Every year three quarters of a million people take their own lives, and suicide is the leading cause of death in adolescents. Non-lethal self-harm is also prolific, leading annually to around 300,000 UK hospital visits, with even more going unreported. Knowing who is at most risk can inform support and prevention efforts. The higher rates of self-harm in LGBT and minority groups are well-established, and now a new review article in the British Journal of Clinical Psychology identifies other groups, including goths, emos and metalheads, who may also be at increased risk.
A new paper in Psychology and Psychotherapy: Theory, Research and Practice argues that the relationship a person has with their eating disorder is shaped by that person’s understanding of what meaningful relationships should look like – and, in turn, this can have important consequences for the severity of their disorder.
In particular, Emma Forsén Mantilla and her team from the Karolinska Institute in Sweden wanted to better understand eating disorders through “attachment theory”. This is the idea that relationships with primary caregivers become scripts that we lean on to tell us how relationships “work”.
If you contemplate how a person’s life would be changed by starting to hear or see things others can’t, can you imagine it could offer anything good? A research team from Hull university and the surrounding NHS trusts suggest that among the tumult, hallucinations can also offer opportunities for growth. Writing in the Journal of Psychology and Psychotherapy, lead author Lily Dixon and her team detail the experiences of seven people who have lived with verbal or auditory hallucinations and how, amid the struggles, their journeys have taken them to some positive places.
For decades, personality psychologists have noticed a striking, consistent pattern: extraverts are happier more of the time than introverts. For anyone interested in promoting wellbeing, this has raised the question of whether it might be beneficial to encourage people to act more extraverted. Evidence to date has suggested it might.
For example, regardless of their usual disposition, people tend to report feeling happier and more authentic whenever they are behaving more like an extravert (that is, more sociable, active and assertive). That’s a mere correlation that could be interpreted in different ways. But lab studies have similarly found that prompting people, including introverts, to act more like an extravert makes them feel happier and truer to themselves.
Before we all start doing our best extravert impressions in pursuit of greater happiness, though, a team of researchers led by Rowan Jacques-Hamilton at the University of Melbourne urge caution, writing in their new pre-print at PsyArXiv :
“Until we have a well-rounded understanding of both the positive and negative consequences of extraverted behaviour, advocating any real-world applications of acting extraverted could be premature and potentially hazardous.”
To help, these researchers have conducted the first ever randomised-controlled trial of an “act more extraverted” intervention, and unlike in previous research, they looked beyond the lab at the positive and negative effects of such an intervention on people’s feelings in daily life.
That which doesn’t kill you makes you stronger… It’s an adage that’s backed up in part by studies of people who’ve been through a trauma, such as a car accident or a robbery. While it’s true that around 7-8 per cent of trauma survivors develop chronic PTSD and experience persistent intrusive, unwanted memories of the event, most people recover quickly, and some even report better mental health than they had before (generally when the trauma has been moderate, rather than severe). But what underpins so-called “post-traumatic growth?” Anew paper in the Journal of Experimental Psychology: General, argues that it has to do with trauma triggering a form of mental training that increases some survivors’ control over their own minds.
Juggling home and work commitments is never easy, and yet there’s been surprisingly little research into how either demands – or support – at home or work may spillover into the other context. Does a frustrating or combative workday negatively affect family life that evening, for instance? Or if your partner is emotionally supportive when you both get home, will you “pass it on”, and be more supportive of colleagues the next day? And, are men and women affected in the same ways? A new paper, published in the Journal of Applied Psychology, provides some provocative answers.
The structured nature of Cognitive Behavioural Therapy/CBT and its clearly defined principles (based on the links between thoughts, feelings and behaviours) make it relatively easy to train practitioners, to ensure standardised delivery and to measure outcomes. Consequently, CBT has revolutionised mental health care, allowing psychologists to alchemize therapy from an art into a science. For many mental health conditions, there is now considerable evidence that CBT is as, or more, effective than drug treatments. Yet, just like any form of psychotherapy, CBT is not without the risk of unwanted adverse effects.
A recent paper in Cognitive Therapy and Research outlines the nature and prevalence of these unwanted effects, based on structured interviews with 100 CBT-trained psychotherapists. “This is what therapists should know about when informing their patients about the upcoming merits and risks of treatment,” write Marie-Luise Schermuly-Haupt and her colleagues.
Clinicians treating children with gender dysphoria, the children themselves, and their parents, are faced with a dilemma – early use of puberty suppressing drugs (followed later by further hormonal treatments) will likely make it easier for the young person to gender transition in due course, and the earlier that process begins, the more effective it is likely to be. However, intervening earlier comes with the possibility that the child’s feelings of gender dysphoria would have dissipated naturally, or that they may later de-transition (that is, change their mind about wanting to transition to the other gender), leaving them with potentially irreversible bodily changes caused by the hormonal treatment.
According to a systematic review published recently in the journal Pediatrics, adding to this clinical dilemma is a dearth of quality data on the physical and psychosocial effects of hormonal treatments on gender dysphoric children, teenagers and young adults. However, the limited evidence that is available does provide “qualified support” for these treatments, the review concludes.
The number of psychiatric diagnoses keep on growing, with perhaps ten times as many categories now as there were 50 years ago. This may in part reflect our growing knowledge, which is welcome. But the sheer density of diagnoses makes it difficult for researchers or clinicians to see the wood for the trees, and it encourages them to settle into silos. It would be advantageous for clinical research and practice if we could introduce some elegance to our understanding. A recent movement in psychology and psychiatry is seeking to do exactly this. It follows evidence that, in the words of US psychologists Robert Kruger and Nicholas Eaton in their 2015 review, “many mental disorders are manifestations of relatively few core underlying dimensions.” In the latest foray from this movement, the Journal of Clinical Psychology has published a review outlining another potential core feature: the repetitive occurrence of negative thoughts.
Around the world, more people than ever are locked up in prisons – estimated to be in excess of 11 million people, up by almost 20 per cent since the turn of the millennium (pdf). According to a recent House of Commons Briefing Paper the rate of increase is even higher than this in the UK where prison populations are at a record high. Many of these incarcerated individuals have intensifying mental health needs – for instance, the same briefing paper reports that UK rates of self-harm in prisoners were 25 per cent higher in 2015 than in 2014. Ahead of this week’s meeting of the All Party Parliamentary Group for Psychology on the topic of Mental Health in the Criminal Justice System, here we provide a digest of research into the mental health of prisoners.