What is Self-Regulation Theory?

Introduction

Self-regulation theory (SRT) is a system of conscious personal management that involves the process of guiding one’s own thoughts, behaviours and feelings to reach goals.

Self-regulation consists of several stages and individuals must function as contributors to their own motivation, behaviour and development within a network of reciprocally interacting influences.

Background

Roy Baumeister, one of the leading social psychologists who have studied self-regulation, claims it has four components:

  • Standards of desirable behaviour;
  • Motivation to meet standards;
  • Monitoring of situations and thoughts that precede breaking said standards; and
  • Willpower.

Baumeister along with other colleagues developed three models of self-regulation designed to explain its cognitive accessibility: self-regulation as a knowledge structure, strength, or skill. Studies have been done to determine that the strength model is generally supported, because it is a limited resource in the brain and only a given amount of self-regulation can occur until that resource is depleted.

SRT can be applied to:

  • Impulse control, the management of short-term desires.
    • People with low impulse control are prone to acting on immediate desires.
    • This is one route for such people to find their way to jail as many criminal acts occur in the heat of the moment.
    • For non-violent people it can lead to losing friends through careless outbursts, or financial problems caused by making too many impulsive purchases.
  • The cognitive bias known as illusion of control.
    • To the extent that people are driven by internal goals concerned with the exercise of control over their environment, they will seek to reassert control in conditions of chaos, uncertainty or stress.
    • Failing genuine control, one coping strategy will be to fall back on defensive attributions of control – leading to illusions of control (Fenton-O’Creevy et al., 2003).
  • Goal attainment and motivation.
  • Sickness behaviour.

SRT consists of several stages. First, the patient deliberately monitors one’s own behaviour and evaluates how this behaviour affects one’s health. If the desired effect is not realised, the patient changes personal behaviour. If the desired effect is realised, the patient reinforces the effect by continuing the behaviour (Kanfer, 1970; 1971; 1980).

Another approach is for the patient to realise a personal health issue and understand the factors involved in that issue. The patient must decide upon an action plan for resolving the health issue. The patient will need to deliberately monitor the results in order to appraise the effects, checking for any necessary changes in the action plan (Leventhal & Nerenz, 1984).

Another factor that can help the patient reach their own goal of personal health is to relate to the patient the following:

  • Help them figure out the personal/community views of the illness;
  • Appraise the risks involved; and
  • Give them potential problem-solving/coping skills.

Four components of self-regulation described by Baumeister et al. (2007) are:

  • Standards: Of desirable behaviour.
  • Motivation: To meet standards.
  • Monitoring: Of situations and thoughts that precede breaking standards.
  • Willpower: Internal strength to control urges.

Brief History and Contributors

Albert Bandura

There have been numerous researchers, psychologists and scientists who have studied self-regulatory processes. Albert Bandura, a cognitive psychologist had significant contributions focusing on the acquisition of behaviours that led to the social cognitive theory and social learning theory. His work brought together behavioural and cognitive components in which he concluded that “humans are able to control their behaviour through a process known as self-regulation.” This led to his known process that contained: self observation, judgment and self response. Self observation (also known as introspection) is a process involving assessing one’s own thoughts and feelings in order to inform and motivate the individual to work towards goal setting and become influenced by behavioural changes. Judgement involves an individual comparing his or her performance to their personal or created standards. Lastly, self-response is applied, in which an individual may reward or punish his or herself for success or failure in meeting standard(s). An example of self-response would be rewarding oneself with an extra slice of pie for doing well on an exam.

Dale Schunk

According to Schunk (2012), Lev Vygotsky who was a Russian psychologist and was a major influence on the rise of constructivism, believed that self-regulation involves the coordination of cognitive processes such as planning, synthesizing and formulating concepts (Henderson & Cunningham, 1994); however, such coordination does not proceed independently of the individual’s social environment and culture. In fact, self-regulation is inclusive of the gradual internalisation of language and concepts.

Roy Baumeister

As a widely studied theory, SRT was also greatly impacted by the well-known social psychologist Roy Baumeister. He described the ability to self-regulate as limited in capacity and through this he coined the term ego depletion. The four components of self-regulation theory described by Roy Baumeister are standards of desirable behaviour, motivation to meet standards, monitoring of situations and thoughts that precede breaking standards and willpower, or the internal strength to control urges. In Baumeister’s paper titled Self-Regulation Failure: An Overview, he express that self-regulation is complex and multifaceted. Baumeister lays out his “three ingredients” of self-regulation as a case for self-regulation failure.

Research

Many studies have been done to test different variables regarding self-regulation. Albert Bandura studied self-regulation before, after and during the response. He created the triangle of reciprocal determinism that includes behaviour, environment and the person (cognitive, emotional and physical factors) that all influence one another. Bandura concluded that the processes of goal attainment and motivation stem from an equal interaction of self-observation, self-reaction, self-evaluation and self-efficacy.

In addition to Bandura’s work, psychologists Muraven, Tice and Baumeister conducted a study for self control as a limited resource. They suggested there were three competing models to self-regulation: self-regulation as a strength, knowledge structure and a skill. In the strength model, they indicated it is possible self-regulation could be considered a strength because it requires willpower and thus is a limited resource. Failure to self-regulate could then be explained by depletion of this resource. For self-regulation as a knowledge structure, they theorised it involves a certain amount of knowledge to exert self control, so as with any learned technique, failure to self-regulate could be explained by insufficient knowledge. Lastly, the model involving self-regulation as a skill referred to self-regulation being built up over time and unable to be diminished; therefore, failure to exert would be explained by a lack of skill. They found that self-regulation as a strength is the most feasible model due to studies that have suggested self-regulation is a limited resource.

Dewall, Baumeister, Gailliot and Maner performed a series of experiments instructing participants to perform ego depletion tasks to diminish the self-regulatory resource in the brain, that they theorized to be glucose. This included tasks that required participants to break a familiar habit, where they read an essay and circled words containing the letter ‘e’ for the first task, then were asked to break that habit by performing a second task where they circled words containing ‘e’ and/or ‘a’. Following this trial, participants were randomly assigned to either the glucose category, where they drank a glass of lemonade made with sugar, or the control group, with lemonade made from Splenda. They were then asked their individual likelihoods of helping certain people in hypothetical situations, for both kin and non-kin and found that excluding kin, people were much less likely to help a person in need if they were in the control group (with Splenda) than if they had replenished their brain glucose supply with the lemonade containing real sugar. This study also supports the model for self-regulation as a strength because it confirms it is a limited resource.

Baumeister and colleagues expanded on this and determined the four components to self-regulation. Those include standards of desirable behaviour, motivation to meet these standards, monitoring of situations and thoughts that precede breaking standards and willpower.

Applications and Examples

Impulse control in self-regulation involves the separation of our immediate impulses and long-term desires. We can plan, evaluate our actions and refrain from doing things we will regret. Research shows that self-regulation is a strength necessary for emotional well-being. Violation of one’s deepest values results in feelings of guilt, which will undermine well-being. The illusion of control involves people overestimating their own ability to control events. Such as, when an event occurs an individual may feel greater a sense of control over the outcome that they demonstrably do not influence. This emphasizes the importance of perception of control over life events.

The self-regulated learning is the process of taking control and evaluating one’s own learning and behaviour. This emphasizes control by the individual who monitors, directs and regulates actions toward goals of information. In goal attainment self-regulation it is generally described in these four components of self-regulation. Standards, which is the desirable behaviour. Motivation, to meet the standards. Monitoring, situations and thoughts that precede breaking standards. Willpower, internal strength to control urges.

Illness behaviour in self-regulation deals with issues of tension that arise between holding on and letting go of important values and goals as those are threatened by disease processes. Also people who have poor self-regulatory skills do not succeed in relationships or cannot hold jobs. Sayette (2004) describes failures in self-regulation as in two categories: under regulation and misregulation. Under regulation is when people fail to control oneself whereas misregulation deals with having control but does not bring up the desired goal (Sayette, 2004).

Criticisms/Challenges

One challenge of self-regulation is that researchers often struggle with conceptualising and operationalising self-regulation (Carver & Scheier, 1990). The system of self-regulation comprises a complex set of functions, including research cognition, problem solving, decision making and meta cognition.

Ego depletion refers to self control or willpower drawing from a limited pool of mental resources. If an individual has low mental activity, self control is typically impaired, which may lead to ego depletion. Self control plays a valuable role in the functioning of self in people. The illusion of control involves the overestimation of an individual’s ability to control certain events. It occurs when someone feels a sense of control over outcomes although they may not possess this control. Psychologists have consistently emphasized the importance of perceptions of control over life events. Heider proposed that humans have a strong motive to control their environment.

Reciprocal determinism is a theory proposed by Albert Bandura, stating that a person’s behaviour is influenced both by personal factors and the social environment. Bandura acknowledges the possibility that individual’s behaviour and personal factors may impact the environment. These can involve skills that are either under or overcompensating the ego and will not benefit the outcome of the situation.

Recently, Baumeister’s strength model of ego depletion has been criticised in multiple ways. Meta-analyses found little evidence for the strength model of self-regulation and for glucose as the limited resource that is depleted. A pre-registered trial did not find any evidence for ego depletion. Several commentaries have raised criticism on this particular study. In summary, many central assumptions of the strength model of self-regulation seem to be in need of revision, especially the view of self-regulation as a limited resource that can be depleted and glucose as the fuel that is depleted seems to be hardly defensible without major revisions.

