Is Therapist Support Needed? Comparing Therapist- and Self-Guided Internet-Based CBT for Somatic Symptom Distress (iSOMA) in Emerging Adults

Persistent somatic symptoms of varying etiology are very common in emerging adults and can lead to distress and impairment. Internet-delivered interventions could help to prevent the burden and chronicity of persistent somatic symptoms. This study investigated the impact of therapist guidance on the effectiveness of a cognitive-behavioral Internet intervention for somatic symptom distress (iSOMA) in emerging adults, as a secondary analysis of a two-armed randomized controlled trial. We included 149 university students (83.2% female, 24.60 yrs) with varying degrees of somatic symptom distress who were either allocated to the 8-week intervention with regular, written therapeutic guidance (iSOMA guided) or to the control group (waitlist), which was afterwards crossed over to receive iSOMA with guidance-on-demand (iSOMA-GoD). Primary outcomes were somatic symptom distress (assessed by the PHQ-15) and psychobehavioral symptoms of the somatic symptom disorder (assessed by the SSD-12) at pre- and post-treatment. Secondary outcomes included depression, anxiety, and disability. Both treatments showed statistically significant pre-post improvements in primary (iSOMA-guided: d = 0.86–0.92, iSOMA-GoD: d = 0.55–0.63) and secondary outcomes. However, intention-to-treat analysis revealed non-significant between-group effects for all outcomes (ps ≥ .335), after controlling for confounding variables, and effect sizes were marginal (d = −0.06 to 0.12). Overall, our findings indicate that Internet-delivered cognitive behavioral therapy with regular guidance is not unequivocally superior to guidance-on-demand in alleviating somatic symptom distress and associated psychopathology in emerging adults. As a next step, non-inferiority studies are needed to test the robustness of these findings and their impact on clinical populations.     

视听时、空一致性对Pip-and-Pop效应的影响

多感觉整合遵循空间原则和时间原则, 有研究表明Pip-and-Pop效应产生的原因是多感觉整合, 那么Pip-and-Pop效应是否同样遵循空间原则和时间原则呢?本研究采用动态视觉搜索范式, 通过两个眼动实验考察空间一致性(实验1)和时间一致性(实验2)对Pip-and-Pop效应的影响。结果发现：(1)当视觉目标颜色变化伴随一个同侧的听觉刺激时所产生的Pip-and-Pop效应最大, 对侧条件没有发现Pip-and-Pop效应。(2)视听刺激同时呈现所产生的Pip-and-Pop效应最大, 随视听刺激呈现时间间隔的增加Pip-and-Pop效应逐渐减弱直至消失。结果表明, 视听时、空一致性对Pip-and-Pop效应具有调节作用, 这为多感觉整合在产生Pip-and-Pop效应中的作用提供了证据。     

Prediction of weightlifter’s motor behavior to evaluate snatch weightlifting techniques based on a new method of investigation of consumed energy

Using proper technique in different sports is an inevitable factor. In this study, available techniques for snatch weightlifting are mathematically evaluated. The optimal motion trajectory is a technique used by weightlifters, which could be determined based on minimizing specific object functions. Object functions based on total kinetic energy, total torque and total power and some new multiobjective functions are minimized using genetic algorithm and the minimax principle. Some important motion characteristics of 13 professional weightlifters were extracted and used to validate the mathematical results. The double knee bending (DKB) technique was studied as a benchmark test. Some important movement features of the technique were shown by the mathematical analysis when applying an object function, that minimized joint torques and powers of different muscles independently. An object function based on joint forces did not show these features.     

