“It's wrong to relax,you have to be on the go,go, go,all the time”: Emotional transformation in a case of emotion-focused therapy for generalised anxiety disorder

Generalised anxiety disorder (GAD) is a highly prevalent, chronic and impairing disorder. The aim of this study was to qualitatively describe the transformation in emotional processing across 16 sessions of a successful emotion-focused therapy (EFT) treatment for GAD. A theoretical framework derived from the EFT model of in-session emotional transformation proposed by Pascual-Leone and Greenberg was used as the basis for qualitative analysis. Additionally, the Classification of Affective Meaning States, the Client-Expressed Arousal Scale-III and the Client Emotional Productivity Scale-Revised were utilised by observer–raters to classify moment-by-moment shifts in client affective-meaning states, emotional arousal and emotional productivity. Results supported the emotion transformation model. The client presented in a state of poorly differentiated but highly aroused distress provoked by identifiable interpersonal and intrapersonal triggers. Emotional and behavioural avoidance provoked by fear of pain was evident. Accessing core pain and responding to attendant needs with compassion and protective anger was shown to facilitate the higher order emotional processing states of grief, relief and agency. Implications are proposed, including that addressing core emotional vulnerability may be a critical intervention in the successful treatment of GAD.     

Everyday worry in adolescents with and without chronic pain: a diary study

Young people report frequent worry, but we know little about the extent, character, or consequence of worry in adolescence, or individual differences associated with worry. Adolescents with chronic pain are one population that are known to have high levels of anxiety, which is associated with higher levels of disability and depression, impairing function. In this study we report a diary study: adolescents (N = 60; aged 16–18) recorded their worry over seven days. Our first aim was to describe the characteristics of adolescent worry and its consequences in a community sample. Our second aim was to compare the experience of girls to boys, and to compare the experience of those with and without chronic pain. Adolescents reported characteristics of each worry they had throughout the week, including content, frequency, strength, interference, emotion, and the strength of emotion associated with worry content. Adolescents reported the consequence for each content and the strength of the consequence. Worry content and consequences were categorised into four categories; health, relationship, personal competence, and other. Adolescents reported 675 unique episodes of worry over the seven-day period that were predominantly about personal competence. The strength of worry content was (M = 6.61, SD = 1.27) and the strength associated with the worry consequence was (M = 5.59, SD = 1.41). Worries were not reported as highly interfering (M = 4.14, SD = 1.61). Contrary to predictions, there were no differences in worry characteristics between adolescents with and without chronic pain. To conclude, worry is a frequent occurrence in older adolescents and the characteristics of worry are discussed. Adolescents worry mostly about personal competence. Adolescents with and without chronic pain reported similar worry characteristics.     

School psychologists' services in special education programs

Reviews school psychologists' services in special education programs. Fifty-eight credentialed school psychologists in 10 school districts were interviewed individually about background and training, professional duties, favored clinical techniques, and opinions and recommendations for improved services. According to self-reports, the bulk of time was devoted to activities directly related to assessment of pupils with little involvement in research, in-service training, or other clinical activities. Professional association memberships were primarily local. Assessment techniques tended to be limited to a few standardized tests. Overall findings support sample psychologists' expressed concerns as to need for changes in preservice and in-service training.     

Assessing the relationship between cold pressor pain responses and dimensions of the anxiety sensitivity profile in healthy men and women

Anxiety sensitivity (AS) has been shown previously to be an important factor in the perception and experience of experimentally induced pain within healthy adults. The aim of the current study was to extend this research by: (i) using the Anxiety Sensitivity Profile (ASP) as an alternative measure of AS; (ii) examining whether different coping instructions affect pain reports; and (iii) investigating potential differences between men and women. Participants were 50 healthy adults (23 males, 27 females) who were required to complete 2 versions of the cold pressor pain task; one version required the use of control instructions, whereas the other made use of acceptance-based instructions. Although the coping instructions were found to affect pain thresholds (acceptance resulted in lower thresholds), a similar pattern of correlations were found between the pain indexes and AS under both conditions. Of the ASP subscales, the gastrointestinal and cognitive concerns components were found to be the most strongly related to pain experiences. When the analysis was conducted separately for each sex, the ASP scales were related to the self-report measures of pain in women, whereas they were related to the behavioural measures of pain in men. These results not only confirm that AS is associated with experimental pain, but that there may be sex differences in this relationship.     

