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Neal

Psychological Flexibility as a Fundamental Aspect of Health - 0 views

  • Psychological flexibility spans a wide range of human abilities to: recognize and adapt to various situational demands; shift mindsets or behavioral repertoires when these strategies compromise personal or social functioning; maintain balance among important life domains; and be aware, open, and committed to behaviors that are congruent with deeply held values.
  • Psychological Flexibility as a Fundamental Aspect of Health Achieving psychological health is one of the foremost goals of human existence.
  • We are not disputing that positive emotions are important (Fredrickson, 1998), strengths or positive traits are important (Peterson & Seligman, 2004), or that the satisfaction of basic needs for belonging, competence, and autonomy are important (Deci & Ryan, 2000). However, these static approaches fail to capture the dynamic, fluctuating, and contextually-specific behaviors that people deploy when navigating the challenges of daily life.
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      positive emotions positive traits strengths
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  • Indeed, research on psychological flexibility has for the past five decades traveled by a multitude of different names, among them ego-resiliency (Block, 1961), executive control (Posner & Rothbart, 1998), response modulation (Patterson & Newman, 1993), and self-regulation (Carver & Scheier, 1998; Muraven & Baumeister, 2000)
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      Psychological flexibiligy
  • Psychological flexibility actually refers to a number of dynamic processes that unfold over time. This could be reflected by how a person: (1) adapts to fluctuating situational demands, (2) reconfigures mental resources, (3) shifts perspective, and (4) balances competing desires, needs, and life domains.
  • one might question whether any regulatory strategy provides universal benefits, as opposed to contingent benefits that hinge on the situation and the values and goals that we import.
  • These pathological processes span cognitive rigidities such as rumination and worry (Nolen-Hoeksema, Wisco, & Lyubomirsky, 2008), patterns of behavioral perseveration, as well as a relative inability to rebound following stressful events, and difficulties planning and working for distant goals.
  • As these skills flourish, people become more versatile and more adept at committing finite attention and energy to meaningful interests and values (Hayes, Strosahl, & Wilson, 1999)
  • At subjective, behavioral, and biological levels of analysis, researchers continue to find that psychopathology is relatively independent from positive experiences
  • Thus, rather than focusing on specific content (within a person), definitions of psychological flexibility have to incorporate repeated transactions between people and their environmental contexts.
  • The work on ego-resiliency is extensive. Briefly, an important prediction is that ego-resilience would be associated with greater progression through the stage of identity development from being young and impulsive to learning social rules and conforming and for the most mature, advanced stages such as being wise and self-determined (Loevinger, 1987)
  • Instead, consider the flexible application of different types of emotional expression as the situation warrants.
  • the ability to modulate behavior as required by the situation contributed to real-world adjustment over and above any particular regulatory strategy.
  • Interestingly, variability in appraisals and coping strategies was positively related to the effectiveness of handling stressors. More importantly, the 30% of people demonstrating coping flexibility were better adjusted on a daily basis and showed less anxiety and depressive symptoms over a 1-week period than people demonstrating more rigid adherence to particular coping strategies, regardless of whether they were problem- or emotion-focused, active- or passive-focused. These findings on the benefits of flexibility compared with any particular configuration of self-regulatory strategies have been replicated in subsequent experimental and prospective studies (e.g., Cheng, 2003; Cheng & Cheung, 2005).
  • By ego-resiliency, we meant…a dynamic ability to temporarily change from modal reaction or perceptual tendencies to reactions and percepts responsive to the immediately pressing situation and, more generally, to the inevitably fluctuating situational demands of life. In particular, the ego-resiliency construct entailed the ability to, within personal limits, situationally reduce behavioral control as well as to situationally increase behavioral control, to expand attention as well as to narrow attention, to regress in the service of the ego as well as to progress in the service of the ego…The relatively unresilient or vulnerable individual displayed little adaptive flexibility, was disquieted by the new and altered, was perseverative or diffuse in responding to the changed or strange, was made anxious before competing demands, and had difficulty in recouping from the traumatic.
  • Rumination involves stereotypical and perseverative thinking about the reasons for and meaning of one’s own sad, dysphoric affect. Not only is a ruminative response style inflexible in that it involves habitual application of circular, looping thoughts, it also represents a passive, inactive mode that displaces more active engagement with the environment; engagement that could potentially relieve depressed mood.
  • For adolescents at age 14 and adults at age 23, ego-resilience was strongly associated with higher stages of identity development.
  • Upon reaching more mature stages of identity development, young adults are visibly more flexible in multiple contexts compared with less mature peers.
  • Besides the development of maturity and wisdom, the most characteristic features of ego-resilient children and adolescents (as rated by teachers, parents, and independent observers) include: vitality, curious and exploratory, self-reliant and confident, creative, an abundance of meaningful experiences, abilities to effectively master challenges, and quick recovery following stressful events (Gjerde, Block, & Block, 1986; Klohnen, 1996).
