Epistemic companions: shared reality development in close relationships

Learning to navigate uncertainty in primary care: a scoping literature review

BACKGROUND

Clinical practice occurs in the context of uncertainty. Primary care is a clinical environment that accepts and works with uncertainty differently from secondary care. Recent literature reviews have contributed to understanding how clinical uncertainty is taught in educational settings and navigated in secondary care, and, to a lesser extent, by experienced GPs. We do not know how medical students and doctors in training learn to navigate uncertainty in primary care.

AIM

To explore what is known about primary care as an opportunity for learning to navigate uncertainty.

DESIGN & SETTING

Scoping review of articles written in English.

METHOD

Using a scoping review methodology, Embase, MEDLINE, and Web of Science databases were searched, with additional articles obtained through citation searching. Studies were included in this review if they: (a) were based within populations of medical students and/or doctors in training; and (b) considered clinical uncertainty or ambiguity in primary care or a simulated primary care setting. Study findings were analysed thematically.

RESULTS

Thirty-six studies were included from which the following three major themes were developed: uncertainty contributes to professional identity formation (PIF); adaptive responses; and maladaptive behaviours. Relational and social factors that influence PIF were identified. Adaptive responses included adjusting epistemic expectations and shared decision making (SDM).

CONCLUSION

Educators can play a key role in helping learners navigate uncertainty through socialisation, discussing primary care epistemology, recognising maladaptive behaviours, and fostering a culture of constructive responses to uncertainty.

Collaborative imagination synchronizes representations of the future and fosters social connection in the present

From close friends to people on a first date, imagining a shared future appears fundamental to relationships. Yet, no previous research has conceptualized the act of imagination as a socially constructed process that affects how connected we feel to others. The present studies provide a framework for investigating imagination as a collaborative process in which individuals cocreate shared representations of hypothetical events-what we call collaborative imagination. Across two preregistered studies (N = 244), we provide evidence that collaborative imagination of a shared future fosters social connection in novel dyads-beyond imagining a shared future individually or shared experience in general. Subjective ratings and natural language processing of participants' imagined narratives illuminate the representational features of imagined events shaped by collaborative imagination. Together, the present findings have the potential to shift how we view the structure and function of imagination with implications for better understanding interpersonal relationships and collective cognition.

Home is Where the Heart is: Implications of Dyadic Acculturation for Migrant Couples' Personal and Relational Well-Being

Acculturation-the process through which people adopt the sociocultural values of their heritage and settlement cultures-is a complex experience, particularly within family structures. Although the consequences of acculturation gaps between parents and children have been studied extensively, the consequences for migrant couples are often overlooked. We propose that acculturation gaps in migrant couples are likely detrimental for personal and relational well-being. To test this, a study of 118 migrant couples with the same heritage culture and now living in the United Kingdom was conducted. Acculturation gaps in our studies were conceptualized as both within person and within couple, and their impact on personal well-being and relationship quality was tested using Actor-Partner Interdependence Model (APIM). Results suggest that although within-couple acculturation gaps negatively impacted personal well-being, they were not necessarily harmful to relationship quality. Interestingly, within-person acculturation gaps had dyadic consequences, with one person specifically contributing to their partner's personal well-being.

On Creating Deeper Relationship Bonds: Felt Understanding Enhances Relationship Identification

Relational experiences play a critical role in shaping how individuals see themselves. In four studies (N=945) using person-perception, longitudinal, and experimental designs, we demonstrate that feeling understood changes individuals' self-concept by increasing the centrality of a specific relationship (relationship identification). Study 1 showed that participants perceived an individual to be more identified with their relationship when their partner was high (vs. low) in understanding. Study 2 extended these results by examining individuals in romantic relationships longitudinally. The results of Studies 1 and 2 were distinct for understanding compared to acceptance and caring. Studies 3 and 4 manipulated felt understanding. Recalling many versus few understanding instances (Study 3) and imagining a close other being low versus high in understanding (Study 4) led individuals to feel less understood, which reduced identification in their friendships and romantic relationships. Furthermore, Study 4 suggests that coherence may be one mechanism through which felt understanding increases relationship identification.

