For a Theory of the Psychotherapeutic Process: Epistemology of Recursion and Relational Fractality.

Psychotherapy is a relational process that emerges from the meeting of two people. There is an ontological difference between the individual psychopathology of the patient and relational therapy; the present work aims to overcome the patient-centric conception of psychotherapy, restoring the dyadic nature of the therapy through the interpretation of the psychological interview as a fractal process. Recursion, namely the application of the same logical operator to the result of the operation itself, is presented here as the basic procedural element of psychotherapy. The paper is divided into two parts: The first has epistemological nature and focuses on complexity theory and cybernetics: Edgar Morin and recursion as a process of existence, Heinz von Foerster and epistemology as second-order praxis. From the thought of Gregory Bateson, it is here postulated the self-similarity of the content and structure of the mind, to the point of conceptualizing the dyadic relationship as a Mind of a different logical type compared to the individual mind. The second part of the present work introduces two intellectual tools designed to conceptualize psychotherapy as a fractal process: the psychopathological hologram, useful for clinical work although of a non-clinical nature, that consists in a fraction of the patient's experiential flow, while the psychotherapeutic string is presented here as the basic recursive element of psychotherapeutic process.

Cultural stress theory: An overview.

Immigrants, and the children of immigrants, are exposed to unique stressors rooted in both (a) the need to balance their heritage culture with the destination culture and (b) the widespread framing of immigrants as real and/or existential threats to the destination society. Seeking to better conceptualize these unique cultural stressors, and to better understand the mechanisms and protective factors, several lines of research have converged, leading to the development of cultural stress theory (CST). This introduction provides an overview CST, starting with its theoretical roots, then proceeding to its key tenets. In addition, and serving as an overall framework for the articles included in this special issue, we outline key directions for future research on cultural stress, highlighting how the articles within this special issue serve to expand CST in important new ways and directions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Unravelling the shift: exploring consumers' adoption or resistance of E-Pharmacy through behavioural reasoning theory.

In the ever-evolving nature of the healthcare sector, the advent of electronic-Pharmacy introduces a dynamic shift in how consumers acquire and access medical and pharmaceutical products. The research utilized the behaviour reasoning theory. The study evaluated the reasons for adopting and against adopting electronic-Pharmacy. By employing the qualitative approach, this study unravels rich contextual and narrative insights, shedding light on the complexities of individual decision-making processes. The study received responses from 28 through an in-depth interview, and thematic data analysis was employed for the data analysis. The outcome of the research is summarized as follows. The respondents indicated that essential reasons for adopting electronic pharmacy services include convenience and accessibility, prescription management, cost and affordability, logistics, and timely delivery. On the other hand, the reasons against adoption include trust and security concerns, regulatory challenges and legal uncertainties, lack of internet access and privacy concerns. As technology changes healthcare delivery, this research closes the knowledge gap between theory and practice by offering crucial insights into the behavioural aspects influencing electronic-Pharmacy adoption or resistance. The findings are anticipated to significantly impact the academic discourse surrounding electronic-health and the practical implementation of strategies to enhance the integration of electronic-Pharmacy services into conventional healthcare systems.

Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review.

This review meticulously evaluates the integration of behavioral change theories into pulmonary rehabilitation programs for chronic obstructive pulmonary disease (COPD) management, addressing the critical need for enhanced patient compliance and improved therapeutic outcomes. With COPD posing significant global health challenges, characterized by high morbidity and mortality rates, the manuscript underscores the potential of Self-Determination Theory, Social Cognitive Theory, the Transtheoretical Model, the Health Belief Model, and the Theory of Planned Behavior to foster meaningful health behavior changes among patients. Through a comprehensive literature analysis, it reveals how each model contributes to understanding patient behaviors in pulmonary rehabilitation contexts, advocating for their systematic application to craft more effective, patient-centered interventions. Despite the proven efficacy of these theories in various health domains, their current underutilization in pulmonary rehabilitation underscores a gap between theoretical knowledge and clinical practice. The review calls for an interdisciplinary approach that bridges this gap, highlighting the urgency of developing actionable, theory-based behavioral intervention plans. By doing so, it aims to advance COPD management strategies, ultimately improving the quality of life for individuals living with this debilitating disease.

