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Does talking about loss with a romantic partner have salutary personal and relationship effects? Prior evidence reveals the benefits of emotional disclosure in couple relationships, yet disclosure about loss has been overlooked in research on couple communication. Using a novel communication paradigm with young-adult heterosexual romantic partners ( N = 114 couples), we investigated emotions, physiological arousal (skin conductance responses [SCR]), and relationship closeness when narrating a personal loss and listening to the partner's loss, and compared these loss discussions to discussions about desired relationship changes. Based on partners' self-reports, narrating loss elicited more vulnerable and, unexpectedly, more antagonistic emotions. Both narrating and listening to loss produced higher self-reported partner closeness, compared to discussing change. In support of the physiological benefits of disclosure, women's SCRs decreased over the discussion when they narrated their own loss. However, both women and men as listeners show a general trend of increasing SCRs over the discussion, suggesting the challenges of being a responsive partner. Moreover, in line with the putative protective effects of partners' biological interdependencies, partner closeness also was higher when both partners showed synchronous decreasing SCR as women narrated their loss. Although limited to young couples in relatively short relationships, these findings reveal some potential benefits of talking about loss in the context of romantic relationships. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Couples relationship education is grounded in teaching couples' skills and strategies to form and sustain healthy relationships. The purpose of this investigation was to examine the impact of a relationship education intervention on emotion regulation, individual distress, dyadic coping, and relationship adjustment utilizing a randomized control trial for economically vulnerable couples. The analysis sample included 1418 couples (2836 individuals) who were randomly assigned to receive the 12-h Within Our Reach curriculum immediately, or to a wait-list control group. We estimated multilevel growth curve models over time among outcomes between treatment and wait-list control conditions. Treatment group couples demonstrated statistically significant improvements over the 6-month study period on emotional regulation and dyadic coping when compared to their wait-list group counterparts. Although models showed improvements in individual distress and relationship adjustments, these improvements did not amount to statistically significant group differences. Implications and limitations are also noted., (© 2022 Family Process Institute.)

Interpersonal communication is beneficial in promoting individuals' tendency to accept health-campaign-targeted behavior. Based on the protective action decision model, this study investigated the key factors underlying individual's interpersonal communication on the Gongkuai campaign, which was carried out during Coronavirus disease 2019 (COVID-19). The main goal of the Gongkuai campaign was to change traditional communal eating habits and reduce public health risks. An online questionnaire survey involving 618 respondents was conducted in China after the 2020 Gongkuai campaign propagated, and the data were analyzed by using the structural equation modeling technique. The results indicated that health campaign exposure is a critical determinant of perceived campaign-related knowledge and health risk perception, which are significant predictors of interpersonal communication. Meanwhile, campaign-related knowledge can elicit risk perception. Furthermore, campaign exposure influenced interpersonal communication in ways that traditional diet culture did not predict. Risk perception was also unaffected by traditional diet culture. It is worth noting that individuals' agreement with traditional diet culture does not hinder health campaign-generated interpersonal communication in the context of public health crisis. Based on the findings, theoretical and policy implications for motivating interpersonal communication were discussed, and research limitations were pointed out.

Suppression (i.e., inhibiting one's emotional expression) has typically been associated with social and physiological costs. However, recent theorizing calls into question the inevitability of these costs. The present study takes a more nuanced approach and examines the social and physiological correlates of spontaneous (i.e., uninstructed) suppression when considering two potentially critical factors: the valence of the suppressed emotions (i.e., negative vs. positive) and the valence of the emotional context in which emotions are suppressed (i.e., negative conversation vs. positive conversation). Specifically, dating couples (N = 196 couples) completed both a negatively-valenced and a positively-valenced conversation in the laboratory while their autonomic-physiological responses were recorded. After each conversation, participants rated 1) the extent to which they had suppressed their negative and positive emotions, 2) the quality of the conversation, and 3) how connected they felt with their partner. We used Actor-Partner Interdependence Models to estimate actor effects (e.g., association of one's own suppression and one's own connectedness) and partner effects (e.g., association of one's partner's suppression and one's own connectedness). Suppression was associated with lower conversation quality and connectedness for the actors but largely not for the partners, regardless of the valence of the suppressed emotions and of the context, even when adjusting for felt emotion. Additionally, suppression was consistently not associated with physiological responses of actors or partners. Together, these findings suggest that, during emotional conversations with one's romantic partner, spontaneous (unlike instructed) suppression is associated with social but not physiological costs for the self but not one's partner., (Copyright © 2022. Published by Elsevier B.V.)

The hyperscanning technique, that is, simultaneous measurement of neural signals in more than one person, is a powerful research tool for understanding humans' social interactions. In recent years, many studies have investigated interpersonal neural synchronization during various types of communication processes. However, there has been little focus on the impact of the presence of others without explicit social interaction, despite the mere presence of others having been suggested as influencing behavior. In this study, we clarify whether neural signals during a self-paced, repeated, addition task are synchronized when another individual is adjacent without direct interaction. Twenty pairs of participants were measured using a hyperscanning approach with near-infrared spectroscopy. The results show that interpersonal neural synchronization of the task-related signal in the left forehead region was enhanced under the condition of being adjacent to another participant. By contrast, a significant decrease in neural synchronization in the center of the forehead region, where increased neural synchronization is often reported in explicit communication, was observed. Thus, the results indicate that the adjacency of others modulates interpersonal neural synchronization in the task-related signal, and the effect on cognitive processing is different from that of explicit social interaction., (© 2022. The Author(s).)

Previous studies on dual-brain social interaction have shown different patterns of interpersonal neural synchronization (INS) between conflictual and supportive interactions, but the role of emotion in the dual-brain mechanisms of such interactions is not well understood. Furthermore, little is known about how the dual-brain mechanisms are affected by relationship type (e.g., romantic relationship vs. friendship) and interaction mode (e.g., verbal vs. nonverbal). To elaborate on these issues, this study used functional near-infrared spectroscopy to collect hemodynamic signals from romantic couples and cross-sex friends while they were discussing conflictual, neutral, or supportive topics. For the couples but not the friends, INS between the sensorimotor cortex of both participants was greater when discussing the conflictual topic than when discussing the supportive topic. INS was positively correlated with the arousal level but not the valence level of communication contents. INS was also positively correlated with interpersonal physiological synchronization based on galvanic skin response, a physiological measure of arousal. Furthermore, the differences in INS between the conflictual and supportive topics were closely associated with verbal rather than nonverbal behaviors. Together, these findings suggest that it is the arousal level induced by verbal interactions during interpersonal conflicts that increases romantic couples' INS., (© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