Conclusion

Self-regulation can be applied to many aspects of everyday life, including social situations, personal health management, impulse control and more. Since the strength model is generally supported, ego depletion tasks can be performed to temporarily tax the amount of self-regulatory capabilities in a person’s brain. It is theorised that self-regulation depletion is associated with willingness to help people in need, excluding members of an individual’s kin. Many researchers have contributed to these findings, including Albert Bandura, Roy Baumeister and Robert Wood.

What are Self-Help Groups for Mental Health?

Introduction

Self-help groups for mental health are voluntary associations of people who share a common desire to overcome mental illness or otherwise increase their level of cognitive or emotional wellbeing.

This article focuses on groups for which members do not need to share a common diagnosis or aetiology of their mental illness. Improving mental health and wellbeing is also a desired outcome of groups like, for example, Alcoholics Anonymous and Survivors Network of those Abused by Priests. In those cases, for example, members share the trait of alcoholism or traumatic experiences of abuse by priests and those groups focus on improving the mental health and wellbeing of members while acknowledging their shared circumstances.

Despite the different approaches, many of the psychosocial processes in the groups are the same. Self-help groups have had varying relationships with mental health professionals. Due to the nature of these groups, self-help groups can help defray the costs of mental health treatment and implementation into the existing mental health system could help provide treatment to a greater number of the mentally ill population.

Types

Mutual Support and Self-Help

Mutual support or peer support is a process by which people voluntarily come together to help each other address common problems. Mutual support is social, emotional or instrumental support that is mutually offered or provided by persons with similar mental health conditions where there is some mutual agreement on what is helpful.

Mutual support may include many other mental health consumer non-profits and social groups. Such groups are further distinguished as either Individual Therapy (inner-focused) or Social Reform (outer-focused) groups. The former is where members seek to improve themselves, where as the latter set encompasses advocacy organisations such as the National Alliance on Mental Illness and Psychiatric Rehabilitation Association.

Self-help groups are subsets of mutual support and peer support groups, and have a specific purpose for mutual aid in satisfying a common need, overcoming a shared handicap or life-disrupting problem. Self-help groups are less bureaucratic and work on a more grassroots level. Self-help Organisations are national affiliates of local self-help groups or mental health consumer groups that finance research, maintain public relations or lobby for legislation in favour of those affected.

Behaviour Control or Stress Coping Groups

Of individual therapy groups, researchers distinguish between Behaviour Control groups (such as Alcoholics Anonymous and TOPS) and Stress Coping groups (such as mental health support groups, cancer patient support groups, and groups of single parents). German researchers refer to Stress Coping groups as Conversation Circles.

Significant differences exist between Behavioural Control groups and Stress Coping groups. Meetings of Behaviour Control groups tend to be significantly larger than Stress Coping counterparts (by more than a factor of two). Behaviour Control group members have a longer average group tenure than members of Stress Coping groups (45 months compared to 11 months) and are less likely to consider their membership as temporary. While very few members of either set saw professionals concurrently while being active in their group, Stress Coping members were more likely to have previously seen professionals than Behaviour Control group members. Similarly, Stress Coping groups worked closer with mental health professionals.

Member vs Professional Leadership

Member Leadership

In Germany, a specific subset of Conversation Circles are categorised as Talking Groups (Gesprächsselbsthilfegruppen). In Talking Groups all members of the group have the same rights, each member is responsible only for themselves (group members do not make decisions for other group members), each group is autonomous, everyone attends the group on account of their own problems, whatever is discussed in the group remains confidential, and participation is free of charge.

Professionally Led Group Psychotherapy

Self-help groups are not intended to provide “deep” psychotherapy. Nevertheless, their emphasis on psychosocial processes and the understanding shared by those with the same or similar mental illnesses does achieve constructive treatment goals.

Interpersonal learning, which is done through processes such as feedback and confrontation, is generally deemphasized in self-help groups. This is largely because it can be threatening, and requires training and understanding of small group processes. Similarly, reality testing is also deemphasized. Reality testing relies on consensual validation, offering feedback, seeking feedback and confrontation. These processes seldom occur in self-help groups, though they frequently occur in professionally directed groups.

Professional Affiliation and Group Lifespan

If self-help groups are not affiliated with a national organisation, professional involvement increases their life expectancy. Conversely, if particular groups are affiliated with a national organisation professional involvement decreases their life expectancy. Rules enforcing self-regulation in Talking Groups are essential for the group’s effectiveness.

Typology of Self-Help Groups

In 1991 researchers Marsha A. Schubert and Thomasina Borkman created five conceptual categorizations for self-help groups.

Unaffiliated Groups

Unaffiliated groups are defined as self-help groups that function independently from any control at state or national levels, and from any other group or professionals. These groups accept all potential members, and everyone has an equal opportunity to volunteer or be elected. Leaders serve to help the groups function by collecting donations not through controlling the members. Experiential knowledge is mostly found, and there is a high emphasis on sharing. An example of an unaffiliated group includes Wildflowers’ Movement in Los Angeles.

Federated Groups

Federated groups have superordinate levels of their own self-help organisation at state or national levels which makes publicity and literature available. The local unit of the federated self-help group retains full control of its decisions. These groups tend to rely on experiential knowledge, and professionals rarely directly interact. The leaders of these groups would be any members comfortable with the format and willing to accept responsibilities. Leaders do not need to have formal training to gain their title. Examples of a federated self-help group would be Depression and Bipolar Support Alliance (DBSA) and Recovery International.

Affiliated Groups

Affiliated groups are subordinate to another group, a regional or national level of their own organisation. Local groups conform to the guidelines of the regional/national groups. Leaders are self-helpers not professional caregivers, and meetings included educational activities and sharing, supplemented by research and professionals. Examples of an affiliated self-help group would be the National Alliance on Mental Illness (NAMI).

Managed Groups

Managed groups are based on a combination of self-help and professional techniques. These groups are populated generally through referrals and group activities are led by group members. Managed groups do not meet all the criteria for self-help groups, and so should be designated professionally controlled support groups. Examples of managed groups are common with support groups in hospitals, such as those with breast cancer survivors and patients that may be managed by a nurse or therapist in some professional fashion.

Hybrid Groups

The hybrid group has characteristics of the affiliated and managed groups. Like affiliated groups, hybrid groups are organised by another level of their own organisation. To participate in specialised roles, training is developed by a higher level and enforced through trained leaders or facilitators. Like a managed group, a hybrid group cooperates and interacts with professionals, and that knowledge is highly valued alongside experiential knowledge.

Group Processes

No two self-help group are exactly alike, the make-up and attitudes are influenced by the group ideology and environment. In most cases, the group becomes a miniature society that can function like a buffer between the members and the rest of the world. The most essential processes are those that meet personal and social needs in an environment of safety and simplicity. Elegant theoretical formulations, systematic behavioural techniques, and complicated cognitive-restructuring methods are not necessary.

Despite the differences, researchers have identified many psychosocial processes occurring in self-help groups related to their effectiveness. This list includes, but is not limited to: acceptance, behavioural rehearsal, changing member’s perspectives of themselves, changing member’s perspectives of the world, catharsis, extinction, role modelling, learning new coping strategies, mutual affirmation, personal goal setting, instilling hope, justification, normalisation, positive reinforcement, reducing social isolation, reducing stigma, self-disclosure, sharing (or “opening up”), and showing empathy.

Five theoretical frameworks have been used in attempts to explain the effectiveness of self-help groups.

TheoryOutline
Social SupportHaving a community of people to give physical and emotional comfort, people who love and care, is a moderating factor in the development of psychological and physical disease.
Experiential KnowledgeMembers obtain specialised information and perspectives that other members have obtained through living with severe mental illness. Validation of their approaches to problems increases their confidence.
Social Learning TheoryMembers with experience become credible role models.
Social Comparison TheoryIndividuals with similar mental illness are attracted to each other in order to establish a sense of normalcy for themselves. Comparing one another to each other is considered to provide other peers with an incentive to change for the better either through upward comparison (looking up to someone as a role model) or downward comparison (seeing an example of how debilitating mental illness can be).
Helper TheoryThose helping each other feel greater interpersonal competence from changing other’s lives for the better. The helpers feel they have gained as much as they have given to others. The helpers receive “personalized learning” from working with helpees. The helpers’ self-esteem improves with the social approval received from those they have helped, putting them in a more advantageous position to help others.

A framework derived from common themes in empirical data describes recovery as a contextual nonlinear process, a trend of general improvement with unavoidable paroxysms while negotiating environmental, socioeconomic and internal forces, motivated by a drive to move forward in one’s life. The framework identified several negotiation strategies, some designed to accommodate illnesses and others designed to change thinking and behaviour. The former category includes strategies such as acceptance and balancing activities. The latter includes positive thinking, increasing one’s own personal agency/control and activism within the mental health system.

Relationship with Mental Health Professionals

A 1978 survey of mental health professionals in the United States found they had a relatively favourable opinion of self-help groups and there was a hospitable climate for integration and cooperation with self-help groups in the mental health delivery system. The role of self-help groups in instilling hope, facilitating coping, and improving the quality of life of their members is now widely accepted in many areas both inside and outside of the general medical community.

The 1987 Surgeon’s General Workshop marked a publicised call for egalitarian relationships with self-help groups. Surgeon General C. Everett Koop presented at this workshop, advocating for relationships that are not superordinate-subordinate, but rather emphasizing respectful, equal relations.

