Intensive specialised multi-family therapy for multi-stressed families: Therapeutic alliance as predictor for effectiveness

The effectiveness of intense specialised multi-family therapy (ISMFT) for 111 multi-stressed families, and the therapeutic alliance as a possible predictor of outcome, were examined. A repeated measures design was used, where changes in all ISMFT phases (preparation, multi-family therapy and follow-up) were assessed and compared for both mothers and fathers. Evidence was found for improved family functioning after the therapy period, which was maintained at 3 months follow-up, although the multi-stressed families still functioned in the problematic range. The therapy did however not decrease parenting stress, or did so only temporarily. Observations of the therapeutic alliance with the System for Observing Family Therapy Alliances (SOFTA) scales indicated that high therapist engagement was related to positive therapy outcomes, both at the start of therapy and later. High family engagement also predicted therapy effectiveness, but only at the start of therapy. The present study shows that solution-focused multi-family therapy at least seems to provide the first step in alleviating problems in multi-stressed families.     

Looking at remembering: Eye movements,pupil size,and autobiographical memory

To examine the relationship between visual imagery and autobiographical memory, eye position and pupil size were recorded while participants first searched for memories and then reconstructed the retrieved memories (Experiment 1), or only searched for memories (Experiment 2). In Experiment 1, we observed that, although recollective experience was not associated with the number of fixations per minute, memories that took longer to retrieve were linked to increased pupil size. In Experiment 2, we observed that directly retrieved memories were recalled more quickly and were accompanied by smaller pupils than generatively retrieved memories. After correcting for response time, retrieval mode also produced an effect, showing that decreased pupil size is not simply due to directly retrieved memories being recalled more quickly. These findings provide compelling evidence that objective measures, such as pupil size, can be used alongside subjective measures, such as self-reports, to distinguish between directly retrieved and generatively retrieved memories.     

Fear and Anxiety in COVID-19: Preexisting Anxiety Disorders

The general population has experienced a significant elevation in fear and anxiety during COVID-19 both as a direct result of the virus but also due to measures taken to prevent it spreading, such as the need to stay inside and increase hand-washing. Lockdown has been used in many/most countries to prevent widespread infection. The advice and imposed actions are necessary to prevent the virus from spreading, but they might exacerbate the problems experienced by people with a preexisting anxiety-related disorder. The treatment of anxiety-related disorders can be provided while in quarantine. Staying at home in self-isolation does not preclude obtaining psychological treatment for anxiety-related disorders. Dealing with cognitive biases, over-estimations of threat, intolerance of uncertainty, inflated responsibility and excessive safety behavior, are useful clinical directions.     

From sport to eco: A case study of driver inputs on electric vehicle efficiency

This study focuses on driver-induced changes to vehicle energy and emissions performance by altering drivetrain configurations. It defines and examines the motivations for the use of drive modes in plug-in hybrid electric vehicles (PHEVs). Drive modes are defined as user-selectable drivetrain configurations that allow drivers to change vehicle performance aspects such as altering its propulsion status from electric to gas, changing the steering responsiveness, suspension stiffness, and regenerative braking strength. Despite the direct impact they have on the vehicle’s energy usage, greenhouse gas emissions, and local air emissions, the impact of drive modes are not traditionally measured as part of the vehicle’s performance and certification tests. The impact of drive mode choice can explain a portion of the discrepancy between PHEVs expected and on road performance as a recent study by the authors found that the use of certain modes can result in a 15–30% increase in total energy usage in a vehicle traveling at freeway speeds.This is the first study to examine the motivations for the use of these drive modes and provides an overview of PHEV drive modes, classifying them into two main mode categories (propulsion adjustment and driver experience) and eight different mode types based on their intended purpose. This is followed by a logistic regression of 11 indicators for mode usage taken from a survey of over 4,500 PHEV owning households, showing that gender and the number of long-distance trips were the most commonly associated with usage across mode types.     

