Soft Prosody and Embodied Attunement in Therapeutic Interaction: A Multimethod Case Study of a Moment of Change

This study focused on a moment of weeping in one psychotherapy case. The overall aim was toexplore the role of “soft prosody” in psychotherapy interaction—that is, the participants’ use ofpauses, a lower volume, slower rhythms, and softer intonation than in the surrounding speech. Amixed-method, micro-analytic perspective was applied to investigate (a) social interaction, includ-ing its verbal and nonverbal elements; (2) the participants’ bodily responses, including autonomicnervous system (ANS) measurements; and (3) the participants’ thoughts and feelings during thetherapy session, as reported in subsequent individual interviews. Soft prosody was observed to be animportant conversational t…

Significant Moments in a Couple Therapy Session: Towards the Integration of Different Modalities of Analysis

This chapter presents a couple therapy session from four different research perspectives: The verbal dialogue was analysed with the Dialogical Investigations of Happenings of Change method, the embodied reactions of each participant were analysed by examining the electrodermal activity of each participant, and nonverbal synchrony was observed between the participants. Stimulated Recall Interviews, conducted individually after the session, were used to gain insights on the participants’ thoughts and feelings concerning particular moments in the session. We wished to determine what could be learned from the embodied reactions of the participants in couple therapy, including whether the data o…

Effects of alertness management training on sleepiness among long-haul truck drivers : a randomized controlled trial

Education is a frequently recommended remedy for driver sleepiness in occupational settings, although not many studies have examined its usefulness. To date, there are no previous on-road randomized controlled trials investigating the benefits of training on sleepiness among employees working in road transport. To examine the effects of an educational intervention on long-haul truck drivers' sleepiness at the wheel, amount of sleep between work shifts, and use of efficient sleepiness countermeasures (SCM) in association with night and non-night shift, a total of 53 truck drivers operating from southern Finland were allocated into an intervention and a control group using a stratified random…

Alliance Formations in Couple Therapy: A Multimodal and Multimethod Study

AbstractThe authors sought to study underlying processes of alliance formation, a multimethod and multimodal research procedure was developed and applied to a 6-minute episode from one couple thera...

Error Detection and Response Adjustment in Youth With Mild Spastic Cerebral Palsy

This study evaluated the brain activation state during error making in youth with mild spastic cerebral palsy and a peer control group while carrying out a stimulus recognition task. The key question was whether patients were detecting their own errors and subsequently improving their performance in a future trial. Findings indicated that error responses of the group with cerebral palsy were associated with weak motor preparation, as indexed by the amplitude of the late contingent negative variation. However, patients were detecting their errors as indexed by the amplitude of the response-locked negativity and thus improved their performance in a future trial. Findings suggest that the con…

Mismatch negativity (MMN) elicited by duration deviations in children with reading disorder, attention deficit or both.

According to several studies auditory discrimination as measured by mismatch negativity (MMN) is compromised in participants with reading disorder. However, studies on duration discrimination have produced conflicting findings [Baldeweg, T., Richardson, A., Watkins, S., Foale, C., & Gruzelier, J., 1999. Impaired auditory frequency discrimination in dyslexia detected with mismatch evoked potentials. Annals of Neurology, 4, 1-9; Corbera, S., Escera, C., & Artigas, J., 2006. Impaired duration mismatch negativity in developmental dyslexia. Neuroreport, 17, 1051-1055]. Auditory sensitivity has not been as actively investigated among children with attention deficit, although attention problems of…

Visual Attention Study in Youth With Spastic Cerebral Palsy Using the Event-Related Potential Method

Youth with mild spastic cerebral palsy (n = 14) and a peer control group were compared on an oddball paradigm. Here, visual stimuli were presented with low and high probability and participants were instructed to count in silence the number of rare stimuli. The infrequent stimulus typically elicits an enhanced frontal central N2 and a centroparietal P300 event-related brain potential, reflecting orientation and evaluation of stimulus novelty. No differences in latency and amplitude of the N2–P300 complex were found between the 2 groups, indicating that some fundamental attention processes are intact in youth with mild spastic cerebral palsy.