Why We Gather: A New Look, Empirically Documented, at Émile Durkheim's Theory of Collective Assemblies and Collective Effervescence

For Durkheim, individuals' survival and well-being rest on cultural resources and social belonging that must be revived periodically in collective assemblies. Durkheim's concern was to clarify how these assemblies achieve this revitalization. An intensive examination of primitive religions led him to identify successive levels of engagement experienced by participants and to develop explanatory principles relevant to all types of collective gatherings. Durkheim's conception is widely referred to nowadays. However, the question of its empirical status remains open. We extracted from his text his main statements and translated them into research questions. We then examined each question in relation to current theories and findings. In particular, we relied on the plethora of recent cognitive and social-psychology studies that document conditions of reduced self-other differentiation. Abundant data support that each successive moment of collective assemblies contributes to blurring this differentiation. Ample support also exists that because shared emotions are increasingly amplified in collective context, they can fuel high-intensity experiences. Moreover, recent studies of self-transcendent emotions can account for the self-transformative effects described by Durkheim at the climax of collective assemblies. In conclusion, this century-old model is remarkably supported by recent results, mostly collected in experimental settings.

Partner similarity and social cognitive traits predict social interaction success among strangers

Social interactions are a ubiquitous part of engaging in the world around us, and determining what makes an interaction successful is necessary for social well-being. This study examined the separate contributions of individual social cognitive ability and partner similarity to social interaction success among strangers, measured by a cooperative communication task and self-reported interaction quality. Sixty participants engaged in a 1-h virtual social interaction with an unfamiliar partner (a laboratory confederate) including a 30-min cooperative 'mind-reading' game and then completed several individual tasks and surveys. They then underwent a separate functional MRI session in which they passively viewed video clips that varied in content. The neural responses to these videos were correlated with those of their confederate interaction partners to yield a measure of pairwise neural similarity. We found that trait empathy (assessed by the interpersonal reactivity index) and neural similarity to partner both predicted communication success in the mind-reading game. In contrast, perceived similarity to partner and (to a much lesser extent) trait mind-reading motivation predicted self-reported interaction quality. These results highlight the importance of sharing perspectives in successful communication as well as differences between neurobiological similarity and perceived similarity in supporting different types of interaction success.

Family-authored ICU diaries to reduce fear in patients experiencing a cardiac arrest (FAID fear): A pilot randomized controlled trial

Survivors of cardiac arrest (CA) and their family members often experience significant fear-based distress (cardiac fear; i.e., fear about the CA survivor's heart). Fear-based distress after CA is associated with higher rates of cardiac event recurrence and mortality in CA survivors. As posited in Dyadic Disruption Theory (DDT), cardiac fear in family members may contribute to the development of distress in CA survivors via socially-based mechanisms. Thus, interventions to reduce family distress may improve CA survivors' outcomes. ICU diaries are easy to implement and scalable and show promise for reducing distress after CA but are primarily targeted towards survivors. The primary aim of the Family-Authored ICU Diaries to reduce Fear in Patients Experiencing a CA (FAID Fear) pilot randomized controlled trial was to test feasibility of an ICU diary intervention targeted towards family member distress alone. Family members of patients hospitalized after CA (N = 16) were randomized 2:1 to receive the FAID Fear intervention or usual care. Intervention participants were provided brief instructions and were asked to write in the diary twice per week until the end of hospital care. Assessments occurred at baseline enrollment, end of hospital care, and 30 days later. Participants' mean age was 50.73 years (SD = 13.41; 80% cis-gender female; 60% White). Recruitment (16/25 referred; 64.0%), retention (14/16 enrolled; 87.5%), and intervention adherence (7/10 completed; 70%) were promising. Most agreed that the ICU diary intervention was appropriate (7/10 completed; 70.0%), feasible (9/10 completed; 90.0%]), and acceptable (8/10 completed; 80.0%). Fear was nonsignificantly lower in intervention participants (v. control) at end of hospital care and 30 days later. FAID Fear represents a first step in building theory-based dyadic interventions that can be implemented to support family members of CA survivors in the ICU, with potential to improve outcomes in CA survivors.

Shared reality, memory goal satisfaction, and psychological well-being during conversational remembering

Conversational remembering, or sharing autobiographical memories with others, occurs frequently in everyday communication. The current project examined how the experience of shared reality with a conversation partner when describing autobiographical memories to them can operate to enhance the self, social, and directive uses of a recalled memory and explored the role of shared reality experienced as a result of conversational remembering in psychological well-being. In this project, conversational remembering was examined using experimental (Study 1) and daily diary (Study 2) methodologies. Results indicated that experiencing a shared reality during conversational remembering of an autobiographical memory enhanced self, social, and directive memory goal fulfilment and was positively associated with greater psychological well-being. The current investigation highlights important benefits of sharing our life stories with others, especially those with whom we develop a sense of shared reality.

