Changes in schemas of patients with severe borderline personality disorder: The Oulu BPD study

Borderline personality disorder (BPD) is a relatively common and severe psychiatric disorder that can impair quality of life in many ways. The aim of this study was to determine whether a combined treatment model for BPD patients, utilising major principles from schema‐focused therapy (SFT) and dialectical behavioral therapy (DBT), could be more effective in relieving early maladaptive schemas of BPD patients, compared to treatment as usual (TAU). This study is a part of the Oulu BPD study conducted at mental health care services run by Oulu city social and health care services. The study is a multisite, randomized controlled trial conducted over a one year period, involving two groups of patients with severe BPD: (1) Community Treatment By Experts (CTBE) patients (n = 18) receiving the combined treatment model, and 2) TAU patients (n = 27). The patients' schemas were assessed using the Young Schema Questionnaire (YSQ‐L3a) before and after one year of treatment. The results reveal that CTBE patients who attended the combined treatment model showed a statistically significant reduction in eight out of 18 early maladaptive schemas, while patients receiving treatment as usual did not demonstrate any significant changes in schemas. The cognitive therapeutic treatment model can be applied for clinical use in public mental health settings using existing professionals, and appears to produce positive changes in patients with BPD.     

The Added Value of Studying Embodied Responses in Couple Therapy Research: A Case Study

This article reports on the added value of embodied responses identified through sympathetic nervous system (SNS) activity in couple therapy research. It focuses on moments of change and the timing of therapeutic interventions or therapeutic moves in a couple therapy session. The data for this single‐case study comprise couple therapy process videotapes recorded in a multi‐camera setting, and measurements of participants’ SNS activity. The voluntary participants were a marital couple in their late thirties and two middle‐aged male psychotherapists. The division into topic segments showed how the key issue of seeking help, which was found to comprise three separate components, was repeatedly dealt with in the session. SNS activity showed different degrees of synchronization between the couple, between the therapists, and between the couple and therapists during the dialogue pertaining to these three components. The issue of timing emerged as a complex, even ambivalent, phenomenon. Arousal in the therapists was in line with their therapeutic activity, whereas in the clients it was more anticipatory. The approach used here rendered visible some of the intensity that therapeutic dialogue can generate when dealing with issues of relationship change in the couple context and showed how this intensity can be dialogically regulated in the therapeutic system.     

Relieved after GP's consultation? Change in the complaint-related worry of young adult patients

Patients tend to get relieved during a general practitioner's (GP's) consultation, but some patients remain worried. This study aimed to explore the change in worry and to identify factors associated with non-worry, relief and persistent worry by interviewing GPs' patients before and after a consultation. Patients aged 18-39 years consulting their doctor because of a somatic complaint were interviewed about their complaint-related worry, complaint characteristics and their expectations and experiences concerning the consultation. They completed questionnaires about general illness worry (IWS) and psychiatric symptoms (SCL-90). The GPs assessed the medical severity of each complaint and reported whether the complaint was medically explained. Persistently worried patients reported more anxiety and thoughts that something was seriously wrong in their body. They expected more often medical examinations, were less certain about what was wrong with them and considered their complaint more severe than the other patients, even though its medical severity did not differ from that of the other patients.     

Effect of skill level on recall of visually presented patterns of musical notes

Expertise effects in music were studied in a new task: the construction of mental representations from separate fragments. Groups of expert musicians and non-musicians were asked to recall note patterns presented visually note by note. Skill-level, musical well-formedness of the note patterns and presentation mode were varied. The musicians recalled note patterns better than the non-musicians, even though the presentation was visual and successive. Furthermore, only musicians' performance was affected by musical well-formedness of the note patterns when visual gestalt properties, verbal rehearsability, and familiarity of the stimuli were controlled. Musicians were also able to use letter names referring to notes as efficiently as visual notes, which indicates that the better recall of musicians cannot be explained by perceptual visual chunking. These results and the effect of skill level on the distribution of recall errors indicate that the ability to chunk incoming information into meaningful units does not require that complete familiar patterns are accessible to encoding processes, yet previous knowledge stored in long-term memory affects representation construction in working memory. The present method offers a new reliable tool, and its implications to the research on construction of representations and musical imagery are discussed.     

Perceptions of and satisfaction with retirement: a comparison of six European union countries

The main aim of this study was to assess perceptions of and satisfaction with retirement among 1,686 recently retired people from 6 European Union countries. The authors compared their responses to a set of questions taken from the Retirement Satisfaction Inventory (F. J. Floyd et al., 1992). The first significant result was that Belgian, British, Finnish, French, and Spanish retirees all expressed very similar assessments of life satisfaction, whereas Portuguese retirees expressed a lower level of satisfaction. The 2nd result was that the major determinants of overall satisfaction in the 6 countries were (a) health and resources and (b) anticipated satisfaction. Finally, the data revealed that cultural background only accounted for a limited amount of variance in overall satisfaction with retirement.     

