A preliminary measure of affect regulation strategies was developed from Parkinson and Totterdell’s (1999) provisional classification of deliberate strategies for improving negative affect. Four broad categories of strategies including Cognitive Engagement, Cognitive Diversion, Behavioural Engagement, and Behavioural Diversion were represented by the measure. Using this measure, relationships between self-reported use of affect regulation strategies and difficulties in emotion regulation and emotion processing variables were investigated. Participants included 186 adults. Participants completed a 20 minute online survey consisting of the measure of affect regulation strategies, the Difficulties in Emotion Regulation Scale (DERS), the Subjective Experience of Emotions Scale (SEE), and a demographic information questionnaire. Weak correlations were found for the majority of the difficulties in emotion regulation and emotion processing subscales and individuals’ self-reported use of affect regulation categories. Results also provide evidence of convergent and discriminant validity for the DERS and SEE.

A preliminary measure of affect regulation strategies was developed from Parkinson and Totterdell’s (1999) provisional classification of deliberate strategies for improving negative affect. Four broad categories of strategies including Cognitive Engagement, Cognitive Diversion, Behavioural Engagement, and Behavioural Diversion were represented by the measure. Using this measure, relationships between self-reported use of affect regulation strategies and difficulties in emotion regulation and emotion processing variables were investigated. Participants included 186 adults. Participants completed a 20 minute online survey consisting of the measure of affect regulation strategies, the Difficulties in Emotion Regulation Scale (DERS), the Subjective Experience of Emotions Scale (SEE), and a demographic information questionnaire. Weak correlations were found for the majority of the difficulties in emotion regulation and emotion processing subscales and individuals’ self-reported use of affect regulation categories. Results also provide evidence of convergent and discriminant validity for the DERS and SEE.

Attention is an acknowledged component of the therapeutic relationship that is the heart of clinical work and the base of competence. The centrality of the therapeutic relationship itself has been recognized throughout the history of clinical work. The clinician’s work is based, in part, in attending to the client by actively and openly listening to the client with attention and engagement. However, attention has been lacking within mental health disciplines to what occurs within the process of clinical attention. As a result, little knowledge exists about the structure of clinical attention itself. This dissertation studied the structure of clinical attention to understand what occurs when clinicians attend to their clients in sessions. The thesis focused on the internal processes occurring within the clinician, not on actions or interventions taken in sessions. The literature review grounded the study theoretically in mind science and contemplative science, the study of reality grounded in both objective and subjective experience. The literature review also conceptualized attention in its sub processes of mindfulness, meditation, reflective practice and affect regulation, examining literature relevant to those constructs as well as to the history, philosophy and psychology of attention. The literature revealed a lack of knowledge of the structure and process of clinical attention. Using the extant literature, a new theoretical framework of attention was constructed. Attention was conceptualized as composed of levels of pre-reflective and reflective attention as related to the attention sub processes. A phenomenological methodology was used to study the structure of clinical attention in relation to holistic competence. Fourteen clinicians, all of whom met the criteria for attaining expertise in the use of attention in their clinical work, participated in an explicitation interview. Data analysis followed a modified phenomenological methodology in a series of steps as the data were grouped in invariant constituents, reduced to emergent themes and analyzed for a textural structural description from which a structural description was constructed. From the structural description was distilled the essence of clinical attention. Clinical attention was seen to consist of a dynamic and iterative process of intention and intuition. Intention and intuition were seen to be based in different attentional levels, both of which were recursively and iteratively related to attention’s construction as a process grounded in inner awareness providing the potential abilities to reflect on experience and regulate affective experience. The study concluded with a discussion of the relationship of the skill of clinical attention to a holistic competence based in levels of procedural capability focused on concrete behavioural action and meta competence focused on clinical judgment, self-awareness and self-reflection on the actions taken. The implications of the study’s findings for training clinicians in attention were discussed.