Responsive social support serves important functions in clinical communication: Translating perspectives from relationship science to improve cancer clinical interactions

Patient-clinician interactions are critical to patient-centered care, including in cancer care contexts which are often defined by multiple patient-clinician interactions over an extended period. Research on these dyadic interactions has been guided by perspectives in clinical communication science, but the study of clinical communication has not been fully integrated with perspectives on interpersonal interactions from relationship science research. An overlapping concept in both fields is the concept of responsive socialsupport. In this article, we discuss responsiveness as a concept that offers opportunities for connections between these two disciplines. Next, we focus on how relationship science can be applied to research in clinical settings. We discuss how three areas of relationship science define responsiveness and have potential for extension to clinical communication: (1) (in)visibility of social support, (2) attachment orientations, and (3) shared meaning systems. We also discuss how social biases can impede responsiveness and suggest research avenues to develop ideas and understand potential challenges in connecting these two fields. Many opportunities exist for interdisciplinary theory development that can generate momentum in understanding interpersonal processes in cancer care.

Emotional interdependence: the key to studying extrinsic emotion regulation

The literature on extrinsic emotion regulation or the intention to modify other people’s emotions has grown in recent years, accompanied by proposals in which its definition is made more precise, the way to understand it in relation to other related processes is delimited, and the consequences of its use in the quality of close relationships are evidenced. Conceptual reviews on this topic recognize the importance of examining the affect and dyadic dynamics that arise between those who regulate each other extrinsically. This dynamic refers to emotional interdependence, the potential of the members of a dyad to shape each other’s emotions reciprocally, particularly in those who share a close bond, such as that of a romantic couple. There is little theoretical development regarding the relevance of this characteristic in relation to EER. This article has two objectives: (1) to make a narrative synthesis of the characteristics that define EER and (2) to expand and complexify the existing model by including the emotional interdependence as a vital component in the understanding of the functioning of EER. Lastly, the role of emotional interdependence in the emergence, maintenance, and satisfaction concerning couple relationships is made explicit through phenomena such as shared reality.

Shared understanding and social connection: Integrating approaches from social psychology, social network analysis, and neuroscience

Meaningfully connecting with others is critical to the well-being of individuals. What phenomena contribute to and stem from social connection? In this paper, we integrate emerging work that uses neuroimaging and social network analysis with theories that explore the links between shared reality and social connection. We highlight recent work suggesting that the extent to which people have aligned mental processing and shared subjective construals to those around them-as shown by neural similarity-is associated with both objective and subjective social connection. On the other hand, idiosyncrasies are linked to difficulties with social connection. We conclude by suggesting how the links between shared understanding and social connection can be productively used as a framework to study psychosocial phenomena of interest.

The contribution of activity theory to modeling multi-actor decision-making: A focus on human capital investments

Making investment decisions is usually considered a challenging task for investors because it is a process based on risky, complex, and consequential choices (Shanmuganathan, 2020). When it comes to Investments in human capital (IHC), such as startups fundings, the aspect of decision-making (DM) becomes even more critical since the outcome of the DM process is not completely predictable. Indeed, it has to take into consideration the will, goals, and motivations of each human actor involved: those who invest as well as those who seek investments. We define this specific DM process as multi-actor DM (MADM) since not a group is making decisions but different actors, or groups of different actors, who – starting from non-coinciding objectives – need to reach a mutual agreement and converge toward a common goal for the success of the investment. This review aims to give insights on psychological contributions to the study of complex DM processes that deal with IHC to provide scholars and practitioners with a theoretical framework and a tool for describing the complex socio-ecological systems involved in the DM processes. For this purpose, we discuss in the paper how the third generation of activity theory (Leont’ev, 1974, 1978;Engeström, 1987, 2001) could be used as an appropriate model to explain the specificities of MADM construct, focusing on the particular case of startup funding. Design thinking techniques will be proposed as a methodology to create a bridge between different activity systems.