Investigating invariance in the factorial structure of the anxiety sensitivity index across adult men and women

The Anxiety Sensitivity Index (ASI; Peterson & Reiss, 1992) is one of the most widely used measures of the fear of anxiety-related sensations. Important gender differences also seem to exist in that women report higher levels of anxiety sensitivity than men. The primary objective of this study was to determine whether an equivalent factorial structure exists for the ASI among nonclinical adult men and women. In Study 1 (568 women; 251 men), the 2-factor (Fear of Cardiopulmonary Sensations and Fear of Mental Catastrophe), 10-item version of the ASI reported by Schmidt and Joiner (2002) provided the best fit to the data for both men and women. Using this model, Study 2 (503 women, 255 men) examined whether the factorial structure of the 10-item ASI was invariant for men and women. Noninvariance was found for one item on the Fear of Mental Catastrophe subscale (Item 15="When I am nervous, I worry that I might be mentally ill"). The implications of this are that this item should be dropped if an equivalent factor structure is to be assumed between men and women.     

THE SIGNIFICANCE OF EVITABILITY IN NATURE

Assessing the current situation of the religion–science dialogue, it seems that a consensus of nonconsensus has been reached. This nonconsensus provides a pluralistic context for the religion and science dialogue, and one area where this plurality is clear is the discourse on relational models of God and creation. A number of interesting models have gained attention in contemporary theological dialogue with science, yet there is an overriding theme: an emphasis on God's involvement with the world. In this article, I argue that theology has been preoccupied with this emphasis. It is suggested that the theme of the freedom of nature has been underrepresented. This theme of the freedom of nature I argue carries important theological implications. It is suggested that acts or events gain their significance largely by way of being contextualized by the fact that such acts or events could have been otherwise, a realization that might provide the various relational models of God and the world food for thought.     

Individual differences in visual word recognition: insights from the English Lexicon Project

Empirical work and models of visual word recognition have traditionally focused on group-level performance. Despite the emphasis on the prototypical reader, there is clear evidence that variation in reading skill modulates word recognition performance. In the present study, we examined differences among individuals who contributed to the English Lexicon Project (http://elexicon.wustl.edu), an online behavioral database containing nearly 4 million word recognition (speeded pronunciation and lexical decision) trials from over 1,200 participants. We observed considerable within- and between-session reliability across distinct sets of items, in terms of overall mean response time (RT), RT distributional characteristics, diffusion model parameters (Ratcliff, Gomez, & McKoon, 2004), and sensitivity to underlying lexical dimensions. This indicates reliably detectable individual differences in word recognition performance. In addition, higher vocabulary knowledge was associated with faster, more accurate word recognition performance, attenuated sensitivity to stimuli characteristics, and more efficient accumulation of information. Finally, in contrast to suggestions in the literature, we did not find evidence that individuals were trading-off their utilization of lexical and nonlexical information.     

The interruptive effect of pain on attention

Pain is known to disrupt attentional performance in both healthy adults and patients with chronic pain. Exactly which aspects of attentional function are affected are, however, still to be determined. The primary aim of this investigation was to systematically examine the effects of experimentally induced pain on a range of attentional performance tasks. Following a review of tests of attentional disruption, seven best candidate tasks were selected and examined across seven experiments. The tasks were: continuous performance, flanker, endogenous precueing, n-back, inhibition, attentional switching, and divided attention. Healthy adult participants performed each of these tasks under three different conditions: a painful heat sensation, a warm heat sensation, and a nonheat control. Pain differentially affected attentional performance across these tasks; pain-related attentional impairment was found on the n-back, attentional switching, and divided attention tasks, but not on the other tasks. This finding suggests that the aspects of attention most affected by pain are those essential for the completion of complex tasks that require the processing of multiple cues and control over attentional deployment. These results are discussed in the context of an emerging view of pain as a demand for executive control and the development of measures that could be used to examine attentional disruption in the context of pain.     

Digit ratio (2D:4D), academic performance in computer science and computer-related anxiety

Being able to use information communication technology (ICT) effectively has become an essential element of participation within an increasingly digital culture. However, there are differences in participation within this digital culture. Prenatal testosterone exposure is thought to influence the development of numeric capabilities and relate to levels of anxiety, both of which contribute towards engagement with ICT. This study examined whether an index of prenatal exposure to testosterone, digit ratio (2D:4D), is related to successful involvement within a computer-technology context - performance in a Java programming course. Three studies (N = 73,75,65) identified a consistent negative correlation between 2D:4D digit ratio and attainment (r ≈ −0.2). A fourth study (N = 119) found that 2D:4D digit ratio positively correlated with two indices of computer-related anxieties, as well as anxiety sensitivity (r = 0.32/0.51). These results suggest that males and females who have been exposed to higher levels of testosterone within the womb perform better upon academic assessments of Java-related programming ability within computer science education, and have lower levels of computer-related anxieties outside computer science education. Thus, the 2D:4D index of prenatal testosterone exposure correlated with the two factors that directly impact upon ICT engagement, which is increasingly essential to effectively participate within educational and occupational environments.