  • Equally useful to understanding the psychologically flexible person are the least representative features of ego-resilient youth: rigid repetitive strategies to handle stress, socially inappropriate emotional expressiveness, and discomfort in unpredictable and challenging environments.
  • Although causality cannot be determined, flexibility appears to move people from extrinsic motivated actions toward self-determination and the related health benefits
  • In the ACT model, flexibility is about being aware of thoughts and feelings that unfold in the present moment without needless defense, and depending on what the situation affords, persisting or changing behavior to pursue central interests and goals.
  • psychological flexibility was on average correlated .42 with outcomes ranging from job performance and satisfaction over a 1-year interval, daily activity engagement in pain patients, and mental health (Hayes, Luoma, Bond, Masuda, & Lillis, 2006)
  • Being more open and accepting of emotional experiences, being willing to engage in difficult activities to persist in the direction of important values, allows a person to pursue a rich, meaningful life right away.
  • Emotional preferences should hinge on the goals people are inclined to pursue. We have not given due consideration to the task of identifying which emotions are functional and at what levels of intensity and type of expressiveness. Sometimes negative, unpleasant emotions can be more useful than positive emotions. Taking advantage of this knowledge, teaching people this knowledge, is to explicitly address psychological flexibility.
  • Another perspective on the health benefits of psychological flexibility arrives from work on the ability to switch one’s focus from one life domain to another, one time perspective to another, and ensure that various important elements of a person’s identity are being satisfied in a harmonious manner.
  • If these examples suggest anything, it is that greater satisfaction and meaning in life can be captured by shifting temporal perspectives when the situation requires a particular mode of being (Boniwell & Zimbardo, 2004).
  • Similarly, recent daily-diary and prospective studies show that when time is allocated effectively in important life domains (e.g., work, school, leisure, relationships) to minimize discrepancy between a person’s actual day-to-day activities and their ideal, greater well-being is experienced. This includes life satisfaction, frequent positive emotions, infrequent negative emotions, and the ability to satisfy needs involving belonging, competence, and autonomy (Sheldon, Cummins, & Khamble, in press)
  • As we will highlight below, a signal feature of many disorders is that a person’s fluid transactions with the environment break down and responses become stereotyped and invariable.
  • Ironically, by being flexible and living in service of our deepest values instead of being narrowly focused on achieving happiness, we end up experiencing more frequent joy and meaning in life and less distress; we end up with greater vitality and degrees of freedom for how to live each moment (Hayes et al., 1999, 2004).
  • Recent extensions add important layers of complexity by suggesting that researchers and clinicians should look beyond the stereotypically negative content of attributions as a marker of depression risk to consider (1) the process of fixedly deploying the same attributions across different situations, a construct known as explanatory inflexibility (Moore & Fresco, 2007), and (2) the connections between an inflexible explanatory style and inflexible coping behavior (Fresco, William, & Nugent, 2006).
  • one commonality involves psychological inflexibility with respect to responses involving fear and anxiety.
  • Our premise, shared with the “acceptance-based approaches,” is that a flexible approach to one’s experiences will be associated with health and well-being, even when those experiences are sometimes painful.
  • There is growing evidence that the anxiety disorders are characterized by experiential avoidance for a variety of experiences, whether it is the experience of bodily arousal in panic disorder (Zvolensky & Eifert, 2000), the fear of strong emotional impulses in generalized anxiety disorder (McLaughlin, Mennin, & Farach, 2007), or concerns about openly expressing and exposing intense emotional experiences to other people (Kashdan & Steger, 2006). In turn, avoidance responses, as they become the default behavioral response, maintain the disorder over time.
  • Finally, as with depression, anxiety disorders are associated with inflexibility of physiological responding. Perhaps most notably, researchers have shown repeatedly that individuals with anxiety disorder exhibit reduced flexibility in autonomic responding (e.g., Thayer, Friedman, & Borkovec, 1996)
  • In fact, the pervasive and widespread nature of evidence for inflexibility in so many different response systems in so many different mental disorders is potentially overwhelming. Can these problems be reduced to a smaller core set? If so, what are the most important forms of inflexibility?
  • For example, individuals with higher resting CVC perform better than low CVC individuals on experimental tasks that require executive function. High CVC is associated with good performance on the Stroop task, which requires people to overcome attentional interference, as well as good performance on the n-back task (Johnsen et al., 2003; Hansen, Johnsen, & Thayer, 2003), which is a working memory task that requires people to monitor a continuous sequence of stimuli and remember which stimuli were presented n trials ago.
  • Relative to participants who did not maintain the exercise routine, those who maintained the exercise regimen had higher resting CVC and better functioning on an executive functioning task
  • The Building Blocks of Psychological Flexibility
  • Now that we have demonstrated the benefits of psychological flexibility and the costs of inflexibility, we consider three critical factors that influence the likelihood of being psychologically flexible and gaining access to its benefits:
  • Acceptance and awareness processes, coupled by a curious and receptive attitude toward negative or potentially negative experiences appear to be a precursor to psychological flexibility
  • prioritize and integrate cognitive capacities.
  • Essentially, executive functioning provides critical neuropsychological support for self-regulation
  • In fact, as discussed below, it is hard to imagine psychological flexibility without at least adequate performance in this domain.
