What to Do About Bad Attitude Behaviors

Ho'oponopono Certification

The Ho'oponopono Certification will teach you some fundamental strategies that will help you do away with all the negative energies. By so doing, you will become a positive person, leading a positive life as well. The program is a creation of two individuals, Dr. Joe Vitale and Mathew Dixon. The former is an actor and has featured in many books, apart from being a professional in the implementation of the law of attraction in ensuring people lead better lives. Mathew is an influential healing musician. The two individuals teamed up to modernize the Ho'oponopono strategy in the program. The program was established following a thorough research and tests. It is a step by step guide that will ensure you successfully let go of your cognizant and intuitive memory, bringing to an end all your problems. The program consists of 8 eight videos, each taking 40 minutes. These videos will explain each and every detail of the program to ensure that you fully understand all the necessary techniques. There is no reason to hesitate. Purchase it today transform your life for good. Read more here...

Hooponopono Certification Summary


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Thought Elevators

A new research on success and its manifestation conducted by Stanford University answers questions about Tibetan Monks and the secret to their long-lasting happiness, not to mention eternal success. Their brains were studied and it was found that they used some kind of a technique called the Brain Elevation Technique. It is merely a meditation that used to take them to a state known as Theta State of mind. And that is when the universe starts bestowing good will upon you. It is much like hypnosis, whereby your subconscious brain is targeted and fed with new ideas. Like many people who reshape a certain field, Eric Taller reshaped what we know about the Theta State and the path to it. He summarized the process in 4 steps and created a 3-minute video that prepared him for the process. After that, he created 33-minute audio with the help of a sound engineer. That audio contained music of the frequencies 4 Hz and 7 Hz and audio motivational speeches. In Thought Elevator's package you get the video and audio and these bonuses, Bonus 1: Success While You Sleep, bonus 2: How to Plant a Money Tree? Bonus 3: Recognizing Your Soulmate, bonus 4: I Love Myself, bonus 5: Manifesting Health for Boomers. Read more here...

Thought Elevators Summary

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Nonparental Contextual Characteristics

In distinguishing contextual influences on child temperament from influences of child temperament on context, one approach would be to look at aspects of the environment which are potentially less sensitive to the influence of child temperament. One such aspect is the physical environment the stage or setting on which social transactions between child and caregiver take place (Wohlwill & Heft, 1987). The extent to which a child's temperamental characteristics can act to influence dimensions of the physical environment, such as number of wall decorations or rooms to people ratio, is both less likely and less intuitively obvious. Rather, it is more likely that specified dimensions of the physical environment can act to influence child temperament characteristics. One such dimension is environmental chaos, which involves factors such as crowding (e.g., rooms to people ratio), and levels of nonhuman noise in the home. Several studies provide converging evidence of the importance of...

Pain Behaviors and Marital Relations

In a couple with a history of satisfactory premorbid marital relations, the partner tends to be solicitous of the patient in the early stages of the illness, tends to adopt a very sympathetic and supportive attitude toward the patient, and actively engages in reinforcing pain behaviors. Yet, in the long run, in the absence of any discernible improvement in the patient's condition or, worse, further deterioration, the spouse may experience an increased sense of frustration and unexpressed grievance. A common problem encountered in family therapy in the area of communication is the feeling on the part of the well spouse that he or she has lost the right to give vent to negative feelings. From the patient's perspective, the problem is equally complex. Feelings of dependency combined with the loss of self-esteem lead to withdrawal and an unwillingness to communicate good as well as bad feelings. Patients and partners alike fall prey to poor communication, and under those circumstances...

Social Networks Emotions and Gender

In addition to studying dyadic friendships, researchers have also explored the structure and functions of children's larger social networks. With the possible exception of research showing that young adolescents who are aggressive tend to form networks with other aggressive youth (Cairns, Cairns, Neckerman, Gest, & Gariepy, 1988), little research has explored processes of emotion regulation among children's social networks. However, research and theory suggests that children might form networks based on similar styles of emotion management, and also socialize each other in how to manage strong feelings. For example, one study of the relation between children's naturally occurring social networks and their motivation in school found that children formed networks with others of similar academic motivation, but also that network members became more similar over time in their motivation for doing well in school (Kindermann, 1993). Given the centrality of emotion regulation in forming and...