'Make the Most of the Situation'. Older Adults' Experiences during COVID-19: A Longitudinal, Qualitative Study

The COVID-19 pandemic restrictions have been associated with increased social isolation and reduced participation in older adults. This longitudinal qualitative study drew on life course theory to analyse data from a series of four sequential semi-structured interviews conducted between May 2020-February 2021 with adults aged 65+ (n = 12) to explore older adults' experiences adjusting to the COVID-19 pandemic. We identified three themes: (1) Struggling 'You realize how much you lost' describes how older adults lost freedoms, social connections and activities; (2) Adapting 'whatever happens, happens, I'll do my best', revealing how older adults tried to maintain well-being, participation and connection; and (3) Appreciating 'enjoy what you have', exploring how older adults found pleasure and contentment. Engagement in meaningful activities and high-quality social interactions supported well-being during the COVID-19 pandemic for older adults. This finding highlights the need for policies and services to promote engagement during longstanding global crises.

Predicting romantic interest during early relationship development: A preregistered investigation using machine learning

There are massive literatures on initial attraction and established relationships. But few studies capture early relationship development: the interstitial period in which people experience rising and falling romantic interest for partners who could—but often do not—become sexual or dating partners. In this study, 208 single participants reported on 1,065 potential romantic partners across 7,179 data points over 7 months. In stage 1, we used random forests (a type of machine learning) to estimate how well different classes of variables (e.g., individual differences vs. target-specific constructs) predicted participants’ romantic interest in these potential partners. We also tested (and found only modest support for) the perceiver × target moderation account of compatibility: the meta-theoretical perspective that some types of perceivers experience greater romantic interest for some types of targets. In stage 2, we used multilevel modeling to depict predictors retained by the random-forests models; robust (positive) main effects emerged for many variables, including sociosexuality, sex drive, perceptions of the partner’s positive attributes (e.g., attractive and exciting), attachment features (e.g., proximity seeking), and perceived interest. Finally, we found no support for ideal partner preference-matching effects on romantic interest. The discussion highlights the need for new models to explain the origin of romantic compatibility.

Shared Reality Can Reduce Stressor Reactivity

When a person faces a stressor alongside someone else, do they get more or less stressed when the other person agrees that the situation is stressful? While an equally stressed partner could plausibly amplify stress by making the situation seem more real and worthy of distress, we find that social validation during co-experienced stressors reduces reactivity. Specifically, the psychological experience of shared reality calms some people down. In Study 1, 70 undergraduate females who jointly faced a stressful event with someone else reported feeling less anxious when the other person felt the same way about the stressor, relative to when the other person appraised the situation in the opposite way or provided no indication of their appraisal. These findings were reflected in participants' physiological reactivity, especially in the parasympathetic nervous system. In Study 2, we generalize these findings to co-experienced stressors in the daily lives of 102 heteronormative romantic couples in the New York City area. In line with tend-and-befriend theory, we found that shared reality during co-experienced stressors reduced anxiety for almost all females (99% of the sample) and for a minority of males (42% of the sample). Together, these findings unify major theories in health and social psychology by implying that shared reality reduces stressor reactivity, and that this effect is partially moderated by sex.

Capitalisation, motivational effectiveness, and regulatory mode: a daily diary study of romantic partners

Positive events play an essential role in people's wellbeing. Capitalisation - disclosing such events to others - bolsters such salutary effects. To understand capitalisation-related motivational processes in romantic partners' daily lives, we adopted Higgins' motivational perspective; namely, that people's primary motivation is to feel effective with respect to Value (achieving the desired outcome), Truth (understanding what is true), and Control (managing what happens). We were particularly interested in clarifying how these aspects of effectiveness are reflected in people's daily positive experiences, their partners' responses to their disclosure, and the matching between the two. The role of subject's motivational regulatory mode (assessment vs. locomotion) in these processes was also examined. The results of a diary study of 83 couples showed that assessors (those with motivation to engage in critical evaluation) characterised their positive experiences as high on truth effectiveness but reported greater benefits from partner's responses focusing on control effectiveness. Locomotors (those with motivation to initiate action) were more likely to characterise their positive experiences as high on control effectiveness, but reported greater benefit from partner's responses focusing on value effectiveness. Finally, response mismatching, in particular an "under-focused" response (partner's response effectiveness focus < recipient's event-related motivational effectiveness focus) was rated as less beneficial.