A survey of psychotherapists in Germany found that 50% of the respondents reported a high or very high acceptance of self-help groups and 43.2% rated their acceptance of self-help groups as moderate. Only 6.8% of respondents rated their acceptance of self-help groups as low or very low.

Surveys of self-help groups have shown very little evidence of antagonism towards mental health professionals. The maxim of self-help groups in the United States is “Doctors know better than we do how sickness can be treated. We know better than doctors how sick people can be treated as humans.”

Referrals

A large majority of self-help users use professional services as a gateway to self-help services, or concurrently with professional service or the aftercare following professional service. Professional referrals to self-help groups thus can be a cost-effective method of continuing mental health services and the two can co-exist within their own fields. While twelve-step groups, such as Alcoholics Anonymous, make an indispensable contribution to the mental and/or substance use (M/SU) professional services system, a vast number of non-twelve-step groups remain underutilised within that system.

Professional referrals to self-help groups for mental health are less effective than arranging for prospective self-help members to meet with veterans of the self-help group. This is true even when compared to referrals from professionals familiar with the self-help group when referring clients to it. Referrals mostly come from informal sources (e.g. family, friends, word of mouth, self). Those attending groups as a result of professional referrals account for only one fifth to one-third of the population. One survey found 54% of members learned about their self-help group from the media, 40% learned about their group from friends and relatives, and relatively few learned about them from professional referrals.

Effectiveness

Self-help groups are effective for helping people cope with, and recover from, a wide variety of problems. German Talking Groups have been shown to be as effective as psychoanalytically oriented group therapy. Participation in self-help groups for mental health is correlated with reductions in psychiatric hospitalisations, and shorter hospitalisations if they occur. Members demonstrate improved coping skills, greater acceptance of their illness, improved medication adherence, decreased levels of worry, higher satisfaction with their health, improved daily functioning and improved illness management. Participation in self-help groups for mental health encourages more appropriate use of professional services, making the time spent in care more efficient. The amount of time spent in the programmes, and how proactive the members are in them, has also been correlated with increased benefits. Decreased hospitalisation and shorter durations of hospitalisation indicate that self-help groups result in financial savings for the health care system, as hospitalisation is one of the most expensive mental health services. Similarly, reduced utilisation of other mental health services may translate into additional savings for the system.

While self-help groups for mental health increase self-esteem, reduce stigma, accelerate rehabilitation, improve decision-making, decrease tendency to decompensate under stress, and improve social functioning, they are not always shown to reduce psychiatric symptomatology. The therapeutic effects are attributed to the increased social support, sense of community, education and personal empowerment.

Members of self-help groups for mental health rated their perception of the group’s effectiveness on average at 4.3 on a 5-point Likert scale.

Social support, in general, can lead to added benefits in managing stress, a factor that can exacerbate mental illness.

Select List of Organisations

Depressed Anonymous

Depressed Anonymous (DA) is based on the model pioneered by Alcoholics Anonymous and open to anyone who wants to stop saddening themselves.

Emotions Anonymous

Emotions Anonymous (EA) is a derivative programme of Neurotics Anonymous and open to anyone who wants to achieve emotional well-being. Following the Twelve Traditions, EA groups cannot accept outside contributions.

GROW

GROW was founded in Sydney, Australia, in 1957 by a Roman Catholic priest, Father Cornelius Keogh, and people who had sought help with their mental illness at Alcoholics Anonymous (AA) meetings. After its inception, GROW members learned of Recovery, Inc. (the organisation now known as Recovery International, see below) and integrated its processes into their programme. GROW’s original literature includes the Twelve Stages of Decline, which state that emotional illness begins with self-centeredness, and the Twelve Steps of Recovery and Personal Growth, a blend of AA’s Twelve Steps and will-training methods from Recovery International. GROW groups are open to anyone who would like to join, though they specifically recruit people who have been in psychiatric hospitals or are socioeconomically disadvantaged. GROW does not operate with funding restrictions and have received state and outside funding in the past.

Neurotics Anonymous

Neurotics Anonymous is a twelve-step programme open to anyone with a desire to become emotionally well. According to the Twelve Traditions followed in the programme, Neurotics Anonymous is unable to accept outside contributions. The term “neurotics” or “neuroses” has since fallen out of favour with mental health professionals, with the movement away from the psychoanalytic principles of a DSM-II. Branches of Neurotics Anonymous have since changed their name to Emotions Anonymous, which is currently the name in favour with the Minnesota Groups. Groups in Mexico, however, called Neuróticos Anónimos still are referred to by the same name, due to the term “neuroticos” having a less pejorative connotation in Spanish. This branch continues to flourish in Mexico City as well as largely Spanish-speaking cities in the United States, such as Los Angeles.

Recovery International

Recovery, Inc. was founded in Chicago, Illinois, in 1937 by psychiatrist Abraham Low using principles in contrast to those popularised by psychoanalysis. During the organisation’s annual meeting in June 2007 it was announced that Recovery, Inc. would thereafter be known as Recovery International. Recovery International is open to anyone identifying as “nervous” (a compromise between the loaded term neurotic and the colloquial phrase “nervous breakdown”); strictly encourages members to follow their physician’s, social worker’s, psychologist’s or psychiatrist’s orders; and does not operate with funding restrictions.

Fundamentally, Low believes “Adult life is not driven by instincts but guided by Will,” using a definition of will opposite of Arthur Schopenhauer’s. Low’s programme is based on increasing determination to act, self-control, and self-confidence. Edward Sagarin compared it to a modern, reasonable, and rational implementation of Émile Coué’s psychotherapy. Recovery International is “twelve-step friendly.” Members of any twelve-step group are encouraged to attend Recovery International meetings in addition to their twelve-step group participation.

Criticism

There are several limitations of self-help groups for mental health, including but not limited to their inability to keep detailed records, lack of formal procedures to follow up with members, absence of formal screening procedures for new members, lack formal leadership training, and likely inability of members to recognise a “newcomer” presenting with a serious illness requiring immediate treatment. Additionally, there is a lack of professional or legal regulatory constraints determining how such groups can operate, there is a danger that members may disregard the advice of mental health professionals, and there can be an anti-therapeutic suppression of ambivalence and hostility. Researchers have also elaborated specific criticisms regarding self-help groups’ formulaic approach, attrition rates, over-generalisation, and “panacea complex”.

Formulaic Approach

Researchers have questioned whether formulaic approaches to self-help group therapy, like the Twelve Steps, could stifle creativity or if adherence to them may prevent the group from making useful or necessary changes. Similarly others have criticised self-help group structure as being too rigid.

High Attrition Rates

There is not a universal appeal of self-help groups; as few as 17% of people invited to attend a self-help group will do so. Of those, only one third will stay for longer than four months. Those who continue are people who value the meetings and the self-help group experience.

Overgeneralisation

Since these groups are not specifically diagnosis-related, but rather for anyone seeking mental and emotional health, they may not provide the necessary sense of community to evoke feelings of oneness required for recovery in self-help groups. Referent power is only one factor contributing to group effectiveness. A study of Schizophrenics Anonymous found expert power to be more influential in measurements of perceived group helpfulness.

Panacea Complex

There is a risk that self-help group members may come to believe that group participation is a panacea – that the group’s processes can remedy any problem.

Sexual Predation and Opportunism

Often membership of non-associated self-help groups is run by volunteers. Monitoring of relationships and standards of conduct are seldom formalised within a group and are done on a self-regulating basis. This can mean undesirable and unethical initiation of sexual and intimate encounters are facilitated in these settings. Predatory and opportunistic behaviour in these environments which by association involve divulging volatile mental states, medication changes and life circumstances mean opportunities by those willing to leverage information that is often normally guarded and deeply personal, is a risk more-so than in other social meetup settings or professionally governed bodies.

On This Day … 20 March [2022]

People (Births)

  • 1895 – Fredric Wertham, German-American psychologist and author (d. 1981).
  • 1904 – B.F. Skinner, American psychologist and author (d. 1990).

Frederic Wertham

Fredric Wertham (born Friedrich Ignatz Wertheimer, 20 March 1895 to 18 November 1981) was a German-American psychiatrist and author. Wertham had an early reputation as a progressive psychiatrist who treated poor black patients at his Lafargue Clinic at a time of heightened discrimination in urban mental health practice. Wertham also authored a definitive textbook on the brain, and his institutional stressor findings were cited when courts overturned multiple segregation statutes, most notably in Brown v. Board of Education.

Despite this, Wertham remains best known for his concerns about the effects of violent imagery in mass media and the effects of comic books on the development of children. His best-known book is Seduction of the Innocent (1954), which asserted that comic books caused youth to become delinquents. Besides Seduction of the Innocent, Wertham also wrote articles and testified before government inquiries into comic books, most notably as part of a US Congressional inquiry into the comic book industry. Wertham’s work, in addition to the 1954 comic book hearings, led to the creation of the Comics Code Authority, although later scholars cast doubt on his observations.

B.F. Skinner

Burrhus Frederic Skinner (20 March 1904 to 18 August 1990) was an American psychologist, behaviourist, author, inventor, and social philosopher. He was a professor of psychology at Harvard University from 1958 until his retirement in 1974.

Considering free will to be an illusion, Skinner saw human action as dependent on consequences of previous actions, a theory he would articulate as the principle of reinforcement: If the consequences to an action are bad, there is a high chance the action will not be repeated; if the consequences are good, the probability of the action being repeated becomes stronger.