This research addressed the hypothesis that self-talk conveys a variety of interpersonal styles, representing different ways of addressing oneself, and that these different styles can be conceptualized with the interpersonal circumplex. Using a diary-like method for 14 days, 232 undergraduates were asked, toward the end of each day, to reflect on one positive and one negative event from that day and write down their self-talk about each. Using an instrument based on the interpersonal circumplex, participants and later independent judges rated the interpersonal qualities of each self-talk statement. Ratings showed a reasonably high degree of consistency over days, and averages over days for each participant showed reasonably good circumplex structure, consistent with an interpersonal conception of self-talk style. Multilevel modeling revealed that the interpersonal qualities of self-talk also showed substantial variance at the occasion level. There were synergistic interactions of self-talk dominance and affiliation in the prediction of post-self-talk affect, with higher positive and lower negative affect following self-talk that was relatively high in both dominance and affiliation. Conceptualizing self-talk styles in terms of the interpersonal circumplex offers a promising framework for further research on inner experience and its effects. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Background: Prosocial helping is a fundamental communication behaviour that supports successful social relationships. This study investigated the clinical utility of the Analog Task of Prosocial Helping (AToP-H): a tool for assessing how helping is influenced by the communicative function it serves and the cues used to elicit helping in young children with and without a social communication disorder., Aims: To present evidence of the AToP-H's reliability, validity and clinical utility., Methods & Procedures: The AToP-H examines three communicative functions expressed through helping-instrumental (request-based), informative (information-based) and empathic (emotion-based) helping-within a naturalistic context. Prosocial helping is elicited using semi-structured interactions in which increasingly explicit cues are provided to scaffold child responses. To gather reliability and validity evidence, the AToP-H was administered to 20 children with autism spectrum disorder (ASD) (49-79 months) and 20 with typical development (37-77 months)., Outcomes & Results: Procedural reliability and inter-observer agreement for the AToP-H were high. Item-level codes were consistent with overall task performance, showing strong internal consistency. Supporting construct validity, higher scores were observed in older children with ASD, consistent with an expectedly protracted developmental period for prosocial helping. Children with ASD required more cues to elicit helping overall and informative and empathic helping in particular. Furthermore, more children with ASD did not respond or required explicit cues to respond with informative and empathic helping. Supporting criterion-related validity, total helping cue scores were significantly correlated with measures of social cognition, social abilities and receptive language, but were only weakly correlated with general language., Conclusions & Implications: The AToP-H shows promise in measuring helping performance as an indicator of young children's social communication strengths and weaknesses as well as scaffolding cues to facilitate intervention planning., What This Paper Adds: What is already known on the subject Prosocial helping is critical for successful relationships, which can be difficult for children with social communication disorders such as ASD. Two factors that influence helping are the communicative function of the helping behaviour and the cues used to elicit helping. Existing helping tasks have been developed for research purposes, focusing on internal validity with little attention to applying or generalizing results to clinical settings or groups. Thus, assessing factors that influence helping behaviours in naturalistic, ecologically valid contexts could provide clinicians with critical information to improve prosocial helping in children with social communication disorders. What this paper adds to existing knowledge This paper presents preliminary psychometric evidence for a naturalistic clinical task: the AToP-H, which assesses instrumental (request-based), informative (information-based) and empathic (emotion-based) helping elicited with increasingly explicit cues. What are the potential or actual clinical implications of this work? Evidence from samples of young children with and without ASD supports the reliability and validity of AToP-H scores. The AToP-H shows promise as a clinical tool to effectively assess and plan interventions targeting social communication, prosocial helping and associated interactions., (© 2022 Royal College of Speech and Language Therapists.)

Power and gratitude are universal features of social life and impact a wide range of intra- and interpersonal outcomes. Drawing on the social distance theory of power, we report four studies that examine how relative power influences feelings and expressions of gratitude. An archival analysis of author acknowledgements in published academic articles ( N = 1,272) revealed that low-power authors expressed more gratitude than high-power authors. A pre-registered experiment ( N = 283) involving live conversations online found that having relatively low power caused increased feelings and expressions of gratitude after benefiting from a favor. Another pre-registered experiment ( N = 356) demonstrated that increased interpersonal orientation among lower power individuals and increased psychological entitlement among higher power individuals drove these effects. Finally, an archival analysis of conversational exchanges ( N = 136,215) among Wikipedia editors revealed that relational history moderated the effect of relative power on gratitude expression. Overall, our findings highlight when and why relative power influences feelings and expressions of gratitude.

Objective: We examined the effects of the family communication environment (conversation orientation) on adult child caregivers' burden and clinical interactions and if the effects are mediated by openness to communicate about cancer, avoidant cancer communication, and social support (SS)., Method: Caregivers of a parent diagnosed with a blood cancer (N = 121) completed an online survey of validated measures of conversation orientation (i.e., the extent to which families openly communicate), SS, cancer openness, avoidance, caregiver burden, clinical communication skills, and quality of clinical interactions (QCI)., Results: Conversation orientation had significant indirect effects on caregiver burden, mediated by SS (β = -0.11, p < 0.001), as well as cancer openness and avoidance (β = -0.07, p < 0.001). Conversation orientation also had significant indirect effects on caregivers' communication skills with a parent's clinician, mediated by avoidance (β = 0.08, p < 0.01) and SS (β = 0.06, p < 0.001). Finally, conversation orientation had significant indirect effects on caregivers' QCI mediated by avoidance (β = 0.71, p < 0.05)., Conclusions: Adult child caregivers whose families communicate more openly exhibit less caregiver burden and report better clinical interaction skills and perceived quality of the clinical interaction. Avoidance emerged as a key mediating factor. Caregivers from less open communication environments may benefit from interventions that help them navigate challenging but critical caregiving conversations., (© 2022 John Wiley & Sons Ltd.)

Background: Research on dyadic teacher-child relationships has grown rapidly. However, a review of relevant theories and its implications for assessment and intervention has been lacking so far., Methods: A selective review of theories, empirical evidence and interventions was conducted., Results and Conclusions: Different theories highlight distinct aspects of teacher-child relationships and have different implications for assessment and intervention. The attachment perspective on dyadic teacher-child relationships is most widely applied in psychological research. Also relatively well-known is self-determination theory. However, the interpersonal theory, though widely applied in educational research to teacher-class interactions, has been largely overlooked in research on dyadic teacher-child relationships. The overarching dyadic systems perspective, providing insight in the dynamic interplay between different aspects of teacher-child relationships, also deserves more attention. Recommendations to improve teacher-child relationships address the need for teacher sensitivity, relationship-based communication and flexibility in interpersonal behaviour in everyday teaching., (© 2022 Association for Child and Adolescent Mental Health.)

Conversational turn taking in humans involves incredibly rapid responding. The timing mechanisms underpinning such responses have been heavily debated, including questions such as who is doing the timing. Similar to findings on rhythmic tapping to a metronome, we show that floor transfer offsets (FTOs) in telephone conversations are serially dependent, such that FTOs are lag-1 negatively autocorrelated. Finding this serial dependence on a turn-by-turn basis (lag-1) rather than on the basis of two or more turns, suggests a counter-adjustment mechanism operating at the level of the dyad in FTOs during telephone conversations, rather than a more individualistic self-adjustment within speakers. This finding, if replicated, has major implications for models describing turn taking, and confirms the joint, dyadic nature of human conversational dynamics. Future research is needed to see how pervasive serial dependencies in FTOs are, such as for example in richer communicative face-to-face contexts where visual signals affect conversational timing., (Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved.)