The Predictive Utility of a Working Memory Span Task Depends on Processing Demand and the Cognitive Task

The relationship between performance in working memory (WM) span tasks, scholastic skills and fluid intelligence was investigated to determine how WM span is related to higher order cognition. The predictive utility of two WM span tasks differing in the demand of the processing task was studied with controlled presentation times and a broad set of academic criterion tasks. Sixty‐eight adolescents (mean age 16 years) completed two WM span tasks, Raven's Progressive Matrices and several scholastic performance measures. The results showed that the more demanding WM span task predicted fluid intelligence, but did not contribute uniquely in explaining scholastic performance. In contrast, the less demanding WM task predicted scholastic performance. The results suggest that the strength of the relation between WM performance and higher order cognition varies in conjunction with both the demand of the WM span task and the type of higher order cognition measure.Copyright © 2016 John Wiley & Sons, Ltd.     

Reproductive behavior and personality traits of the Five Factor Model

We examined associations between Five Factor Model personality traits and various outcomes of reproductive behavior in a sample of 15 729 women and men from the Wisconsin Longitudinal Study (WLS) and Midlife Development in the United States (MIDUS) survey. Personality and reproductive history was self‐reported in adulthood (mean age: 53 years). High extraversion, high openness to experience, and low neuroticism were associated with larger number of children in both sexes, while high agreeableness and low conscientiousness correlated with larger offspring number in women only. These associations were independent of marital status. There were also more specific associations between personality and timing of childbearing. The findings demonstrate that personality traits of the Five Factor Model are systematically associated with multiple reproductive outcomes. Copyright © 2011 John Wiley & Sons, Ltd.     

The feasibility of working memory tablet tasks in predicting scholastic skills in classroom settings

Cognitive assessment in natural group settings facilitates data collection but poses threats to the validity. In this study, tablet‐based working memory (WM) tasks, the counting span, and reading span were used in predicting 12‐year‐old children's (N = 837) scholastic skills and fluid intelligence in a classroom with environmental noise. WM tasks had excellent internal consistency, correlated with scholastic skills, and accounted for more of the variance in cognitive performance (grade point average, fluid intelligence, scholastic skills) compared with individually administered (n = 190) digit span task. Furthermore, the multilevel analysis revealed that compared with the classrooms with no noise, when naturally occurring speech or nonspeech types of environmental noises were present during assessment, WM scores or the reliability estimates were not lower. In contrast, when both types of noises were present, the relationships between some of the WM and achievement scores were even stronger. Thus, assessments in natural classroom contexts may promote revealing the individual differences in WM.     

The architecture of high status among Finnish youth

We tested the construct validity of a two‐dimensional model of high status, consisting of social acceptance and perceived popularity (hereafter, acceptance and popularity) among Finnish children and adolescents. In addition, we investigated the correlates of the two forms of high status, as well as their relations to resource control. Participants were 563 boys and girls in grades four and eight, that is, aged 10–11 and 14–15. CFA and SEM models supported the hypothesis of acceptance and popularity representing distinct, yet associated constructs that have partly different correlates. Acceptance and popularity were most closely connected among grade four students, particularly among boys. Prosocial behaviour was associated with acceptance, whereas peer‐valued characteristics (physical attractiveness, athletic ability) and aggression were related especially to popularity. Popularity, but not acceptance, was positively related to resource control.     

The Embodied Attunement of Therapists and a Couple within Dialogical Psychotherapy: An Introduction to the Relational Mind Research Project

In dialogical practice, therapists seek to respond to the utterances of clients by including in their own response what the client said. No research so far exists on how, in dialogs, therapists and clients attune themselves to each other with their entire bodies. The research program The Relational Mind is the first to look at dialog in terms of both the outer and the inner dialogs of participants (clients and therapists), observed in parallel with autonomic nervous system (ANS) measurements. In the ANS, the response occurs immediately, even before conscious thought, making it possible to follow how participants in a multiactor dialog synchronize their reactions and attune themselves to each other. The couple therapy case presented in this article demonstrates how attunement is often not a simple “all at the same time” phenomenon, but rather a complex, dyadic or triadic phenomenon which changes over time. In the case presented, there was strong synchrony between one therapist and one client in terms of their arousal level throughout the therapy session. It was also observed that high stress could occur when someone else was talking about something related to the participant, or if that person mirrored the participant's words. Overall, it seems that in evaluating the rhythmic attunement between therapists and clients it is not enough to look at single variables; instead, integrated information from several channels is needed when one is seeking to make sense of the embodiment.