Skinner developed behaviour analysis, especially the philosophy of radical behaviourism, and founded the experimental analysis of behaviour, a school of experimental research psychology. He also used operant conditioning to strengthen behaviour, considering the rate of response to be the most effective measure of response strength. To study operant conditioning, he invented the operant conditioning chamber (aka the Skinner box), and to measure rate he invented the cumulative recorder. Using these tools, he and Charles Ferster produced Skinner’s most influential experimental work, outlined in their 1957 book Schedules of Reinforcement.

Skinner was a prolific author, publishing 21 books and 180 articles. He imagined the application of his ideas to the design of a human community in his 1948 utopian novel, Walden Two, while his analysis of human behaviour culminated in his 1958 work, Verbal Behaviour.

Skinner, John B. Watson and Ivan Pavlov, are considered to be the pioneers of modern behaviourism. Accordingly, a June 2002 survey listed Skinner as the most influential psychologist of the 20th century.

On This Day … 19 March [2022]

People (Deaths)

  • 1996 – Lise Østergaard, Danish psychologist and politician (b. 1924).

Lise Ostergaard

Anna Elisabeth “Lise” Østergaard (18 November 1924 to 19 March 1996) was a Danish psychologist and a politician in the social-democratic party.

Under Anker Jørgensen’s leadership, she was Minister without Portfolio (1977-1980) and Minister of Culture (February 1980 to September 1982). As a psychologist, she was head of psychology in Copenhagen’s Rigshospitalet (1958) as well as the first woman to become professor of clinical psychology at Copenhagen University (1963), a position she resumed after her political career ended in the mid-1980s.

What is Repression (Psychoanalysis)?

Introduction

Repression is a key concept of psychoanalysis, where it is understood as a defence mechanism that “ensures that what is unacceptable to the conscious mind, and would if recalled arouse anxiety, is prevented from entering into it.”

According to psychoanalytic theory, repression plays a major role in many mental illnesses, and in the psyche of the average person.

There has been debate as to whether (or how often) memory repression really occurs and mainstream psychology holds that true memory repression occurs only very rarely. American psychologists began to attempt to study repression in the experimental laboratory around 1930. However, psychoanalysts were at first uninterested in attempts to study repression in laboratory settings, and later came to reject them. Most psychoanalysts concluded that such attempts misrepresented the psychoanalytic concept of repression.

Sigmund Freud’s Theory

As Sigmund Freud moved away from hypnosis, and towards urging his patients to remember the past in a conscious state, ‘the very difficulty and laboriousness of the process led Freud to a crucial insight’. The intensity of his struggles to get his patients to recall past memories led him to conclude that ‘there was some force that prevented them from becoming conscious and compelled them to remain unconscious … pushed the pathogenetic experiences in question out of consciousness. I gave the name of repression to this hypothetical process’.

Freud would later call the theory of repression “the corner-stone on which the whole structure of psychoanalysis rests” (“On the History of the Psycho-Analytic Movement”).

Freud developed many of his early concepts with his mentor, Josef Breuer. Moreover, while Freud himself noted that the philosopher Arthur Schopenhauer in 1884 had hinted at a notion of repression (but he had only read him in later life), he did not mention that Johann Friedrich Herbart, psychologist and founder of pedagogy whose ideas were very influential in Freud’s environment and in particular with Freud’s psychiatry teacher Theodor Meynert, had used the term in 1824 in his discussion of unconscious ideas competing to get into consciousness.

Stages

Freud considered that there was ‘reason to assume that there is a primal repression, a first phase of repression, which consists in the psychical (ideational) representative of the instinct being denied entrance into the conscious’, as well as a ‘second stage of repression, repression proper, which affects mental derivatives of the repressed representative: distinguished what he called a first stage of ‘primal repression’ from ‘the case of repression proper (“after-pressure”).’

In the primary repression phase, ‘it is highly probable that the immediate precipitating causes of primal repressions are quantitative factors such as … the earliest outbreaks of anxiety, which are of a very intense kind’. The child realises that acting on some desires may bring anxiety. This anxiety leads to repression of the desire.

When it is internalised, the threat of punishment related to this form of anxiety becomes the superego, which intercedes against the desires of the id (which works on the basis of the pleasure principle). Freud speculated that ‘it is perhaps the emergence of the super-ego which provides the line of demarcation between primal repression and after-pressure

Therapy

Abnormal repression, as defined by Freud, or neurotic behaviour occurs when repression develops under the influence of the superego and the internalised feelings of anxiety, in ways leading to behaviour that is illogical, self-destructive, or antisocial.

A psychotherapist may try to ameliorate this behaviour by revealing and reintroducing the repressed aspects of the patient’s mental processes to their conscious awareness – ‘assuming the role of mediator and peacemaker … to lift the repression’. In favourable circumstances, ‘Repression is replaced by a condemning judgement carried out along the best lines’, thereby reducing anxiety over the impulses involved.

Reactions

The philosopher Jean-Paul Sartre challenged Freud’s theory by maintaining that there is no “mechanism” that represses unwanted thoughts. Since “all consciousness is conscious of itself” we will be aware of the process of repression, even if skilfully dodging an issue. The philosopher Thomas Baldwin stated in The Oxford Companion to Philosophy (1995) that Sartre’s argument that Freud’s theory of repression is internally flawed is based on a misunderstanding of Freud. The philosopher Roger Scruton argued in Sexual Desire (1986) that Freud’s theory of repression disproves the claim, made by Karl Popper and Ernest Nagel, that Freudian theory implies no testable observation and therefore does not have genuine predictive power, since the theory has “strong empirical content” and implies testable consequences.

Later Developments

The psychoanalyst Otto Fenichel stressed that ‘if the disappearance of the original aim from consciousness is called repression, every sublimation is a repression (a “successful” one: through the new type of discharge, the old one has become superfluous)’.

The psychoanalyst Jacques Lacan stressed the role of the signifier in repression – ‘the primal repressed is a signifier’ – examining how the symptom is ‘constituted on the basis of primal repression, of the fall, of the Unterdrückung, of the binary signifier … the necessary fall of this first signifier’.

Family therapy has explored how familial taboos lead to ‘this screening-off that Freud called “repression”‘, emphasising the way that ‘keeping part of ourselves out of our awareness is a very active process … a deliberate hiding of some feeling from our family’.

Experimental Attempts to Study Repression

According to the psychologist Donald W. MacKinnon and his co-author William F. Dukes, American psychologists began to attempt to study repression in the experimental laboratory around 1930. These psychologists were influenced by an exposition of the concept of repression published by the psychoanalyst Ernest Jones in the American Journal of Psychology in 1911. Like other psychologists who attempted to submit the claims of psychoanalysis to experimental test, they did not immediately try to develop new techniques for that purpose, instead conducting surveys of the psychological literature to see whether “experiments undertaken to test other theoretical assertions” had produced results relevant to assessing psychoanalysis. In 1930, H. Meltzer published a survey of experimental literature on “the relationships between feeling and memory” in an attempt to determine the relevance of laboratory findings to “that aspect of the theory of repression which posits a relationship between hedonic tone and conscious memory.” However, according to MacKinnon and Dukes, because Meltzer had an inadequate grasp of psychoanalytic writing he misinterpreted Freud’s view that the purpose of repression is to avoid “unpleasure”, taking the term to mean simply something unpleasant, whereas for Freud it actually meant deep-rooted anxiety. Nevertheless, Meltzer pointed out shortcomings in the studies he reviewed, and in MacKinnon and Dukes’s view he also “recognized that most of the investigations which he reviewed had not been designed specifically to test the Freudian theory of repression.”

In 1934, the psychologist Saul Rosenzweig and his co-author G. Mason criticized Meltzer, concluding that the studies he reviewed suffered from two basic problems: that the studies “worked with hedonic tone associated with sensory stimuli unrelated to the theory of repression rather than with conative hedonic tone associated with frustrated striving, which is the only kind of ‘unpleasantnesss’ which, according to the Freudian theory, leads to repression” and that they “failed to develop under laboratory control the experiences which are subsequently to be tested for recall”. In MacKinnon and Dukes’s view, psychologists who wanted to study repression in the laboratory “faced the necessity of becoming clear about the details of the psychoanalytic formulation of repression if their researches were to be adequate tests of the theory” but soon discovered that “to grasp clearly even a single psychoanalytic concept was an almost insurmountable task.” MacKinnon and Dukes attribute this situation to the way in which Freud repeatedly modified his theory “without ever stating clearly just which of his earlier formulations were to be completely discarded, or if not discarded, how they were to be understood in the light of his more recent assertions.”

MacKinnon and Dukes write that, while psychoanalysts were at first only disinterested in attempts to study repression in laboratory settings, they later came to reject them. They comment that while

“the psychologists had criticized each other’s researches largely on the grounds that their experimental techniques and laboratory controls had not been fully adequate, the psychoanalysts rejected them on the more sweeping grounds that whatever else these researches might be they simply were not investigations of repression.”

They relate that in 1934, when Freud was sent reprints of Rosenzweig’s attempts to study repression, he responded with a dismissive letter stating that “the wealth of reliable observations” on which psychoanalytic assertions were based made them “independent of experimental verification.” In the same letter, Freud concluded that Rosenzweig’s studies “can do no harm.” MacKinnon and Dukes describe Freud’s conclusion as a “first rather casual opinion”, and state that most psychoanalysts eventually adopted a contrary view, becoming convinced that “such studies could indeed be harmful since they misrepresented what psychoanalysts conceived repression to be.”