Impact of theory of planned behavior based intervention on breastfeeding patterns of the mothers with preterm infants: a randomized trial.

BACKGROUND: The birth of a preterm infant is considered a crisis for the mother and the family. Given the significance of breastfeeding for these high-risk infants, failure to initiate and maintain exclusive breastfeeding in this group of infants is a prevalent and serious problem. The aim of this research was to investigate the impact of Theory of Planned Behavior based intervention on breastfeeding patterns of the mothers with preterm infants: a randomized trial. MATERIALS AND METHODS: This study is a field trial conducted in Isfahan, Iran in 2021-2022. It included 72 mothers of late preterm infants, divided into the intervention (n = 36) and control (n = 36) groups. The intervention group received four training sessions focused on breastfeeding patterns based on the Theory of Planned Behavior. Before, immediately after, and two and four months after the intervention, the constructs of the Theory of Planned Behavior related to breastfeeding patterns were assessed using a researcher-made questionnaire, and the infant's breastfeeding pattern was recorded. Statistical analysis was performed using SPSS version 19, g repeated measures ANCOVA, Bonferroni post hoc test, and chi-square test. RESULTS: The results indicated that immediately after the intervention, as well as two and four months later, the mean scores for attitude (P < 0.001), subjective norms (P < 0.001), perceived behavioral control (P < 0.001), and behavioral intention (P < 0.001) were significantly higher in the intervention group than in the control group. Additionally, the results showed that, the rate of breastfeeding immediately, two months, and four months after the intervention was significantly higher in the intervention group than before the intervention (P < 0.001). However, in the control group, the rate of breastfeeding immediately, two months, and four months after the intervention was significantly lower than before the intervention (P < 0.001). CONCLUSION: Interventions based on the Theory of Planned Behavior can improve exclusive breastfeeding in late preterm infants by changing the attitudes, subjective norms, perceived behavioral control and the behavioral intentions of the mothers of preterm infants. TRIAL REGISTRATION: "IRCTID: IRCT20210524051392N1", 13/06/2021.

Understanding aberrant driving intentions based on the Theory of Planned Behavior: Literature review and Meta-Analysis.

INTRODUCTION: Despite deployed efforts to establish strict road safety standards, human factors is still the leading cause of road crashes. To identify determinants of driver's behavior, TPB (Theory of Planned Behavior) is widely used as a prominent theory of behavior change. However, the existence of different aberrant driving behaviors (decision errors, recognition errors, violations, and physical condition related errors) and several studies using TPB to understand driving behavior, makes it important to conduct a literature review and a meta-analysis of existing studies to use their results in effective driving behavior change interventions. METHOD: The selection process provided 125 relevant studies that were published between 1991 and 2022, and that used TPB for the understanding of aberrant driving behavior. Five fundamental research questions were defined to identify information to be discovered from the literature review and from the meta-analysis. RESULTS: In addition to the standard TPB constructs (attitudes, subjective norms, and perceived behavioral control), past behavior, moral norms, and descriptive norms were used in studies for a more comprehensive understanding of aberrant driving intention. This analysis demonstrated a significant correlation between aberrant driving intentions and past behavior. Also, moral norms construct was correlated with violations and recognition errors, whereas descriptive norms construct was correlated just with recognition errors. CONCLUSIONS: The results of this study highlight the strength of TPB in the prediction of aberrant driving intention and its potential effectiveness to guide interventions aimed at changing aberrant driving behaviors. The study contributes to the comprehension of the relevant psychological factors influencing the engagement of drivers in each category of aberrant driving behaviors. PRACTICAL APPLICATIONS: Researchers can use the results of this study to select the relevant psychological factors adapted to their interventions of driving behavior change. The results of the meta-analysis can also be used in the prediction of driver's intentions.