When I was a new social worker, a series of events changed my clinical practice. I believed academic pursuits and scholarly work were the key components to cultivating my clinical skills. My education had elucidated the importance of taking the time to listen to the patient's narrative to optimize their care. I recognized the value of listening and yet I was mystified and frustrated by my lack of success at building rapport with patients. I began my quest to find a mentor and discovered him in a most surprising place. I learned the best strategies to help people were not always found in books or taught in school. Some of the greatest gifts come from unexpected places., (© 2022 Annals of Family Medicine, Inc.)

Given an observed tension between perceived privacy restrictions and meaningful social connection in assisted living (AL) and using a relational perspective, we conducted a secondary thematic analysis of health information sharing practices among residents and their care partners in one large urban AL community in metropolitan Atlanta. Data included in-depth interviews with residents ( n = 26), family members ( n = 20), AL staff ( n = 11), and external care workers ( n = 4) as well as ethnographic data from observations and informal conversations conducted with these participants and others. Findings showed that health information sharing among residents was helpful in building social relationships; barriers to this communication contributed to isolation. Inappropriate public exchange of residents' healthcare information hindered building these relationships. Negotiating privacy boundaries for health information sharing was an ongoing confusing process across the community. Based on the findings, we propose new guidelines for health information sharing and additional privacy training for residents and care partners.

Nurses can facilitate opportunities for patients who feel shame to experience healing in their mental health. Disciplines such as psychology have extensive shame research, yet nursing may provide a unique perspective to bolster research on shame. The objective of this analysis is to examine the use of shame as a concept in nursing literature. This review was guided by Beth Rodgers' Evolutionary approach to concept analysis. Rodgers' approach entails investigating attributes, related terms, surrogate terms, antecedents, and consequences of shame; and examining the use of the concept shame over time to determine if its use changed. Sampled literature came from Cumulative Index to Nursing and Allied Health Literature Plus with Full Text, PubMed, Web of Science, and Health Source: Nursing/Academic Edition. The final sample used for analysis included 334 sources published between 1993 and 2020. The use of shame did not change during these years. Attributes were negative sense of self, feeling worthless, and feeling vulnerable. There were no surrogate terms and three related terms: guilt, humiliation, and embarrassment. Antecedents were trauma, stigma, and perception of moral wrongdoing. Consequences included healthcare avoidance, social withdrawal or isolation, negative coping mechanisms, resilience, lifestyle changes, and healthy coping. There is a discrepancy between the conceptualization and use of shame in nursing and other disciplines. Other disciplines, such as psychology, provide more direction about how interpersonal interactions can elicit or alleviate feelings of shame. Nurses can apply this conceptualization in their clinical practice to support patients experiencing shame., (© 2021 John Wiley & Sons Australia, Ltd.)

Relationship science contends that the quality of couples' communication predicts relationship satisfaction over time. Most studies testing these links have examined between-person associations, yet couple dynamics are also theorized at the within-person level: For a given couple, worsened communication is presumed to predict deteriorations in future relationship satisfaction. We examined within-couple associations between satisfaction and communication in three longitudinal studies. Across studies, there were some lagged within-person links between deviations in negative communication to future changes in satisfaction (and vice versa). But the most robust finding was for concurrent within-person associations between negative communication and satisfaction: At times when couples experienced less negative communication than usual, they were also more satisfied with their relationship than was typical. Positive communication was rarely associated with relationship satisfaction at the within-person level. These findings indicate that within-person changes in negative communication primarily covary with, rather than predict, relationship satisfaction.

Objective: Empirical knowledge about "dual-trauma couples" (DTC), characterized by both partners with a history of trauma exposure and presentation of trauma-related symptoms, is especially deficient. We analyzed DTC partners' qualitative data culled from the Relationship Evaluation Questionnaire (Busby et al., 2001) to ascertain dyadic resiliency processes within dual-trauma couples., Method: A data-reductive thematic analysis on short-answer responses of reported relational strengths and weaknesses from female ( n = 822) and male partners' ( n = 831) yielded several processes that provide insight into individual perceptions, behaviors, and past experiences, and dyadic interactions that may foster or hinder effective resilience in DTC., Results: Participant responses highlighted existing dyadic strengths that fostered effective couple adaptative processes: shared beliefs and goals, mutual collaboration and psychological flexibility, and dyadic connectedness. Barriers to couple resiliency included individual perceptions, behaviors, and past experiences, and dyadic interactions that exacerbated relational instability, emotional unsafety, contentious communication, and difficulties with distress tolerance., Conclusions: Results promote a balanced conceptualization (i.e., inclusion of both adaptive and maladaptive interactions) of couples affected by trauma exposure. Implications for clinical treatment and several areas for future research are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Collaboration with clients is an efficient way to develop social services. To strengthen the possibilities for clients to influence services, client juries are established. However, collaboration in the juries is perceived as difficult because of the power imbalance inherent in the client-social worker relationship. The aim of this study was to examine how the participants negotiated power relations in client jury meetings. The data consisted of four observed disability services client jury meetings. Analysis was performed using action-implicative discourse analysis, which aims to define different communicative problems, interactional strategies, and situated ideals of communicative practices. The results revealed the use of four main strategies to negotiate power relations in client jury meetings: avoiding conflicts with clients, trying to reveal injustice, taking responsibility, and widening the perspective. By studying the interactions within the disability services client juries, the methods for promoting the involvement of service users in developing social services can be improved.

Information transfers in long-term care (LTC) settings between and among providers, staff, residents, and family caregivers are often fragmented. In order to identify training needs to improve communication, a survey instrument was developed and refined to assess the self-efficacy of LTC staff in communicating with staff, providers, residents, and caregivers. This 11-item survey instrument, based on a literature review, covered four key concepts (mutual respect, recognizing and responding to sensory deficits, limited health literacy, and changes in condition) relevant to communicating health information in LTC settings. Ten content experts evaluated each survey item using a 4-point scale. The content validity of the survey was established by using the content validity index to assess results at the item and scale levels. All items scored 0.90 or greater and were retained. Future work should entail broad-scale validation and testing of this survey across the United States. By assessing the self-efficacy of LTC staff in communicating with the interprofessional team, leadership teams can design personalized interprofessional continuing education activities aimed at improving communication skills. [ J Contin Educ Nurs . 2022;53(3):123-130.] .

