Pub Date : 2023-01-01DOI: 10.1177/20438087231161188
Nora M. Barnes-Horowitz, Aileen M. Echiverri-Cohen, Julian Ruiz, T. Zbozinek, Rebecca Kim, M. Treanor, D. Rosenfield, T. Ritz, Alicia M. Meuret, M. Craske
Cognitive behavioral therapy (CBT) focuses on decreasing negative affect rather than increasing positive affect and is ineffective for some individuals. A trial comparing novel Positive Affect Treatment (PAT) to Negative Affect Treatment (NAT; a form of CBT) showed that PAT more effectively increased positive affect and decreased negative affect, depression, and anxiety (Craske et al., 2019). The present exploratory study examined threat sensitivity as a treatment moderator. Threat sensitivity was operationalized as pre-treatment skin conductance response and unconditional stimulus (US) expectancy rating during extinction recall. Participants (N = 43) then received 15 sessions of PAT or NAT. Growth curve models were tested to explore interactions between extinction recall and treatment condition over time. For skin conductance, weaker extinction recall predicted faster improvement in depression and anxiety in NAT than PAT, whereas stronger extinction recall predicted faster improvement in symptoms in PAT than NAT. Reduced US expectancy ratings predicted a faster decrease in symptoms, regardless of treatment condition. Individuals showing greater threat sensitivity, indexed by weaker extinction recall, may benefit more from a treatment that targets threat sensitivity than a treatment that targets reward sensitivity. Individuals showing the converse may benefit more quickly from a treatment that targets reward sensitivity than threat sensitivity.
{"title":"Exploratory study of threat sensitivity as a moderator of positive affect treatment and negative affect treatment for depression and anxiety","authors":"Nora M. Barnes-Horowitz, Aileen M. Echiverri-Cohen, Julian Ruiz, T. Zbozinek, Rebecca Kim, M. Treanor, D. Rosenfield, T. Ritz, Alicia M. Meuret, M. Craske","doi":"10.1177/20438087231161188","DOIUrl":"https://doi.org/10.1177/20438087231161188","url":null,"abstract":"Cognitive behavioral therapy (CBT) focuses on decreasing negative affect rather than increasing positive affect and is ineffective for some individuals. A trial comparing novel Positive Affect Treatment (PAT) to Negative Affect Treatment (NAT; a form of CBT) showed that PAT more effectively increased positive affect and decreased negative affect, depression, and anxiety (Craske et al., 2019). The present exploratory study examined threat sensitivity as a treatment moderator. Threat sensitivity was operationalized as pre-treatment skin conductance response and unconditional stimulus (US) expectancy rating during extinction recall. Participants (N = 43) then received 15 sessions of PAT or NAT. Growth curve models were tested to explore interactions between extinction recall and treatment condition over time. For skin conductance, weaker extinction recall predicted faster improvement in depression and anxiety in NAT than PAT, whereas stronger extinction recall predicted faster improvement in symptoms in PAT than NAT. Reduced US expectancy ratings predicted a faster decrease in symptoms, regardless of treatment condition. Individuals showing greater threat sensitivity, indexed by weaker extinction recall, may benefit more from a treatment that targets threat sensitivity than a treatment that targets reward sensitivity. Individuals showing the converse may benefit more quickly from a treatment that targets reward sensitivity than threat sensitivity.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49254916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1177/20438087231151505
R. McNally
Experimental psychology has long embodied the quest to identify the causes of psychopathology. This venerable tradition has been joined in this quest by network theory, a novel approach to conceptualizing episodes of disorder as emerging from complex systems characterized by dynamic interactions of symptoms. Although issuing from the correlational, psychometric tradition rather than the experimental one, it nevertheless offers methods for identifying symptom targets for clinical experimental intervention. The purpose of this article is to sketch the points of contact between network psychometrics and experimental psychopathology.
