Therapist Awareness of Client Resistance in Cognitive-Behavioral Therapy for Generalized Anxiety Disorder

Clients' resistance relates negatively to their retention and outcomes in psychotherapy; thus, it has been increasingly identified as a key process marker in both research and practice. This study compared therapists' postsession ratings of resistance with those of trained observers in the context of 40 therapist–client dyads receiving 15 sessions of cognitive-behavioral therapy for generalized anxiety disorder. Therapist and observer ratings were then examined as correlates of proximal (therapeutic alliance quality and homework compliance) and distal (posttreatment worry severity) outcomes. Although there was reasonable concordance between rater perspectives, observer ratings were highly and consistently related to both proximal and distal outcomes, while therapist ratings were not. These findings underscore the need to enhance therapists' proficiency in identifying important and often covert in-session clinical phenomena such as the cues reflecting resistance and noncollaboration.     

Knowledge-telling and knowledge-transforming arguments in mock jurors' verdict justifications

According to the “story model” a juror constructs an implicit mental model of a story telling what happened as the basis for the verdict choice. But the explicit justification of a verdict choice could take the form of a story (knowledge telling) or the form of a relational (knowledge-transforming) argument structure that brings together diverse, non-chronologically related pieces of evidence. The study investigates whether people tend towards knowledge telling or knowledge transforming, and whether use of these argument structure types are related to skilled argument and epistemic understanding. A sample of people on jury duty chose and justified verdicts in two abridged cases. Participants tended to display the same argument structure and argument skill across cases. Those using knowledge-transforming structures were more successful at the juror argument skills task and had a higher level of epistemic understanding. The discussion suggests that jurors approach their task with an epistemic orientation towards knowledge telling or knowledge transforming.     

False-belief understanding at age 5 predicts beliefs about learning in year 3 of primary school

This study examined the concurrent and longitudinal relationships between children's theory of mind (ToM) and their beliefs about learning. A sample of 63 children was tested for theory of mind and verbal ability at four time points: 5, 6, 7 and 8 years of age. In addition, at Time 4, children were administered a questionnaire investigating their beliefs about learning. Results showed longitudinal and concurrent relationships between ToM and constructivist, but not reproductive, beliefs about learning. Crucially, false-belief understanding at age 5 predicted unique variance in constructivist beliefs about learning at age 8, when controlling for subsequent levels of ToM. This relationship was not due to verbal ability. The authors discuss theoretical and practical implications of the longitudinal effect of theory of mind ability on constructivist beliefs about learning.     

Do social norms,false belief understanding,and metacognitive vocabulary influence irony comprehension? A study of five- and seven-year-old children

This study explores the effects of violating socially shared versus situationally defined norms on the understanding of ironic statements in 70 Italian-speaking five- and seven-year-old children. We also considered the possible relationships between irony understanding, receptive and metacognitive vocabulary, and false belief understanding. The results showed that violating socially shared norms does not benefit younger children's understanding of irony, although it does help older children's understanding. Ironic utterances that violate situationally defined norms were understood similarly across the two age groups. First- and second-order false belief understanding did not predict children's ability to interpret irony, although metacognitive vocabulary did predict interpretation for the seven-year-old group in instances of violating a situationally defined norm.     

Carrying the height of the world on your ankles: Encumbering observers reduces estimates of how high an actor can jump

The authors investigated how changes in action capabilities affect estimation of affordances for another actor. Observers estimated maximum jumping-reach height for themselves and another actor. Half of the observers wore ankle weights that reduced their jumping ability. The ankle weights reduced estimates of maximum jumping-reach height that observers made for themselves and for the other actor, but only after observers had the opportunity to walk while wearing the weights. Changes in estimates closely matched changes in actual jumping-reach ability. Results confirm and extend recent investigations that indicate that perception of the spatial layout of surfaces in the environment is scaled to an observer's capacity to act, and they link that approach to another embodied cognition perspective that posits a link between one's own action capabilities and perception of the actions of other agents.     