The hierarchical mapping technique is utilized to study individuals' social convoys (i.e., networks). Though convoys typically exclude deceased persons, the continuing bonds model argues that relationships between surviving and deceased persons can be sustained. After Death Communication (ADC), an experience where the deceased contacts surviving persons, facilitates continuing bonds. This study examines how ADC influences reports of convoys and continuing bonds. Using Labov's narrative framework, ADC narratives from 10 bereaved individuals were analyzed for content and structure. Most participants apologized, indicating their ADC experience was inexplicable. Consequently, reports of convoys and continuing bonds may be influenced by concerns of perception.

To identify perceived factors related to intimacy following HSCT., Qualitative descriptive design., Patients diagnosed with hematological cancer, 6 months into their HSCT recovery, and their partners., Semi-structured interviews were conducted with 18 participants (nine patients and their partners). A thematic analysis was carried out., Couples reported various obstacles to intimacy, such as emotional obstacles (i.e. negative emotions, emotional mismatch), the length of the disease, its treatments and side effects, and the patient's physical condition. Couples also reported facilitators to intimacy, such as using emotional facilitators (e.g. showing empathy), fostering open communication or sharing common experience of the disease., This study highlights specific factors that influence couples' intimacy in the context of HSCT. Implications for Psychosocial Providers: Couples' intervention delivered in cancer care should be adapted by focusing on specific factors that maintain or enhance couples' intimacy.

Introduction: The CHARISMA intervention, nested within the MTN-025/HOPE vaginal ring trial in Johannesburg, South Africa, seeks to facilitate women's use of HIV prevention products by promoting partner dialogue and mitigating intimate partner violence (IPV). We developed "HEART", a lay counselor-administered relationship assessment tool, for the CHARISMA pilot. The five-scale tool assesses participants' endorsement of Traditional Values (TV), her HIV Prevention Readiness (HPR) and levels of partner support (PS), abuse and control (PAC), and resistance to HIV prevention (PR), guiding decisions about which of three counselling modules to offer (partner communication/A; ring disclosure/B; and IPV prevention/C)., Methods: We correlated baseline scores on HEART subscales with a) independent measures of relationship stability, disclosure and IPV to assess construct validity, and b) with specific modules offered to determine how HEART was used in the pilot. We examined changes in HEART scores at three and six months. Finally, we ran separate growth models for each subscale to examine changes in scores, accounting for partnership changes and counseling module(s) received., Results: Baseline HEART scores correlated as predicted among subscales and with other measures. Reliabilities for four subscales were 0.75 or higher. Women who disclosed study participation and ring use scored higher on PS and lower on PR. Women experiencing IPV scored lower on PS, and higher on PAC and PR. During the pilot, 82% of women received one and 17% received two or more modules; over half received the IPV module. Women with higher PAC and PR scores were more likely to receive the IPV than the communication or disclosure modules. Over time, the TV, PAC and PR scores decreased, and PS score increased. Receiving the IPV module was associated with a decreased PAC score., Conclusions: These data offer preliminary evidence for HEART construct and predictive validity and support its further evaluation to guide implementation and monitor the impact of the CHARISMA intervention in a randomized controlled evaluation., Competing Interests: The authors have declared that no competing interests exist.

Conversation is the platform where minds meet: the venue where information is shared, ideas cocreated, cultural norms shaped, and social bonds forged. Its frequency and ease belie its complexity. Every conversation weaves a unique shared narrative from the contributions of independent minds, requiring partners to flexibly move into and out of alignment as needed for conversation to both cohere and evolve. How two minds achieve this coordination is poorly understood. Here we test whether eye contact, a common feature of conversation, predicts this coordination by measuring dyadic pupillary synchrony (a corollary of shared attention) during natural conversation. We find that eye contact is positively correlated with synchrony as well as ratings of engagement by conversation partners. However, rather than elicit synchrony, eye contact commences as synchrony peaks and predicts its immediate and subsequent decline until eye contact breaks. This relationship suggests that eye contact signals when shared attention is high. Furthermore, we speculate that eye contact may play a corrective role in disrupting shared attention (reducing synchrony) as needed to facilitate independent contributions to conversation., Competing Interests: The authors declare no competing interest.

People constantly talk to one another about the past, and in so doing, they recount certain details while remaining silent about others. Collaborative or conversational remembering plays an important role in establishing shared representations of the past (e.g., the 911 attacks, Covid-19). According to the socially shared retrieval-induced forgetting (SS-RIF) effect, a listener will forget about relevant but unpracticed information during communication, due to intentional or unintentional selective retrieval of data by the speaker. The SS-RIF paradigm has been applied to explain how collective memory is shaped within the context of conversation/discourse. This study sought to determine if SS-RIF occurred only during face-to-face communication, or whether shared memories could be developed through other types of conversation quite common in modern society. We also investigated whether a level of social interaction in the real-world presence of others is a necessary condition for inducing SS-RIF, and if listeners experience different degrees of SS-RIF due to different levels of perceived social presence. We observed the SS-RIF phenomenon in listeners both in real life and video; the degree of forgetting was the same for the two conditions. These results indicate that social presence may not be associated with SS-RIF. Public silence affects the formation of collective memory regardless of the face-to-face presence of others, and thus physical presence is not necessary to induce SS-RIF., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Zhu and Zhang.)

Milgram empirically showed that people knowing only connections to their friends could locate any person in the U.S. in a few steps. Later research showed that social network topology enables a node aware of its full routing to find an arbitrary target in even fewer steps. Yet, the success of people in forwarding efficiently knowing only personal connections is still not fully explained. To study this problem, we emulate it on a real location-based social network, Gowalla. It provides explicit information about friends and temporal locations of each user useful for studies of human mobility. Here, we use it to conduct a massive computational experiment to establish new necessary and sufficient conditions for achieving social search efficiency. The results demonstrate that only the distribution of friendship edges and the partial knowledge of friends of friends are essential and sufficient for the efficiency of social search. Surprisingly, the efficiency of the search using the original distribution of friendship edges is not dependent on how the nodes are distributed into space. Moreover, the effect of using a limited knowledge that each node possesses about friends of its friends is strongly nonlinear. We show that gains of such use grow statistically significantly only when this knowledge is limited to a small fraction of friends of friends., Competing Interests: The authors have declared that no competing interests exist.

Many individuals may face traumatic events throughout their lives. For intimate relationship partners, early traumatic experiences can have a specific effect on their interpersonal communication. This study examined the moderating effect of traumatic experiences at early ages between perceived conflict and communication behavior among individuals in an intimate relationship. A total of 186 college students in intimate relationships reported their perceived conflict and communication behaviors with their partners three times a day for 14 days using ambulatory assessment. Findings from the multilevel model showed that a higher level of perceived conflict significantly positively associated with negative communication and negatively correlated with positive communication at the within-person level. Traumatic experiences at the between-person level moderated the within-person level associations between the dynamic perceived conflict and negative and positive communication behavior. However, the moderating effect of traumatic experiences on the association between perceived conflict and positive communication was contrary to the hypothesis. Daily perceived conflict was associated with daily communication behavior. For those with early traumatic experiences, the relationship between negative communication and conflict was stronger than for those who had not experienced such trauma., (© 2021 Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.)