Personality pathology severity,cluster type and specific therapeutic interventions in outpatient psychotherapy

We explored the relationship between severity of personality pathology, cluster type and therapeutic interventions (psychodynamic–interpersonal [PI] and cognitive–behavioural [CB]) in 76 outpatients across two early sessions (3rd and 9th) of psychodynamic psychotherapy, while accounting for patients' baseline global symptom severity. Pretreatment personality pathology severity was assessed using the Personality Disorder Index (PDI), where DSM‐IV Axis II PD was assigned a value of 2, subclinical traits and features were assigned a 1 and absence of Axis II psychopathology was assigned a 0. Interrater reliability of personality pathology severity was excellent (ICC [1, 1]: 0.85). Interrater agreement for Cluster A (κ = 0.75), Cluster B (κ = 0.92) and Cluster C (κ = 0.70) was high. Interventions were coded with Comparative Psychotherapy Process Scale (CPPS) from videotapes, and reliability was excellent (CPPS‐PI = 0.86; CPPS‐CB = 0.78). Stepwise linear regressions indicated that therapists' focus on mood shift/topic avoidance (B = 0.29, p = .009) and future events (B = ?0.26, p = .020) predicted Axis II severity. Overall use of PI techniques and Cluster A personality disorder (CLA) were positively correlated (r = .312, p = .006). Stepwise binomial logistic regressions indicated that therapists' focus on uncomfortable feelings (B = 1.915, p = .008) and explaining rationale behind approach (B = 1.276, p =. 038) predicted CLA. All results remained significant when controlling for patients' baseline general symptomatology (Brief Symptom Inventory‐Global Severity Index [BSI‐GSI]), except for the relation between explaining rationale and CLA. Discussion highlights how using psychodynamic treatment model, therapists' focus on patient's in‐session affect expression and explaining rationale behind approach are highly relevant when working with CLA patients.     

调节模式对选择超载的影响及其机制：一个有中介的调节模型

当前,选择超载领域研究的焦点已从验证其是否存在,转向至其何时存在,即边界条件的探讨。本研究基于调节模式理论,分别以决策后悔和延迟选择作为选择超载的指标,开展两个实验探查选择超载存在的调节模式条件及所涉及的内在机制。实验1以决策后悔作指标,运用量表测试法操纵调节模式,初步探讨调节模式对选择超载的影响,结果发现调节模式调节了选项集与决策后悔的关系,即对评估模式的个体来说,面对大选项集比小选项集时体验到更强的后悔情绪,出现了选择超载,而对运动模式的个体而言,两种条件下的决策后悔无显著差异;实验2以延迟选择作指标,通过任务启动法操纵调节模式,进一步探讨调节模式对选择超载的影响及其机制,结果发现调节模式调节了选项集与延迟选择的关系,即对评估模式的个体来说,面对大选项集比小选项集时更倾向于延迟选择,出现了选择超载,而对运动模式的个体而言,两种条件下的延迟选择偏好无显著差异,进一步有中介的调节模型分析表明选择难度可以部分解释这种效应。总之,通过采用不同方法操纵调节模式,选取不同的选择超载指标,数据结果都一致支持：评估模式的个体比运动模式的个体更容易出现选择超载,选择难度在其中发挥着一定的中介作用。     

直觉和分析在不同信息获取与呈现方式下对多特征目标判断质量的影响

采用多特征目标判断任务,考察了不同信息获取方式与信息呈现方式条件下,直觉和分析思维模式对判断质量的影响。结果发现：（1）在多特征目标判断任务中,直觉思维比分析思维更有效;（2）直觉型决策者运用直觉思维的判断质量比感觉型决策者更高;（3）归类组块的信息呈现方式能够有效提升决策者运用直觉思维的判断质量;（4）思维模式、信息获取方式与信息呈现方式对多特征目标的判断质量存在三阶交互作用,归类组块的信息呈现方式使直觉型决策者运用直觉思维的判断质量最高,而运用分析思维的判断质量低于感觉型决策者;归类组块排列信息时,直觉型决策者运用分析思维的判断质量低于信息随机排列时的水平。     

The Therapeutic Factors Inventory: Development of a Scale

Although Yalom's (1995) framework of the therapeutic factors facilitating outcome in group has been accepted by group specialists, no empirically based instrument assesses all of these factors. The Therapeutic Factors Inventory (TFI), with 11 scales based on the therapeutic factors, has been designed to fill this gap. This article summarizes the development and preliminary reliability testing of the TFI. Each scale of the instrument demonstrated high internal consistency; however, one scale obtained unacceptably low test-retest reliability. Further validity testing is needed. Implications of these findings are discussed.