Exploring Margaret Mahler's Theory: Applications in Borderline Personality Disorder Treatment within Psychiatric Wards.

This article delves into fundamental themes within Margaret Mahler's separation-individuation theory, placing particular emphasis on the rapprochement phase. It illustrates how these themes are crucial for comprehending and effectively managing inpatients grappling with borderline personality disorder. Mahler's conceptual framework offers valuable insights for caregivers and staff, equipping them to navigate the clinical and emotional complexities inherent in the treatment of this distinct patient population during their stay in psychiatric wards.

The protection motivation theory as an explanatory model for intention to use alcohol protective behavioral strategies related to the manner of drinking among young adults.

AIMS: This study aimed to prospectively examine the explanatory value of the protection motivation theory (PMT) for the intention to use manner of drinking protective behavioral strategies (MD PBS) and to explore its invariance across genders. METHOD: A targeted sampling procedure was used to recruit 339 young adults in the community (Mage = 21.1; SD = 2.21; female = 50.7%) who completed baseline and 2-month follow-up measures of the PMT constructs and intentions to use each of the five MD PBS. RESULTS: Regression analyses revealed that the coping appraisal components (response efficacy and self-efficacy) had greater explanatory power for the intention to use MD PBS than the threat appraisal components (perceived vulnerability and perceived severity). Perceived vulnerability to alcohol consequences was not prospectively associated with any specific behavioral intention or with the total MD PBS score. In contrast, perceived severity was prospectively associated with the intention to use three out of five PBS and the total MD score. Regression coefficients revealed gender invariance for all six models. CONCLUSIONS: Our findings suggest that interventions aimed at encouraging young adults to use alcohol MD PBS would be most effective if they included components that enhance self-efficacy in using these strategies and emphasize their perceived usefulness in reducing alcohol-related consequences.

Effects of a Brief Safe Drinking Intervention on Depressive and Anxiety Symptomatology: Examining Potential Side Effects of Deviance Regulation Theory Interventions.

College students are at a heightened risk of experiencing depression and anxiety symptomatology and engaging in maladaptive alcohol use. Understanding how alcohol interventions impact emotional functioning is essential. One such intervention uses Deviance Regulation Theory (DRT), which posits that behavior can be modified using targeted messaging as a function of perceived norms. DRT has been shown to be effective at increasing responsible drinking behaviors and decreasing alcohol-related consequences. However, it is unclear if this intervention influences emotional functioning. The current examines the impact of a DRT intervention on emotional functioning. Participants (n = 147) were recruited from a large Southeastern university. The study included a screening phase, intervention, and six-week follow-up. Participants were randomly assigned to one of three conditions: a positive message condition about people who drink responsibly, a negative message condition about people who do not drink responsibly, and an active control condition. During the study, all participants reported on depression/anxiety symptoms, alcohol use, responsible drinking, and alcohol-related consequences. Mixed-effects regression was used to analyze the data. Results suggest an overall reduction of depressive and anxiety symptomatology in the intervention conditions but not in the control condition. In the positive condition, there was a decrease in depressive and anxiety symptomatology. The messaging was not moderated by normative beliefs. The negative condition also led to decreases in depression and anxiety symptomatology over time. In addition, perceived norms moderated the negative message in the first week after the intervention, an effect consistent with DRT. Prior research indicates this intervention is efficacious for the reduction of adverse alcohol outcomes; these data show that the intervention may also have positive effects on downstream mental health outcomes.

Individual power in human motivation - Review and theoretical perspective.

There are many studies in Psychology and other sciences about the concept of power. We believe that individual power is one of the most critical factors in human motivation, which is considered by prominent motivation theories, like Choice Theory or McClelland's Human Motivation Theory. This paper aims to study the concept of power, considering ego and social orientation. The extensive literature review allowed us to describe the concepts related to those orientations and to induce a theoretical model that may typify and explain the relationships between the two perspectives of power. The model might contribute to describing four motivational profiles, namely the imperator, with high ego-power and power over others orientation; the supporter, with low ego-power and power with other orientation; the leader, with high ego-power and power with others orientation; and the controller, with low ego-power and power over others orientation. The Ego-Social Power Motivation Model could help describe the power signature of an individual. This individual picture might help psychologists work on motivations, attitudes, and behaviours to enhance people's lives and well-being.