Writing in 1962, MacKinnon and Dukes state that experimental studies “conducted during the last decade” have largely abandoned the term “repression”, choosing instead to refer to the phenomenon as “perceptual defence”. They argue that this change of terminology has had a major effect on how the phenomenon is understood, and that psychoanalysts, who had attacked earlier studies of repression, did not criticise studies of perceptual defence in a similar fashion, instead neglecting them. They concluded by noting that psychologists remained divided in their view of repression, some regarding it as well-established, others as needing further evidence to support it, and still others finding it indefensible.

A 2020 meta-analysis of 25 studies examined the evidence that active memory suppression actually leads to decreased memory. It was found that in people with a repressive coping strategy, the wilful avoidance of remembering certain memory contents leads to a significant reduction in memory performance for these contents. In addition, healthy people were better able to do this than anxious or depressed people. These results indicate that forgetting induced by suppression is a hallmark of mental wellbeing.

Repressed Memories

One of the issues Freud struggled with was the status of the childhood “memories” recovered from repression in his therapy. He concluded that “these scenes from infancy are not always true. Indeed, they are not true in the majority of cases, and in a few of them they are the direct opposite of the historical truth”. Controversy arose in the late 20th century about the status of such “recovered memories”, particularly of child abuse, with many claiming that Freud had been wrong to ignore the reality of such recovered memories.

While accepting “the realities of child abuse”, the feminist Elaine Showalter considered it important that one “distinguishes between abuse remembered all along, abuse spontaneously remembered, abuse recovered in therapy, and abuse suggested in therapy”. Memory researcher Elizabeth Loftus has shown that it is possible to implant false memories in individuals and that it is possible to “come to doubt the validity of therapeutically recovered memories of sexual abuse … [as] confabulations”. However, criminal prosecutors continue to present them as evidence in legal cases.

There is debate about the possibility of the repression of psychological trauma. While some evidence suggests that “adults who have been through overwhelming trauma can suffer a psychic numbing, blocking out memory of or feeling about the catastrophe”, it appears that the trauma more often strengthens memories due to heightened emotional or physical sensations (However these sensations may also cause distortions, as human memory in general is filtered both by layers of perception, and by “appropriate mental schema … spatio-temporal schemata”).

What is a Relaxation Technique?

Introduction

A relaxation technique (also known as relaxation training) is any method, process, procedure, or activity that helps a person to relax; to attain a state of increased calmness; or otherwise reduce levels of pain, anxiety, stress or anger.

Relaxation techniques are often employed as one element of a wider stress management programme and can decrease muscle tension, lower the blood pressure and slow heart and breath rates, among other health benefits.

People respond to stress in different ways, namely, by becoming overwhelmed, depressed or both. Yoga, QiGong, Taiji, and Pranayama that includes deep breathing tend to calm people who are overwhelmed by stress, while rhythmic exercise improves the mental and physical health of those who are depressed. People who encounter both symptoms simultaneously, feeling depressed in some ways and overexcited in others, may do best by walking or performing yoga techniques that are focused on strength.

Background

Research has indicated that removing stress helps to increase a person’s health.

Research released in the 1980s indicated stronger ties between stress and health and showed benefits from a wider range of relaxation techniques than had been previously known. This research received national media attention, including a New York Times article in 1986.

Uses

People use relaxation techniques for a variety of reasons, including but not limited to:

  • Anger management.
  • Anxiety attacks.
  • Cardiac health.
  • Childbirth.
  • Depression.
  • General well-being.
  • Headache.
  • High blood pressure.
  • Preparation for hypnosis.
  • Immune system support.
  • Insomnia.
  • Pain management.
  • Relaxation (psychology).
  • Stress management.
  • Addiction treatment.
  • Nightmare disorder.

Techniques

Various techniques are used by individuals to improve their state of relaxation. Some of the methods are performed alone; some require the help of another person (often a trained professional); some involve movement, some focus on stillness; while other methods involve different elements.

Certain relaxation techniques known as “formal and passive relaxation exercises” are generally performed while sitting or lying quietly, with minimal movement and involve “a degree of withdrawal”. These include:

  • Autogenic training.
  • Biofeedback.
  • Deep breathing.
  • Guided imagery.
  • Hypnosis.
  • Meditation.
  • Pranayama.
  • Progressive muscle relaxation.
  • Qigong.
  • Transcendental Meditation technique.
  • Yoga Nidra.
  • Zen Yoga.

Movement-based relaxation methods incorporate exercise such as walking, gardening, yoga, T’ai chi, Qigong, and more. Some forms of bodywork are helpful in promoting a state of increased relaxation. Examples include massage, acupuncture, the Feldenkrais Method, myotherapy, reflexology and self-regulation.

Some relaxation methods can also be used during other activities, for example, autosuggestion and prayer. At least one study has suggested that listening to certain types of music, particularly new-age music and classical music, can increase feelings associated with relaxation, such as peacefulness and a sense of ease.

A technique growing in popularity is flotation therapy, which is the use of a float tank in which a solution of Epsom salt is kept at skin temperature to provide effortless floating. Research in the US and Sweden has demonstrated a powerful and profound relaxation after twenty minutes. In some cases, floating may reduce pain and stress and has been shown to release endorphins.

Even actions as simple as a walk in the park have been shown to aid feelings of relaxation, regardless of the initial reason for the visit.

What is Introspection Illusion?

Introduction

The introspection illusion is a cognitive bias in which people wrongly think they have direct insight into the origins of their mental states, while treating others’ introspections as unreliable.

Refer to Rationalisation (Psychology).

The illusion has been examined in psychological experiments, and suggested as a basis for biases in how people compare themselves to others. These experiments have been interpreted as suggesting that, rather than offering direct access to the processes underlying mental states, introspection is a process of construction and inference, much as people indirectly infer others’ mental states from their behaviour.

When people mistake unreliable introspection for genuine self-knowledge, the result can be an illusion of superiority over other people, for example when each person thinks they are less biased and less conformist than the rest of the group. Even when experimental subjects are provided with reports of other subjects’ introspections, in as detailed a form as possible, they still rate those other introspections as unreliable while treating their own as reliable. Although the hypothesis of an introspection illusion informs some psychological research, the existing evidence is arguably inadequate to decide how reliable introspection is in normal circumstances.

In certain situations, this illusion leads people to make confident but false explanations of their own behaviour (called “causal theories”) or inaccurate predictions of their future mental states.

Correction for the bias may be possible through education about the bias and its unconscious nature.

Components

The phrase “introspection illusion” was coined by Emily Pronin. Pronin describes the illusion as having four components:

  1. People give a strong weighting to introspective evidence when assessing themselves.
  2. They do not give such a strong weight when assessing others.
  3. People disregard their own behaviour when assessing themselves (but not others).
  4. Own introspections are more highly weighted than others. It is not just that people lack access to each other’s introspections: they regard only their own as reliable.

Unreliability of Introspection

The idea that people can be mistaken about their inner functioning is one applied by eliminative materialists. These philosophers suggest that some concepts, including “belief” or “pain” will turn out to be quite different from what is commonly expected as science advances. The faulty guesses that people make to explain their thought processes have been called “causal theories”. The causal theories provided after an action will often serve only to justify the person’s behaviour in order to relieve cognitive dissonance. That is, a person may not have noticed the true reasons for their behaviour, even when trying to explain it. The result is an explanation that mostly merely makes themselves feel better. An example might be a man who mistreats others who have a specific quality because he is embarrassed that he himself has that quality. He may not admit this to himself, instead claiming that his prejudice is because he has concluded that the specific quality is bad.

A 1977 paper by psychologists Richard Nisbett and Timothy D. Wilson challenged the directness and reliability of introspection, thereby becoming one of the most cited papers in the science of consciousness. Nisbett and Wilson reported on experiments in which subjects verbally explained why they had a particular preference, or how they arrived at a particular idea. On the basis of these studies and existing attribution research, they concluded that reports on mental processes are confabulated. They wrote that subjects had, “little or no introspective access to higher order cognitive processes”. They distinguished between mental contents (such as feelings) and mental processes, arguing that while introspection gives us access to contents, processes remain hidden.

Although some other experimental work followed from the Nisbett and Wilson paper, difficulties with testing the hypothesis of introspective access meant that research on the topic generally stagnated. A ten-year-anniversary review of the paper raised several objections, questioning the idea of “process” they had used and arguing that unambiguous tests of introspective access are hard to achieve. Updating the theory in 2002, Wilson admitted that the 1977 claims had been too far-reaching. He instead relied on the theory that the adaptive unconscious does much of the moment-to-moment work of perception and behaviour. When people are asked to report on their mental processes, they cannot access this unconscious activity. However, rather than acknowledge their lack of insight, they confabulate a plausible explanation, and “seem” to be “unaware of their unawareness”.

A study conducted by philosopher Eric Schwitzgebel and psychologist Russell T. Hurlburt was set up to measure the extent of introspective accuracy by gathering introspective reports from a single individual who was given the pseudonym “Melanie”. Melanie was given a beeper which sounded at random moments, and when it did she had to note what she was currently feeling and thinking. After analysing the reports the authors had mixed views about the results, the correct interpretation of Melanie’s claims and her introspective accuracy. Even after long discussion the two authors disagreed with each other in the closing remarks, Schwitzgebel being pessimistic and Hurlburt optimistic about the reliability of introspection.