After a child is diagnosed with autism, parents' relationships are impacted as they reorganize their daily lives to support their child's specific needs. A better understanding of parenting couples' adaptation is needed to accompany them during this period. This qualitative study explored couples' experiences after their child's autism diagnosis. An inductive thematic analysis among ten couple interviews (N = 20) revealed three key themes: emotional experiences, external support, and adaptation. Overall, the quality of couples' relationships before having a child influenced their relationship after the diagnosis. In general, parents presented complementary coparenting roles, while different opinions about how to raise the child strained their relationship. Helping parents adapt to a diagnosis together could prove to be important for future interventions and research.

How to give full play to the positive function of constructive conflicts (task conflicts and process conflicts) in the science and technology innovation team, give appropriate stimulation, mobilize the enthusiasm of employees and improve the team's innovative ability to improve team performance and organizational effectiveness are issues that deserve both team leaders' and scholars' attention. Through selecting multiple medical technology R&D personnel from a specific science and technology innovation team of health organization, the research studies the constructive conflicts among the members of the science and technology innovation team, constructs and analyzes the conflict evolution game model, proposes countermeasures and suggestions for improving the innovation ability of the science and technology innovation team and discusses the innovation management mechanism of the science and technology innovation team. The study shows that task conflicts, process conflicts and innovation game decisions cannot be avoided. The unstable choice of members does not promote innovation. However, on the one hand, constructive conflicts can be controlled to maintain a moderate state of control. On the other hand, it is also necessary to establish a mutually trusting communication environment and convenient communication channels in the science and technology innovation team, combined with modern information management technology, to handle the problems that were difficult to be found or accumulated for a long time under the previous management mechanism and cooperate with the science and technology innovation team to improve the technology innovation team's innovation capability., Competing Interests: Competing interests: None declared., (© American Federation for Medical Research 2021. No commercial re-use. See rights and permissions. Published by BMJ.)

Destination memory involves remembering to whom we told information. Low accuracy of this memory is linked to higher self-focus and lower attentional resources allocated to the recipient of the information. The present paper aimed to investigate whether the existence of distinctive features (e.g., tattoos) of destination face would improve destination memory, in a within- (Experiment 1 and 2) and between-participants (Experiment 3) design. In a destination memory task, participants had to tell proverbs to faces that presented a distinctive feature and to other faces that did not. Results showed that a destination memory advantage only occurs when faces with different distinctive features are compared to faces without distinctive features (Experiment 1). These results are in accordance with the existing theoretical framework on destination memory and distinctiveness; highlighting the importance of personal attributes, namely, the distinctiveness of the destination face and the relativity of distinctiveness in destination memory., (© 2021 Scandinavian Psychological Associations and John Wiley & Sons Ltd.)

The role of oxytocin (OT) in close relationships is complex, as both positive and negative associations have been found between OT and relationship processes. Also, with most research focusing on the effects of exogenous OT administration on communication and couple behaviors, our knowledge about the association between endogenous OT and couple dynamics remains limited. This study is the first to assess the link between peripheral OT levels and observed communication behaviors during sexual and nonsexual conflict discussions in romantic relationships. A sample of 126 young, heterosexual couples (Mean age = 23.3, SD = 2.4; average relationship duration = 1.9 years, SD = 0.9) participated in videotaped sexual and nonsexual couple conflict discussions of 7 min each. Communication behaviors were coded using an adaptation of the Specific Affect Coding System (SPAFF) and the System for Coding Interactions and Family Functioning (SCIFF). Blood samples were collected prior to the couple discussions, during a separate lab visit, and OT plasma levels were determined using enzyme-linked immunosorbent assays (ELISA). Plasma OT levels were positively associated with validating behaviors during sexual discussions in both women (r = +.24, p = .008) and men (r = +.18, p = .052). No significant associations were found between OT levels and validating behaviors during nonsexual discussions and between OT and affectionate and negative behaviors during either sexual or nonsexual discussions. Analyses revealed significant associations between OT levels and one's own validating behaviors during sexual discussions (b = 47.82, t(201.16) = 3.81, p < .001) and one's partner's (b = 32.12, t(216.35) = 2.62, p = .009). The results highlight the biobehavioral aspects of couples' sexual communication and may contribute to a better understanding of the processes involved in individual and relational well-being. This study is the first to report an association between peripheral OT levels and validating behaviors during sexual communication, indicating neurophysiological involvement in dyadic sexual communication patterns., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Background: There is evidence that fear of negative nurse response may prevent hospitalized patients from sharing safety concerns, adversely affecting patient safety., Purpose: The purpose of the present study was to describe the process by which bedside nurses recognize and respond to safety concerns expressed by patients or their families., Methods: Twenty-five bedside nurses from 30 maternal-child, intensive, medical-surgical, and psychiatric inpatient units within an academic medical center participated in semi-structured interviews. Data were analyzed using grounded theory., Findings: Nurses reported creating space for open safety communication to foster trust and maintain patient safety and sense of security. Nurses anticipated safety concerns, invited safety discussion, were accessible, recognized insecurity, reacted in a trustworthy way, shared a plan, and followed up with patient and family., Discussion: This process involves multiple interacting components, yet was remarkably consistent across acute care settings, despite differences in nurses, patient populations, and unit cultures., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Robust evidence supports the importance of apologies for promoting forgiveness. Yet less is known about how apologies exert their effects. Here, we focus on their potential to promote forgiveness by way of increasing perceptions of relationship value. We used a method for directly testing these causal claims by manipulating both the independent variable and the proposed mediator. Namely, we use a 2 (Apology: yes vs. no) × 2 (Value: high vs. low) concurrent double-randomization design to test whether apologies cause forgiveness by affecting the same causal pathway as relationship value. In addition to supporting this causal claim, we also find that apologies had weaker effects on forgiveness when received from high-value transgressors, suggesting that the forgiveness-relevant information provided by apologies is redundant with relationship value. Taken together, these findings from a rigorous methodological paradigm help us parse out how apologies promote relationship repair.

