How secure is the secure base? Romantic attachment, emotion regulation, and psychotherapists' role as secure base figures.

In 1988, Bowlby posited that the emotional availability of psychotherapists in establishing a secure base environment is influenced by their personal relational history. Despite the acknowledged influence of the therapist's attachment on therapeutic processes and outcomes, the therapist's role as a secure base figure has received insufficient attention. This study delves into the connection between psychotherapists' attachment organization and their self-perceived roles as secure base figures within clinical contexts. Additionally, we explore the mediating role of emotion regulation processes in this context. The dataset comprises self-reports from 384 psychotherapists with diverse theoretical orientations. Our analysis reveals both direct and indirect effects of psychotherapists' attachment on the provision of a secure base. Emotion regulation, specifically through the dimension of clarity, emerges as a significant mediator in this relationship. This study offers a distinctive contribution to deepening our understanding of the relational dynamics inherent to psychotherapeutic practice. It sheds light on the nuanced relation between attachment and emotion regulation, influencing the psychotherapist's role as a secure base figure in psychotherapy. The discussion of the results additionally emphasizes key implications for clinical practice and therapists' training.

Development and validation of a Community Resilience Scale for Youth (CRS-Y).

The purpose of this article is to present the development and validation of a Community Resilience Scale for Youth (CRS-Y) among a Portuguese sample of nearly 4000 young people growing up in regions on the border with Spain. The scale was developed for young people to assess their perception of the resilience of regional communities in terms of positive development and purposeful experiences for young people. Resilient communities, under a social ecological approach, are those able to move forward on social change and transformation. This concept is especially remarkable in more challenging contexts such as border regions of mainland Portugal which are characterised by economic, social, educational, and cultural disadvantages while discovering possibilities of resilience through promising local dynamics. A multi-step approach was used to develop this scale of 12-item scale. Items were generated based on an in-depth literature review and research previously conducted with young people in these contexts. The overall sample was randomly divided into two subsamples of 1828 and 1735 young people each. Principal component analysis was performed with one of the subsamples and yielded a three-factor structure, explaining 61.5% of the total variance. Confirmatory factor analysis performed on the second showed good fit indexes. Furthermore, internal consistency of the three proposed components, gauged either by Cronbach's alpha or McDonald's omega, indicated good reliability. Given the results, the CRS-Y is a valid and reliable tool showing adequate psychometric properties. This scale will be useful for schools and policy makers at the local level. Indicators such as the promotion of opportunities to participate and be recognised, collective trust and the promotion of shared values and protection are relevant in assessing regional communities' resilience and informing youth policies.

Differentiating Hypoglycemia Awareness Status from Hypoglycemia Experience in Tools for Measuring Impaired Awareness of Hypoglycemia.

Background: Developing technologies in real-time continuous glucose monitoring (CGM) are successfully reducing severe hypoglycemia (SH) in trials and clinical practice. Their impact on impaired awareness of hypoglycemia, a major risk factor for SH, is uncertain. Methods: The present study examined two scales for assessing hypoglycemia awareness status, the Gold score and the eight-item Minimally Modified Clarke Hypoglycemia Survey (MMCHS), commonly used in trials of CGM, in Portuguese-speaking adults with type 1 diabetes and conducted an exploratory factor analysis on MMCHS. Results: A bifactorial structure in MMCHS was revealed, with a clear distinction between items that measure SH experience and those that measure hypoglycemia awareness status. The latter is associated with the same risk for SH as the Gold score. Conclusions: We conclude that improvement in awareness scores by the MMCHS may reflect only a reduction in SH with no restoration of endogenous awareness, making the current literature consistent in evidence that CGM does not improve endogenous awareness and nonsensor supported protection from SH. This has implications for risk of SH when CGM is not being worn.

Elaboration of countertransference experience and the workings of the working alliance.

Alliance may impact psychotherapy outcomes both as a precondition that enables therapeutic work and an evolving process that is therapeutic in itself. This study examined the participation of the elaboration of countertransference experience (ECE) in alliance variation between therapist-client dyads early in therapy and within dyads over time. A total of 44 session assessments nested within 12 dyads were modeled through longitudinal multilevel analyses and utilized to examine the associations between the ECE dimensions of Immersion and Reflection and alliance components across 4 time points within the first 10 sessions of psychotherapy. Results supported the importance of initial ECE to explain differences in alliance between dyads, the particular relevance of ECE with clients presenting lower levels of personality organization, and the effect of personality difficulties on alliance change. Unexpected results were found concerning the correlations between ECE and alliance and their covariation over time. In conclusion, ECE dimensions appear to be involved in alliance formation, both in initial differences between dyads and in changes over time within the same case. ECE seems particularly important with more personality-disturbed clients. Future research should disentangle therapist and client contributions and examine the participation of ECE in the resolution of alliance ruptures. (PsycInfo Database Record (c) 2020 APA, all rights reserved).