Attention is an acknowledged component of the therapeutic relationship that is the heart of clinical work and the base of competence. The centrality of the therapeutic relationship itself has been recognized throughout the history of clinical work. The clinician’s work is based, in part, in attending to the client by actively and openly listening to the client with attention and engagement. However, attention has been lacking within mental health disciplines to what occurs within the process of clinical attention. As a result, little knowledge exists about the structure of clinical attention itself. This dissertation studied the structure of clinical attention to understand what occurs when clinicians attend to their clients in sessions. The thesis focused on the internal processes occurring within the clinician, not on actions or interventions taken in sessions. The literature review grounded the study theoretically in mind science and contemplative science, the study of reality grounded in both objective and subjective experience. The literature review also conceptualized attention in its sub processes of mindfulness, meditation, reflective practice and affect regulation, examining literature relevant to those constructs as well as to the history, philosophy and psychology of attention. The literature revealed a lack of knowledge of the structure and process of clinical attention. Using the extant literature, a new theoretical framework of attention was constructed. Attention was conceptualized as composed of levels of pre-reflective and reflective attention as related to the attention sub processes. A phenomenological methodology was used to study the structure of clinical attention in relation to holistic competence. Fourteen clinicians, all of whom met the criteria for attaining expertise in the use of attention in their clinical work, participated in an explicitation interview. Data analysis followed a modified phenomenological methodology in a series of steps as the data were grouped in invariant constituents, reduced to emergent themes and analyzed for a textural structural description from which a structural description was constructed. From the structural description was distilled the essence of clinical attention. Clinical attention was seen to consist of a dynamic and iterative process of intention and intuition. Intention and intuition were seen to be based in different attentional levels, both of which were recursively and iteratively related to attention’s construction as a process grounded in inner awareness providing the potential abilities to reflect on experience and regulate affective experience. The study concluded with a discussion of the relationship of the skill of clinical attention to a holistic competence based in levels of procedural capability focused on concrete behavioural action and meta competence focused on clinical judgment, self-awareness and self-reflection on the actions taken. The implications of the study’s findings for training clinicians in attention were discussed.

This study investigated the relationships among attachment styles, affect regulation, and outcome in a clinical sample receiving treatment for depression. Sixty-six clients completed questionnaire measures of adult attachment, dysfunctional attitudes, interpersonal problems, self-esteem, and depression. Clients’ levels of affect regulation were assessed with an observer-rated measure of affect regulation. The study’s purpose was to extend previous research by examining the relationship between adult attachment and affect regulation within a clinical context. Results indicated significant and positive associations between clients’ attachment security and their levels of affect regulation at early and late stages of psychotherapy. Late modulation of expression and arousal were found to mediate the relationship between pre-treatment attachment insecurity and outcome. Pre-treatment attachment avoidance, characterized by high discomfort with closeness, had a direct relationship with depressive symptoms not mediated by the cognitive-affective processes of affect regulation. Implications of present findings for the treatment of depression are discussed.