Hand-in-hand in the golden years: Cognitive interdependence, partner involvement in retirement planning, and the transition into retirement

This research examined the influence of cognitive interdependence-a mental state reflecting a collective representation of the self-in-relationship-on the anticipation for and experiences with the transition into retirement. Among soon-to-be retirees (Study 1), greater cognitive interdependence was associated with seeing partners as more instrumental to one's goals both pre- and post-retirement, anticipating greater goal alignment post-retirement, and having directly involved partners in retirement planning to a greater extent than those relatively lower in cognitive interdependence. Among recent retirees (Study 2), retrospective cognitive interdependence was associated with post-retirement goal alignment and goal instrumentality, and the extent to which they believed they had directly involved their partners in retirement planning. However, it was post-retirement goal alignment that was associated with greater ease of retirement and subjective well-being. Finally, soon-to-be retirees relatively high in cognitive interdependence responded to concerns about their retirement (i.e., goal discordance and high retirement ambivalence) by wanting to involve their partners in their retirement plans to a greater extent (Study 3). These studies highlight the importance of romantic partners across the lifespan, and how partners might influence retirement planning, the transition to retirement, and well-being among recent retirees.

Change in mental health, physical health, and social relationships during highly restrictive lockdown in the COVID-19 pandemic: evidence from Australia

BACKGROUND

A novel coronavirus first reported in Wuhan City in China in 2019 (COVID-19) developed into a global pandemic throughout 2020. Many countries around the world implemented strict social distancing policies to curb the spread of the virus. In this study we aimed to examine potential change in mental/physical health and social relationships during a highly restrictive COVID-19 lockdown period in Australia during April 2020.

METHODS

Our survey (n = 1, 599) included questions about concerns, social behaviour, perceived change in relationship quality, social media use, frequency of exercise, physical health, and mental health during COVID-19 lockdown (April, 2020).

RESULTS

When estimating their mental health for the previous year 13% of participants reported more negative than positive emotion, whereas this increased to 41% when participants reflected on their time during COVID-19 lockdown. A substantial proportion (39-54%) of participants reported deterioration in mental health, physical health, financial situation, and work productivity. However, most of these participants reported 'somewhat' rather than 'a lot' of deterioration, and many others reported 'no change' (40-50%) or even 'improvement' (6-17%). Even less impact was apparent for social relationships (68% reported 'no change') as participants compensated for decreased face-to-face interaction via increased technology-mediated interaction.

CONCLUSIONS

The psychological toll of COVID-19 on Australians may not have been as large as other parts of the world with greater infection rates. Our findings highlight how technology-mediated communication can allow people to adequately maintain social relationships during an extreme lockdown event.

Dyadic Disruption Theory

Aspects of couples' romantic relationships are some of the most powerful psychosocial forces shaping mental and physical health, but even high-quality relationships are not universally beneficial for patients. Dyadic health theories have largely focused on chronic illness management that occurs after the couple understands the disease and prognosis, rather than focusing on couples' interdependence in the days and weeks following a sudden and disruptive medical event (e.g., an acute coronary syndrome [ACS] or a stroke). To address this gap, I propose Dyadic Disruption Theory to guide research on couples' reactions to acute medical events and their consequences for individual and dyadic mental health, physical health, and behavior. I propose that dyadic processes of social support, shared reality, and co-rumination can precipitate harmful patient and partner dynamics when couples are distressed early post-event and offer three propositions that inform testable hypotheses. Finally, I discuss implications for early dyadic intervention and future directions for research.

Shared Reality: From Sharing-Is-Believing to Merging Minds

Humans are fundamentally motivated to create a sense of shared reality—the perceived commonality of inner states (feeling, beliefs, and concerns about the world) with other people. This shared reality establishes a sense of both social connection and understanding the world. Research on shared reality has burgeoned in recent decades. We first review evidence for a basic building block of shared-reality creation: sharing-is-believing, whereby communicators tune their descriptions to align with their communication partner’s attitude about something, which in turn shapes their recall. Next, we describe recent developments moving beyond this basic building block to explore generalized shared reality about the world at large, which promotes interpersonal closeness and epistemic certainty. Together, this body of work exemplifies the synergy between relational and epistemic motives. Finally, we discuss the potential for another form of shared reality—shared relevance—to bridge disparate realities.