What do we measure and how do we elicit it? The case for the use of repertory grid technique in multi-party psychological contract research

ABSTRACT

The psychological contract is a multi-faceted construct and, with the rise of gig work, increasingly the contract extends beyond the conventional employer-employee relationship to encompass multi-party exchanges. Against this backdrop, the question of what should be measured when assessing the contract and how it should be elicited remains a significant issue for scholars. We argue that the potential of psychological contract theory as an explanatory lens in understanding contemporary multi-party working relationships is constrained by two key limitations inherent in conventional measurement approaches. Firstly, such approaches have favoured singular rather than multiparty perspectives, and secondly, they have broadly accorded equal weight and significance to the content dimensions unearthed, despite the fact that they may differ markedly in how they are understood by each party to the employment relationship. In order to remedy these shortcomings, we make the case for adopting repertory grid technique as a methodological framework to address measurement limitations and to more rigorously assess the content of the complex multi-party psychological contract.     

Therapist attentiveness and negative capability in dialogical family meetings for psychosis

Jaakko Seikkula (2008) has pointed towards the importance of practitioners working in the present moment in dialogical therapy. Extrapolating from Seikkula's work, this article considers the significance of the qualities of therapist attentiveness, generosity and negative capability in dialogical family meetings for psychosis. It is proposed that these qualities are of particular importance when family meetings occur in crisis situations, as when under pressure practitioners can easily be drawn into prematurely interventionist stances that may unintentionally promote chronicity for the person experiencing psychosis. The value of co‐working arrangements in enabling practitioners to maintain attentiveness and negative capability in this work is also considered.     

Acting Theory Applied to Counseling: Stanislavski Continues to Contribute to Psychic Healing

ABSTRACT

This article explores a specific aspect of Stanislavski’s methods of training actors to examine the potential benefits for helping clients in the cultivation of new perceptions through empathy, which may, in turn, help toward psychic healing. Stanislavski’s methods of training actors, which is rooted in understanding the human condition, are the underpinnings for most modern acting theories. This discussion builds an additional bridge between acting theory and counseling theory to investigate additional therapeutic benefits of acting in a clinical setting. This article adds to the conversation of the possibility of expanding applications of drama therapy based on specific aspects of acting theories.     

The minimal self hypothesis

For millennia self has been conjectured to be necessary for consciousness. But scant empirical evidence has been adduced to support this hypothesis. Inconsistent explications of “self” and failure to design apt experiments have impeded progress. Advocates of phenomenological psychiatry, however, have helped explicate “self,” and employed it to explain some psychopathological symptoms. In those studies, “self” is understood in a minimalist sense, sheer “for-me-ness.” Unfortunately, explication of the “minimal self” (MS) has relied on conceptual analysis, and applications to psychopathology have been hermeneutic, allowing for many degrees of interpretive latitude. The result is that MS’s current scientific status is analogous to that of the “atom,” at the time when “atom” was just beginning to undergo transformation from a philosophical to a scientific concept. Fortunately, there is now an opportunity to promote a similar transformation for “MS.” Discovery of the brain’s Default Mode Network (DMN) opened the door to neuroimaging investigations of self. Taking the DMN and other forms of intrinsic activity as a starting point, an empirical foothold can be established, one that spurs experimental research and that enables extension of research into multiple phenomena. New experimental protocols that posit “MS” can help explain phenomena hitherto not thought to be related to self, thereby hastening development of a mature science of self. In particular, targeting phenomena wherein consciousness is lost and recovered, as in some cases of Unresponsive Wakefulness Syndrome (UWS), allow for design of neuroimaging probes that enable detection of MS during non-conscious states. These probes, as well as other experimental protocols applied to NREM Sleep, General Anesthesia (GA), and the waking state, provide some evidence to suggest that not only can self and consciousness dissociate, MS might be a necessary precondition for conscious experience. Finally, these findings have implications for the science of consciousness: it has been suggested that “levels of consciousness” (LoC) is not a legitimate concept for the science of consciousness. But because we have the conceptual and methodological tools with which to refine investigations of MS, we have the means to identify a possible foundation—a bifurcation point—for consciousness, as well as the means by which to measure degrees of distance from that foundation. These neuroimaging investigations of MS position us to better assess whether LoC has a role to play in a mature science of consciousness.