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Feeling one’s own emotions empathically when negative thoughts about the self arise, a defining element of self-reassurance, promotes resilience to prolonged emotional reactivity. We propose that feeling empathically toward the self is accomplished by first stepping into the shoes of an objectified, undesired self-aspect, after which the process of perspective shifting should be completed by reengaging the self to experience the moment in the first person. We hypothesize that the resumption of the egocentric perspective in perspective shifting, a cognitive characteristic of sharing other people’s emotions, is crucial for self-reassurance as well. The relationships among flexibility in perspective shifting, self-reassurance, and emotion sharing were examined in community participants. Our results show that quickly switching back to a visuospatial egocentric perspective after adopting an opposing perspective relates to self-reassurance and emotion sharing. We conclude that both reassuring the self and empathizing with other people involve flexibility in perspective shifting.

The segregated representations pertinent to childhood relational trauma have long been posited as a key pathogenic mechanism for dissociation. Yet, the weak to moderate correlation of child maltreatment with dissociation proneness leads to the question about which factors may moderate the impact of adverse childhood interpersonal experiences and work synergistically in the genesis of dissociation. We hypothesized that self-referential memory may play a role and that low accessibility to self-referenced representations may obstruct the ongoing synthesis of self representations, leaving these unassimilated early experiences disintegrated and inimical to mental function in response to a stressful situation. This hypothesis was examined by two experiments in college students. The first experiment showed the association between dissociation proneness and low accessibility to self-referenced representations. The second demonstrated that low accessibility to self-referenced representations moderated the link between childhood relational trauma and dissociation proneness. Weakened self-referential memory matters in the link between trauma and dissociation.

Adaptation to changing health presents a challenge to measuring change in quality of life (QoL). Previous studies have shown that different methods for measuring change yield different results, but it is unclear which method provides a more valid measurement of change. We investigated which of 3 commonly used methods for measuring change in QoL yielded the strongest associations with clinical measures of change in health status.

ABSTRACTBackground: There is an ongoing debate about the validity of the A1 criterion of PTSD. Whereas the DSM-5 has opted for a more stringent A1 criterion, the ICD-11 will leave it out as a key criterion.Objective: Here we investigated whether formal DSM-IV-TR traumatic (A1) and stressful (non-A1) events differ with regard to PTSD symptom profiles, and whether there is a gender difference in this respect.Method: This was examined in a large, mostly clinical sample from the Netherlands Study of Depression and Anxiety (n = 1433). Participants described their most bothersome (index) event and were assigned to either an A1 or non-A1 event group according to this index event.Results: Remarkably, in men PTSD symptoms were even more severe after non-A1 than A1 events, whereas in women symptoms were equally severe after non-A1 and A1 events. Moreover, while women showed significantly higher PTSD symptoms after A1 events than men (29.9 versus 15.4% met PTSD criteria), there was no gender difference after non-A1 events (women: 28.2%; men: 31.3%). Furthermore, anxiety and perceived impact were higher in women than men, which was associated with PTSD symptom severity.Conclusion: In sum, while women showed similar levels of PTSD symptoms after both event types, men reported even higher levels of PTSD symptoms after non-A1 than A1 events. These findings shed a new light on the role of gender in PTSD symptomatology and the clinical usefulness of the A1 criterion.