Historically, observational couple communication researchers have oscillated between splitting behaviors into narrowly defined discrete codes and grouping behaviors into broader codes-sometimes within the same study. We label this the "lump-versus-split dilemma." Coding across a decade and 11 investigators were used to recommend the most meaningful number of codes to use when observing couples' conflict. We combined data from 14 studies that used the Rapid Marital Interaction Coding System (RMICS) to score communication behavior during different-sex couples' conflict interactions. In each study, couples completed at least one 10-min, video-recorded conflict discussion. Communication during these interactions was coded by trained research staff using RMICS; all codes were compiled into a single data set for descriptive analysis and exploratory factor analyses (EFAs). The final sample comprised N = 2,011 couples. Several RMICS codes were extremely infrequent-specifically, distress-maintaining attributions, psychological abuse, withdrawal, dysphoric affect, and relationship-enhancing attributions. By far, the most frequent code was constructive problem discussion. EFAs yielded two factors for both women and men. Factor 1 ( Negative ) contained two items: distress-maintaining attributions and hostility. Factor 2 ( Nonnegative ) contained constructive problem discussion and humor (and, for women only, acceptance). Results side heavily with the "lump" camp in the lump-versus-split dilemma in couple observational coding. These RMICS factor analysis results converge with those from other systems and imply that the microanalytic "splitting" era in couples coding should draw to a close, with future studies instead focused on negative, neutral, and positive codes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Current avatar representations used in immersive VR applications lack features that may be important for supporting natural behaviors and effective communication among individuals. This study investigates the impact of the visual and nonverbal cues afforded by three different types of avatar representations in the context of several cooperative tasks. The avatar types we compared are No&#95;Avatar (HMD and controllers only), Scanned&#95;Avatar (wearing an HMD), and Heal&#95;Avatar (video-see-through). The subjective and objective measures we used to assess the quality of interpersonal communication include surveys of social presence, interpersonal trust, communication satisfaction, and attention to behavioral cues, plus two behavioral measures: duration of mutual gaze and number of unique words spoken. We found that participants reported higher levels of trustworthiness in the Real&#95;Avatar condition compared to the Scanned&#95;Avatar and No&#95;Avatar conditions. They also reported a greater level of attentional focus on facial expressions compared to the No&#95;Avatar condition and spent more extended time, for some tasks, attempting to engage in mutual gaze behavior compared to the Scanned&#95;Avatar and No&#95;Avatar conditions. In both the Heal&#95;Avatar and Scanned&#95;Avatar conditions, participants reported higher levels of co-presence compared with the No&#95;Avatar condition. In the Scanned&#95;Avatar condition, compared with the Heal&#95;Avatar and No&#95;Avatar conditions, participants reported higher levels of attention to body posture. Overall, our exit survey revealed that a majority of participants (66.67%) reported a preference for the Real&#95;Avatar, compared with 25.00% for the Scanned&#95;Avatar and 8.33% for the No&#95;Avatar, These findings provide novel insight into how a user's experience in a social VR scenario is affected by the type of avatar representation provided.

Introduction: Relationships between people with dementia and their carers can prove challenging over the trajectory of the disease. Interventions with a potential to address this include arts and music-based activities. This research project aimed to evaluate a community engagement programme (Carers Create) where both people with dementia and their carers participate together in singing and other activities. A specific focus was on the impact of the sessions on the dyadic relationship., Methods: A grounded theory approach involved conducting three focus group interviews with carers of people with dementia ( n  = 16) facilitated by members of a local U3A (University of the Third Age) who were trained and supported by university researchers. Recorded conversations were transcribed and analysed using a three-stage coding and thematic development technique., Results: Four overarching themes were identified from the discourse: remembering the positive qualities of the cared-for, the physical and emotional demands of caring, Carers Create as a shared, beneficial activity and the enduring value of Carers Create., Conclusion: Carers found the sessions to positively influence the relationship with the person they cared for through offering some relief from the day-to-day pressures of caring and, in some cases, restoring elements of a previously strong relationship. Crucial to the experience was the fact that the sessions included both carer and cared-for, offering activities to do together, and that they took place within a group, thereby offering a degree of mutual support. In addition, some carers were able to build on learning which had taken place and use certain techniques, such as singing, to help manage care, thus extending the improved relationship.

Purpose Individuals with traumatic brain injury (TBI) experience impairments to self-regulation and social communication that strain relationships. Video self-modeling (VSM) provides visible and audible, tangible evidence of what they do well and what could improve. Conducting such training in the context of authentic exchanges with their everyday partners may support positive change in social communication. The present investigation sought to evaluate indices of improved social communication. Method A mixed-methods design was employed for this case series investigation. Quantitative measures include pre- and postoutcomes on goal attainment scales (GASs) and measures of conversational effectiveness. Qualitative measures include responsiveness to video-supported prompts, conversational behaviors, and metacognitive statements. Results Participants perceived gains on GAS of 3-4 SD s, as well as perceived improvements on the La Trobe Communication Questionnaire. Those gains were validated by gains on the adapted Measure of Participation in Conversation and Measure of Skill in Supported Conversation. Individuals with TBI and their partners reached consensus on most goals and postintervention La Trobe Communication Questionnaire ratings. Participants made accurate judgments about their behaviors at a high rate, given video review. Conversational behaviors and use of metacognitive statements varied across participants and conversational contexts. Field notes and session transcripts provide evidence that both dyads increased internalization of VSM goals and purpose. Conclusions Joint VSM shows promise as a method for eliciting accurate self-assessments among individuals with TBI and their close partners. Both dyads perceived positive gains in interactions within and outside their dyads. Furthermore, joint VSM and GAS appear to improve self-awareness and internalization of VSM goals and purpose.

This study explored the effects of musical improvisation between dyads of same-sex strangers on subsequent behavioural alignment. Participants-all non-musicians-conversed before and after either improvising music together (Musical Improvisation-MI-group) or doing a motoric non-rhythmic cooperative task (building a tower together using wooden blocks; the Hands-Busy-HB-group). Conversations were free, but initially guided by an adaptation of the Fast Friends Questionnaire for inducing talk among students who are strangers and meeting for the first time. Throughout, participants' motion was recorded with an optical motion-capture system (Mocap) and analysed in terms of speed cross-correlations. Their conversations were also recorded on separate channels using headset microphones and were analysed in terms of the periodicity displayed by rhythmic peaks in the turn transitions across question and answer pairs (Q+A pairs). Compared with their first conversations, the MI group in the second conversations showed: (a) a very rapid, partially simultaneous anatomical coordination between 0 and 0.4 s; (b) delayed mirror motoric coordination between 0.8 and 1.5 s; and (c) a higher proportion of Periodic Q+A pairs. In contrast, the HB group's motoric coordination changed slightly in timing but not in degree of coordination between the first and second conversations, and there was no significant change in the proportion of periodic Q+A pairs they produced. These results show a convergent effect of prior musical interaction on joint body movement and use of shared periodicity across speech turn-transitions in conversations, suggesting that interaction in music and speech may be mediated by common processes., Competing Interests: The authors have declared that no competing interests exist.

