correct and erroneous resistance management.

Results

Participants were, on average, less than half as accurate at recognising therapist errors (recognised below chance levels) compared with correct therapist responses to resistance (recognised above chance levels). Therapists outperformed nontherapists in accurate recognition of therapist responding. However, among the therapist group, greater clinical experience did not predict superior recognition of therapist errors.

Conclusion

These results indicate that therapists and nontherapists alike may have difficulty detecting erroneous therapist responses to resistance, tending to mistake empirically contraindicated directive responses for correct responding. This may reflect the difficult and unintuitive nature of correct resistance responding and may suggest a need for increased training in process acuity and resistance management in therapist education.     

Therapist Role in Narrative Group Psychotherapy

With its assumptions about the interpersonal origins of individual learning, narrative theory suggests certain leadership functions for group therapists: providing a perspective on how multiple meanings may be constructed about experience; leading the process of deconstructing individual narratives through careful questioning to distinguish persons from problems; enlisting participants in active awareness and engagement with group dynamics and group process; and enabling the co-creation of a group narrative through the development of a new community of conversations.     

Spouse Bereavement Processes of Holocaust Child Survivors: Can One Differentiate a Black Frame from a Black Background?

This article highlights the relation between the mourning processes of Holocaust war orphans and their expected bereavement processes in later life when a spouse dies. The relation between the two processes is explored through a clinical case study. In addition, we define the concept of subtle mourning as an adjustment in the bereavement process. We assume that orphans, who survive after genocide, suffer a lifelong sense of bereavement. They create a subtle mourning process which can be disclosed much later in their lives when they must cope with the death of a spouse.     

Rhythmic finger tapping to cosine-wave modulated metronome sequences: Evidence of subliminal entrainment

Rhythmic finger tapping was examined during synchronization to metronome sequences whose base intervals were slightly perturbed by a cosine-wave function with the period of four samples. Data were collected under perturbation levels of 1%, 3%, 5% and 7% in conjunction with base intervals of 400, 500, and 600 ms. Statistical analysis examined the relationship between the inter-response interval (IRI), inter-stimulus interval (ISI) and synchronization error (SE). It was observed that IRI and SE entrain to the periodicity of the ISI patterns even at perturbation levels close to and below the conscious auditory perception threshold. Furthermore, the similarity between the IRI and ISI increased in proportion to the perturbation level. It was also found that the relative perturbation level had more influence on the synchronization behavior than the absolute level. Finally, the observed rhythmic tracking data were modeled mathematically to examine the likelihood of three possible synchronization strategies.PsycINFO classification: 2330     

A sequential cognitive diagnosis model for polytomous responses

This paper proposes a general polytomous cognitive diagnosis model for a special type of graded responses, where item categories are attained in a sequential manner, and associated with some attributes explicitly. To relate categories to attributes, a category‐level Q‐matrix is used. When the attribute and category association is specified a priori, the proposed model has the flexibility to allow different cognitive processes (e.g., conjunctive, disjunctive) to be modelled at different categories within a single item. This model can be extended for items where categories cannot be explicitly linked to attributes, and for items with unordered categories. The feasibility of the proposed model is examined using simulated data. The proposed model is illustrated using the data from the Trends in International Mathematics and Science Study 2007 assessment.     

Influence of warmth and competence on the promotion of safe in-group selection: Stereotype content model and social categorization of faces

Categorizing an individual as a friend or foe plays a pivotal role in navigating the social world. According to the stereotype content model (SCM), social perception relies on two fundamental dimensions, warmth and competence, which allow us to process the intentions of others and their ability to enact those intentions, respectively. Social cognition research indicates that, in categorization tasks, people tend to classify other individuals as more likely to belong to the out-group than the in-group (in-group overexclusion effect, IOE) when lacking diagnostic information, probably with the aim of protecting in-group integrity. Here, we explored the role of warmth and competence in group-membership decisions by testing 62 participants in a social-categorization task consisting of 150 neutral faces. We assessed whether (a) warmth and competence ratings could predict the in-group/out-group categorization, and (b) the reliance on these two dimensions differed in low-IOE versus high-IOE participants. Data showed that high ratings of warmth and competence were necessary to categorize a face as in-group. Moreover, while low-IOE participants relied on warmth, high-IOE participants relied on competence. This finding suggests that the proneness to include/exclude unknown identities in/from one's own in-group is related to individual differences in the reliance on SCM social dimensions. Furthermore, the primacy of the warmth effect seems not to represent a universal phenomenon adopted in the context of social evaluation.