Frontal and parietal lobe involvement in the processing of pretence and intention

We assessed whether different processes might be at play during pretence understanding by examining breakdowns of performance in participants with acquired brain damage. In Experiment 1 patients with frontal or parietal lesions and neurologically intact adults were asked to categorize videos of pretend and real actions. In Experiment 2 participants saw three types of videos: real intentional actions, real accidental actions, and pretend actions. In one session they judged whether the actions they saw were intentional or accidental, and in a second session they judged whether the actions were real or pretend. Parietal patients had particular difficulties in the identification of pretend actions, and both parietal and frontal patients were more impaired than controls in understanding the intentional nature of pretence. Analyses of individual patients’ performance revealed that parietal lesions, and in particular lesions to the temporo-parietal junction, impaired the ability to discriminate pretend from real actions. However, this did not necessarily affect the discrimination of intentional from unintentional actions, which instead may be independently disrupted by damage to frontal areas. Moreover, spared ability to discriminate pretend actions from real actions, and intentional actions from accidental actions, did not grant a full conceptual understanding of the intentional nature of pretence. The implications for pretence understanding are discussed.     

The Use of Self of the Therapist

This article explores how the Satir model facilitates the development of the self of the therapist, which Virginia Satir strongly advocated. Discovering and developing creative ways to externalize the internal hidden processes of people, she invited therapists to work on their own unresolved issues in their training through various methods such as: family of origin, family reconstruction, ingredients of an interaction, and parts party. Her goal was to increase self-esteem, foster better choice making, increase responsibility, and facilitate personal congruence through a therapeutic process. Although very relevant in the training and professional development of therapists, there has been little exploration or research of this topic.     

Increasing Behavioral Skills and Level of Understanding in Adults: A Brief Method Integrating Dennison's Brain Gym & #x00AE; Balance with Piaget's Reflective Processes

A single session intervention was given individually to 4 adults in order to assist them in achieving their personal goals by improving their behavioral skills for achieving the goals and their conceptual understanding of & #x201C;how to & #x201D; attain these goals. The method was based on a brain-ability analysis of understanding & #x201C;conservation & #x201D; on Jean Piaget's conservation tasks combined with Paul and Gail Dennison's Brain Gym & #x201C;balance & #x201D; procedure. My & #x201C;whole brain understanding & #x201D; model (C. A. Wolfsont, 1999, 2000) and M. L. Commons et al.'s Hierarchical Complexity Scoring System manual were used to analyze the verbal protocols (M. L. Commons et al., 1992; Commons, Danaher, & Meaney, 2000). Increases were found in the participants' conceptual understanding and in the complexity of their performance.     

Is how it is said important? The association between quality of therapist interventions and client processing

This study examined the association between the quality of therapist interventions and client in‐session processing using the York Therapist Process Measure (YTPM; Toukmanian and Armstrong, 1998). The instrument's three dimensions — attunement, tentativeness and meaning exploration — were tested separately for their impact on clients' manner of processing and depth of experiencing. For each of the 20 mild‐moderately depressed clients, treated in short‐term experiential therapy, a high and a low client‐process segment was isolated from a session that was judged by an experienced therapist to manifest the greatest amount of “good therapy moments”. Therapist interventions within these segments were then rated on the YTPM. Results revealed significant differences in the quality of therapist interventions between high and low segments. Attunement and tentativeness were associated significantly with greater complexity in manner of processing, and meaning exploration with greater depth in experiencing. The implications of these findings for psychotherapy research and practice are discussed.     

复合命题理解能力的发展

采用命题-图形匹配实验法,探讨了儿童、少年和青年人三个阶段的5种类型复合命题理解能力的发展.结果表明:(1)随着年龄增长,复合命题理解能力迅速提高;(2)对复合命题理解的难易,决定于构建的心理模型的数目.理解能力的发展根据心理模型的类型呈现不同的步调,单模型命题的理解在小学阶段已经很好地获得发展,双模型命题则在初中阶段获得较好的发展,三模型命题发展较迟,直至成年仍需发展.