“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.     

SCIENCE AND GOD THE CREATOR

Abstract. Variable judgments, both negative and positive, have been made by scientists (mainly physicists and astronomers) on the theological implications of their Findings. It is urged that science and theology are most appropriately related through a critical realist approach. On this basis some implications for our conceptions of God and our scientific perspectives on the created world are explored with respect to both divine Being and divine Becoming. A positive assessment of nature as created concludes the article.     

Confession evidence,psychological vulnerability and expert testimony

There have been major changes in English Law with regard to confession evidence, which followed the implementation of the Police and Criminal Evidence Act (PACE) in January 1986. This paper reviews the main legal changes that are relevant to the admissibility and reliability of confessions and their psychological importance within the context of both research and expert testimony.     

The impact of demographics and nutritional status on cognitive functioning in an Iranian adults sample

This study investigated the impact of demographic variables and nutritional status on adult cognitive functioning using structural equation modeling. Demographic variables that were considered were height, weight and gender, whilst nutritional status was measured on the Nutrition Assessment Inventory (NAI). Cognitive functions, such as executive cognitive functions, cognitive flexibility, cognitive ability and cognitive vulnerability were measured using the Amsterdam Executive Function Inventory (AEFI), the Cognitive Flexibility Scale (CFS), the Cognitive Ability Questionnaire (CAQ), and the Dysfunctional Attitude Scale Form A-Revised (DAS-A-R) respectively. Findings indicated that ethnicity and weight variables contribute to 8.8% of the nutritional status variations observed. A SEM analysis showed that nutritional status has an impact on 13% on the measured cognitive abilities of adults. The effects of “healthy nutrition”, “use of complementary nutritients”, “coping with high fat foods”, and “high fat food assumption” subscales of the nutrition scale were found to play a role in cognitive ability. This study shows a fitted SEM for the predictive roles of ethnicity, weight and nutritional status on the cognitive ability in adults.     

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.     

Risk perception of a chronic threat of terrorism: Differences based on coping types,gender and exposure

High levels of risk perception of terrorism (RPT) may impair an individual's quality of life and welfare. To understand the mechanisms responsible for RPT, this study investigated the association of gender and coping styles with individual differences in two key elements of RPT: perceived control and perceived vulnerability. A convenience sample of 400 Israelis (181 men and 219 women) filled out questionnaires on sociodemographic background, RPT and coping. Employing a multidimensional approach for coping, we divided participants into four coping types: problem-focused (n = 65), emotion-focused (n = 70), mixed (n = 122) and minimal (n = 142). The results indicate that problem-focused coping is associated with higher levels of perceived control than other types of coping and mixed coping is associated with higher levels of perceived vulnerability than other coping strategies. Also, interactions between gender and exposure to terrorism contributed to understanding the differences in perceived control. The discussion addresses gender differences in RPT and coping in the context of traditional gender roles. The study concludes with implications for risk management and therapeutic interventions regarding high levels of fear of terrorism.     

COVID-19 and Religious Ethics

The editors of the JRE solicited short essays on the COVID-19 pandemic from a group of scholars of religious ethics that reflected on how the field might help them make sense of the complex religious, cultural, ethical, and political implications of the pandemic, and on how the pandemic might shape the future of religious ethics.     

Hotep's Story: Exploring the Wounds of Health Vulnerability in the US

A wide variety of forms of domination hasresulted in a highly heterogeneous health riskcategory, ``the vulnerable.' The study of healthinequities sheds light on forces thatgenerate, sustain, and alter vulnerabilities toillness, injury, suffering and death. Thispaper analyzes the case of a high-risk teenfrom a Boston ghetto that illuminatesintersections between ``race' and class in theconstruction of vulnerability in the US.Exploration of his ``wounds' helps specify howlarge-scale social and cultural forces becomeembodied as individual experience of disparatehealth risk. The case demonstrates that healthinequities would not occur if resources –employment, income, wealth, education, housing,profiling in the legal system, and health care– were more justly managed in keeping withstandards outlined in the Universal Declarationof Human Rights. Professional responses to the``wounds of vulnerability' may reveal importantaspects of who we are and what our work asscholars, practitioners, and advocates mustbecome.     

Marx and Exploitation

The discussion of the adequacy of Karl Marx's definition of exploitation has paid insufficient attention to a prior question: what is a definition? Once we understand Marx as offering a “reference-fixing definition in a model” we will realise that it is resistant to certain objections. A more general analysis of exploitation is offered here and it is suggested that Marx's own definition is a particular instance of the general analysis which makes a number of controversial moral assumptions.     

Vulnerability-specific stress generation: an examination of depressogenic cognitive vulnerability across multiple domains

Background and Objectives: Although there is supporting evidence for the stress generation hypothesis (i.e., the tendency for depression-prone individuals to experience more negative dependent events influenced by their behaviors and characteristics), additional research is required to advance current understanding of the specific types of dependent events relevant to this effect. The present study elaborated on the stress generation hypothesis, in which the content of negative dependent events experienced by individuals is contingent upon, and matches, the nature of their particular vulnerabilities. This extension was tested within the context of Cole's competency-based model of depression. Design: Participants (n = 185) were assessed at two time-points separated by a four-month interval. Methods: Self-perceived competence in academic, social, and appearance domains at the initial time-point were examined in relation to negative life events prospectively occurring over the four-month follow-up period, assessed using the “contextual threat” method. Results: Partial support was obtained for vulnerability-specific stress generation. Stress-generation specificity was found for self-perceived competence in appearance and academic domains, but not for self-perceived social competence. Conclusions: The current findings are consistent with the possibility of a more complex relation between self-perceived social competence and domain-congruent stress generation. Individuals may be more likely to experience negative dependent events in domains matching their specific vulnerabilities.