Inledning: Trauma påverkar drömmar och dess bearbetningsförmåga av innehåll. En viktig punkt är att etiologin av PTSD anses vara en traumatisk upplevelse som kan leda till återkommande mardrömmar. Idag finns det många personer i samhället som lider av trauma och traumarelaterade problem vilket gör att utveckling av traumateorin får en central betydelse för att erbjuda bra behandlingsmetoder. Syftet med studien är att bidra med kunskap om hur traumatiska upplevelser bearbetas i drömmarna med fokus på affekter och interaktioner med andra människor som kan leda till vidareutveckling av psykodynamisk traumateori. Frågeställningar:  Vad finns det för skillnader i drömmarna mellan grupperna i avseende på affekter?  Vilka centrala teman förekommer i båda gruppernas drömmar och hur ser det ut i jämförelse mellan grupperna? Metod: Den metod som använts är en kombinerad kvantitativ och kvalitativ ansats där 60 drömmar från tidigare krigsveteraner studeras och jämförs i två grupper. Resultat: Studiens resultat visar traumats negativa effekter på affektregleringsförmåga och relationer. Det lyfter också fram drömmens betydelse som en ingång till det psykiska livet för att få inblick i hur traumatiska händelser och affekter hanteras, samt drömmandets funktion i affektreglering som är en viktig bearbetande faktor för trauma. Diskussion: Studiens resultat är i många avseenden i linje med tidigare forskning och teoribildning, men särskilt två aspekter av resultatet förtjänar att lyftas fram: Drömmen som en scen för det psykiska livet: 1. hur traumatiska händelser och affekter hanteras; 2. vilka faktorer kan tänkas vara bearbetande för trauma. / Introduction: Trauma affects dreams and its processing skills of content. An important point is that the etiology of PTSD is considered to be a traumatic experience that can lead to recurrent nightmares. Today there are many people in the community who suffer from trauma and trauma-related problems making the development of trauma theory be of central importance for providing good treatment. The aim of this study is to contribute knowledge about how traumatic experiences are processed in dreams with a focus on affects and interactions with other people that can lead to further development of psychodynamic trauma theory. Research questions:  What are the differencesindreamsbetween thegroupsin terms of emotions ?  What are thekey themespresent inboth groupsdreams andhowdoes it lookincomparisonbetween the groups? Method: The used method is a combined quantitative and qualitative approach where 60 dreams from former war veterans studied and compared in two groups. Results: Results of the study demonstrate traumas negative effects on affect regulation skills and relationships. It also highlights both the dream's meaning as an entrance to the psychic life to gain insight into how traumatic events and affects handled, and the function of dreaming in affect regulation as an important processing factor for trauma. Discussion: The study results are in many aspects in line with previous research and theory, but in particular, two aspects of the results deserve to be highlighted: The dream as an entrance for the psychic life: 1. how traumatic events and affects handled; 2. Which factors could be of importance in the processing of trauma.

This study investigated the relationships among attachment styles, affect regulation, and outcome in a clinical sample receiving treatment for depression. Sixty-six clients completed questionnaire measures of adult attachment, dysfunctional attitudes, interpersonal problems, self-esteem, and depression. Clients’ levels of affect regulation were assessed with an observer-rated measure of affect regulation. The study’s purpose was to extend previous research by examining the relationship between adult attachment and affect regulation within a clinical context. Results indicated significant and positive associations between clients’ attachment security and their levels of affect regulation at early and late stages of psychotherapy. Late modulation of expression and arousal were found to mediate the relationship between pre-treatment attachment insecurity and outcome. Pre-treatment attachment avoidance, characterized by high discomfort with closeness, had a direct relationship with depressive symptoms not mediated by the cognitive-affective processes of affect regulation. Implications of present findings for the treatment of depression are discussed.

This study examined the relationships among adult attachment, cognitive vulnerabilities for depression and anxiety, affect regulation strategies and psychological distress symptoms. To examine these questions, a total of 259 participants (150 females, 109 males) completed measures assessing the above mentioned variables. The structural equation modeling results indicated that attachment anxiety was related to emotional reactivity and emotional cutoff, as well as cognitive vulnerabilities for anxiety and depression. Attachment avoidance was associated with emotional cutoff and cognitive vulnerabilities for anxiety and depression. In turn, cognitive vulnerabilities for depression were related to both depression and anxiety symptoms, whereas cognitive vulnerabilities for anxiety were not related to either depression or anxiety. However, neither cognitive vulnerabilities nor affect regulation strategies mediated the relationship between adult attachment and psychological distress symptoms. Conceptual and measurement issues are addressed and clinical and treatment implications of these findings are discussed.

The recall of positive autobiographical memories is an effective strategy for improving negative mood among healthy persons, yet individuals with a history of depression often fail to derive emotional benefits. Depressed and depression-vulnerable individuals also exhibit deficits in their autobiographical memory characteristics. Scholars have implicated deficits during autobiographical memory retrieval as a cause of mood repair and memory impairments, however the role of memory encoding has largely been overlooked. The current study manipulated encoding style to examine subsequent effects on mood repair efficacy, memory characteristics, and memory accuracy. Fifty-five formerly depressed and 68 never-depressed participants were assigned to employ either a concrete or natural encoding style while engaging in a positive event staged in the laboratory. After a negative mood induction, participants were given the opportunity to improve their moods by recalling details of the positive event. Results failed to support the hypothesized interaction of depression status and encoding style. Interpretations of the null findings are provided and implications of the study are discussed.

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