Many everyday conversations, whether between close partners or strangers interacting for the first time, are about the world external to their relationship, such as music, food, or current events. Yet, the focus of most research on interpersonal relationships to date has been on the ways in which partners perceive each other and their relationship. We propose that one critical aspect of interpersonal interactions is developing a sense of dyadic, generalized shared reality -the subjective experience of sharing a set of inner states (e.g., thoughts, feelings, or beliefs) in common with a particular interaction partner about the world in general, including the world external to the relationship. Across 9 studies, we use mixed methods to investigate the unique role of generalized shared reality in interpersonal interactions, both between close partners and strangers. We hypothesize that generalized shared reality predicts how people connect with each other and perceive the world around them. We also investigate the observable, dyadic behavioral signatures of generalized shared reality in interpersonal interactions. Finally, we examine the motivation to uphold an existing sense of generalized shared reality. We hypothesize that couples high on baseline generalized shared reality exhibit motivated, dyadic interaction behaviors to reaffirm their generalized shared reality in the face of experimentally manipulated threat. By identifying a unique dimension of everyday interactions, these studies aim to capture a critical aspect of the lived subjective experience of human relationships that has not been captured before. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Attitudes toward outgroups are an important determinant of peaceful coexistence in diverse societies, but it is difficult to improve them. The current research studies the impact of messages with negations on outgroup attitudes, more specifically on outgroup trust. All studies were preregistered. Using different target groups, Studies 1 and 2 provide evidence for the prediction that communicating negations (e.g., "they are not deceptive") enhances outgroup trust (more so than affirmations, such as "they are reliable," and no messages) among people who are initially low in outgroup trust. Three additional studies (Studies 3a, 3b, and 4), using both a causal chain approach and (moderated) mediation analysis, demonstrate that negations promote cognitive flexibility which in turn enhances outgroup trust among those initially low in outgroup trust. One final study suggests that these findings generalize to outgroup attitude change per se by showing that communicating negations also results in more moderate attitudes when the dominant initial attitude is positive (Study 5: high warmth) rather than negative (Studies 1-4: low trustworthiness). As such, communication that negates people's initial outgroup attitudes could be an effective (previously discounted) intervention to reduce prejudice in intergroup settings. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Do conversations end when people want them to? Surprisingly, behavioral science provides no answer to this fundamental question about the most ubiquitous of all human social activities. In two studies of 932 conversations, we asked conversants to report when they had wanted a conversation to end and to estimate when their partner (who was an intimate in Study 1 and a stranger in Study 2) had wanted it to end. Results showed that conversations almost never ended when both conversants wanted them to and rarely ended when even one conversant wanted them to and that the average discrepancy between desired and actual durations was roughly half the duration of the conversation. Conversants had little idea when their partners wanted to end and underestimated how discrepant their partners' desires were from their own. These studies suggest that ending conversations is a classic "coordination problem" that humans are unable to solve because doing so requires information that they normally keep from each other. As a result, most conversations appear to end when no one wants them to., Competing Interests: The authors declare no competing interest.

The social microcosm is defined as group members replicating their everyday (intersession) interpersonal behaviors in group sessions and new behaviors, learned in the group (in-session), replicating in the members' everyday life. We examined intersession and in-session intimate behaviors, at the within-member (differences in intimate behaviors between weeks/sessions), between-member (average differences in intimate behaviors between group members) and between-groups (group-level differences in intimate behaviors). Participants were 178 graduate students (86% identifying as women and 14% as men) participating in 10 5-session growth groups led by experienced group therapists. Before group sessions, group members completed the Interpersonal Relations Scale Checklist (IRScl; Shadish, 1984) indicating their number of intersession intimate behaviors for the previous week and, at the end of group sessions, they filled in the IRScl to indicate their in-session intimate behaviors. A 3-level HLM analysis (sessions, members, groups) predicting in-session intimate behaviors from previous week intersession intimate behaviors showed significant within-member, between-member, and between-groups effects. A second 3-level HLM analysis (sessions, members, groups), predicting following week intersession intimate behaviors from in-session intimate behaviors, showed significant between-member and between-groups effects. Between-member and within-member in-session intimate behaviors interacted to predict intersession intimate behaviors. Group members who generally had a low number of in-session intimate behaviors engaged in more intersession intimate behaviors in weeks following sessions with higher than average in-session intimate behaviors. These results provide support for the social microcosm proposition that members' trait-like everyday behaviors are replayed in the group. However state-like and other-member everyday behaviors also contribute to members' social microcosm. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Positive social connections improve wellbeing. Technology increasingly affords a wide variety of media that people can use to connect with others, but not all media strengthen social connection equally. Optimizing wellbeing, therefore, requires choosing how to connect with others wisely. We predicted that people's preferences for communication media would be at least partly guided by the expected costs and benefits of the interaction-specifically, how awkward or uncomfortable the interaction would be and how connected they would feel to their partner-but that people's expectations would consistently undervalue the overall benefit of more intimate voice-based interactions. We tested this hypothesis by asking participants in a field experiment to reconnect with an old friend either over the phone or e-mail, and by asking laboratory participants to "chat" with a stranger over video, voice, or text-based media. Results indicated that interactions including voice (phone, video chat, and voice chat) created stronger social bonds and no increase in awkwardness, compared with interactions including text (e-mail, text chat), but miscalibrated expectations about awkwardness or connection could lead to suboptimal preferences for text-based media. Misunderstanding the consequences of using different communication media could create preferences for media that do not maximize either one's own or others' wellbeing. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The analysis and simulation of the interactions that occur in group situations is important when humans and artificial agents, physical or virtual, must coordinate when inhabiting similar spaces or even collaborate, as in the case of human-robot teams. Artificial systems should adapt to the natural interfaces of humans rather than the other way around. Such systems should be sensitive to human behaviors, which are often social in nature, and account for human capabilities when planning their own behaviors. A limiting factor relates to our understanding of how humans behave with respect to each other and with artificial embodiments, such as robots. To this end, we present CongreG8 (pronounced 'con-gre-gate'), a novel dataset containing the full-body motions of free-standing conversational groups of three humans and a newcomer that approaches the groups with the intent of joining them. The aim has been to collect an accurate and detailed set of positioning, orienting and full-body behaviors when a newcomer approaches and joins a small group. The dataset contains trials from human and robot newcomers. Additionally, it includes questionnaires about the personality of participants (BFI-10), their perception of robots (Godspeed), and custom human/robot interaction questions. An overview and analysis of the dataset is also provided, which suggests that human groups are more likely to alter their configuration to accommodate a human newcomer than a robot newcomer. We conclude by providing three use cases that the dataset has already been applied to in the domains of behavior detection and generation in real and virtual environments. A sample of the CongreG8 dataset is available at https://zenodo.org/record/4537811., Competing Interests: The authors have declared that no competing interests exist.