Effects of physical provocations on heart rate reactivity and reactive aggression in children

This article presents complementary data on the relationship between the intensity of offensive and defensive aggression that was investigated by means of the computerised Pulkkinen Aggression Machine (PAM) paradigm [Juujarvi et al., 2001; Aggr Behav 27:430-445]. The recording of the electrocardiogram was conducted in a sample of 109 children (61 boys and 48 girls) while they completed the PAM. Across the conditions of controlled aggression, the simulated attack and defence evoked a mean increase of HR by 2.7 beats per minute (bpm), but the variation between children was substantial (-10.9 to +11.4 bpm). Children who showed a strong HR increase, moderate HR increase, or HR decrease were com…

Optimal Digital Filtering versus Difference Waves on the Mismatch Negativity in an Uninterrupted Sound Paradigm

Conventionally, mismatch negativity (MMN) is analyzed through the calculation of the difference waves. This helps to eliminate some exogenous event-related potential (ERP) components. However, this reduces the signal-to-noise ratio (SNR). This study aims to test whether or not the optimal digital filtering performs better than the difference waves procedure in quantitative ERP analyses in an uninterrupted sound paradigm. The participants were 102 children aged 8-16 years. The MMN was elicited in a passive oddball paradigm presenting an uninterrupted sound consisting of two alternating tones (600 and 800 Hz) of the same duration (100 msec) with infrequent shortenings of one of the 600 Hz ton…

Sympathetic Nervous System Synchrony in Couple Therapy

The aim of this study was to test whether there is statistically significant sympathetic nervous system (SNS) synchrony between participants in couple therapy. To our knowledge, this is the first study to measure psychophysiological synchrony during therapy in a multiactor setting. The study focuses on electrodermal activity (EDA) in the second couple therapy session from 10 different cases (20 clients, 10 therapists working in pairs). The EDA concordance index was used as a measure of SNS synchrony between dyads, and synchrony was found in 85% of all the dyads. Surprisingly, co-therapists exhibited the highest levels of synchrony, whereas couples exhibited the lowest synchrony. The client-…

The Embodied Attunement of Therapists and a Couple within Dialogical Psychotherapy: An Introduction to the Relational Mind Research Project

In dialogical practice, therapists seek to respond to the utterances of clients by including in their own response what the client said. No research so far exists on how, in dialogs, therapists and clients attune themselves to each other with their entire bodies. The research program The Relational Mind is the first to look at dialog in terms of both the outer and the inner dialogs of participants (clients and therapists), observed in parallel with autonomic nervous system (ANS) measurements. In the ANS, the response occurs immediately, even before conscious thought, making it possible to follow how participants in a multiactor dialog synchronize their reactions and attune themselves to eac…

Precursors of the evoked K-complex in event-related brain potentials in stage 2 sleep.

The aim of the study was to examine precursors of the evoked K-complex as manifested in event-related brain potentials (ERPs) during stage 2 sleep. ERPs to infrequent deviant tones of 1100 and 2000 Hz and immediately preceding frequent standard tones of 1000 Hz were compared between trials containing and trials not containing a K-complex (KC trials, NO KC trials, respectively) to the deviant tones. The N350 wave to the deviant tones was markedly larger during the KC than during the NO KC trials. Also the P210 wave to the 2000 Hz deviant tone showed the same phenomenon. No definite evidence was found for the mismatch negativity-like deflection during the KC trials. ERPs to the standard tones…

The added value of studying embodied responses in couple therapy research : A case study

This article reports on the added value of embodied responses identified through sympathetic nervous system (SNS) activity in couple therapy research. It focuses on moments of change and the timing of therapeutic interventions or therapeutic moves in a couple therapy session. The data for this single‐case study comprise couple therapy process videotapes recorded in a multi‐camera setting, and measurements of participants’ SNS activity. The voluntary participants were a marital couple in their late thirties and two middle‐aged male psychotherapists. The division into topic segments showed how the key issue of seeking help, which was found to comprise three separate components, was repeatedly…

The Significance of Silent Moments in Creating Words for the Not-Yet-Spoken Experiences in Threat of Divorce

In the context of couple therapy involving the threat of divorce, the study examined the significance of silent moments for arriving at words for the not-yet-spoken experiences. It also examined whether interactional and embodied synchrony occurred during such silent moments. A mixed method analysis was conducted, focusing on the therapeutic dialogue, psychophysiological data (the Autonomic Nervous System, ANS), and the participants’ thoughts and feelings during individual Stimulated Recall interviews. Two episodes containing several silent moments were analyzed. The analysis indicated that during the silent moments the participants continued the therapeutic conversations through their enti…

Does mismatch negativity show differences in reading-disabled children compared to normal children and children with attention deficit?

An auditory event-related potential (ERP) component called mismatch negativity (MMN) was examined in three groups of children (n = 63) aged 8-14 years. A control group comprised healthy children in second or sixth grade of comprehensive school (n = 21). The two clinical groups included children with reading disability (RD) (n = 21) and children with attention deficit (AD) (n = 21). MMN was elicited in a passive oddball paradigm by duration changes in a continuous sound, consisting of two alternating (600 and 800 Hz) 100 msec tones. The deviant tones were either 30 or 50 msec in duration. Both deviants elicited a clear MMN in all groups. Statistical analyses showed no systematic difference i…

Entrevistas de Recuerdo Estimulado: ¿Cómo la entrevista de investigación puede contribuir a nuevas prácticas terapéuticas? [Stimulated Recall Interviews: How can the research interview contribute to new therapeutic practices?]