Beyond one-size-fits-all suicide prediction: Studying idiographic associations of risk factors for suicide in a psychiatric sample using ecological momentary assessment.

The Interpersonal Psychological Theory of Suicide (IPTS) states that thwarted belongingness (TB), perceived burdensomeness (PB), and hopelessness are risk factors for suicidal ideation. This ecological momentary assessment (EMA) study aimed to (1) demonstrate that there is substantial between-person variability in the association between IPTS predictors and suicidal ideation, (2) identify clusters of patients for which the predictors differently predict suicidal ideation, and (3) examine whether identified clusters are characterized by specific patient characteristics. EMA data were collected ten times per day for six days in 74 psychiatric inpatients and was analyzed with dynamic structural equation modelling. Idiographic associations were obtained and clustered using k-means clustering. We found substantial between-person variability in associations between IPTS predictors and suicidal ideation. Four distinct clusters were identified and different risk factors were relevant for different clusters. In the largest cluster (n = 36), none of the IPTS predictors predicted suicidal ideation. Clusters in which associations between IPTS variables and suicidal ideation were stronger showed higher suicidal ideation, depression, and lower positive affect. These findings suggest that a one-size-fits-all model may not adequately reflect idiosyncratic processes leading to suicidal ideation. A promising avenue might be to use idiographic approaches to personalize prediction and interventions.

The cognitive theory of panic disorder: A systematic narrative review.

BACKGROUND: The cognitive theory of panic disorder proposes that individuals with panic disorder have a relatively enduring tendency to catastrophically misinterpret bodily sensations resulting in panic attacks. AIMS: We investigated whether the evidence is consistent with the theory and its predictions, if updates are required and sought to identify future research considerations. METHODS: We searched Scopus, Web of Science, PsycInfo, EMBASE, MEDLINE and CINAHL (1986 to July 2024). Inclusion criteria were studies collecting quantitative data derived from panic disorder patients, testing one of the predictions and using appropriate outcome measures. Exclusion criteria were non-English language publications, all participants under the age of 18 and studies that were not published in a peer-reviewed journal. Quality was assessed using 'QualSyst' and synthesis was based on each prediction tested. PROPSERO registration #CRD42022332211. RESULTS: 53 studies were identified amongst 49 publications. There was substantial evidence for all predictions. Three studies did not support the prediction tested and none were inconsistent. LIMITATIONS: Most studies were 'medium' in quality and were predominately from female samples. CONCLUSIONS: Findings are consistent with the theory and its predictions. Higher quality research is needed and implications for future research are discussed.

"It Will Always Feel Worse Because it Comes with That Added 'Betrayal'": Intersectionality Praxis and Black Young Women Survivors' Perspectives on Cultural Betrayal Trauma Theory.

Because of interlocking oppressions of racism and sexism (e.g. intersectionality), Black women's experiences of high rates of sexual violence are often ignored. A critical Black feminist framework, cultural betrayal trauma theory (CBTT) examines within-group violence in the Black community, which has compounding harm due to inequality. Though quantitative research has found support for CBTT, Black young women survivors' perspectives have not been examined. Therefore, the purpose of the current exploratory study was to engage in intersectionality praxis to qualitatively examine Black young women survivors' perspectives on CBTT through structured thematic analysis and coding based on theory. Respondents (N = 37; 18-30 years), provided their thoughts on CBTT following participating in a quantitative study. With most survivors in agreement that cultural betrayal in trauma is harmful, a key theme was community orientation in understanding both the harm and healing of cultural betrayal trauma. Black young women survivors' resonance with CBTT, as well as their recommendations for community-level solidarity and healing have important implications.