Factors in Accuracy

Nisbett and Wilson conjectured about several factors that they found to contribute to the accuracy of introspective self-reports on cognition.[8]

  • Availability: Stimuli that are highly salient (either due to recency or being very memorable) are more likely to be recalled and considered for the cause of a response.
  • Plausibility: Whether a person finds a stimulus to be a sufficiently likely cause for an effect determines the influence it has on their reporting of the stimulus.
  • Removal in time: The greater the distance in time since the occurrence of an event, the less available and more difficult to accurately recall it is.
  • Mechanics of judgement: People do not recognise the influence that judgment factors (e.g. position effects) have on them, leading to inaccuracies in self-reporting.
  • Context: Focusing on the context of an object distracts from evaluation of that object and can lead people to falsely believe that their thoughts about the object are represented by the context.
  • Non-events: The absence of an occurrence is naturally less salient and available than an occurrence itself, leading non-events to have little influence on reports.
  • Nonverbal behaviour: While people receive a large amount of information about others via nonverbal cues, the verbal nature of relaying information and the difficulty of translating nonverbal behaviour into verbal form lead to its lower reporting frequency.
  • Discrepancy between the magnitudes of cause and effect: Because it seems natural to assume that a certain size cause will lead to a similarly-sized effect, connections between causes and effects of different magnitudes are not often drawn.

Unawareness of Error

Several hypotheses to explain people’s unawareness of their inaccuracies in introspection were provided by Nisbett and Wilson:

  • Confusion between content and process: People are usually unable to access the exact process by which they arrived at a conclusion, but can recall an intermediate step prior to the result. However, this step is still content in nature, not a process. The confusion of these discrete forms leads people to believe that they are able to understand their judgment processes. Nisbett and Wilson have been criticized for failing to provide a clear definition of the differences between mental content and mental processes.
  • Knowledge of prior idiosyncratic reactions to a stimulus: An individual’s belief that they react in an abnormal manner to a stimulus, which would be unpredictable from the standpoint of an outside observer, seems to support true introspective ability. However, these perceived covariations may actually be false, and truly abnormal covariations are rare.
  • Differences in causal theories between subcultures: The inherent differences between discrete subcultures necessitates that they have some differing causal theories for any one stimulus. Thus, an outsider would not have the same ability to discern a true cause as would an insider, again making it seem to the introspector that they have the capacity to understand the judgment process better than can another.
  • Attentional and intentional knowledge: An individual may consciously know that they were not paying attention to a certain stimulus or did not have a certain intent. Again, as insight that an outside observer does not have, this seems indicative of true introspective ability. However, the authors note that such knowledge can actually mislead the individual in the case that it is not as influential as they may think.
  • Inadequate feedback: By nature, introspection is difficult to be disconfirmed in everyday life, where there are no tests of it and others tend not to question one’s introspections. Moreover, when a person’s causal theory of reasoning is seemingly disconfirmed, it is easy for them to produce alternative reasons for why the evidence is actually not disconfirmatory at all.
  • Motivational reasons: Considering one’s own ability to understand their reasoning as being equivalent to an outsider’s is intimidating and a threat to the ego and sense of control. Thus, people do not like to entertain the idea, instead maintaining the belief that they can accurately introspect.

Criticisms

The claim that confabulation of justifications evolved to relieve cognitive dissonance is criticized by some evolutionary biologists for assuming the evolution of a mechanism for feeling dissonanced by a lack of justification. These evolutionary biologists argue that if causal theories had no higher predictive accuracy than prejudices that would have been in place even without causal theories, there would be no evolutionary selection for experiencing any form of discomfort from lack of causal theories. The claim that studies in the United States that appear to show a link between homophobia and homosexuality can be explained by an actual such link is criticised by many scholars. Since much homophobia in the United States is due to religious indoctrination and therefore unrelated to personal sexual preferences, they argue that the appearance of a link is due to volunteer-biased erotica research in which religious homophobes fear God’s judgment but not being recorded as “homosexual” by Earthly psychologists while most non-homophobes are misled by false dichotomies to assume that the notion that men can be sexually fluid is somehow “homophobic” and “unethical”.

Choice Blindness

Inspired by the Nisbett and Wilson paper, Petter Johansson and colleagues investigated subjects’ insight into their own preferences using a new technique. Subjects saw two photographs of people and were asked which they found more attractive. They were given a closer look at their “chosen” photograph and asked to verbally explain their choice. However, in some trials, the experimenter had slipped them the other photograph rather than the one they had chosen, using sleight of hand. A majority of subjects failed to notice that the picture they were looking at did not match the one they had chosen just seconds before. Many subjects confabulated explanations of their preference. For example, a man might say “I preferred this one because I prefer blondes” when he had in fact pointed to the dark-haired woman, but had been handed a blonde. These must have been confabulated because they explain a choice that was never made. The large proportion of subjects who were taken in by the deception contrasts with the 84% who, in post-test interviews, said that hypothetically they would have detected a switch if it had been made in front of them. The researchers coined the phrase “choice blindness” for this failure to detect a mismatch.

A follow-up experiment involved shoppers in a supermarket tasting two different kinds of jam, then verbally explaining their preferred choice while taking further spoonfuls from the “chosen” pot. However, the pots were rigged so that, when explaining their choice, the subjects were tasting the jam they had actually rejected. A similar experiment was conducted with tea. Another variation involved subjects choosing between two objects displayed on PowerPoint slides, then explaining their choice when the description of what they chose had been altered.

Research by Paul Eastwick and Eli Finkel (relationship psychologist) at Northwestern University also undermined the idea that subjects have direct introspective awareness of what attracts them to other people. These researchers examined male and female subjects’ reports of what they found attractive. Men typically reported that physical attractiveness was crucial while women identified earning potential as most important. These subjective reports did not predict their actual choices in a speed dating context, or their dating behaviour in a one-month follow-up.

Consistent with choice blindness, Henkel and Mather found that people are easily convinced by false reminders that they chose different options than they actually chose and that they show greater choice-supportive bias in memory for whichever option they believe they chose.

Criticisms

It is not clear, however, the extent to which these findings apply to real-life experience when we have more time to reflect or use actual faces (as opposed to gray-scale photos). As Professor Kaszniak points out: “although a priori theories are an important component of people’s causal explanations, they are not the sole influence, as originally hypothesized by Nisbett & Wilson. Actors also have privileged information access that includes some degree of introspective access to pertinent causal stimuli and thought processes, as well as better access (than observers) to stimulus-response covariation data about their own behaviour”. Other criticisms point out that people who volunteer to psychology lab studies are not representative of the general population and also are behaving in ways that do not reflect how they would behave in real life. Examples include people of many different non-open political ideologies, despite their enmity to each other, having a shared belief that it is “ethical” to give an appearance of humans justifying beliefs and “unethical” to admit that humans are open-minded in the absence of threats that inhibit critical thinking, making them fake justifications.

Attitude Change

Studies that ask participants to introspect upon their reasoning (for liking, choosing, or believing something, etc.) tend to see a subsequent decrease in correspondence between attitude and behaviour in the participants. For example, in a study by Wilson et al., participants rated their interest in puzzles that they had been given. Prior to rating, one group had been instructed to contemplate and write down their reasons for liking or disliking the puzzles, while the control group was given no such task. The amount of time participants spent playing with each puzzle was then recorded. The correlation between ratings of and time spent playing each puzzle was much smaller for the introspection group than the control group.

A subsequent study was performed to show the generalisability of these results to more “realistic” circumstances. In this study, participants were all involved in a steady romantic relationship. All were asked to rate how well-adjusted their relationship was. One group was beforehand asked to list all of the reasons behind their feelings for their partner, while the control group did not do so. Six months later, the experimenters followed up with participants to check if they were still in the same relationship. Those who had been asked to introspect showed much less attitude-behaviour consistency based upon correlations between earlier relationship ratings and whether they were still dating their partners. This shows that introspection was not predictive, but this also probably means that the introspection has changed the evolution of the relationship.

The authors theorise that these effects are due to participants changing their attitudes, when confronted with a need for justification, without changing their corresponding behaviours. The authors hypothesize that this attitude shift is the result of a combination of things: a desire to avoid feeling foolish for simply not knowing why one feels a certain way; a tendency to make justifications based upon cognitive reasons, despite the large influence of emotion; ignorance of mental biases (e.g. halo effects); and self-persuasion that the reasons one has come up with must be representative with their attitude. In effect, people attempt to supply a “good story” to explain their reasoning, which often leads to convincing themselves that they actually hold a different belief. In studies wherein participants chose an item to keep, their subsequent reports of satisfaction with the item decreased, suggesting that their attitude changes were temporary, returning to the original attitude over time.

Introspection by Focusing on Feelings

In contrast with introspection by focusing on reasoning, that which instructs one to focus on their feelings has actually been shown to increase attitude-behaviour correlations. This finding suggests that introspecting on one’s feelings is not a maladaptive process.

Criticisms

The theory that there are mental processes that act as justifications do not make behaviour more adaptive is criticized by some biologists who argue that the cost in nutrients for brain function selects against any brain mechanism that does not make behaviour more adapted to the environment. They argue that the cost in essential nutrients causes even more difficulty than the cost in calories, especially in social groups of many individuals needing the same scarce nutrients, which imposes substantial difficulty on feeding the group and lowers their potential size. These biologists argue that the evolution of argumentation was driven by the effectiveness of arguments on changing risk perception attitudes and life and death decisions to a more adaptive state, as “luxury functions” that did not enhance life and death survival would lose the evolutionary “tug of war” against the selection for nutritional thrift. While there have been claims of non-adaptive brain functions being selected by sexual selection, these biologists criticise any applicability to introspection illusion’s causal theories because sexually selected traits are most disabling as a fitness signal during or after puberty but human brains require the highest amount of nutrients before puberty (enhancing the nerve connections in ways that make adult brains capable of faster and more nutrient-efficient firing).

