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Mitzkovitz C, Dowd SM, Cothran T, Musil S. The Eyes Have It: Psychotherapy in the Era of Masks. J Clin Psychol Med Settings 2022; 29:886-897. [PMID: 35118604 PMCID: PMC8812949 DOI: 10.1007/s10880-022-09856-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2022] [Indexed: 11/24/2022]
Abstract
Nonverbal communication is integral to the success of psychotherapy and facial expression is an important component of nonverbal communication. The SARS CoV-2 pandemic has caused alterations in how psychotherapy services are provided. In this paper, potential issues that may arise from conducting psychotherapy when both the patient and therapist are wearing masks are explored. These include higher likelihood of misidentifying facial expression, especially when expression is incongruent with body language, and when the lower face is more important for correct identification of emotion. These issues may be particularly problematic for patient populations for whom emotion recognition may be a problem at baseline, or for those more prone to biases in emotional recognition. Suggestions are made for therapists to consider when seeing patients in-person when masks are necessary.
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Affiliation(s)
- Cayla Mitzkovitz
- Department of Psychology, Central Michigan University, Mount Pleasant, MI, USA
| | - Sheila M Dowd
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA
| | - Thomas Cothran
- Office of Neuropsychology, Community Care Network, Inc., Munster, IN, USA
| | - Suzanne Musil
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, 1645 W. Jackson Blvd, Ste. 400, Chicago, IL, 60612, USA.
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Smeijers D, Bulten EBH, Brazil IA. The Computations of hostile biases (CHB) model: Grounding hostility biases in a unified cognitive framework. Clin Psychol Rev 2019; 73:101775. [PMID: 31726277 DOI: 10.1016/j.cpr.2019.101775] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 08/21/2019] [Accepted: 09/14/2019] [Indexed: 12/24/2022]
Abstract
Our behavior is partly a product of our perception of the world, and aggressive individuals have been found to have 'hostility biases' in their perception and interpretation of social information. Four types of hostility biases can be distinguished: the hostile attribution, interpretation, expectation, and perception bias. Such low-level biases are believed to have a profound influence on decision-making, and possibly also increase the likelihood of engaging in aggressive acts. The current review systematically examined extant research on the four types of hostility bias, with a particular focus on the associations between each type of hostility bias and aggressive behavior. The results confirmed the robust association between hostility biases and aggressive behavior. However, it is still unknown how exactly hostility biases are acquired. This is also caused by a tendency to study hostility biases separately, as if they are non-interacting phenomena. Another issue is that current approaches cannot directly quantify the latent cognitive processes pertaining to the hostility biases, thus creating an explanatory gap. To fill this gap, we embedded the results of the systematic review in a state-of-the-art computational framework, which provides a novel mechanistic account with testable predictions.
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Affiliation(s)
- Danique Smeijers
- Forensic Psychiatric Centre Pompestichting, Nijmegen, The Netherlands.
| | - Erik B H Bulten
- Forensic Psychiatric Centre Pompestichting, Nijmegen, The Netherlands
| | - Inti A Brazil
- Forensic Psychiatric Centre Pompestichting, Nijmegen, The Netherlands; Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
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Santamaría-García H, Ibáñez A, Montaño S, García AM, Patiño-Saenz M, Idarraga C, Pino M, Baez S. Out of Context, Beyond the Face: Neuroanatomical Pathways of Emotional Face-Body Language Integration in Adolescent Offenders. Front Behav Neurosci 2019; 13:34. [PMID: 30863291 PMCID: PMC6399662 DOI: 10.3389/fnbeh.2019.00034] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 02/07/2019] [Indexed: 12/29/2022] Open
Abstract
Background: Adolescent offenders (AOs) are characterized by social-norm transgression and aggressive behaviors. Those traits have been associated with alterations in socio-cognitive processes, including facial emotion recognition. While this would suggest that AOs tend to interpret negative emotional cues as threatening information, most research has relied on context-free stimuli, thus failing to directly track integrative processes typical of everyday cognition. Methods: In this study, we assessed the impact of body language and surrounding context on facial emotion recognition in AOs and non-offenders (NOs). We recruited 35 AOs from a reform school for young male offenders and 30 NOs matched for age and sex with the former group. All participants completed a well-validated task aimed to determine how contextual cues (i.e., emotional body language and surrounding context) influence facial emotion recognition through the use of congruent and incongruent combinations of facial and bodily emotional information. Results: This study showed that AOs tend to overvalue bodily and contextual signals in emotion recognition, with poorer facial-emotion categorization and increased sensitivity to context information in incongruent face-body scenarios. This pattern was associated with executive dysfunctions and disruptive behaviors, as well as with gray matter (GM) of brain regions supporting body-face recognition [fusiform gyrus (FG)], emotion processing [cingulate cortex (CC), superior temporal gyrus (STG)], contextual integration (precuneus, STG), and motor resonance [cerebellum, supplementary motor area (SMA)]. Discussion: Together, our results pave the way for a better understanding of the neurocognitive association between contextual emotion recognition, behavioral regulation, cognitive control, and externalized behaviors in AOs.
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Affiliation(s)
- Hernando Santamaría-García
- Departamentos de Psiquiatría y Fisiología, Pontificia Universidad Javeriana, Bogotá, Colombia.,Centro de memoria y cognición Intellectus, Hospital Universitario San Ignacio, Bogotá, Colombia.,Grupo de Investigación Cerebro y Cognición Social, Bogotá, Colombia
| | - Agustin Ibáñez
- Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCYT), INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.,Departamento de Psicología, Universidad Autónoma del Caribe, Barranquilla, Colombia.,Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago de Chile, Chile.,Australian Research Council Centre of Excellence in Cognition and its Disorders, Sydney, NSW, Australia
| | - Synella Montaño
- Departamento de Psicología, Universidad Autónoma del Caribe, Barranquilla, Colombia
| | - Adolfo M García
- Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCYT), INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.,Faculty of Education, National University of Cuyo (UNCuyo), Mendoza, Argentina
| | | | - Claudia Idarraga
- Departamento de Psicología, Universidad de la Costa, Barranquilla, Colombia
| | - Mariana Pino
- Departamento de Psicología, Universidad Autónoma del Caribe, Barranquilla, Colombia
| | - Sandra Baez
- Grupo de Investigación Cerebro y Cognición Social, Bogotá, Colombia.,Departamento de Psicología, Universidad de los Andes, Bogotá, Colombia
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