Personal autonomy in group-based interventions

Aspects of Identity Questionnaire-IV: An Examination of Structural Validity, Gender Invariance, and Relationships with Mental Health and Basic Psychological Needs Among Adolescents

The present research evaluated evidence for structural and convergent validity and measurement invariance across gender of the Aspects of Identity Questionnaire-IV (AIQ-IV), which is designed to measure four identity orientations: Personal, Relational, Public, and Collective. We recruited two independent samples of Serbian adolescents aged 15-19 years (n1 = 436, n2 = 452). Both exploratory structural equation modeling (ESEM) and confirmatory factor analyses (CFA) were applied to examine the factor structure of the AIQ-IV. The ESEM model with four factors demonstrated a superior fit to the data in both samples and resulted in well-defined factors and deflated latent factor correlations compared to the CFA model. Multiple-group analysis supported the scalar invariance of the four-factor ESEM model across gender. The evidence for the convergent validity of the ESEM AIQ-IV factors was supported by meaningful correlations with various mental health indicators (life satisfaction, positive affect, negative affect, internalizing behaviors, and externalizing behaviors) and basic psychological needs (autonomy, relatedness, and competence) satisfaction and frustration. Our findings support the use of AIQ-IV as a multidimensional measure of identity orientations among adolescents and confirm the usefulness of applying the ESEM framework to evaluate the validity aspects of this scale.

Therapists who foster social identification build stronger therapeutic working alliance and have better client outcomes

BACKGROUND

For decades we have known that therapeutic working alliance is a key contributor to client engagement and positive outcomes in therapy. However, we have made little progress in narrowing down its determinants, which is critical in supporting trainees to optimize such alliance. We make a case for the value of incorporating social psychological frameworks into models of alliance and explore the role of social identity processes in the development of therapeutic alliance.

METHOD

Across two studies, over 500 psychotherapy clients completed validated measures of alliance, social identification with their therapist, positive therapy outcomes, and a range of client and therapist characteristics.

FINDINGS

Social identification strongly predicted alliance in both samples, whereas client and therapist characteristics showed few such associations. Alliance mediated the relationship between social identification and positive therapy outcomes. In addition, we found evidence that (a) personal control is a key psychological resource in therapy that arises from social identification, and (b) therapists who engage in identity leadership (i.e., who represent and build a social identity that they share with clients) are more likely to foster social identification and its downstream benefits.

INTERPRETATION

These data show that social identity processes are key to the emergence of working alliance. We conclude with a discussion of how recent social identity and identity leadership interventions might be adapted to train therapists in relevant identity-building skills.

What a weight loss programme should contain if people with obesity were asked - a qualitative analysis within the DO:IT study

Background

Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There is a tendency to assume that weight loss programmes that show positive effects in specialized hospital settings are directly transferrable to municipal settings. However, municipality-based weight loss programmes have not produced clinically significant reductions in body weight. One reason for this may be that much research evidence regarding obesity programming neglects the perspectives of people with obesity. The first step in developing a weight loss programme designed for municipal settings is to understand what people with obesity want and need from a programme. The aim of this study was to examine what people with obesity find important in a weight loss programme for weight loss and weight maintenance.

Methods

We used a qualitative, explorative, descriptive design with individual interviews. We included men and women age 17 and older with a BMI ≥ 25 kg/m2. Participants were recruited from the wait lists of 13 municipality programmes and through Facebook posts. Data were analyzed using content analysis.

Results

Thirty-four participants with overweight or obesity were individually interviewed (ages between 19 and 74). Findings suggest that weight loss programmes should; a) support participants in structuring days; b) consider the use of replacement activities to reduce cognitive and emotional burden; c) aide individuals to increase self-efficacy and; d) include family and friends as well as health professionals and peers in the weight loss process. Diet and exercise, while important, should be balanced with other meaningful activities in everyday life.

Conclusion

Participants in this study wished to balance weight loss related activities with overall everyday life as well as finding the believe in their ability to lose weight in social relations.

Social Factors Boost Well-Being Behind Bars: The Importance of Individual and Group Ties for Prisoner Well-Being

BACKGROUND

Prisoners often suffer from social isolation and higher levels of ill-health and ill-being. Research has demonstrated the positive health consequences that stem from social interaction, and especially group ties, amongst non-offender populations.

METHODS

This work is based on a secondary analysis of a large-scale dataset that includes data on prisoners residing in all prison establishments in the UK (Study 1: N = 11,880; prisons = 113), and on a questionnaire booklet that was completed by prisoners residing in one prison in the UK (Study 2: N = 157).

RESULTS

Study 1 showed that positive prisoner interactions are associated with greater prisoner well-being, due to the feelings of autonomy that these interactions provide. Study 2 showed that prisoners who reported being members of multiple groups had higher well-being, an effect mediated by the satisfaction of particular psychological needs; and an effect moderated by group contact discrepancy.

CONCLUSIONS

This work provides evidence that strong prisoner ties and memberships in groups are associated with greater well-being among prisoners, and identifies psychological needs and group contact as explanatory mechanisms; which progresses the field and has important policy and practical implications.

Enhancing mental health recovery by joining arts-based groups: a role for the social cure approach

BACKGROUND

. Even though emerging evidence suggests that participation in arts-based group programs are helpful in supporting mental health, the field lacks an established theorical framework. This study explored the extent to which participants' experiences of singing or creative writing groups aligned with theorising proposed by the social cure approach.

METHODS

. Semi-structured interviews were conducted with 25 choir members, and 23 creative writing group members with chronic mental health conditions at two time points. Transcripts of the interviews were examined by four coders using thematic analysis.

RESULTS

. Consistent with social cure theorising, participation in the choir and creative writing group facilitated meeting participants' needs for belonging, support, self-efficacy, purpose, and positive emotions.

CONCLUSIONS

. This study demonstrated the psychosocial mechanisms by which participation in arts-based groups can enhance mental health. We conclude that engagement with the social cure framework may be useful to structure practice in this field.

“I don't really want to be associated with the self-righteous left extreme”: Disincentives to participation in collective action

This paper considers collective action non-participation by people sympathetic but not committed to participating in actions for social change (‘sympathisers’). We conducted a thematic analysis of open-ended written accounts of the barriers to participating in sustained collective action (N = 112), finding that people can be reluctant to engage in some types of collective action. Participants wrote about the potential for detrimental consequences resulting from association with ‘protesters’, concern that they may be undermined by ‘extreme’ fringes of a movement, ambivalence about the visible performance of group normative behaviours (specifically, protesting), and trepidation about ‘loss of self’ within a group. We discuss the findings in relation to theory on social (dis)identification, social (dis)incentives, and identity performances, arguing that inaction does not necessarily stem from apathy. Rather, people may engage in motivated inaction – that is, active avoidance of some types of actions, or from affiliations with particular groups, as a response to negative inferences about the legitimacy or efficacy of some forms of collective action. Practical strategies are suggested for groups and individuals, including the potential for people to take actions for social change independently of a formally organised movement.