Panpsychism and dualism in the science of consciousness.

A resurgence of panpsychism and dualism is a matter of ongoing debate in modern neuroscience. Although metaphysically hostile, panpsychism and dualism both persist in the science of consciousness because the former is proposed as a straightforward answer to the problem of integrating consciousness into the fabric of physical reality, whereas the latter proposes a simple solution to the problem of free will by endowing consciousness with causal power as a prerequisite for moral responsibility. I take the Integrated Information Theory (IIT) as a paradigmatic exemplar of a theory of consciousness (ToC) that makes its commitments to panpsychism and dualism within a unified framework. These features are not, however, unique for IIT. Many ToCs are implicitly prone to some degree of panpsychism whenever they strive to propose a universal definition of consciousness, associated with one or another known phenomenon. Yet, those ToCs that can be characterized as strongly emergent are at risk of being dualist. A remedy against both covert dualism and uncomfortable corollaries of panpsychism can be found in the evolutionary theory of life, called here "bioprotopsychism" and generalized in terms of autopoiesis and the free energy principle. Bioprotopsychism provides a biologically inspired basis for a minimalist approach to consciousness via the triad "chemotaxis-efference copy mechanism-counterfactual active inference" by associating the stream of weakly emergent conscious states with an amount of information (best guesses) of the brain, engaged in unconscious predictive processing.

The relationship between space and time perception: A registered replication of Casasanto and Boroditsky (2008).

Everything in our environment moves through both space and time, and to effectively act we must be aware of both spatial and temporal elements in relation to our own bodies. Thus, perceptions of space and time have an intimate relationship. Walsh's a theory of magnitude (ATOM) suggests that space and time perception rely on a general magnitude system and their relationship should be roughly symmetrical. Alternatively, metaphor theory, which is based on the philosophical work of Lakoff and Johnson, argues that we represent time using a spatial metaphor and thus the relationship should be asymmetrical (with space influencing time more than time influences space). A compelling line of evidence for metaphor theory comes from the work of Casasanto & Boroditsky. Cognition, 106(2), 579-593. (2008) who experimentally demonstrated this asymmetric effect. However, in our previous unpublished online replication attempt of this work, we found a roughly symmetrical relationship between space and time, more in line with the theoretical predictions of ATOM. Given this, we performed a registered replication of Casasanto & Boroditsky. Cognition, 106(2), 579-593. (2008) in both an online and laboratory environment.

Conceptualizing and Developing a Dynamic Stigma Theory.

Stigma is a form of injustice that contributes to the worsening course of the symptoms associated with mental health problems. The paper discusses the conceptualization and development of a contemporary theoretical model of stigma. Building on the findings of an initial scoping review, the author developed a theoretical model after thoroughly analyzing and redefining the key concepts of interest. This article proposes that stigmatized individuals are impacted by the religiocultural and structural violence perspectives embedded within social spaces, leading to stigma perception appraisal and subsequent coping mechanisms, which could be adaptive or maladaptive. Current models of mental illness stigma have gaps. It is time to relook at existing stigma frameworks and fill these gaps that have existed for many years for effective anti-stigma strategies.

The effect of training to diabetes patients according to planned behavior theory on self-efficacy and patient empowerment: A randomized study.

AIM: To examine the effect of training provided to type 2 diabetes patients according to the theory of planned behavior on self-efficacy and patient empowerment. METHODS: This study, pre-test-post-test active control group single-blind experimental design, was conducted in the internal medicine outpatient clinic of a state hospital between April and October 2023. Participants were randomly assigned to the intervention group (IG; n = 45) and control group (CG; n = 47). The intervention group received a theory-based training program consisting of 5 sessions lasting approximately 40 min. each. Diabetes Management Self-Efficacy Scale, Patient Empowerment Scale and the patient's laboratory results were used for data collection. RESULTS: In the study, while the posttest self-efficacy and patient empowerment scores of the intervention group increased compared to the pretest, there was an decrease in HbA1C level. On the post-test measurements between groups, self-efficacy and patient empowerment scores were higher and effect sizes were higher in the intervention group, while no difference was found in HbA1C values. CONCLUSION: The training program provided according to the theory of planned behavior in diabetes patients provides positive contributions to disease management.