The subjective experiences of participants in couple therapy have been explored through Stimulated Recall Interviews (SRIs), in which both clients and therapists come individually to watch video clips of their therapy sessions. We believe SRIs offer a good resource for Practice Oriented Research (POR) by promoting meaningful, flexible interplay between scientific research and clinical practice. Team members have different roles, either as “insiders” or “outsiders” of the therapeutic setting. The potential benefits of these interviews are illustrated by a case study conducted within the Relational Mind research project, in which SRIs helped to promote the emergence of reflections. SRIs, hith…

Affective Arousal During Blaming in Couple Therapy: Combining Analyses of Verbal Discourse and Physiological Responses in Two Case Studies

Blaming one’s partner is common in couple therapy and such moral comment often evokes affective arousal. How people attune to each other as whole embodied beings is a current focus of interest in psychotherapy research. This study contributes to the literature by looking at attunement during critical moments in therapy interaction. Responses to blaming in verbal dialogue and at the level of the autonomic nervous system (ANS) were investigated in two couple therapy cases with a client couple and two therapists. Video-recorded couple therapy sessions were analyzed using discursive psychology and a narrative approach. The use of positioning, a discourse analytic tool, was also studied. ANS res…

Automatic SCSB analysis of motor and autonomic nervous functions compared with sleep stages

All-night recordings of respiration, ballistocardiogram, and body movements were obtained using the static charge-sensitive bed (SCSB) and automatically analysed data were compared with sleep stages. The mean sum of eight SCSB variability parameters was lowest in slow wave sleep (SWS), higher during stage 2 (S2), and highest in REM sleep. The sum scores of the parameters with the highest correlations with the EEG data were classified into quiet (QS), intermediate (IS) and active (AS) states. SCSB signals during wakefulness, stage 1 and REM sleep were mostly scored as AS, whereas in S2 and especially in SWS they were scored as QS or IS. The SCSB is an easy and inexpensive tool for conducting…

The Added Value of Studying Embodied Responses in Couple Therapy Research: A Case Study.

This article reports on the added value of embodied responses identified through sympathetic nervous system (SNS) activity in couple therapy research. It focuses on moments of change and the timing of therapeutic interventions or therapeutic moves in a couple therapy session. The data for this single-case study comprise couple therapy process videotapes recorded in a multi-camera setting, and measurements of participants' SNS activity. The voluntary participants were a marital couple in their late thirties and two middle-aged male psychotherapists. The division into topic segments showed how the key issue of seeking help, which was found to comprise three separate components, was repeatedly…

The role of adolescents' temperament in their positive and negative emotions as well as in psychophysiological reactions during achievement situations

Abstract This study examined the role of adolescents' (n = 190) temperament in their emotional reactions in achievement situations. Adolescents rated their temperament (i.e., surgency/extraversion, negative affectivity, effortful control) and completed achievement tasks in Grade 6. They also reported their emotions before and during challenging and non-challenging tasks. In addition, adolescents' autonomic nervous system reactions (i.e., skin conductance levels) were recorded. The results showed that high effortful control was related to higher levels of positive emotions independent of the degree of task difficulty. Low negative affectivity and high effortful control were related to lower …

Electrodermal activity in couple therapy for intimate partner violence

The aim of this study was to examine the extent to which intimate partner violence (IPV) is discussed in couple therapy, what the participants say about it and how, and how the participants’ electrodermal activity (EDA) is activated during these discussions. We studied four couples for whom IPV was an issue in dialog with their therapists. We used thematic analysis and examined the differences in EDA (measured as skin conductance responses, SCRs) between the participants. We found that although IPV was discussed relatively little in therapy, when the topic arose the victims took an active part in the discussion. We also found that the main themes were descriptions of IPV, explanations for I…

Processing of auditory stimuli during tonic and phasic periods of REM sleep as revealed by event-related brain potentials

The brain has been reported to be more preoccupied with dreams during phasic than during tonic REM sleep. Whether these periods also differ in terms of the processing of external stimuli was examined. Event-related brain potentials (ERPs) to a frequent standard tone of 1000 Hz (P = 97%) and infrequent deviant tones of 1100 and 2000 Hz (P = 1.5% for each) were recorded (n = 13) during wakefulness and nocturnal sleep. An ERP wave (called REM-P3) resembling a waking P3 wave was larger for the 2000 Hz deviant during tonic than during phasic REM sleep. Also the P210 wave was larger during tonic than during phasic REM sleep. A reliable mismatch negativity component appeared only in wakefulness. I…

Sympathetic nervous system synchrony: An exploratory study of its relationship with the therapeutic alliance and outcome in couple therapy.