The Role of Individual and Dyadic Planning in Couples' Daily Goal Pursuits

Planning promotes progress toward goal achievement in a wide range of domains. To date, planning has mostly been studied as an individual process. In couples, however, the partner is likely to play an important role in planning. This study tested the effects of individual and dyadic planning on goal progress and goal-related actions. Two samples of couples (N = 76 and N = 87) completed daily diaries over a period of 28 and 21 days. The results indicate that individual and dyadic planning fluctuate on a daily basis and support the idea that dyadic planning is predominantly used as a complementary strategy to individual planning. As expected, individual and dyadic planning were positively associated with higher levels of action control and goal progress. In Sample 2, dyadic planning was only associated with goal progress on days in which individuals felt that they were dependent upon their partners' behaviors to achieve their goals.

Spillover Effects When Taking Turns in Dyadic Coping: How Lingering Negative Affect and Perceived Partner Responsiveness Shape Subsequent Support Provision

When experiencing personal distress, people usually expect their romantic partner to be supportive. However, when put in a situation to provide support, people may at times (still) be struggling with issues of their own. This interdependent nature of dyadic coping interactions as well as potential spillover effects is mirrored in the state-of-the-art research method to behaviorally assess couple's dyadic coping processes. This paradigm typically includes two videotaped 8-min dyadic coping conversations in which partners swap roles as sharer and support provider. Little is known about how such dyadic coping interactions may feed back into one another, impacting the motivation and ability to be a responsive support provider. In three behavioral studies, we examined how sharers' experiences may spill over to affect their own support provision in a subsequent dyadic coping interaction. We hypothesized that the extent to which sharers perceive their partner as responsive to their self-disclosure increases the quality of their own subsequent support provision (Hypothesis 1), whereas sharers' lingering negative affect reduces the quality of their own subsequent support provision (Hypothesis 2). In line with our first hypothesis, perceived partner responsiveness predicted the provision of higher-quality support, though primarily as perceived by the partner. Sharers who perceived their partner to have been more responsive were somewhat more likely to subsequently engage in positive dyadic coping and were rated as more responsive by their partners. Negative dyadic coping behavior was unaffected. Evidence for our second hypothesis was mixed. While lingering negative affect did not affect positive dyadic coping behavior or perceived support, it did increase the chances of negative dyadic coping behavior. However, given the very low occurrences of negative affect and negative dyadic coping, these findings should be interpreted with caution. Taken together, these findings suggest that support interactions may feed back into one another, highlighting the complex and interdependent nature of dyadic coping. The strongest and most consistent findings concerned the spillover effect of perceived partner responsiveness on subsequent perceived support quality, speaking to the key role of believing that one's partner is responsive to one's needs in promoting healthy relationship functioning.

Socially connected and COVID-19 prepared: The influence of sociorelational safety on perceived importance of COVID-19 precautions and trust in government responses

COVID-19 caused unprecedented social disruption the likes of which many people had not seen since the Second World War. In order to stop the spread of the virus, most nations were required to enforce strict social distancing precautions, including orders to shelter in place and national lockdowns. However, worries over whether citizens would become fatigued by precautions that constrain personal liberties made some governments hesitant to enact lockdown and social distancing measures early on in the pandemic. When people feel that their social worlds are responsive to their needs, they become more trusting and more willing to sacrifice on behalf of others. Thus, people may view COVID-19 precautions more positively and be more trusting in government responses to such an event if they are inclined to see their sociorelational world as supporting their connectedness needs. In the current study (N = 300), UK residents who were more satisfied that their close others fulfilled their connectedness needs at the start of the government-mandated lockdown, perceived COVID-19 precautions as more important and more effective than those who were relatively dissatisfied in how their connectedness needs were being met, and reported greater trust in the government’s management of the pandemic. These effects persisted in a follow-up one month later. Implications for how society and governments can benefit from the investment in social connectedness and satisfaction, and future directions are discussed.

Secrets, Psychological Health, and the Fear of Discovery

Keeping secrets from one’s partner has been associated with lower well-being and relationship satisfaction. Previous research has suggested that individual differences in self-concealment account for these effects. However, we propose that the fear of discovery (FoD)—defined as the fear that one’s secret may be revealed by means other than deliberate disclosure—predicts the extent to which secrets affect well-being beyond the effects attributable to individual differences. Both a cross-sectional and a longitudinal survey (combined N = 471; 54.4% female; Mage = 39.5) of adults in romantic relationships confirmed that FoD predicted greater preoccupation with the secret, more negative affect, and less relationship satisfaction and commitment beyond that of self-concealment. Multilevel modeling in Study 2 indicated that changes in FoD predicted changes in preoccupation over time. The data are consistent with the notion that FoD promotes greater preoccupation, greater negative affect, and lower levels of relationship well-being.