A Priori Causal Theories

In their classic paper, Nisbett and Wilson proposed that introspective confabulations result from a priori theories, of which they put forth four possible origins:

  • Explicit cultural rules (e.g., stopping at red traffic lights).
  • Implicit cultural theories, with certain schemata for likely stimulus-response relationships (e.g. an athlete only endorses a brand because he is paid to do so).
  • Individual observational experiences that lead one to form a theory of covariation (e.g. “I feel nervous. I always get nervous when I have to talk at meetings!”).
  • Similar connotation between stimulus and response.

The authors note that the use of these theories does not necessarily lead to inaccurate assumptions, but that this frequently occurs because the theories are improperly applied.

Explaining Biases

Pronin argues that over-reliance on intentions is a factor in a number of different biases. For example, by focusing on their current good intentions, people can overestimate their likelihood of behaving virtuously.

In Perceptions of Bias

The bias blind spot is an established phenomenon that people rate themselves as less susceptible to bias than their peer group. Emily Pronin and Matthew Kugler argue that this phenomenon is due to the introspection illusion. Pronin and Kugler’s interpretation is that when people decide whether someone else is biased, they use overt behaviour. On the other hand, when assessing whether or not they themselves are biased, people look inward, searching their own thoughts and feelings for biased motives. Since biases operate unconsciously, these introspections are not informative, but people wrongly treat them as reliable indication that they themselves, unlike other people, are immune to bias.

In their experiments, subjects had to make judgments about themselves and about other subjects. They displayed standard biases, for example rating themselves above the others on desirable qualities (demonstrating illusory superiority). The experimenters explained cognitive bias, and asked the subjects how it might have affected their judgement. The subjects rated themselves as less susceptible to bias than others in the experiment (confirming the bias blind spot). When they had to explain their judgments, they used different strategies for assessing their own and others’ bias.

Pronin and Kugler tried to give their subjects access to others’ introspections. To do this, they made audio recordings of subjects who had been told to say whatever came into their heads as they decided whether their answer to a previous question might have been affected by bias. Although subjects persuaded themselves they were unlikely to be biased, their introspective reports did not sway the assessments of observers.

When asked what it would mean to be biased, subjects were more likely to define bias in terms of introspected thoughts and motives when it applied to themselves, but in terms of overt behaviour when it applied to other people. When subjects were explicitly told to avoid relying on introspection, their assessments of their own bias became more realistic.

Additionally, Nisbett and Wilson found that asking participants whether biases (such as the position effect in the stocking study) had an effect on their decisions resulted in a negative response, in contradiction with the data.

In Perceptions of Conformity

Another series of studies by Pronin and colleagues examined perceptions of conformity. Subjects reported being more immune to social conformity than their peers. In effect, they saw themselves as being “alone in a crowd of sheep”. The introspection illusion appeared to contribute to this effect. When deciding whether others respond to social influence, subjects mainly looked at their behaviour, for example explaining other student’s political opinions in terms of following the group. When assessing their own conformity, subjects treat their own introspections as reliable. In their own minds, they found no motive to conform, and so decided that they had not been influenced.

In Perceptions of Control and Free Will

Psychologist Daniel Wegner has argued that an introspection illusion contributes to belief in paranormal phenomena such as psychokinesis. He observes that in everyday experience, intention (such as wanting to turn on a light) is followed by action (such as flicking a light switch) in a reliable way, but the processes connecting the two are not consciously accessible. Hence though subjects may feel that they directly introspect their own free will, the experience of control is actually inferred from relations between the thought and the action. This theory, called “apparent mental causation”, acknowledges the influence of David Hume’s view of the mind. This process for detecting when one is responsible for an action is not totally reliable, and when it goes wrong there can be an illusion of control. This could happen when an external event follows, and is congruent with, a thought in someone’s mind, without an actual causal link.

As evidence, Wegner cites a series of experiments on magical thinking in which subjects were induced to think they had influenced external events. In one experiment, subjects watched a basketball player taking a series of free throws. When they were instructed to visualise him making his shots, they felt that they had contributed to his success.

If the introspection illusion contributes to the subjective feeling of free will, then it follows that people will more readily attribute free will to themselves rather than others. This prediction has been confirmed by three of Pronin and Kugler’s experiments. When college students were asked about personal decisions in their own and their roommate’s lives, they regarded their own choices as less predictable. Staff at a restaurant described their co-workers’ lives as more determined (having fewer future possibilities) than their own lives. When weighing up the influence of different factors on behaviour, students gave desires and intentions the strongest weight for their own behaviour, but rated personality traits as most predictive of other people.

However, criticism of Wegner’s claims regarding the significance of introspection illusion for the notion of free will has been published.

Criticisms

Research shows that human volunteers can estimate their response times accurately, in fact knowing their “mental processes” well, but only with substantial demands made on their attention and cognitive resources (i.e. they are distracted while estimating). Such estimation is likely more than post hoc interpretation and may incorporate privileged information. Mindfulness training can also increase introspective accuracy in some instances. Nisbett and Wilson’s findings were criticized by psychologists Ericsson and Simon, among others.

Correction

A study that investigated the effect of educating people about unconscious biases on their subsequent self-ratings of susceptibility to bias showed that those who were educated did not exhibit the bias blind spot, in contrast with the control group. This finding provides hope that being informed about unconscious biases such as the introspection illusion may help people to avoid making biased judgments, or at least make them aware that they are biased. Findings from other studies on correction of the bias yielded mixed results. In a later review of the introspection illusion, Pronin suggests that the distinction is that studies that merely provide a warning of unconscious biases will not see a correction effect, whereas those that inform about the bias and emphasize its unconscious nature do yield corrections. Thus, knowledge that bias can operate during conscious awareness seems the defining factor in leading people to correct for it.

Timothy Wilson has tried to find a way out from “introspection illusion”, recounted in his book Strangers to Ourselves. He suggests that the observation of our own behaviours more than our thoughts can be one of the keys for clearer introspective knowledge.

Criticisms

Some 21st century critical rationalists argue that claims of correcting for introspection illusions or other cognitive biases pose a threat of immunising themselves to criticism by alleging that criticism of psychological theories that claim cognitive bias are “justifications” for cognitive bias, making it non-falsifiable by labelling of critics and also potentially totalitarian. These modern critical rationalists argue that defending a theory by claiming that it overcomes bias and alleging that critics are biased, can defend any pseudoscience from criticism; and that the claim that “criticism of A is a defence of B” is inherently incapable of being evidence-based, and that any actual “most humans” bias (if it existed) would be shared by most psychologists thus make psychological claims of biases a way of accusing unbiased criticism of being biased and marketing the biases as overcoming of bias.

What is Rationalisation (Psychology)?

Introduction

Rationalisation is a defence mechanism (ego defence) in which apparent logical reasons are given to justify behaviour that is motivated by unconscious instinctual impulses.

It is an attempt to find reasons for behaviours, especially ones own. Rationalisations are used to defend against feelings of guilt, maintain self-respect, and protect oneself from criticism.

Rationalisation happens in two steps:

  • A decision, action, judgement is made for a given reason, or no (known) reason at all.
  • A rationalisation is performed, constructing a seemingly good or logical reason, as an attempt to justify the act after the fact (for oneself or others).

Rationalisation encourages irrational or unacceptable behaviour, motives, or feelings and often involves ad hoc hypothesizing. This process ranges from fully conscious (e.g. to present an external defence against ridicule from others) to mostly unconscious (e.g. to create a block against internal feelings of guilt or shame). People rationalise for various reasons – sometimes when we think we know ourselves better than we do. Rationalisation may differentiate the original deterministic explanation of the behaviour or feeling in question.

Many conclusions individuals come to do not fall under the definition of rationalisation as the term is denoted above.

Brief History

Quintilian and classical rhetoric used the term colour for the presenting of an action in the most favourable possible perspective. Laurence Sterne in the eighteenth century took up the point, arguing that, were a man to consider his actions, “he will soon find, that such of them, as strong inclination and custom have prompted him to commit, are generally dressed out and painted with all the false beauties [colour] which, a soft and flattering hand can give them”.

DSM Definition

According to the DSM-IV, rationalisation occurs “when the individual deals with emotional conflict or internal or external stressors by concealing the true motivations for their own thoughts, actions, or feelings through the elaboration of reassuring or self serving but incorrect explanations”.

Examples

Individual

  • Rationalisation can be used to avoid admitting disappointment: “I didn’t get the job that I applied for, but I really didn’t want it in the first place.”

Egregious rationalisations intended to deflect blame can also take the form of ad hominem attacks or DARVO (deny, attack, and reverse victim and offender). Some rationalisations take the form of a comparison. Commonly, this is done to lessen the perception of an action’s negative effects, to justify an action, or to excuse culpability:

  • “At least [what occurred] is not as bad as [a worse outcome].”
  • In response to an accusation: “At least I didn’t [worse action than accused action].”
  • As a form of false choice: “Doing [undesirable action] is a lot better than [a worse action].”
  • In response to unfair or abusive behaviour: “I must have done something wrong if they treat me like this.”