Results and Discussion

Both genders seem to be masters of dissemblance in hiding negative emotions during middle childhood (Saarni, 1999) both girls and boys believe that when provoked to anger peers will respond negatively no matter how they respond (Underwood, 1997). Gender differences in peer relations, and in particular anger expression and aggression, are more complex than girls behaving less angrily than boys and girls manipulating and boys fighting (Bjorkqvist, Lagerspetz, & Kaukiainen, 1992). In some of our laboratory studies, girls do respond a bit more negatively to peer provocation than do boys, but these differences are not large (Underwood et al., 1999). Overall, there are not consistent relations between peer status and children's responses to provocation in our studies nor do these relations differ for boys and girls. Both girls and boys who are rejected by peers believe that any response to anger will be perceived negatively by peers (Underwood, 1997), and in our observational studies, both...

Frustration of need or motivation

If the drive to obtain relief from the pain is unsuccessful, frustrated, or prevented from occurring, then a sense of helplessness or hopelessness may develop which will in itself add to the negative feelings associated with the pain experience (Tyrer 1992). Helplessness has been shown to affect motivation to escape and learn from the experience (Abramson et al 1978). This may also be related to a sense of loss and 'bereavement' for a lost lifestyle (Walding 1991). The desire to develop coping mechanisms and to persist in them is related to this motivational aspect of the pain experience.

The Tavistock Principles

You need to reflect on your beliefs and assess your level of comfort with a given situation. In some situations there may be alternative solutions. For example, in Scenario 1, the patient may really be willing to have the history and physical examination done at that hour, or perhaps you can renegotiate the time for the next morning. In Scenario 2, you might look for an alternative supervisor for the venipuncture. You will need to choose which situations warrant voicing your concerns, even at the risk of a bad evaluation. Seek out coaching on how to express your reservations in a way that maximizes that they will be heard. As a clinical student, you will need settings for discussing these immediately relevant ethical issues with other students and with more senior trainees and faculty. Small groups that are structured to address these kinds of issues are particularly useful in providing validation and support. Avail yourself of these opportunities whenever possible.

Can You Work with Suicidal Clients

If you have strong philosophical or religious beliefs either for or against suicide, these beliefs could impede your ability to be objective and helpful when working with suicidal clients. You may still be able to conduct initial interviews and must strive to do so professionally and supportively. However, if your beliefs predispose you to negatively judge clients, consider referring suicidal clients to other professionals who can work more neutrally and effectively with them. It is not a failure to have certain groups of people or problem areas that you do not want to work with. It is a failure to have such areas and not recognize them or the harm done to clients because of them.

The influence of distress on symptoms

Anxiety can also make us more alert to other physical problems. If a new symptom is detected, it is more likely to be interpreted as a sign of an illness than if it was thought to be a normal response to a stressful situation (Moss-Morris and Petrie 1999). Distress and bad moods also influence self-reports of health and symptoms. From studies where mood has been manipulated in a laboratory situation, we know that people in a positive mood rate themselves as healthier and report fewer symptoms. However, people in negative moods report more symptoms, are more pessimistic that any actions they take would relieve their symptoms, and perceive themselves as more vulnerable to future illness (Salovey et al. 1991). Similar findings are made if people undergo induction techniques to make them more self-focussed. Increased self-focus leads to an increase in symptom reports, suggesting that negative mood may operate through the process of heightened awareness of the self (Ingram 1990). Mood...

Self Help for Suicidal People and Violence Prediction

F. (1996). Choosing to live How to defeat suicide through cognitive therapy. Oakland, CA New Harbinger. Based on principles of cognitive therapy, this self-help book is designed to help suicidal people work through their psychological pain and depression and choose life.

And Frontal Brain Asymmetries

Ferrin Metabolism

In recent years, it has become increasingly apparent that frontal brain asymmetries can also be understood in terms of specific personality dimensions. Numerous studies have posited that frontal lateralization associated with emotion reflects approach and avoidance motivation, with left activity more associated with approach motivation and right activity reflecting avoidance motivation (Davidson, 1992a, 1998). Because most positive emotions are associated with approach motivation and negative emotions with avoidance motivation, the valence and motivation perspectives are highly overlapping. Anger, however, is often cast as involving both unpleasant valence and approach motivation. A series of studies have suggested that the valence dimension may not account for the frontal asymmetry data as well as the motivational dimensions dichotomized as approach-withdrawal (Harmon-Jones, 2004). Recent work by Wacker, Heldmann, and Stemmler (2003), however, has emphasized that affective states can...