  • When someone is described as being psychologically flexible, they are more apt to be versatile, using top-down strategies. That is, they show an awareness of what a situation requires and an ability to organize and prioritize strategies that “fit” the situation rather than relying on dominant, default strategies (Fleeson, 2001).
  • Another related, essential cognitive function is the ability to tolerate distress and develop an open, receptive attitude toward emotions, thoughts, and sensations.
  • executive functioning, default mental states, and personality configurations
  • When a person is unable to accept frustration and unwanted negative experiences, attentional capacity and decision-making capabilities are narrowed.
  • Instead of flexibly responding to a situation in an active manner, a person preoccupied with avoiding experiences is psychologically unavailable to adapt to the cues afforded by an existing situation.
  • This is because negative emotions and obstacles are an inevitable part of being a human that is constantly learning and growing, going through developmental changes in identity and social roles across the lifespan, experiencing daily hassles and stressors, and striving to organize a life built around meaningful goals and values (
  • Other social neuroscience studies provide additional support for the notion that acceptance of and openness to experience, and related emotion regulation processes are bound to executive functioning
  • Finally, executive functioning also typically includes working memory and recall, information processing speed, and the ability to inhibit behavior. These, too, are relevant to psychological flexibility, for similar reasons.
  • A weak danger cue in the environment may be prepotent, shutting down executive control, leading a person to conflate their anxious feelings as evidence of the dangerous potential that was never actualized. In the end, this person will be more worried and avoidant in similar, future situations, constricting their life space by tiny portions; a precedent that interferes with flexibility and the pursuit of a pleasurable, engaging, and meaningful life.
  • Taken together, robust executive functioning is critical for modulating responses to suit the circumstances and achieving desired outcomes—whether it is extracting rewards, reducing behavioral control, or some other situationally-bound strategy.
  • Social situations impose even greater demands upon executive functioning because of the need to simultaneously represent the desired outcomes of both the self and the other parties, without compromising either one
  • If human beings lacked predictive ability and were required to be in conscious control of how to interpret and respond to each gesture in each interaction, social interactions would slow to a crawl, relationships would have to be continually renewed, and it is hard to imagine how social groups and societies would ever form.
  • in enhancing psychological flexibility
  • To be adept at forming and maintaining significant, meaningful social relationships, there is utility in recognizing the limitations of our biased social judgments.
  • end our search for new and potentially useful information about each situation being different (even slightly) from any other (Kashdan, 2009). Although this can be energy consuming, this act prevents misjudgments of people and situations, and increases engagement, creativity, and the type of mindful, compassionate style of communication that is attractive and desirable to other people.
  • The problem is that habitual thoughts, feelings, behaviors, and goals are easily activated automatically, pulling us toward common well-worn directions as opposed to being sensitive to the unique hedonic or utilitarian value of acting differently (Aarts & Dijksterhuis, 2000; Foa & Kozak, 1986). Essentially, conscious free will and flexible responding is subtly reduced by habits.
  • Unfortunately, the default mindset of most adults is a relatively inactive state where the past unduly influences the presen
  • Regardless of origin, there is evidence that humans commonly fail to detect novel distinctions and opportunities in the immediate environment and this can erode psychological flexibility.
  • Relatively few people can marshal the psychological flexibility to override default mental state in demanding visual tasks.
  • There is other evidence that experts often attempt to adapt old templates to new situations because of inflated confidence in their abilities to the neglect of contextual information.
  • Taken together, this line of research suggests that people are relatively insensitive to context and perspective in the present when there is the potential to rely on prior knowledge and experience.
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    "The Relationship Between Heart Rate Variability, Psychological Flexibility, and Pain in Neurofibromatosis Type 1"
Neal

E‐Health interventions for anxiety and depression in children and adolescents... - 0 views

  • At present, the field of e‐health interventions for the treatment of anxiety or depression in children and adolescents with long‐term physical conditions is limited to five low quality trials. The very low‐quality of the evidence means the effects of e‐health interventions are uncertain at this time, especially in children aged under 10 years.
  • Although it is too early to recommend e‐health interventions for this clinical population, given their growing number, and the global improvement in access to technology, there appears to be room for the development and evaluation of acceptable and effective technologically‐based treatments to suit children and adolescents with long‐term physical conditions.
Neal

Examination of the Role of Working Memory Demands on Objectively Measured Motor Activit... - 0 views

shared by Neal on 15 Jan 19 - No Cached
  • The topographical similarity of excessive motor activity seen in both ADHD and anxiety disorders, as well as similar WM deficits, may indicate a common relationship between WM deficits and increased motor activity across psychopathology. However, to date, no studies have examined the possible relationship between WM deficits and objectively measured motor activity associated with anxiety. Consequently, the current study examined objectively measured motor activity associated with the WM system in adults with ADHD, adults with GAD, and healthy control (HC) adults.
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