In previous research, we found that sympathetic nervous system synchrony, measured via electrodermal activity (EDA), occurs between participants at the start of couple therapy. The aim now was to test whether this synchrony changes during the therapy process, and how any changes may be related to clients' and therapists' evaluations of the working alliance, and the outcome of therapy. Twelve different couple therapy processes were analyzed (24 clients, plus 10 therapists, working in pairs; hence, 4 persons per session) using EDA concordance indices and questionnaires (Outcome Rating Scale, Session Rating Scale, and Clinical Outcomes in Routine Evaluation-Outcome Measure). EDA synchrony betw…

Nocturnal motility, self-reported arousal, and quality of sleep

BENEFITS OF MULTI-DOMAIN FEATURE OF MISMATCH NEGATIVITY EXTRACTED BY NON-NEGATIVE TENSOR FACTORIZATION FROM EEG COLLECTED BY LOW-DENSITY ARRAY

Through exploiting temporal, spectral, time-frequency representations, and spatial properties of mismatch negativity (MMN) simultaneously, this study extracts a multi-domain feature of MMN mainly using non-negative tensor factorization. In our experiment, the peak amplitude of MMN between children with reading disability and children with attention deficit was not significantly different, whereas the new feature of MMN significantly discriminated the two groups of children. This is because the feature was derived from multi-domain information with significant reduction of the heterogeneous effect of datasets.

An aggression machine v. determinants in reactive aggression revisited

The relations between reactive aggression, situational cues, and emotion regulation were examined by means of the Pulkkinen Aggression Machine (PAM) task. In the PAM, provocation and response were systematically varied under two conditions: the impulsive aggression condition and the controlled aggression condition. In the impulsive condition, no information about the attacker was provided, while in the controlled condition the attackers were specified in terms of sex, age, and physical strength. The task was administered to 109 children aged 8 to 13 years. Boys (n = 61) and girls (n = 48), as well as subgroups of Adjusted (n = 67) and Maladjusted (n = 26) children were compared. The results…

Stimulus Evaluation, Event Preparation, and Motor Action Planning in Young Patients With Mild Spastic Cerebral Palsy: An Event-Related Brain Potential Study

The study investigated stimulus evaluation time, event preparation, and motor action planning of patients with mild spastic cerebral palsy and a peer control group in the age range of 9 to 18 years. To this end, participants were carrying out a stimulus recognition task. Findings indicated an overall slowness and inaccurate reaction time performance of the patient group. An event-related potential analysis revealed that the stimulus evaluation processing, indexed by the parietal P300, was intact in the group of patients. Also event preparation and action planning, indexed by respectively the frontal late contingent negative variation and the frontal P2, were intact in the group of patients…

Studying Nonverbal Synchrony in Couple Therapy : Observing Implicit Posture and Movement Synchrony

AbstractResearch on nonverbal synchrony (movement coordination) in psychotherapy has recently attracted increased attention. Nonverbal synchrony has been shown to relate to the therapeutic alliance and outcome. However, research on nonverbal synchrony in couple therapy remains scarce. In this study, we examined the therapy process of one couple in detail and created a coding scheme to depict posture and movement synchrony. In this case study, we found that the relationship between nonverbal synchrony and the therapeutic alliance was complex. During the therapy process, the amount of nonverbal synchrony varied, as did the participants’ evaluations of the alliance. In couple therapy nonverbal…

Controlling reactive aggression through cognitive evaluation of proactive aggression cues

The authors investigated how the relationship between the acts of proactive and reactive aggression was moderated by the individual differences in cognitive regulation of emotion. An aggression paradigm, a electrocardiogram recording, a cognitive assessment battery, and a short form IQ test were completed by 109 children, aged 8 to 13 years (Juujarvi, Kaartinen, Laitinen, Vanninen, & Pulkkinen, 2006; Juujarvi, Kooistra, Kaartinen, & Pulkkinen, 2001; Lehto, Juujarvi, Kooistra, & Pulkkinen, 2003). The less the children subdued the intensity of their defence to the attacks in the aggression paradigm, the poorer they performed in the cognitive assessment battery tasks measuring Working memory c…

Effects of vigorous late-night exercise on sleep quality and cardiac autonomic activity

Sleep is the most important period for recovery from daily load. Regular physical activity enhances overall sleep quality, but the effects of acute exercise on sleep are not well defined. In sleep hygiene recommendations, intensive exercising is not suggested within the last 3 h before bed time, but this recommendation has not been adequately tested experimentally. Therefore, the effects of vigorous late-night exercise on sleep were examined by measuring polysomnographic, actigraphic and subjective sleep quality, as well as cardiac autonomic activity. Eleven (seven men, four women) physically fit young adults (VO(2max) 54±8 mL·kg(-1)·min(-1) , age 26±3 years) were monitored in a sleep labor…