Speaker overestimation of communication effectiveness and fear of negative evaluation: Being realistic is unrealistic

Speakers systematically overestimate their communication effectiveness (Keysar & Henly, 2002). We argue that doing so is adaptive, reducing the risk of social anxiety and withdrawal from social situations. This hypothesis was tested by having speakers who scored low and high for fear of negative evaluation (FNE), a hallmark of social phobia, attempt to convey a specific meaning of ambiguous statements to a listener and then estimate their communication effectiveness. Low-FNE speakers consistently overestimated their effectiveness, expecting the listener to understand their intended meaning more often than listeners actually did. In contrast, high-FNE speakers’ estimates of communication effectiveness were consistent with the listener’s actual understanding. Signal detection analysis revealed that low- and high-FNE speakers were equally able to discriminate communication success from failure, but low-FNE speakers exhibited a stronger positive response bias. In conclusion, overestimating one’s communication effectiveness is adaptive, and accurate estimation is associated with dysfunction.     

Listeners influence speakers’ perceived communication effectiveness

People have an exaggerated sense of self-efficacy. This paper investigates the mechanism behind speakers’ tendency to overestimate their communication efficacy. Two competing mechanisms were tested: intrapersonal and interpersonal. Speakers communicated a series of ambiguous statements to a co-present or absent listener and then estimated their success. Speakers overestimated their ability to communicate their intended message (relative to listeners’ actual comprehension of their message) when a listener was co-present, but not when a listener was absent. Our findings support an interpersonal explanation of speakers’ perceived communication efficacy.     

Anxiety Reactions and Coping Modalities with the COVID-19 Pandemic: A Cross-Sectional Study Comparing a Population of Religious Patients with Mental Illness and their Health Caregivers

Journal of Religion and Health - This study evaluates the nature and intensity of anxiety, interpretations of the COVID-19 pandemic and coping modalities of hospitalized patients with mental...     

A pragmatic approach to measuring adherence in treatment delivery in psychotherapy

ABSTRACT

Measuring therapists’ adherence to treatment manuals is recommended for evaluating treatment integrity, yet ways to do this are poorly defined, time consuming, and costly. The aims of the study were to develop a Therapy Component Checklist (TCC) to measure adherence to manualised CBT; to test its application in research and clinical practice; to determine its validity; and consider its cost benefits. We conducted a randomised trial in 230 people with cancer evaluating effectiveness of CBT for depression. In this, therapists delivered manualised treatment. Experts agreed on key components of therapy and therapists were asked to record these after therapy sessions by ticking a TCC. Inter-rater reliability was tested using an independent rater. Therapists delivered 543 CBT sessions. TCCs were completed in 293, of which 39 were assessed by the independent rater. Self-reported TCC data suggested close adherence to the manual. Prevalence-adjusted and bias-adjusted kappa scores suggested substantial agreement, (>0.60) in 38 out of 46 items. Self-rating of adherence saved around £96 per rating. In conclusion the TCC provides a quick and cost effective way of evaluating the components of therapy delivered. This approach could be applied to other psychological treatments and may help with linking therapeutic interventions with outcome.