Adolescents’ movement towards cessation of smoking: Role and relative value of the processes of change and nicotine dependence

The present study addresses the applicability of the Transtheoretical Model's processes of change in explaining adolescents’ readiness to quit smoking. Furthermore, the association between nicotine dependence and readiness to quit was assessed both directly, as well as indirectly through the processes of change. A cross-sectional survey was conducted, identifying 1547 weekly smokers aged 14–18 years. Structural equation modelling showed that the processes of change were only marginally associated with readiness to quit. Adding nicotine dependence to the model showed a direct association between nicotine dependence and readiness to quit. Only one process of change, self-liberation (i.e. choice/commitment to change and belief in the ability to change), was found to mediate this association. Nicotine dependence appeared to be highly important in adolescents’ readiness to quit.     

Sleep disturbance and emotion dysregulation as transdiagnostic processes in a comorbid sample

Sleep disturbance and emotion dysregulation have been identified as etiologic and maintaining factors for a range of psychopathology and separate literatures support their relationships to anxiety, depression, PTSD, and alcohol dependence (AD) symptom severity. Previous studies have examined these relationships in isolation, failing to account for the high rates of comorbidity among disorders. It is not yet known whether these processes uniquely predict symptom severity in each of these domains. Participants were 220 patients in residential substance abuse treatment, who had experienced a potentially traumatic event and exceeded screening cutoffs for probable PTSD and problematic alcohol use. Controlling for emotion dysregulation and the interrelationships among the outcome variables, insomnia was uniquely associated with anxiety (B = .27, p < .001), depression (B = .25, p < .001), PTSD (B = .22, p < .001), and AD (B = .17, p = .01) symptom severity. Similarly, controlling for insomnia, emotion dysregulation was uniquely associated with anxiety (B = .40, p < .001), depression (B = .47, p < .001), PTSD (B = .38, p < .001), and AD (B = .26, p < .001) symptom severity. Insomnia and emotion dysregulation appear to be transdiagnostic processes uniquely associated with symptom severity across a number of different domains and might be important treatment targets for individuals with PTSD and AD.     

What harm can it do?: A discussion of the potential for harm inherent in psychodynamic work

Abstract

This paper examines some of the ethical issues raised by the nature of psychodynamic work. It suggests that both the aims and the process of psychodynamic therapy raise ethical issues which we cannot responsibly ignore, but that if the work is to be effective it cannot be made wholly safe. That, however, does not absolve us from the requirement for taking care, and for thinking about what we are doing and what we are risking.     

Intraclass Correlation Associated with Therapists: Estimates and Applications in Planning Psychotherapy Research

It is essential that outcome research permit clear conclusions to be drawn about the efficacy of interventions. The common practice of nesting therapists within conditions can pose important methodological challenges that affect interpretation, particularly if the study is not powered to account for the nested design. An obstacle to the optimal design of these studies is the lack of data about the intraclass correlation coefficient (ICC), which measures the statistical dependencies introduced by nesting. To begin the development of a public database of ICC estimates, the authors investigated ICCs for a variety outcomes reported in 20 psychotherapy outcome studies. The magnitude of the 495 ICC estimates varied widely across measures and studies. The authors provide recommendations regarding how to select and aggregate ICC estimates for power calculations and show how researchers can use ICC estimates to choose the number of patients and therapists that will optimize power. Attention to these recommendations will strengthen the validity of inferences drawn from psychotherapy studies that nest therapists within conditions.     

How can a stereotype inconsistency bias be encouraged in communication?

This study aimed to investigate what conditions can lead to a bias for communicating stereotype inconsistent (SI) information, relative to stereotype consistent (SC) information. Sixty‐three undergraduate university students (22 males, 41 females; M_age = 21.25) read a story about an Arab man who exhibited characteristics consistent and inconsistent with the stereotype of Arab men. The story was transmitted through 21 three‐person communication chains; each participant rewrote the story from memory for the next person in the chain to read, with only the first participant in each chain reading the original story. As hypothesized, when a surprising category conjunction was formed by pairing the primary stereotype (Arab men) with a secondary stereotype of a contradictory nature (kindergarten teachers), SC information was circulated less than SI information. This was also the case when a causal explanation was provided that accounted for the unexpected SI information. Findings indicate the potential of techniques that elicit cognitive elaboration of SI information to encourage an SI bias in communication, and show promise for exploring ways to reduce the impact of negative stereotypical information in the long term.     

The benefits of self-compassion and optimism exercises for individuals vulnerable to depression

The effectiveness of two online exercises intended to help individuals experience (1) self-compassion (n?=?63) and (2) optimism (n?=?55) were compared to a control intervention where participants wrote about an early memory (n?=?70). A battery of tests was completed at 1 week following the exercise period, and at 1-, 3-, and 6-month follow-ups. Both active interventions resulted in significant increases in happiness observable at 6 months and significant decreases in depression sustained up to 3 months. The interventions were examined in relationship to dependency and self-criticism, both related to vulnerability to depression. Individuals high in self-criticism became happier at 1 week and at 1 month in the optimism condition in the repeated measures analysis. A sensitivity test using multi-level modeling failed to replicate this effect. More mature levels of dependence (connectedness) were related to improvements in mood up to 6 months in the self-compassion condition. This study suggests that different personality orientations may show greater gains from particular types of positive psychology interventions.     

