The Role of Criticism in Expressed Emotion Among Psychoactive Substance Users: an Experimental Vignette Study

Author(s):  
Grace Y. Wang ◽  
Preethi Premkumar ◽  
Carol Qinglian Lee ◽  
Mark D. Griffiths
2021 ◽  
pp. 104973232110516
Author(s):  
Vincent Wagner ◽  
Jorge Flores-Aranda ◽  
Ana Cecilia Villela Guilhon ◽  
Shane Knight ◽  
Karine Bertrand

Young psychoactive substance users in social precarity are vulnerable to a range of health and social issues. Time perspective is one aspect to consider in supporting change. This study draws on the views expressed by young adults to portray their subjective experience of time, how this perception evolves and its implications for their substance use and socio-occupational integration trajectories. The sample includes 23 young psychoactive substance users ( M = 24.65 years old; 83% male) in social precarity frequenting a community-based harm reduction centre. Thematic analysis of the interviews reveals the past to be synonymous with disappointment and disillusionment, but also a constructive force. Participants expressed their present-day material and human needs as well as their need for recognition and a sense of control over their own destiny. Their limited ability to project into the future was also discussed. Avenues on how support to this population might be adapted are suggested.


2015 ◽  
Vol 31 (3) ◽  
Author(s):  
Didier Fouarge ◽  
Raymond Montizaan

How willing are employers to hire older workers? How willing are employers to hire older workers? In this article, we use a vignette study among employers in the public sector to investigate how the role of the job applicant’s age and employers’ views on productivity and the wages of older workers affect the likelihood that older applicants are hired. We find that the likelihood of being hired significantly decreases with the age of the applicant. A job applicant who is 60 years old, has a 41% lower chance of being hired than someone who is 35 years. Employers believe that the productivity of 55to 64-year-olds is lower and labor costs are higher than that of younger workers. However, a negative opinion on the labor costs of older workers has no significant impact on older applicants’ probability of being hired. A negative opinion of the employer on the relative productivity of older workers does substantially lower the probability that an older applicant will be hired.


2007 ◽  
Vol 16 (4) ◽  
pp. 192-196 ◽  
Author(s):  
David J. Miklowitz

Bipolar disorder is a highly recurrent and debilitating illness. Research has implicated the role of psychosocial stressors, including high expressed-emotion (EE) attitudes among family members, in the relapse–remission course of the disorder. This article explores the developmental pathways by which EE attitudes originate and predict relapses of bipolar disorder. Levels of EE are correlated with the illness attributions of caregivers and bidirectional patterns of interaction between caregivers and patients during the postepisode period. Although the primary treatments for bipolar disorder are pharmacological, adjunctive psychosocial interventions have additive effects in relapse prevention. Randomized controlled trials demonstrate that the combination of family-focused therapy (FFT) and pharmacotherapy delays relapses and reduces symptom severity among patients followed over the course of 1 to 2 years. The effectiveness of FFT in delaying recurrences among adolescents with bipolar disorder and in delaying the initial onset of the illness among at-risk children is currently being investigated.


1989 ◽  
Vol 155 (S5) ◽  
pp. 112-116 ◽  
Author(s):  
Kurt Hahlweg ◽  
Eli Feinstein ◽  
Ursula Müller ◽  
Matthias Dose

Hypotheses on the relationship of schizophrenia and family variables have changed considerably over the last 15 years: whereas speculations on the causal role of familial interaction for the onset of schizophrenic psychosis previously dominated the field of psychological theorising and psychotherapy (Bateson et al, 1956), it was not possible to confirm these theories empirically. In accordance with the research on Expressed Emotion (EE), a shift in emphasis to the influence of family variables on the further course of the illness has taken place. As a consequence, promising new techniques have been developed for the prevention or postponement of relapse.


2007 ◽  
Vol 38 (3) ◽  
pp. 256-268 ◽  
Author(s):  
Kim L. Gratz ◽  
Marina A. Bornovalova ◽  
Ayesha Delany-Brumsey ◽  
Bettina Nick ◽  
C.W. Lejuez

2017 ◽  
Vol 6 (2) ◽  
pp. 203-215 ◽  
Author(s):  
Erienne R. Weine ◽  
Nancy S. Kim

Clinicians’ judgments about clients can be influenced by the causal context (e.g., life events) preceding behavioral symptoms. However, it is unclear whether this influence extends to diagnosis judgments. In diagnosing Posttraumatic Stress Disorder (PTSD), traumatic event context must be present, and severe immediate reaction context was formerly required for many years. In a vignette study, we systematically examined whether event and reaction severity influence clinicians’ open-ended diagnoses of PTSD behaviors, Major Depressive Disorder (MDD) behaviors, and nondisordered behaviors. Clinicians made more diagnoses of PTSD for all three types of behaviors (PTSD, MDD, distressed) given a traumatic event than a mildly stressful event but simultaneously found the behaviors to be less abnormal. We found no evidence that reaction context influenced diagnoses. Future directions and the role of causal context in clinical diagnosis are discussed.


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