Sex Differences In Sexual Behavior

Rather than focusing on adaptive behaviors and reproductive strategies, the social influences account emphasizes the role of the socialization process in shaping the way men and women respond sexually, and point to the social construction of sexuality as the primary factor underlying sex differences in sexual behavior (Byrne, 1977 Gagnon, 1977 Gagnon & Simon, 1973). For example, Byrne (1977) has proposed that appraisals of sexual stimuli derive from an individual's life history of learning associations between positive and negative feelings and sexual stimuli. Thus, according to this account, differences in men's and women's responses to sexual stimuli arise from different degrees of positive and negative reinforcement that males and females have experienced during the process of socialization. A strong version of this view would predict that men and women would respond equivalently to sexual stimuli if they were exposed to the same history of positive and negative reinforcement...

Independent Decision Making

The second most-endorsed item on the questionnaire was decide on personal beliefs and values independently of parents or other influences (endorsed by 78 ), and independent decision making was also among the top three criteria for adulthood in response to both interview questions. The questionnaire item was based on psychological studies of the transition to adulthood, particularly a well-known study by Perry (1970). Perry studied Harvard undergraduates through the course of their college careers, and concluded that the typical path of cognitive development during the transition to adulthood begins with adherence to absolute truths at the beginning of the college experience, followed by a swing to relativism midway through college, and finally landing on a set of individualized The validity of Perry's (1970) and Erikson's (1963) views for today's emerging adults seems to be supported by the widespread endorsement of the item decide on personal beliefs and values . . . on the...

Illness perceptions and functioning

In summary, CFS patients appear to have a distinct view of their illness. Their illness representation is characterised by an illness identity incorporating a broad range of symptoms. Attributions about the illness are typically external and physical, and beliefs about the chronicity and consequences of the illness are generally negative. Comparisons with other medical illness groups reveal that these negative beliefs and lack of personal responsibility for their illness are not solely a consequence of having a chronic disabling condition. The beliefs most associated with CFS-related disability are identity, or the tendency to ascribe a wide range of symptoms to the illness and a belief in the serious consequences of the illness. In the following chapter we talk about the relationship between these beliefs and coping strategies in CFS.

The Broader Ecology Of Attachment Security

Belsky Process Model 1984

At 12 and 13 months, infants were seen in the laboratory to assess infant-mother and infant-father attachment, respectively. Following administration of the Strange Situation, parent and infant engaged in a short period of free play (in a separate lab room) and a number of procedures were implemented to evoke positive and negative emotions. For example, an experimenter tried to make the child laugh and smile using hand puppets and the parent was directed to frustrate the child by taking a toy away from him while he was in a high chair. Videos of infant behavior following the Strange Situation were rated in terms of the extent to which the child expressed positive and negative emotion every 10 seconds these ratings were then factor analyzed and combined with parent-report measures of temperament obtained at age 10 months in order to create composite indices of positive and negative emotionality.

Limit Setting with Couples and Families

Smile, Mary said, Ollie, it is very clear to me you are a guy. Apparently Jane, our receptionist here at the clinic, assumed 'Ollie' could be a woman's name. Funny how our stereotypes fool us sometimes, huh Jim and Ollie smiled but didn't say much. They were clearly nervous. Mary continued, Well, I bet you guys encounter a number of stereotypes and even some bad attitudes. I'm sorry for any misunderstandings. Let me tell you a little bit about how I work with couples and then let's talk about whether it seems like my way of working could be helpful for you.