Shared reality and abstraction: The social nature of predictive models

We propose that abstraction is an interpersonal process and serves a social function. Research on shared reality shows that in communication, people raise their level of abstraction in order to create a common understanding with their communication partner, which can subsequently distort their mental representation of the object of communication. This work demonstrates that, beyond building accurate models, abstraction also functions to build accurate models but also to build socially shared models - to create a shared reality.

Using Network Analysis for Examining Interpersonal Emotion Dynamics

Several contemporary models conceptualize emotion as inherently interpersonal. We demonstrate how network analysis, a class of statistical methods often used to examine intrapersonal dynamic processes, provides a potential avenue for parameterizing interpersonal emotion dynamics (and interpersonal dynamics in general). We claim that this method allows (a) observing interpersonal dynamics at various temporal levels; (b) examining interpersonal dynamics occurring through various emotional pathways; and (c) capturing variations in interpersonal networks, which can subsequently be used to predict changes in outcomes. To demonstrate the potential of this method, we used dyadic daily diary data on emotion dynamics from two samples; Sample 1 involved couples in their routine daily lives, whereas Sample 2 involved couples in their transition to parenthood. Graphical Multilevel-Vector-Autoregressive modeling was used to estimate partners' emotional networks, whereas in a second step, LASSO was used to test the predictive value of couple-level differences of the obtained networks. The analysis revealed several patterns. For example, the between-couple network of Sample 1 was more interpersonally dense, but couple-level differences in the networks' interpersonal associations were predictive of partners' relationship satisfaction over time only in Sample 2. We also include commented code implementing a new dyadmlvar R package developed for conducting this analysis.

Relational events are more consequential when accompanied by emotional similarity

Shared experience - i.e. commonality in inner states such as feelings, beliefs, or concerns - plays an important role in establishing and maintaining close relationships. Emotional Similarity (ES) can be thought of as one type of shared experience, but the exact role it plays in our responses to specific contexts (objects, events, circumstances) is not well understood. We sought to examine the day-level context-dependent roles of romantic partners' ES. We hypothesised that relational events (i.e. conflict and sexual activity) occurring on days with high ES would be more consequential. Two samples (N = 44, N = 80) of committed couples completed daily diaries for three and five weeks, respectively. Each evening, partners reported their currently-felt moods, relationship quality, and the occurrence of conflict and/or sex in the preceding 24 h. ES was operationalised as the profile similarity between the partners' moods on each day. Generally, ES moderated the associations between conflict or sex and relational outcomes: on days marked by greater ES, conflict and sex had stronger negative/positive outcomes, respectively. These findings highlight the importance of considering ES on a momentary basis and suggest that it may function as an amplifier of charged relational events.

The impact of support provided by close others in the emergency department on threat perceptions

Objective: Having close others present in the emergency department (ED) can cause patients significant distress. The present study tested the hypothesis that close others provide more negative support than non-close others as a potential explanation for this effect.Design: Participants were 493 patients evaluated for an acute coronary syndrome (ACS) in the ED (M_Age = 62.01, SD_Age = 13.55; 49.49% male) and who arrived with close others (i.e. spouse/partner, child) or non-close others (e.g. neighbour). Patients self-reported support from companions and threat perceptions (in-ED and at recall approximately three days later).Main outcome measures: Positive support (comfort, responsiveness); negative support (made patients anxious, required comforting); threat perceptions (feeling helpless, vulnerable).Results: Close (vs non-close) others provided patients with marginally more positive support, but also required more comfort, B = 0.32, p = .050, and caused patients more anxiety, B = 0.24, p = .009. Anxiety was associated with patients' Threat Perceptions: in-ED, B = 0.11, p = .002; recall, B = 0.14, p < .001; as was provision of comfort to support partners: recall, B = .06, p = .005.Conclusion: Negative support may be one mechanism underlying the association between close others and patient distress in the ED.