Assessing the predictive validity of expectancy theory for academic performance.

BACKGROUND: Despite expectancy theory's widespread appeal and influence as a framework for motivation in organizational and educational settings, studies that have examined the theory's validity for performance-based outcomes, particularly with academic performance as the criterion, have been characterized by inconsistent results. Given numerous methodological concerns associated with past studies (e.g., prevalence of between-person rather than within-person design), we examined the predictive validity of expectancy theory for academic performance using methods that were consistent with the theory's original conceptualization. Additionally, we assessed the validity of the theory for students' study effort. METHODS: The final sample included 123 undergraduate students who reported their final grades in four courses. Study effort and other variables were measured with self-report surveys. Because course grades were nested within each person, multilevel modeling was used to test study hypotheses. RESULTS: Both the valence model and the force model predicted a student's current study effort, but contrary to expectations, neither model predicted a student's final course grades. In contrast, both valence for academic success and the simplified force model (based only on valence and expectancy) predicted current study effort, final course grades, and explained incremental variance beyond cognitive ability. Furthermore, the predictive validity of this force model was relatively stable across the 11 weeks of the study. CONCLUSIONS: Based on methods congruent with expectancy theory's original framework, we find that the force model does not predict academic performance. An alternative version of the model, however, predicts course grades and has incremental validity over cognitive ability. Our results have several significant theoretical and practical implications.

Behaviour settings, situated action and complexity theory.

In spite of the fact that Roger Barker's groundbreaking research was acclaimed sixty years ago by his contemporaries, it has all been but forgotten among recent generations of psychologists. However, in the wake of developments in dynamical systems and complexity theory, its value for understanding psychological processes in everyday life should be recognized anew. Barker's naturalistic studies of children's daily behaviours in their community revealed that their actions which initially seemed only marginally predictable at the level of individual interaction were, in fact, reliably context-dependent. These results led to the discovery that there are nested structures operating in human habitats as there are throughout the natural world. Barker's discovery of emergent eco-psychological structures, behaviour settings, that are generated from interdependent actions among individuals in the course of everyday life has yet to be fully appreciated because of the continuing dominance of linear, mechanistic models. His recognition of nested systems operating in human habitats is finally coming into its own with the current metatheoretical shift in psychology embracing dynamical models. Additionally, new understanding arises from the consideration of convergent individual developmental histories of situated action and their role in maintaining the historical dimensions of behaviour settings. This article is part of the theme issue 'People, places, things and communities: expanding behaviour settings theory in the twenty-first century'.

Reclaiming behaviour settings: reviewing empirical applications of Barker's behaviour settings theory.

Behaviour settings theory is the product of Roger Barker and Herbert F. Wright's decades-long Midwest Field Station research programme. The theory followed from the demonstration that the best predictor of a person's behaviour was the setting (i.e. location, timing and activity) in which their behaviour took place, rather than any individual trait (e.g. personality). Now little known in psychology, behaviour settings theory is often further obscured by being presented as a theory only, neglecting the clear methodology Barker provided for investigating the question: 'What do people do in everyday life?' This literature review takes a comprehensive look at Barker's contributions both within and outside of psychology. The corpus comprises both theoretical and empirical articles; however, our primary interest is in the empirical articles. We describe the who, when and where of behaviour settings research over the past half-century, and we identify branches and neighbours of behaviour settings research (e.g. manning theory, behaviour mapping and activity settings theory). Primarily, however, we attempt to answer the following questions: (i) Are any of Barker's tools for studying people in everyday settings being used currently? (ii) How accurately has Barker's theory been explained, or his methods applied? (iii) Does such work contribute to behaviour settings theory in a meaningful way? This article is part of the theme issue 'People, places, things and communities: expanding behaviour settings theory in the twenty-first century'.