{"title":"Points of contact between network psychometrics and experimental psychopathology","authors":"R. McNally","doi":"10.1177/20438087231151505","DOIUrl":"https://doi.org/10.1177/20438087231151505","url":null,"abstract":"Experimental psychology has long embodied the quest to identify the causes of psychopathology. This venerable tradition has been joined in this quest by network theory, a novel approach to conceptualizing episodes of disorder as emerging from complex systems characterized by dynamic interactions of symptoms. Although issuing from the correlational, psychometric tradition rather than the experimental one, it nevertheless offers methods for identifying symptom targets for clinical experimental intervention. The purpose of this article is to sketch the points of contact between network psychometrics and experimental psychopathology.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41833831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1177/20438087231164963
Rachel J. Anderson, J. H. Clayton McClure, J. Boland, David Howe, Kevin J. Riggs, S. Dewhurst
Depression is associated with difficulties in goal pursuit which could be related to deficits in emotional anticipation regarding goal success. Therefore, the reported study investigated emotional anticipation for personal goals and whether this differs as a function of depressive symptoms. After listing approach and avoidance goals, 263 participants made predictions about these goals (e.g. likelihood of achievement and controllability) and rated the vividness and perspective with which they envisaged goal achievement. They also provided ratings of either anticipated (predicted emotions that would accompany goal success) or anticipatory (in-the-moment emotions when imagining goal success) positive emotions. Higher levels of depressive symptomatology were associated with pessimistic predictions about goal achievement, coupled with reduced vividness and greater adoption of observer perspective when envisaging achievement. Furthermore, those experiencing higher levels of depressive symptoms evidenced biases in both anticipated and anticipatory positive emotions associated with goal success. They believed that goal achievement would bring them lower levels of positive emotion and also reported less in-the-moment happiness, satisfaction, and pleasure when thinking about achieving their goals. Irrespective of depressive symptom level, anticipated emotions were generally stronger than anticipatory emotions. These findings have implications both for research on future-oriented emotions (anticipated and anticipatory) and for the development of therapeutic techniques to aid depression.
{"title":"The relationship between depressive symptoms and positive emotional anticipation of goal achievement","authors":"Rachel J. Anderson, J. H. Clayton McClure, J. Boland, David Howe, Kevin J. Riggs, S. Dewhurst","doi":"10.1177/20438087231164963","DOIUrl":"https://doi.org/10.1177/20438087231164963","url":null,"abstract":"Depression is associated with difficulties in goal pursuit which could be related to deficits in emotional anticipation regarding goal success. Therefore, the reported study investigated emotional anticipation for personal goals and whether this differs as a function of depressive symptoms. After listing approach and avoidance goals, 263 participants made predictions about these goals (e.g. likelihood of achievement and controllability) and rated the vividness and perspective with which they envisaged goal achievement. They also provided ratings of either anticipated (predicted emotions that would accompany goal success) or anticipatory (in-the-moment emotions when imagining goal success) positive emotions. Higher levels of depressive symptomatology were associated with pessimistic predictions about goal achievement, coupled with reduced vividness and greater adoption of observer perspective when envisaging achievement. Furthermore, those experiencing higher levels of depressive symptoms evidenced biases in both anticipated and anticipatory positive emotions associated with goal success. They believed that goal achievement would bring them lower levels of positive emotion and also reported less in-the-moment happiness, satisfaction, and pleasure when thinking about achieving their goals. Irrespective of depressive symptom level, anticipated emotions were generally stronger than anticipatory emotions. These findings have implications both for research on future-oriented emotions (anticipated and anticipatory) and for the development of therapeutic techniques to aid depression.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43213190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1177/20438087231152848
Danielle M Moskow, Clarissa W. Ong, S. Hayes, Stefan G. Hofmann
Historically, evidence-based treatment has followed the latent disease model, which emphasizes using specific protocols tied to diagnoses. Today, the field continues to move towards an individual approach with models of treatment based on change processes. Here, we describe Process-Based Therapy (PBT), a new way of thinking that is moving away from nomothetic studies of diagnosis-driven interventions toward an individual approach to treatment that recognizes the complexity of human suffering. In PBT, therapists select from a wide range of evidence-based interventions, tailoring treatment to meet a person’s needs at a given point in time. PBT is used to analyze intra-individual changes at the level of complex networks of biopsychosocial events, then gathering these into subpopulation and overall population parameters using theory and experimental analysis. PBT emphasizes tracking patient progress over time and treating symptoms based on current experiences, as well as understanding a patient’s past and predicting future experiences. Through specific analyses that aid in this process, therapists can use PBT to create a network with clients to visualize symptoms over time and areas of change.