Background: Communication is a common element in all medical consultations, affecting a range of outcomes for doctors and patients. The increasing demand for medical students to be trained to communicate effectively has seen the emergence of interpersonal communication skills as core graduate competencies in medical training around the world. Medical schools have adopted a range of approaches to develop and evaluate these competencies., Objectives: To assess the effects of interventions for medical students that aim to improve interpersonal communication in medical consultations., Search Methods: We searched five electronic databases: Cochrane Central Register of Controlled Trials, MEDLINE, Embase, PsycINFO, and ERIC (Educational Resource Information Centre) in September 2020, with no language, date, or publication status restrictions. We also screened reference lists of relevant articles and contacted authors of included studies., Selection Criteria: We included randomised controlled trials (RCTs), cluster-RCTs (C-RCTs), and non-randomised controlled trials (quasi-RCTs) evaluating the effectiveness of interventions delivered to students in undergraduate or graduate-entry medical programmes. We included studies of interventions aiming to improve medical students' interpersonal communication during medical consultations. Included interventions targeted communication skills associated with empathy, relationship building, gathering information, and explanation and planning, as well as specific communication tasks such as listening, appropriate structure, and question style., Data Collection and Analysis: We used standard methodological procedures expected by Cochrane. Two review authors independently reviewed all search results, extracted data, assessed the risk of bias of included studies, and rated the quality of evidence using GRADE., Main Results: We found 91 publications relating to 76 separate studies (involving 10,124 students): 55 RCTs, 9 quasi-RCTs, 7 C-RCTs, and 5 quasi-C-RCTs. We performed meta-analysis according to comparison and outcome. Among both effectiveness and comparative effectiveness analyses, we separated outcomes reporting on overall communication skills, empathy, rapport or relationship building, patient perceptions/satisfaction, information gathering, and explanation and planning. Overall communication skills and empathy were further divided as examiner- or simulated patient-assessed. The overall quality of evidence ranged from moderate to very low, and there was high, unexplained heterogeneity. Overall, interventions had positive effects on most outcomes, but generally small effect sizes and evidence quality limit the conclusions that can be drawn. Communication skills interventions in comparison to usual curricula or control may improve both overall communication skills (standardised mean difference (SMD) 0.92, 95% confidence interval (CI) 0.53 to 1.31; 18 studies, 1356 participants; I² = 90%; low-quality evidence) and empathy (SMD 0.64, 95% CI 0.23 to 1.05; 6 studies, 831 participants; I² = 86%; low-quality evidence) when assessed by experts, but not by simulated patients. Students' skills in information gathering probably also improve with educational intervention (SMD 1.07, 95% CI 0.61 to 1.54; 5 studies, 405 participants; I² = 78%; moderate-quality evidence), but there may be little to no effect on students' rapport (SMD 0.18, 95% CI -0.15 to 0.51; 9 studies, 834 participants; I² = 81%; low-quality evidence), and effects on information giving skills are uncertain (very low-quality evidence). We are uncertain whether experiential interventions improve overall communication skills in comparison to didactic approaches (SMD 0.08, 95% CI -0.02 to 0.19; 4 studies, 1578 participants; I² = 4%; very low-quality evidence). Electronic learning approaches may have little to no effect on students' empathy scores (SMD -0.13, 95% CI -0.68 to 0.43; 3 studies, 421 participants; I² = 82%; low-quality evidence) or on rapport (SMD 0.02, 95% CI -0.33 to 0.38; 3 studies, 176 participants; I² = 19%; moderate-quality evidence) compared to face-to-face approaches. There may be small negative effects of electronic interventions on information giving skills (low-quality evidence), and effects on information gathering skills are uncertain (very low-quality evidence).  Personalised/specific feedback probably improves overall communication skills to a small degree in comparison to generic or no feedback (SMD 0.58, 95% CI 0.29 to 0.87; 6 studies, 502 participants; I² = 56%; moderate-quality evidence). There may be small positive effects of personalised feedback on empathy and information gathering skills (low quality), but effects on rapport are uncertain (very low quality), and we found no evidence on information giving skills. We are uncertain whether role-play with simulated patients outperforms peer role-play in improving students' overall communication skills (SMD 0.17, 95% CI -0.33 to 0.67; 4 studies, 637 participants; I² = 87%; very low-quality evidence). There may be little to no difference between effects of simulated patient and peer role-play on students' empathy (low-quality evidence) with no evidence on other outcomes for this comparison. Descriptive syntheses of results that could not be included in meta-analyses across outcomes and comparisons were mixed, as were effects of different interventions and comparisons on specific communication skills assessed by the included trials. Quality of evidence was downgraded due to methodological limitations across several risk of bias domains, high unexplained heterogeneity, and imprecision of results. In general, results remain consistent in sensitivity analysis based on risk of bias and adjustment for clustering. No adverse effects were reported.  AUTHORS' CONCLUSIONS: This review represents a substantial body of evidence from which to draw, but further research is needed to strengthen the quality of the evidence base, to consider the long-term effects of interventions on students' behaviour as they progress through training and into practice, and to assess effects of interventions on patient outcomes. Efforts to standardise assessment and evaluation of interpersonal skills will strengthen future research efforts., (Copyright © 2021 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.)

Communication behavior occupies a fundamental role in basic and applied relationship science, yet we know very little about how this important process develops over time, and how the natural developmental process is linked with relationship outcomes. The present study aims to examine the development of naturally occurring trajectories of couple communication behavior across three domains, examined concurrently; positive affect, negative affect, and effective problem solving. A large sample of newlywed couples recruited from low-income neighborhoods ( N = 431) completed observational discussion tasks at 4 time points, spanning 2.5 years, and provided data on marital status 4.5 years into marriage. Results from multivariate group-based trajectory modeling indicate that three groups of couples can be distinguished, with the best communicators demonstrating high levels of positivity and effectiveness and low levels of negativity, the worst communicators demonstrating low levels of positivity and effectiveness and high levels of negativity, and the middle group demonstrating low levels of all three dimensions. Trajectory group membership was significantly associated with demographic and relationship characteristics, such that the best communicators had more adaptive relationship characteristics and less demographic risk. Wives' trajectory group membership was significantly associated with divorce rates such that the best communicators had the lowest divorce rate (9%), and the worst communicators had the highest divorce rate (22%). Overall, communication behavior is quite consistent over time, indicating that early interaction dynamics tend to be enduring and predictive of relationship outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Because work songs are ubiquitous around the world, singing while working and performing a task with a coactor is presumably beneficial for both joint action and individual task performance. The present study investigated the impact of interpersonal rhythmic vocal interaction on interpersonal phase relations and on individual motor timing performance, which was evaluated by a synchronization-continuation paradigm requiring whole-body movement with or without visual contact. Participants repeated the syllable " tah " or remained silent in a manipulation of vocal interaction, and they were oriented toward or away from their partner to manipulate visual interaction. Results indicated the occurrence of spontaneous interpersonal coordination, evidenced by interpersonal phase relations that were closer to 0° and less variable when participants interacted both visually and vocally. At the individual level, visual interaction increased the variability of synchronization with the metronome but did not modulate the variability of continuation movements, whereas vocal interaction helped to decrease the variability of synchronization and continuation movements. Visual interaction therefore degraded individual movement timing while vocal interaction improved it. Communication via the auditory modality may play a compensatory role in naturalistic contexts where visual contact has potential destabilizing effects. (PsycInfo Database Record (c) 2021 APA, all rights reserved).