Coping pathways in CFS

Excessively negative beliefs tend to give up or withdraw from dealing with the illness and focus excessively on their symptoms. Rather than actively choosing to limit their activity, their negative illness beliefs may lead to feelings of helplessness and loss of control, resulting in a passive withdrawal from activity and heightened negative effects. On the other side is the group of patients with less pessimistic illness beliefs, who nevertheless experience a number of symptoms which they strongly attribute to signs of a physical disease. These patients believe that rest is the effective way of dealing with their symptoms, and as a result choose to limit their exposure to stress and activity. They feel more in control of their illness and are psychologically better adjusted to their condition, but are still unduly disabled. Taken together, the results from studies which have investigated coping in CFS provide additional support for the heterogeneous nature of CFS. The current...

Test or Performance Anxiety

Many children report a greater frequency of pain symptoms prior to a stressful event or competitive activity at school, including athletic events and examinations (4). Such circumscribed anxiety may benefit from the use of positive self-coaching statements, such as, I know I can do it if I just do my best. Negative self-statements, such as What if I fail , should be eliminated. The use of adaptive self-statements is important to enhance coping strategies and diminish distorted negative thoughts when approaching stressful tasks.

Brain Responses To Emotional Stress Preliminary Evidence Of Sex Differences

In a series of studies, my colleagues and I have been examining the effects of emotional stress on drug craving and relapse in individuals who abuse substances. Emotional stress, or distress, commonly occurs in situations that are challenging or threatening, and it influences adaptive processes that require self-regulation or coping to regain control and attain desired goals (Sinha, 2001). Our initial findings with substance-abusing individuals and healthy volunteers has shown that emotional stress is associated with the subjective experience of multiple negative emotions, such as the experience of anger, sadness, and fear (Sinha, 2001 Sinha, Catapano, & O'Malley, 1999). As difficulties in managing stressful life events and regulation of the emotional distress state are common in a variety of psychiatric illnesses, including addic tween the anterior cingulate and distress ratings suggests that increased anterior cingulate activation is associated with reducing modulating subjective...

Cognitivebehavioral Therapy In Bipolar Depression

The efficacy of CBT in the treatment of unipolar depression is unquestionable, both in combination therapy and in monotherapy (Keller et al. 2000 Scott et al. 2000 Ward et al. 2000). However, these results should not be generalized to bipolar depression because the two have subtle but relevant clinical differences. Bipolar depression is often characterized by hypersomnia, inhibition, lethargy, and apathy (mainly behavioral symptoms) whereas unipolar depression is defined by desperation, pessimistic thoughts, and other cognitive signs (Goodwin and Jamison 1990). Although it is true that cognitive symptoms are not absent in bipolar depression, they may be more typical of unipolar depression. Therefore, bipolar depression would better respond to a behavioral therapy focused on activation, whereas a classical, cognitive therapy would be more appropriate for unipolar patients. (For this reason, we will refer to CBT as BCT from this point on because we believe that the behavioral strategies...

Peer Social Status and Emotion Regulation

Our empirical research on peer relations and emotion regulation in middle childhood has been guided by several goals. We focus on interactions with peers because we think that children's capacity to regulate emotions might be most apparent in these contexts about which they care deeply, when authority figures are less in control. Although we acknowledge that positive emotions may also be regulated, we more carefully examine regulation of negative emotions such as anger because we believe that managing these is most challenging. We use combinations of questionnaire and observational methods what children think and say about their emotional behaviors is interesting and important, but does not necessarily correspond to their actual behavior when provoked. We recognize that emotion regulation may well be specific to social context, and we try to study emotional behavior in contexts that make sense for both genders. Finally, we seek to understand how gender might influence children's...

Examining Effects of Earliest Pubertal Changes on Mood in Preadolescent Girls

Girls completed Daily Mood Diaries (Buchanan, 1991) on two consecutive evenings at Time 1 and at Time 2. Girls rated on a 5-point Likert scale the degree to which they experienced a range of feelings (excited, sad, impatient, happy, tired, friendly, ashamed, nervous, proud) on the particular day that they completed the diary. Principal components factor analyses were conducted to determine how many underlying constructs or dimensions accounted for the majority of variance in the Daily Mood Diary. A positive mood dimension emerged, which consisted of happy, excited, and proud moods. Girls' scores on these three moods were averaged across the two days at each time point to yield positive mood scores. The negative moods on the Daily Mood Diary failed to significantly load together on one or more factors, and thus, failed to result in a reliable mood composite. It appeared that anger and sadness were the more distinct emotions or feelings and they were therefore used as separate dependent...