{"title":"Process-based therapy: A personalized approach to treatment","authors":"Danielle M Moskow, Clarissa W. Ong, S. Hayes, Stefan G. Hofmann","doi":"10.1177/20438087231152848","DOIUrl":"https://doi.org/10.1177/20438087231152848","url":null,"abstract":"Historically, evidence-based treatment has followed the latent disease model, which emphasizes using specific protocols tied to diagnoses. Today, the field continues to move towards an individual approach with models of treatment based on change processes. Here, we describe Process-Based Therapy (PBT), a new way of thinking that is moving away from nomothetic studies of diagnosis-driven interventions toward an individual approach to treatment that recognizes the complexity of human suffering. In PBT, therapists select from a wide range of evidence-based interventions, tailoring treatment to meet a person’s needs at a given point in time. PBT is used to analyze intra-individual changes at the level of complex networks of biopsychosocial events, then gathering these into subpopulation and overall population parameters using theory and experimental analysis. PBT emphasizes tracking patient progress over time and treating symptoms based on current experiences, as well as understanding a patient’s past and predicting future experiences. Through specific analyses that aid in this process, therapists can use PBT to create a network with clients to visualize symptoms over time and areas of change.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44287121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1177/20438087231151502
Markus Grill, A. Haberkamp
When asking spider-phobic individuals what they find most frightening about spiders, many report spiders’ unique movement characteristics. Here, we experimentally tested whether spider-specific movements are indeed a major cue in triggering spider fear. One-hundred-and-twenty participants (55 spider-fearful) viewed realistic 3D-animated videos of spiders and ladybugs moving on different paths and with different speeds. We found that spider-fearful individuals perceived spiders as more uncontrollable and unpredictable than ladybugs and non-fearful individuals. This held true to a certain degree even when spiders moved on predictable movement paths. Spiders also elicited more fear and disgust in spider-fearful individuals, which was amplified by curvy movement paths. Finally, spider-fearful individuals reported higher intolerance of uncertainty (IU), which may potentially increase distress in subjectively uncontrollable and unpredictable spider encounters. As far as we are aware, our study provides first experimental evidence of the effects of spider movement on cognition and emotion in spider fear, expanding the current knowledge about fear-related triggers.
{"title":"Out of control: The role of spider movement and intolerance of uncertainty in spider fear","authors":"Markus Grill, A. Haberkamp","doi":"10.1177/20438087231151502","DOIUrl":"https://doi.org/10.1177/20438087231151502","url":null,"abstract":"When asking spider-phobic individuals what they find most frightening about spiders, many report spiders’ unique movement characteristics. Here, we experimentally tested whether spider-specific movements are indeed a major cue in triggering spider fear. One-hundred-and-twenty participants (55 spider-fearful) viewed realistic 3D-animated videos of spiders and ladybugs moving on different paths and with different speeds. We found that spider-fearful individuals perceived spiders as more uncontrollable and unpredictable than ladybugs and non-fearful individuals. This held true to a certain degree even when spiders moved on predictable movement paths. Spiders also elicited more fear and disgust in spider-fearful individuals, which was amplified by curvy movement paths. Finally, spider-fearful individuals reported higher intolerance of uncertainty (IU), which may potentially increase distress in subjectively uncontrollable and unpredictable spider encounters. As far as we are aware, our study provides first experimental evidence of the effects of spider movement on cognition and emotion in spider fear, expanding the current knowledge about fear-related triggers.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46818991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1177/20438087221142481
Alyssa A. Di Bartolomeo, Sonya Varma, Lindsay Fulham, S. Fitzpatrick
Emotion dysregulation, including higher baseline emotional intensity and emotional reactivity (i.e., increased magnitude of change in emotional responding) is theoretically central to Borderline Personality Disorder (BPD). However, little research has examined which specific emotions individuals with BPD experience emotion dysregulation in. Interpersonal problems also theoretically drive emotion dysregulation in BPD. However, whether interpersonal problems elicit emotion dysregulation for some specific emotions but not others is unclear. This study aimed to assess whether interpersonal problems moderate the relationship between (1) baseline emotional intensity and (2) emotional reactivity in BPD across six specific emotions (i.e., sadness, disgust, fear, shame, guilt, and anger). Borderline Personality Disorder (n = 30) and healthy control (HC; n = 30) groups reported their interpersonal problems at baseline and their emotions before and after listening to a laboratory stressor. For the BPD (but not HC) group, higher interpersonal problems were associated with greater baseline sadness, disgust, fear, shame, and guilt. Across groups, higher interpersonal problems were associated with greater sadness, fear, guilt, and anger, but not disgust, reactivity. Higher interpersonal problems were associated with higher shame reactivity specifically for those with BPD. Targeting interpersonal problems may reduce heightened baseline emotional intensity and emotional reactivity for those with BPD, particularly for shame reactivity in BPD.