Based on anecdotal and survey evidence, John Banja states that the medical field features a disproportionate amount of rationalisation invoked in the “covering up” of mistakes. Common excuses made are:

  • “Why disclose the error? The patient was going to die anyway.”
  • “Telling the family about the error will only make them feel worse.”
  • “It was the patient’s fault. If he wasn’t so (sick, etc.), this error wouldn’t have caused so much harm.”
  • “Well, we did our best. These things happen.”
  • “If we’re not totally and absolutely certain the error caused the harm, we don’t have to tell.”
  • “They’re dead anyway, so there’s no point in blaming anyone.”

In 2018 Muel Kaptein and Martien van Helvoort developed a model, called the Amoralisations Alarm Clock, that covers all existing amoralisations in a logical way. Amoralisations, also called neutralisations, or rationalisations, are defined as justifications and excuses for deviant behaviour. Amoralisations are important explanations for the rise and persistence of deviant behaviour. There exist many different and overlapping techniques of amoralisations.

Collective

  • Collective rationalisations are regularly constructed for acts of aggression, based on exaltation of the in-group and demonisation of the opposite side: as Fritz Perls put it, “Our own soldiers take care of the poor families; the enemy rapes them”.
  • Celebrity culture can be seen as rationalising the gap between rich and poor, powerful and powerless, by offering participation to both dominant and subaltern views of reality.

Criticism

Some scientists criticise the notion that brains are wired to rationalise irrational decisions, arguing that evolution would select against spending more nutrients at mental processes that do not contribute to the improvement of decisions such as rationalisation of decisions that would have been taken anyway. These scientists argue that learning from mistakes would be decreased rather than increased by rationalisation, and criticise the hypothesis that rationalisation evolved as a means of social manipulation by noting that if rational arguments were deceptive there would be no evolutionary chance for breeding individuals that responded to the arguments and therefore making them ineffective and not capable of being selected for by evolution.

Psychoanalysis

Ernest Jones introduced the term “rationalisation” to psychoanalysis in 1908, defining it as “the inventing of a reason for an attitude or action the motive of which is not recognized” – an explanation which (though false) could seem plausible. The term (Rationalisierung in German) was taken up almost immediately by Sigmund Freud to account for the explanations offered by patients for their own neurotic symptoms.

As psychoanalysts continued to explore the glossed of unconscious motives, Otto Fenichel distinguished different sorts of rationalisation – both the justifying of irrational instinctive actions on the grounds that they were reasonable or normatively validated and the rationalising of defensive structures, whose purpose is unknown on the grounds that they have some quite different but somehow logical meaning.

Later psychoanalysts are divided between a positive view of rationalisation as a stepping-stone on the way to maturity, and a more destructive view of it as splitting feeling from thought, and so undermining the powers of reason.

Cognitive Dissonance

Leon Festinger highlighted in 1957 the discomfort caused to people by awareness of their inconsistent thought. Rationalisation can reduce such discomfort by explaining away the discrepancy in question, as when people who take up smoking after previously quitting decide that the evidence for it being harmful is less than they previously thought.

On This Day … 18 March [2022]

People (Births)

  • 1935 – Frances Cress Welsing, American psychiatrist and author (d. 2016).

People (Deaths)

  • 1980 – Erich Fromm, German psychologist and philosopher (b. 1900).

Frances Cress Welsing.

Frances Luella Welsing (née Cress; 18 March 1935 to 02 January 2016) was an American psychiatrist and well-known proponent of the Black supremacist melanin theory.  Her 1970 essay, The Cress Theory of Colour-Confrontation and Racism (White Supremacy), offered her interpretation of what she described as the origins of white supremacy culture.

She was the author of The Isis Papers: The Keys to the Colours (1991).

Erich Fromm

Erich Seligmann Fromm (23 March 1900 to 18 March 1980) was a German social psychologist, psychoanalyst, sociologist, humanistic philosopher, and democratic socialist.

He was a German Jew who fled the Nazi regime and settled in the US. He was one of the founders of The William Alanson White Institute of Psychiatry, Psychoanalysis and Psychology in New York City and was associated with the Frankfurt School of critical theory.

What is Physical Dependence?

Introduction

Physical dependence is a physical condition caused by chronic use of a tolerance-forming drug, in which abrupt or gradual drug withdrawal causes unpleasant physical symptoms.

Physical dependence can develop from low-dose therapeutic use of certain medications such as benzodiazepines, opioids, antiepileptics and antidepressants, as well as the recreational misuse of drugs such as alcohol, opioids and benzodiazepines. The higher the dose used, the greater the duration of use, and the earlier age use began are predictive of worsened physical dependence and thus more severe withdrawal syndromes.

Acute withdrawal syndromes can last days, weeks or months. Protracted withdrawal syndrome, also known as post-acute-withdrawal syndrome or “PAWS”, is a low-grade continuation of some of the symptoms of acute withdrawal, typically in a remitting-relapsing pattern, often resulting in relapse and prolonged disability of a degree to preclude the possibility of lawful employment. Protracted withdrawal syndrome can last for months, years, or depending on individual factors, indefinitely. Protracted withdrawal syndrome is noted to be most often caused by benzodiazepines. To dispel the popular mis-association with addiction, physical dependence to medications is sometimes compared to dependence on insulin by persons with diabetes.

Symptoms

Physical dependence can manifest itself in the appearance of both physical and psychological symptoms which are caused by physiological adaptions in the central nervous system and the brain due to chronic exposure to a substance. Symptoms which may be experienced during withdrawal or reduction in dosage include increased heart rate and/or blood pressure, sweating, and tremors.[9] More serious withdrawal symptoms such as confusion, seizures, and visual hallucinations indicate a serious emergency and the need for immediate medical care.

Sedative hypnotic drugs such as alcohol, benzodiazepines, and barbiturates are the only commonly available substances that can be fatal in withdrawal due to their propensity to induce withdrawal convulsions. Abrupt withdrawal from other drugs, such as opioids can cause an extremely painful withdrawal that is very rarely fatal in patients of general good health and with medical treatment, but is more often fatal in patients with weakened cardiovascular systems; toxicity is generally caused by the often-extreme increases in heart rate and blood pressure (which can be treated with clonidine), or due to arrhythmia due to electrolyte imbalance caused by the inability to eat, and constant diarrhoea and vomiting (which can be treated with loperamide and ondansetron respectively) associated with acute opioid withdrawal, especially in longer-acting substances where the diarrhoea and emesis can continue unabated for weeks, although life-threatening complications are extremely rare, and nearly non-existent with proper medical management.

Treatment

Treatment for physical dependence depends upon the drug being withdrawn and often includes administration of another drug, especially for substances that can be dangerous when abruptly discontinued or when previous attempts have failed. Physical dependence is usually managed by a slow dose reduction over a period of weeks, months or sometimes longer depending on the drug, dose and the individual. A physical dependence on alcohol is often managed with a cross tolerant drug, such as long acting benzodiazepines to manage the alcohol withdrawal symptoms.

Drugs That Cause Physical Dependence

  • All µ-opioids with any (even slight) agonist effect, such as (partial list) morphine, heroin, codeine, oxycodone, buprenorphine, nalbuphine, methadone, and fentanyl, but not agonists specific to non-µ opioid receptors, such as salvinorin A (a k-opioid agonist), nor opioid antagonists or inverse agonists, such as naltrexone (a universal opioid inverse agonist).
  • All GABA agonists and positive allosteric modulators of both the GABA-A ionotropic receptor and GABA-B metabotropic receptor subunits, including (partial list):
  • Nicotine (tobacco) (cf. nicotine withdrawal).
  • Gabapentinoids such as gabapentin (Neurontin), pregabalin (Lyrica), and phenibut (Noofen), which are inhibitors of α2δ subunit-containing VDCCs.
  • Antiepileptic drugs such as valproate, lamotrigine, tiagabine, vigabatrin, carbamazepine and oxcarbazepine, and topiramate.
  • Antipsychotic drugs such as clozapine, risperidone, olanzapine, haloperidol, thioridazine, etc.
  • Commonly prescribed antidepressants such as the selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) (cf. SSRI/SNRI withdrawal syndrome).
  • Blood pressure medications, including beta blockers such as propanolol and alpha-adrenergic agonists such as clonidine.
  • Androgenic-anabolic steroids.
  • Glucocorticoids.

Rebound Syndrome

Refer to Rebound Effect.

A wide range of drugs whilst not causing a true physical dependence can still cause withdrawal symptoms or rebound effects during dosage reduction or especially abrupt or rapid withdrawal. These can include caffeine, stimulants, steroidal drugs and antiparkinsonian drugs. It is debated whether the entire antipsychotic drug class causes true physical dependency, a subset, or if none do. But, if discontinued too rapidly, it could cause an acute withdrawal syndrome. When talking about illicit drugs rebound withdrawal, especially with stimulants, it is sometimes referred to as “coming down” or “crashing”.

Some drugs, like anticonvulsants and antidepressants, describe the drug category and not the mechanism. The individual agents and drug classes in the anticonvulsant drug category act at many different receptors and it is not possible to generalise their potential for physical dependence or incidence or severity of rebound syndrome as a group so they must be looked at individually. Anticonvulsants as a group however are known to cause tolerance to the anti-seizure effect. SSRI drugs, which have an important use as antidepressants, engender a discontinuation syndrome that manifests with physical side effects; e.g. there have been case reports of a discontinuation syndrome with venlafaxine (Effexor).