Newly Married Couple

The domain of affective responsiveness, which determines couples' and family members' ability to share a range of emotions, such as joy and happiness but also sadness and anger, was a serious problem for our couple. Negative emotions were the dominant pattern of affective responsiveness between them. Mr. Erikson felt controlled by his wife's pain, and Mrs. Erikson was deeply hurt by her husband's self-centered attitude. Under these circumstances, the exchange of positive feelings is not very likely. Silence was their usual expression of disapproval.

Ethics And Randomisation A Brief Review

The Bayesian approach can be seen as formalising the uncertainty principle by explicitly representing, in theory, the judgement of an individual clinician that a treatment may be beneficial - this could be provided by superimposing the clinician's posterior distribution on the range of equivalence (Section 6.3) relevant to a particular patient (Spiegelhalter et al., 1994). It has been argued that a Bayesian model naturally formalises the individual ethical position (Lilford and Jackson, 1995 Palmer, 1993), in that it explicitly confronts the personal belief in the clinical superiority of one treatment. Berry (1993), however, has suggested that if patients were honestly presented with numerical values for their clinician's belief in the superiority of a treatment, then few might agree to be randomised. One option might be to randomise but with a varying probability that is dynamically weighted towards the currently favoured treatment (Section 6.10).

Determining Appropriate Treatments

Client problem and empirical research Depending on client problems and diagnosis, there may be published outcome research outlining effective treatment approaches. Unfortunately, in most cases, research does not definitively indicate which treatment approach is most effective with specific client problems (Castonguay, 2000 M. E. P. Seligman & Levant, 1998). Although some guidelines are available (e.g., cognitive therapy for bulimia and panic disorder behavior therapy and medications for agoraphobia interpersonal therapy, cognitive-behavioral therapy, and medications for unipolar depression), clear empirical treatment mandates have yet to be established for most mental disorders.

Obtaining Background and Historical Information

It is also helpful to gradually lead clients back to the present as you gather historical information. As you move into the present, your clients may be able to gain distance from painful past experiences. On rare occasions, a client will remain consumed with negative emotions. Sometimes, this happens because of the powerful nature of traumatic memories. Other times, clients get stuck because they do not view the present as an improvement over the bad times in the past. Whatever the case, when clients get stuck in their negative or traumatic memories, it can be disheartening or frightening to beginning interviewers. Consequently, strategies for assessing and managing clients who are overwhelmed by negative or suicidal thoughts are covered in Chapter 9.

Emotion Regulation Stress Reactivity And Risk For Depression

Contemporary models of adult depression are explicitly diathesis-stress formulations, positing that events perceived as stressful will trigger, or interact with, an endogenous vulnerability that contributes to the onset of the disorder (cf. Monroe & Simons, 1991). From this perspective, therefore, a comprehensive understanding of risk for depression involves not only identifying the processes related to vulnerability to this disorder, but determining how these processes and factors are triggered by stressful or aversive experiences to lead to depression. To date, research examining diathesis-stress models of depression has focused primarily on identifying cognitive factors that might underlie increased risk for the onset and recurrence of depression. Indeed, a large body of empirical research suggests that individual differences in the processing of emotional information support and sustain depressive states. Despite the promise of these findings, however, it is becoming increasingly...

Evidence That Psychosocial Factors Predict CHD Events

Depression is one of the most common chronic conditions encountered in clinical practice and is a also significant problem in cardiac patients, although frequently unrecognized and untreated. Depressive disorders vary from mild depressive symptoms to classic major depression and are characterized by severely depressed mood and often also somatic complaints. Clinical depression, depressive symptoms, and other negative emotions have been associated with an increased risk of AMI in both men and women.12,13,35,36 Similarly, in the NHANES I survey, depression was associated with an independently increased risk of CHD incidence in both men and women, as well as CHD mortality in men.13 However, depression had no effect on CHD mortality in women. In the INTERHEART study,1 24 of patients with recent AMI could be identified as having had at least mild depression during the year before the event, compared to 17.6 among controls, with no gender difference in effect size.