Actual and Perceived Emotional Similarity in Couples’ Daily Lives

We used two experience sampling studies to examine whether close romantic partners’ feelings of love and perceived partner responsiveness are better predicted by their actual emotional similarity or by their perceived emotional similarity. Study 1 revealed that the more partners were emotionally similar, the more they perceived their partner as responsive. This effect was mediated by perceived similarity, indicating that emotional similarity had to be detected in order to exert an effect. Further, when people overperceived their emotional similarities, they also reported more perceived partner responsiveness. Study 2 replicated these findings, by revealing similar effects for actual and perceived similarity on the love people reported to feel toward their partner. Implications for understanding the factors that predict feelings of love and responsiveness in close relationships are discussed.

A Tool for Assessing the Experience of Shared Reality: Validation of the German SR-T

Humans are highly motivated to achieve shared reality - common inner states (i.e., judgments, opinions, attitudes) with others about a target object. Scholarly interest in the phenomenon has been rapidly growing over the last decade, culminating in the development of a five-item self-report scale for Shared Reality about a Target (SR-T; Schmalbach et al., unpublished). The present study aims to validate the German version of the scale. Individuals can establish shared reality either by receiving social verification (i.e., agreement or confirmation from an interaction partner) or by aligning their inner state with that of their partner. To increase the scope of the present validation, we implemented both pathways of shared-reality creation in three studies (N = 522). Study 1 employed a social judgment task, in which participants assessed ambiguous social situations and received confirming (vs. disconfirming) feedback from their partner. Studies 2 and 3 build on the saying-is-believing paradigm, in which participants align their own evaluation of the target with their partner's judgment. Based on an evaluatively ambiguous description, participants communicated about a target person and later recalled information about the target (Study 2). To further generalize the findings, message production was omitted from the paradigm in Study 3. Overall, the five-item model of the SR-T evinced good fit and reliability. In Study 1, the SR-T reflected experimentally induced differences in commonality of judgments- even when controlling for several related state measures, such as Inclusion of Other in the Self and Need Threat. In Studies 2 and 3, the SR-T predicted participants' evaluative recall bias, which is an established, indirect index of communicators' shared-reality creation. This effect was stronger when participants overtly communicated with their study partner, but it still emerged without overt communication. Across all studies, correlations with related constructs support the convergent validity of the SR-T. In sum, we recommend the use of the SR-T in research on interpersonal processes and communication.

Bringing close others to the emergency department for an acute coronary event is associated with increased patient perception of threat

OBJECTIVE

Relationship quality is one of the most consistent psychosocial predictors of physical and mental health. Yet, little research examines relationship types or support within the immediate context of acute health events. We tested the unexplored role that close others play in patients' experience of threat during evaluation for acute coronary syndrome (ACS) in the Emergency Department (ED), as well as the indirect effect of close others on ACS-induced posttraumatic stress disorder (PTSD).

METHOD

Participants were 871 patients evaluated for ACS at an urban academic ED (60.86 years old; 54.08% male; 56.37% Hispanic, 19.86% Black, 16.65% White). Threat perceptions were assessed in-ED and median 3 days later. ACS-induced PTSD was assessed median 41 days later using the PTSD checklist cued to a specific stressor. Non-overlapping categories were created representing close others in the ED (i.e., spouse/significant other, child), non-close others (e.g., neighbor), or no one.

RESULTS

Patients who brought close others recalled experiencing greater threat in the ED: vs. no one, b = 0.11, p = .072; vs. non-close others, b = 0.16, p = .030. There was no direct effect of close others on ACS-induced PTSD; however, recalled threat mediated the effect of close others on development of ACS-induced PTSD, ps < .05.

CONCLUSIONS

Close others were associated with recalling greater threat during ED evaluation, which predicted ACS-induced PTSD. ACS-induced PTSD is associated with medication nonadherence, event recurrence, and mortality, highlighting the need to develop a greater understanding of the impact stressful medical environments have on patients and close others.

Epistemic companions: shared reality development in close relationships

We propose a framework outlining the development of shared reality in close relationships. In this framework, we attempt to integrate disparate close relationship phenomena under the conceptual umbrella of shared reality. We argue that jointly satisfying epistemic needs-making sense of the world together-plays an important but under-appreciated role in establishing and maintaining close relationships. Specifically, we propose that dyads progress through four cumulative phases in which new forms of shared reality emerge. Relationships are often initiated when people discover Shared Feelings, which then facilitate the co-construction of dyad-specific Shared Practices. Partners then form an interdependent web of Shared Coordination and ultimately develop a Shared Identity. Each emergent form of shared reality continues to evolve throughout subsequent phases, and, if neglected, can engender relationship dissolution.