{"title":"The moderating role of interpersonal problems on baseline emotional intensity and emotional reactivity in individuals with borderline personality disorder and healthy controls","authors":"Alyssa A. Di Bartolomeo, Sonya Varma, Lindsay Fulham, S. Fitzpatrick","doi":"10.1177/20438087221142481","DOIUrl":"https://doi.org/10.1177/20438087221142481","url":null,"abstract":"Emotion dysregulation, including higher baseline emotional intensity and emotional reactivity (i.e., increased magnitude of change in emotional responding) is theoretically central to Borderline Personality Disorder (BPD). However, little research has examined which specific emotions individuals with BPD experience emotion dysregulation in. Interpersonal problems also theoretically drive emotion dysregulation in BPD. However, whether interpersonal problems elicit emotion dysregulation for some specific emotions but not others is unclear. This study aimed to assess whether interpersonal problems moderate the relationship between (1) baseline emotional intensity and (2) emotional reactivity in BPD across six specific emotions (i.e., sadness, disgust, fear, shame, guilt, and anger). Borderline Personality Disorder (n = 30) and healthy control (HC; n = 30) groups reported their interpersonal problems at baseline and their emotions before and after listening to a laboratory stressor. For the BPD (but not HC) group, higher interpersonal problems were associated with greater baseline sadness, disgust, fear, shame, and guilt. Across groups, higher interpersonal problems were associated with greater sadness, fear, guilt, and anger, but not disgust, reactivity. Higher interpersonal problems were associated with higher shame reactivity specifically for those with BPD. Targeting interpersonal problems may reduce heightened baseline emotional intensity and emotional reactivity for those with BPD, particularly for shame reactivity in BPD.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45845235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1177/20438087221146930
{"title":"Corrigendum to A Dynamic-Maturational Framework for the Study of Psychosis and Attachment Theory","authors":"","doi":"10.1177/20438087221146930","DOIUrl":"https://doi.org/10.1177/20438087221146930","url":null,"abstract":"","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47943825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1177/20438087221136424
A. Pittig, Alex H. K. Wong
Enhancing the reduction of avoidance may optimize treatment for anxiety disorders. Past research focused on boosting fear extinction to reduce avoidance, however, with limited success. Directly extinguishing avoidance may be more promising. This preregistered study tested the impact of incentives and instruction for non-avoidance compared to passive fear extinction on long-term avoidance and fear reduction. On Day 1, participants acquired conditioned fear and avoidance to a conditioned stimulus (CS) paired with an aversive outcome. Next, incentives or instructions encouraged non-avoidance to the CS, which was no longer reinforced by a US regardless of avoidance (Incentives and Instruction group). In a third group, avoidance was unavailable and the CS was passively presented in absence of the US (Passive Fear Extinction group). On Day 2, avoidance retention and reinstatement and return of fear were tested. In the short term, incentives and instruction strongly reduced avoidance with similar fear reduction compared to passive fear extinction. Importantly, incentives and instruction were linked to lower long-term avoidance retention. Avoidance reinstatement was evident in all groups, but avoidance remained higher after passive fear extinction. Finally, incentives yielded a lower return of threat expectancies. Thus, targeting avoidance instead of fear better reduced long-term avoidance and, for incentives, the return of fear. Especially, incentives could be a promising add-on to exposure.
{"title":"Reducing the return of avoidance and fear by directly targeting avoidance: Comparing incentive-based and instructed extinction of avoidance to passive fear extinction","authors":"A. Pittig, Alex H. K. Wong","doi":"10.1177/20438087221136424","DOIUrl":"https://doi.org/10.1177/20438087221136424","url":null,"abstract":"Enhancing the reduction of avoidance may optimize treatment for anxiety disorders. Past research focused on boosting fear extinction to reduce avoidance, however, with limited success. Directly extinguishing avoidance may be more promising. This preregistered study tested the impact of incentives and instruction for non-avoidance compared to passive fear extinction on long-term avoidance and fear reduction. On Day 1, participants acquired conditioned fear and avoidance to a conditioned stimulus (CS) paired with an aversive outcome. Next, incentives or instructions encouraged non-avoidance to the CS, which was no longer reinforced by a US regardless of avoidance (Incentives and Instruction group). In a third group, avoidance was unavailable and the CS was passively presented in absence of the US (Passive Fear Extinction group). On Day 2, avoidance retention and reinstatement and return of fear were tested. In the short term, incentives and instruction strongly reduced avoidance with similar fear reduction compared to passive fear extinction. Importantly, incentives and instruction were linked to lower long-term avoidance retention. Avoidance reinstatement was evident in all groups, but avoidance remained higher after passive fear extinction. Finally, incentives yielded a lower return of threat expectancies. Thus, targeting avoidance instead of fear better reduced long-term avoidance and, for incentives, the return of fear. Especially, incentives could be a promising add-on to exposure.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45737234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1177/20438087221142456
Alexander H. Jack, Stephanie Wilson
Attachment theory has been used to explain the origin of psychotic phenomena. In this article we critically evaluate dominant models and assessment measures of attachment in the study of psychosis. We identify four problems aligning to current theory and assessment: (1) the reliability and/or validity of assessment tools, (2) the failure of current approaches to differentiate between psychotic and non-psychotic cases within attachment classifications, (3) the absence of an integrated conceptual framework and (4) poor clinical utility. We propose the Dynamic-Maturational Model (DMM) of Attachment and Adaptation as an integrative framework with potential explanatory power to address these problems. The DMM is a model of human adaptation, based in attachment theory and integrative of systems theory, psychodynamic psychology, cognitive neuroscience, ethology and behaviourism. We review the present state of knowledge about attachment and psychosis and consider a broader array of empirical information (e.g. cognitive, affective and somatic) to highlight how future investigations and therapeutic intervention might be reconceptualised advantageously within a DMM framework.