Exploring Societys Contributions to Client Problems

As with so many issues in psychology and counseling, your beliefs about clients' responsibility for their problems will undoubtedly influence how you interact with them. Take time to examine (or discuss with friends or classmates) where you fall on this continuum of client responsibility.

John D Herrington Nancy S Koven Gregory A Miller and Wendy Heller

It is well established that depression and anxiety are associated with abnormal patterns of asymmetrical brain activity, particularly in frontal regions (e.g., Heller, Nitschke, & Miller, 1998). Data in support of this finding have highlighted the relative roles of left and right frontal regions in positive and negative emotions, respectively (e.g., Davidson & Irwin, 1999). In recent years, it has become increasingly clear that asymmetrical brain function can be understood not only in terms of theories of emotion, but also in terms of specific personality constructs. Despite decades of electroencephalographs (EEG) research identifying frontal asymmetries in emotion and personality, these findings have been largely unreplicated by hemodynamic studies (e.g., functional magnetic resonance imaging fMRI and positron emission tomography PET ). This chapter briefly reviews evidence regarding the contribution of frontal brain asymmetries to understanding components of emotion, motivation, and...

Central nervous system findings

For people with CFS, emotional changes can be just as unsettling as the physical symptoms produced by the illness. Many people do not understand that the emotional roller coaster is as organic as the fever, swollen glands, low blood pressure or any other symptoms of the illness. That is, the illness can produce 'negative emotions' -overwhelming grief, irritability, anxiety, depression and guilt, and these symptoms come and go like all the other symptoms the illness throws at you.

Social Competence and Problem Behavior

As for the study of sympathy and personal distress, we have been interested in the additive and multiplicative contributions of emotionality and regulation. In general, we predicted that high emotionality, particularly frequency and intensity of negative emotion, combined with low regulation, would be associated with externalizing types of behavior problems and low social competence. In contrast, low regulation of emotion (e.g., through low attentional control) combined with high behavioral inhibition low impulsivity and high emotionality (especially negative emotionality) was expected to predict internalizing types of problems such as high levels of shyness and withdrawn behavior. For both externalizing and internalizing behavior, prediction is expected to be greater when measures of both emotionality and regulation are obtained. Further, we hypothesized that moderational effects would be found for emotionally driven internalizing or externalizing problem behaviors (e.g., that...

Drug Therapy In Relation To Psychologicaltreatment

No account of drug treatment strategies for psychiatric illness would be complete without consideration of psychological therapies. Psychotherapy is broad in content, ranging from simple counselling and 'supportive psychotherapy' sessions through ongoing formal psychoanalysis to newer techniques such as cognitive behavioural therapy. Taking depression as an example, an extensive evidence base exists for the efficacy of several forms of psychotherapy. These include cognitive therapy (in which individuals identify faulty views and negative automatic thoughts and attempt to replace them with ways of thinking less likely to lead to depression), interpersonal therapy (which focuses on relationships, roles and losses), brief dynamic psychotherapy (a time-limited version of traditional psychoanalysis) and cognitive analytical therapy (another well structured time-limited therapy which combines the best points of cognitive therapy and traditional analysis).

Who Should Be Referred

Numerous studies consistently show that psychological and psychosocial factors contribute to increased risk for CHD. A cluster of negative emotions are related to increased risk, such as depression, anxiety, hostility, type D personality. Among psychosocial risk factors are low socioeconomic status (SES) and social isolation. These have been described in detail in Chapter 30. When CHD has manifested itself, the risk factor pattern is more complex, and findings are less consistent. However, the overall conclusions from studies point to hostility, depression, low SES, and social isolation contributing to increased risk for recurrence. Depression in particular has received considerable attention in recent studies.15 These issues are discussed in other chapters, particularly depression (Chapter 32) and stress management (Chapter 34). Research has shown that such psychological risks are more prevalent among women. Since they are also generally older, the presence of social isolation and...

Psychological Reactions to Coronary Heart Disease

Outcome of rehabilitation is better predicted by emotional factors than by anatomical features and size of infarction. Thus, anxiety and depression may present major obstacles to successful rehabilitation and secondary prevention. A comprehensive cardiac rehabilitation program should allow a forum for patients to share experiences with other patients in similar situations. The opportunity to reflect on emotional reactions usually has a normalizing effect, reducing the uncertainties related to feelings that seem alien and strange. Patients learn that such previously unknown strong emotional reactions are normal in this stage, and that such negative emotions will not last forever. A sound crisis intervention can prevent many of these emotional obstacles to further rehabilitation from occurring. Often, the spouse experiences emotional reactions that are at least as strong as those of the patient.5,6 However, he or she may be hesitant to express fears and...