Lexical coherence in short-term memory: Strategic reconstruction or “semantic glue”?

This study explores the foundation of lexical/semantic phoneme binding effects in verbal short-term memory (STM). The immediate serial recall of pure lists of words and nonwords was compared with the recall of mixed lists that had either a predictable, alternating structure (e.g., wnwnwn) or an unpredictable structure (i.e., the serial positions of the words/nonwords could not be known in advance). The study provides evidence for two separate mechanisms by which long-term linguistic knowledge contributes to STM. First, there was evidence for automatic lexical/semantic binding effects that were independent of knowledge of lexical status. The nonwords in both types of mixed list damaged word recall and encouraged the phonological elements of words to migrate. In both alternating and unpredictable mixed lists, the phonemes of words were more likely than the phonemes of nonwords to be recalled together as a coherent item, suggesting that lexical/semantic knowledge encourages the phonological elements of words to emerge together in immediate serial recall, even when lexical status is unknown. Secondly, there was evidence for “strategic redintegration”, which was dependent on prior knowledge of the lexical status of the items in mixed lists. When participants recalled items that they knew to be words in advance, they were able to use this knowledge to constrain their responses so that they were more likely to be lexically appropriate. These findings motivate modifications to current theories of the interaction between linguistic knowledge and verbal short-term memory.     

Self-Other Discrepancies in Waiting Time Decisions

Both anecdotal evidence and recently reported research suggest that people are risk-averse when faced with waiting time decisions. Four studies investigate whether there is a self-other discrepancy in how people make waiting time decisions themselves and how they predict others will make similar decisions. People are found to believe that others have valuations of time similar to their own. However, when faced with alternatives that involve risk in the duration of the wait, the results point to a self-other discrepancy, in that people report greater risk-aversion themselves than they think others would. Further, when faced with waiting time gains, people are themselves more risk-averse than they think others would be. Conversely, when faced with waiting time losses, people are themselves more risk-seeking than they think others would be. Overall, the results are consistent with the recently proposed risk-as-feelings hypothesis.     

An investigation of the interaction between cognitive style and context reinstatement on the memory performance of eyewitnesses

The power of context reinstatement to improve recall is well established, but the degree of effect obtained varies widely between studies. Exploring possible causes for this variation, this paper examines the relationship between cognitive style and the efficacy of context reinstatement in improving free and cued recall in an eyewitness paradigm. Experiment 1, using a live staged event and a 1 week delay, indicated a significant improvement in free recall with the reinstatement of context and, as expected, no such improvement in cued recall. However, analysis of the data according to field dependency, as measured by Witkin, Oltman, Raskin, and Karp's [A manual for the Embedded Figures Test (1971) Palo Alto, CA: Consulting Psychologists Press] Group Embedded Figures Test (GEFT) revealed that, in free recall, field dependent witnesses' scores improved significantly with context reinstatement, whilst the scores of field independent witnesses did not. In cued recall, however, the field independent witnesses scored significantly higher overall than field dependent witnesses. Experiment 2 sought replication of these findings again utilised the GEFT and the Riding [Cognitive Styles analysis (1991) Birmingham: Learning and Training Technology] Cognitive Styles Analysis (CSA). Analysis of the data according to the Wholist-Analytic (W-A) dimension of the CSA, indicated no interaction with either context reinstatement or memorial performance. However the GEFT analysis produced similar results to that obtained in Experiment 1. The meaning of the interaction between the GEFT and both free and cued recall, and the failure of the CSA to similarly interact are discussed, together with the implication of these findings for establishing the value of reinstating context for individual eyewitnesses.     

Personality characteristics in primary benzodiazepine-dependent patients: Comparison with controls and polydrug users

The present study applied Karolinska Scales of Personality (KSP) to study (i) if patients with benzodiazepine dependence have a characteristic personality profile, (ii) if the personality characteristics in patients with benzodiazepine dependence differ from those of polydrug users and normal controls, (iii) if differences in treatment outcome existed between the groups, and (iv) if the possible difference in treatment outcome was associated with any particular personality characteristic shown by the patients. The personality characteristics of primary benzodiazepine dependent patients (BDZ) and a group of polydrug users (MIX) were studied initially (during the first week in project as an inpatient) and approximately one year after drug discontinuation, and a comparison was made with healthy controls on both test occasions. The results showed that the personality of both groups of patients differed significantly from the Controls in the following characteristics: Detachment, Socialization, Somatic Anxiety, Muscular Tension, Psychic Anxiety, and Psychasthenia. Significant differences existed between the polydrug and benzodiazepine users in Somatic and Psychic Anxiety as well as in Socialization. The MIX group differed significantly from the BDZ group and from the Controls in Suspicion. Results of treatment outcome indicated that the benzodiazepine dependent patients were significantly more successful in quitting their drug use compared to polydrug users. Further, the results demonstrated that patients scoring high in the investigated personality characteristics are those who fail the treatment goal of quitting their drug use, especially the patients with a high level of anxiety and detachment.