{"title":"A Dynamic-Maturational Framework for the Study of Psychosis and Attachment Theory","authors":"Alexander H. Jack, Stephanie Wilson","doi":"10.1177/20438087221142456","DOIUrl":"https://doi.org/10.1177/20438087221142456","url":null,"abstract":"Attachment theory has been used to explain the origin of psychotic phenomena. In this article we critically evaluate dominant models and assessment measures of attachment in the study of psychosis. We identify four problems aligning to current theory and assessment: (1) the reliability and/or validity of assessment tools, (2) the failure of current approaches to differentiate between psychotic and non-psychotic cases within attachment classifications, (3) the absence of an integrated conceptual framework and (4) poor clinical utility. We propose the Dynamic-Maturational Model (DMM) of Attachment and Adaptation as an integrative framework with potential explanatory power to address these problems. The DMM is a model of human adaptation, based in attachment theory and integrative of systems theory, psychodynamic psychology, cognitive neuroscience, ethology and behaviourism. We review the present state of knowledge about attachment and psychosis and consider a broader array of empirical information (e.g. cognitive, affective and somatic) to highlight how future investigations and therapeutic intervention might be reconceptualised advantageously within a DMM framework.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44767907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1177/20438087221135422
U. Ríos, M. Arancibia, J. Jiménez, F. Bermpohl
Social cognition (SC) research in bipolar disorders (BD) has provided evidence about deficits in different phases of the illness. Most of the studies have focused on two aspects of SC: theory of mind and emotion recognition. However, according to influential models of social neuroscience, two aspects of understanding others need to be distinguished: the cognitive (theory of mind and emotion recognition) and the affective route (empathy and compassion) of SC. We aimed to determine whether individuals with BD significantly differ from healthy controls on measures of the affective route of SC according to the available evidence. We conduct a narrative review of original research based on a social neuroscience model of SC. BD is associated with alterations of the affective route of SC during acute episodes and remission. During mania and subthreshold depression, an increase in empathy (“over-empathizing”) and discomfort (empathy) has been reported, respectively. A pattern of high empathic distress and low compassion appears during remission. This article is the first to review the evidence on the affective route of SC in BD, revealing trait and state alterations. We emphasize the need to consider this affective dimension of SC in future research, to design more specific interventions in BD patients.
{"title":"The forgotten affective route of social cognition in patients with bipolar disorders","authors":"U. Ríos, M. Arancibia, J. Jiménez, F. Bermpohl","doi":"10.1177/20438087221135422","DOIUrl":"https://doi.org/10.1177/20438087221135422","url":null,"abstract":"Social cognition (SC) research in bipolar disorders (BD) has provided evidence about deficits in different phases of the illness. Most of the studies have focused on two aspects of SC: theory of mind and emotion recognition. However, according to influential models of social neuroscience, two aspects of understanding others need to be distinguished: the cognitive (theory of mind and emotion recognition) and the affective route (empathy and compassion) of SC. We aimed to determine whether individuals with BD significantly differ from healthy controls on measures of the affective route of SC according to the available evidence. We conduct a narrative review of original research based on a social neuroscience model of SC. BD is associated with alterations of the affective route of SC during acute episodes and remission. During mania and subthreshold depression, an increase in empathy (“over-empathizing”) and discomfort (empathy) has been reported, respectively. A pattern of high empathic distress and low compassion appears during remission. This article is the first to review the evidence on the affective route of SC in BD, revealing trait and state alterations. We emphasize the need to consider this affective dimension of SC in future research, to design more specific interventions in BD patients.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44005247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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