Stress Management

Stress management training aims to change environmental triggers to the stress response and or change inappropriate behavioral, physiological, or cognitive responses that occur in response to this event. High levels of muscular tension can be reduced through relaxation techniques triggers can be identified and modified using problemsolving strategies cognitive distortions can be identified and changed through cognitive techniques such as cognitive restructuring and stressed behaviors can be changed through consideration and rehearsal of alternative behavioral responses.

The Problem With Case Definition

Since 1994, the proportion of research projects funded in epidemiology has remained constant, while funding for products related to the toxicology of chemical weapons has markedly increased. Beginning in 1998, new research on treatment has received increased funding, and 10 million has been invested in two clinical trials. The first is a large multi-center trial to address the effectiveness of behavioral and cognitive therapy and exercise on symptomatic veterans. The other is multi-center trial of the effectiveness of doxycycline in reducing symptomatic complaints. This research was prompted by a growing number of veterans receiving this treatment without evidence of infection or known efficacy for this purpose. The cumulative numbers of research projects across various areas of research focus are shown in Figure 9.2.


Specialists who have honed their taxonomic decision-making skills through repeated practice can be up to 95 per cent self-consistent and are also able to form a high-level consensus of opinion with other experts (83 in the consensus study when they regularly inter-calibrated), even on repeated tasks. But both types of expert still suffer from cognitive biases that can degrade their performance. The task of identifying biological specimens is error prone and this should be acknowledged - especially as this type of activity is the basis of much science, yet often based on reference to small numbers of exemplar 'type' specimens.

Chronic Pain

Likewise, cognitive-behavioral strategies are also valuable and are indicated for all pain problems, regardless of origin (104,105). These strategies are often helpful during acute pain suffering, and there are limited data on their efficacy for chronic pain, although anecdotally they seem to be effective. Strategies include meditation, distraction, use of biofeedback, and hypnosis. They may be taught by the primary care provider, a psychologist, or another skilled individual. If possible, this should occur during relatively pain-free periods and not in the middle of severe pain episodes. Parents have a critical role in decreasing chronic pain. They need to encourage normal behavior and deemphasize responding to pain escalations. This can be done sympathetically without appearing to ignore the pain, but by positively emphasizing the virtue of coping, parents can encourage children to practice cognitive behavioral strategies and can function as a coach emphasizing those strategies...


Chronic pains, such as headache, recurrent abdominal pain, limb pain, and widespread musculoskeletal pain, are also common symptoms presenting to the pediatric office. It is critical that they be investigated adequately to rule out pathological conditions, but not so extensively that they create the impression that there is an underlying medical cause waiting around the next laboratory bend. Treatment usually involves explaining the distinction between hurt and harm, appropriate monitoring, and a cluster of approaches that involve physical activity and cognitive behavioral strategies with analgesics for the occasional severe pain episode.

Viral findings

I was extremely fit physically, and played a strenuous game of tennis regularly. My family and I had no psychiatric history. In particular, I had never suffered with depression. I developed what at the time seemed to be a minor upper respiratory tract infection. The only unusual symptom, which I had never had with previous viral infections, was muscle aches in my legs. In retrospect, I feel this was a very significant symptom as I believe the virus was causing damage centrally while manifesting peripherally in the muscle. This is my own personal belief which is based on my symptoms and not on any scientific fact.


To evaluate and use congruence, you should view it from Carl Rogers's perspective. When counseling, Rogers became deeply absorbed with his clients. He strove to completely understand his clients, from their points of view, which is precisely why he named his approach client-centered and later person-centered. This focus greatly reduced his need to judge or express negative feelings toward clients. Moreover, Rogers (1958) clearly stated that the aim of client-centered therapy was not for interviewers to talk about their own feelings

Positive emotions

There may also be a tendency to cognitive distortions, associated with the depression. There are unrealistic expectations or fears about the situation. The chronic pain sufferer may be concerned about future employment or social relationships or they may anticipate deterioration in family relationships as he or she anticipates becoming more and more of a burden to the rest of the family (Roy 1992). These thoughts and expectations will reverberate around in the person's mind and reflect back on the depression (Lefebvre 1981). There may be a tendency to attributions of helplessness to the situations as the person reflects on his or her inability to influence events or to cope with the continuing pain or increasing disability. This can lead, some argue, to a state of learned helplessness which is also self-perpetuating (Abramson et al. 1978). However, Skevington (1995), in reviewing the literature in this area, suggests that a condition of hopelessness rather than helplessness is a...


Children's emotional responsivity is reflected in the intensity and frequency with which they experience negative emotions. By emotional intensity, we mean stable individual differences in the typical intensity with which individuals experience their emotions (i.e., affective intensity, as defined by Larsen & Diener, 1987). Both the intensity of emotional experiences and the ease with which individuals respond intensely (which likely is highly related to quantity of responding) are expected to contribute to the degree to which individuals become emotionally aroused in a given situation. Similar to others, we view emotional intensity as having a temperamental or biological constitutional basis, and as a characteristic that is considerably consistent over time (Larsen & Diener, 1987 Rothbart & Bates, 1998 also see Plomin & Stocker, 1989).

Chimpanzee Happiness

A similar new positive approach to animal happiness is emerging. King and Landau (2003) created a rating scale for zoo-housed chimpanzees comparable to those used to assess human happiness (see Table 19.1). It included items designed to measure the balance of positive versus negative moods, ability to achieve goals, and the amount of pleasure derived from social interactions it also included a global item asking the rater how happy he or she would be if the rater were the rated chimpanzee. Although on the surface these items may seem subjective, the interrater reliabilities were high (see Table 2 in King & Landau, 2003). In addition, ratings of chimpanzee subjective well-being were stable over time and were strongly correlated with personality dimensions namely, dominance, extraversion, and dependability (King & Landau, 2003).

The Organization

At the organizational level, we discuss the challenges that complex organizational structures present when individuals or groups attempt to implement research. Traditionally, new research has been disseminated by peer-reviewed journals and continuing education programs (63) however, the effectiveness of these passive strategies has been called into question. Using research in practice demands change at several levels, including the organizational level and the larger system level (76). Consequently, different theory is needed at these different levels. For instance, at the individual level, theory drawn from cognitive psychology may be relevant and inform individual practice change, whereas organizational and system theory have utility when considering the organization.

Depressed Children

Critical to a developmental approach to understanding cognitive biases in depressed adults is the question of whether depressed children resemble their adult counterparts with respect to their cognitive functioning. Unfortunately, research on information-processing biases in depressed children clearly lags behind investigations of depressed adults. As in the adult literature, studies relying on self-report measures indicate that depressed children endorse more cognitive errors and more negative attributions than do nondepressed children (e.g., Tems, Stewart, Skinner, Hughes, & Emslie, 1993). Again, however, investigators have moved to information-processing methodologies to assess cognitive dysfunction in depressed children. The few studies conducted in this area to date have focused primarily on depressed children's memory for positive and negative information. In an early investigation, Whitman and Leitenberg (1990) asked children to recall their performance on a verbal task on...

Depressed Adults

Rectly criticized both for being susceptible to response bias and for not adequately assessing automatic processing (see Gotlib & McCabe, 1992). These self-report methodologies have been largely replaced by more sophisticated procedures, many derived from research in experimental cognitive psychology, to examine the cognitive functioning of depressed individuals (Gotlib & MacLeod, 1997). For example, over the past 20+ years in our laboratory, we have used information-processing paradigms to examine attentional interference, selective attention, and memory biases in depressed individuals. We developed the emotion Stroop task (Gotlib & Cane, 1987 Gotlib & McCann, 1984), as well as other information-processing tasks such as the deployment-of-attention task (Gotlib, McLachlan, & Katz, 1988 McCabe & Gotlib, 1995 McCabe, Gotlib, & Martin, 2000), the emotion dichotic listening task (McCabe & Gotlib, 1993), and, more recently, the emotion faces dot probe attentional task (Gotlib,...

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