Emotion Regulation Mediates Effects of Alexithymia and Emotion Differentiation on Impulsive Aggressive Behavior

Alexithymia and low emotion differentiation restrict access to emotional information and increase propensity toward dysregulated and deviant behaviors, such as impulsive aggression. However, mechanisms underlying such effects are largely unknown. This study examined the mediating role of emotion regulation in the relationship between restricted access to emotional information and impulsive aggression. Alexithymic features and emotion differentiation explained 43% of the variance in impulsive aggression; these relationships were fully mediated by emotion-regulation difficulty. Contrary to previously held assumptions, alexithymic features and emotion differentiation were uncorrelated with one another, each limiting the translation of unique emotion information necessary for adaptive emotion and behavior regulation.     

Emotion Ideology Mediates Effects of Risk Factors on Alexithymia Development

Despite its connection to mental and behavioral health complications, elevated alexithymia tends to be associated with low responsiveness and high resistance to psychological intervention. To further understanding of potential treatment targets for clients with alexithymic traits, the present study explored the (a) independent contributions of various risk factors to statistical predictions of alexithymic trait severity, (b) generalizability of risk factor contributions across two culturally distinct samples, and (c) potential for emotion ideology (i.e., beliefs about emotion and emotional experience) to mediate such contributions. Preliminary results suggest emotion socialization and child abuse may be salient contributors to alexithymia severity, whereas effects of trauma exposure may be limited to samples with high overall exposure to alexithymia risk-factors. Moreover, emotion ideology mediates the relation between risk-factor exposure and alexithymia severity. Thus, psychotherapeutic interventions targeting emotion ideology may be beneficial when working with clients with elevated alexithymia.     

Emotion-regulation skills as a treatment target in psychotherapy

Background

Deficits in emotion-regulation skills have been shown to be integral to the development and maintenance of a wide range of mental disorders.

Aim

To evaluate the importance of these skills as a treatment target in psychotherapeutic interventions.

Method

Nine specific emotion-regulation skills were assessed in a sample of 289 inpatients before and after cognitive-behavioural treatment. Self-reports of success in pretreatment skills application were first compared to those of 246 non-clinical controls. Pretreatment skills application and change in skills application during therapy were then related to a variety of outcome measures. Finally, the effects of integrating a brief training of general emotion-regulation skills into the CBT-based treatment were evaluated in a controlled trial.

Results

Uni- and multivariate analyses identified the skills of acceptance, tolerance, and active modification of negative emotions as particularly important for current mental health and treatment outcome. Replacing parts of the standard CBT treatment with the emotion-regulation training enhanced the effects of the CBT treatment on skills application and on other measures of mental health.

Conclusion

Incorporating interventions that directly target general emotion-regulation skills may improve the effectiveness of psychotherapeutic interventions.     

Reconstruing the "reconstruction" of psychopathy: a comment on Cooke, Michie, Hart, and Clark

In this comment we highlight critical problems in the estimation of parameters for their hierarchical three-factor model of psychopathy, as assessed with the Hare Psychopathy Checklist, and their interpretation of these factors as causally related to socially deviant behavior. We argue that there is nothing "causal" about a model in which cross-sectional data are used to assert that antisocial tendencies are consequences of other more fundamental psychopathic traits. We present an equally viable model, based on the PCL-R four-factor solution, in which antisocial tendencies play a fundamental role in the construct of psychopathy, consistent with previous research and clinical tradition.     

Maladaptive Emotional Schemas and Emotional Functioning: Evaluation of an Integrated Model Across Two Independent Samples

Journal of Rational-Emotive & Cognitive-Behavior Therapy - Recent advancements in emotion theory propose that emotional schemas—individualized conceptualizations and beliefs about...     

Do deficits in mindfulness underlie borderline personality features and core difficulties?

The current study investigated whether deficits in mindfulness (the awareness, attention, and acceptance of the present moment) can account for variability in borderline personality (BPD) features and characteristic difficulties in emotion regulation, interpersonal effectiveness, and impulsivity. Structural equation modeling and hierarchical regressions were utilized to examine the associations of trait mindfulness with BPD features, interpersonal problem-solving, impulsive and passive emotion-regulation strategies, and neuroticism in a sample of young adults (N = 342). As hypothesized, mindfulness was related inversely to BPD features and core areas of difficulty, and these associations continued even when controlling for neuroticism. Additionally, mindfulness deficits continued to predict borderline features even when interpersonal effectiveness, passive and impulsive emotion-regulation, and neuroticism were controlled. It is concluded that deficits in mindfulness may be integral to BPD features. Difficulties with attention, awareness, and acceptance of internal and external experience appear to explain borderline pathology even when controlling for problems with negative affectivity, behavioral dyscontrol, and emotional and interpersonal dysfunction--which have been described as definitional of this disorder. Thus, attention to mindfulness deficits may enhance clinical formulation of BPD symptomatology, as well as provide a vital component of effective BPD treatment.     

Prospective effects of emotion-regulation skills on emotional adjustment

Deficits in emotion-regulation skills have widely been shown to be associated with poor emotional adjustment. However, it is still unclear whether these deficits are a cause or a consequence of poor adjustment. The purpose of the present research was to clarify the reciprocal effects between these 2 concepts. In 2 studies (Ns = 446 and 635), self-reports of emotion regulation and emotional adjustment were assessed twice with a 2-week interval. Cross-lagged regression analyses demonstrated that self-reports of emotion regulation predicted subsequent adjustment, over and above the effects of previous adjustment, whereas emotional adjustment did not predict subsequent emotion regulation. Thus, a focus on emotion-regulation skills may be important in the prevention and treatment of affect-related mental health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved).