Noon Edition

NANNY Martin sprawled against the corner of the building and stared directly into the brilliance of the street light. He felt like crying - the champagne had made him feel like crying, and the little gold statue in his hand made him feel like crying

Crying in Psychotherapy: The Perspective of Therapists and Clients

Eighteen U.S.-based doctoral students in counseling or clinical psychology were interviewed by phone regarding experiences of crying in therapy. Specifically, they described crying as therapists with their clients, as clients with their therapists, and experiences when their therapists cried in the participants’ therapy. Data were analyzed using consensual qualitative research. When crying with their clients, therapists expressed concern about the appropriateness/impact of crying, cried only briefly and because they felt an empathic connection with their clients, thought that the crying strengthened the relationship, discussed the event with their supervisor, and wished they had discussed the event more fully with clients. Crying as clients was triggered by discussing distressing personal events, was accompanied by a mixture of emotions regarding the tears, consisted of substantial crying to express pain or sadness, and led to multiple benefits (enhanced therapy relationship, deeper therapy, and insight). When their therapists cried, the crying was brief, was triggered by discussions of termination, arose from therapists’ empathic connection with participants, and strengthened the therapy relationship. Implications for research, training, and practice are presented

Crying and feeding problems in infancy and cognitive outcome in preschool children born at risk : a prospective population study

Objective: To investigate whether regulatory problems, i.e., crying and feeding problems in infants > 3 months of age, predict cognitive outcome in preschool children born at risk even when controlled for confounding factors. Methods: A prospective longitudinal study of children born in a geographically defined area in Germany. N = 4427 children of 6705 eligible survivors (66%) participated at all four assessment points (neonatal, 5, 20, and 56 months of age). Excessive crying and feeding problems were measured at 5 months. Mental development was assessed with the Griffiths Scale at 20 months, and cognitive assessments were conducted at 56 months. Neonatal complications, neurological, and psychosocial factors were controlled as confounders in structural equation modeling and analyses of variance. Results: One in five infants suffered from single crying or feeding problems, and 2% had multiple regulatory problems, i.e., combined crying and feeding problems at 5 months. In girls, regulatory problems were directly predictive of lower cognition at 56 months, even when controlled for confounders, whereas in boys, the influence on cognition at 56 months was mediated by low mental development at 20 months. Both in boys and girls, shortened gestational age, neonatal neurological complications, and poor parent-infant relationship were predictive of regulatory problems at 5 months and lower cognition at 56 months. Conclusion: Regulatory problems in infancy have a small but significant adverse effect on cognitive development

Ictal crying

PURPOSE: The purpose of this study was to describe a series of patients with ictal crying to estimate its occurrence and characterize the clinical features and the underlying etiology. METHODS: We retrospectively reviewed all the long-term video-EEG reports from Jefferson Comprehensive Epilepsy Center over a 12-year period (2004-2015) for the occurrence of the terms cry or sob or weep in the text body. All the extracted reports were reviewed, and patients with at least one episode of documented ictal crying at the epilepsy monitoring unit (EMU) were included in the study. RESULTS: During the study period, 5133 patients were investigated at our EMU. Thirty-two patients (0.6%) had at least one documented seizure accompanied by crying. Twenty-seven patients (26 women and one man) had psychogenic nonepileptic seizures (PNES), and five patients (0.1%) had epilepsy. Among patients with epileptic ictal crying, four patients had focal epilepsy (two had definite, and two had probable frontal lobe epilepsy), while one patient had Lennox-Gastaut syndrome. CONCLUSION: Ictal crying is a rare finding among patients evaluated at the EMUs. The most common underlying etiology for ictal crying is PNES. However, ictal crying is not a specific sign for PNES. Epileptic ictal crying is often a rare type of partial seizure in patients with focal epilepsy. Dacrystic seizures do not provide clinical value in predicting localization of the epileptogenic zone

Holding back the tears: Individual differences in adult crying proneness reflect attachment orientation and attitudes to crying

Despite being a universal human attachment behavior, little is known about individual differences in crying. To facilitate such examination we first recommend shortened versions of the attitudes and proneness sections of the Adult Crying Inventory using two independent samples. Importantly, we examine attachment orientation differences in crying proneness and test the mediating role of attitudes toward crying in this relationship. Participants (Sample 1 N = 623, Sample 2 N = 781), completed online measures of adult attachment dimensions (avoidance and anxiety), attitudes toward crying, and crying proneness. Exploratory factor analyses in Sample 1 revealed four factors for crying attitudes: crying helps one feel better; crying is healthy; hatred of crying; and crying is controllable; and three factors for crying proneness: threat to self; sadness; and joy. Confirmatory factor analyses in Sample 2 replicated these structures. Theoretically and statistically justified short forms of each scale were created. Multiple mediation analyses revealed similar patterns of results across the two samples, with the attitudes “crying is healthy” and “crying is controllable” consistently mediating the positive links between attachment anxiety and crying proneness, and the negative links between attachment avoidance and crying proneness. Results are discussed in relation to attachment and emotion regulation literature

Introduction: Crying over Little Nell

Do you ever find yourself coming over all sentimental? And if you do, do you like it, or do you feel embarrassed by your sentimental proclivities? Is sentimentality a pleasurable indulgence, a minor vice, or a lapse of aesthetic and moral taste? That Victorian culture is steeped in sentimentality is axiomatic. Its cast of pathetic children, fallen women, faithful animals, lachrymose deathbeds, hopeless sunsets and false dawns, fated quests, angelic mothers and innocents betrayed – to name only the most obvious topoi of literary and visual sentimentality – is familiar to the point of parody. (Or perhaps, thinking of Wilde's witticism on the death of Little Nell, it is beyond parody already.) The taste for Victorian culture's sentimentality, like the taste for Victorian culture more generally, has waxed and waned, yet whereas a fascination for kitsch or a delight in melodrama's excesses can sit happily with serious scholarly interests, it has rarely been respectable to stand up for sentimentality. Sentimentality is excessive feeling evoked by unworthy objects; it is falsely idealising; it simplifies and sanitises; it is vulgar; it leads to cynicism; it is feeling on the cheap; it's predictable; it's meretricious. In short, it's an emotional and aesthetic blot on the landscape

Elevated central serotonin levels inhibit emotional crying

Previous research has suggested a possible role of serotonin in emotional expressions, such as crying. We have found that a transient increase of central serotonin levels by means of oral administration of paroxetine reduces crying in response to emotional movies in healthy female volunteers. This is the first direct evidence of an important role of serotonin in this uniquely human emotional response

Holding back the tears: individual differences in adult crying proneness reflect attachment orientation and attitudes to crying

Despite being a universal human attachment behavior, little is known about individual differences in crying. To facilitate such examination we first recommend shortened versions of the attitudes and proneness sections of the Adult Crying Inventory using two independent samples. Importantly, we examine attachment orientation differences in crying proneness and test the mediating role of attitudes toward crying in this relationship. Participants (Sample 1 N=623, Sample 2 N=781), completed online measures of adult attachment dimensions (avoidance and anxiety), attitudes towards crying, and crying proneness. Exploratory factor analyses in Sample 1 revealed four factors for crying attitudes: crying helps one feel better; crying is healthy; hatred of crying; and crying is controllable; and three factors for crying proneness: threat to self; sadness; and joy. Confirmatory factor analyses in Sample 2 replicated these structures. Theoretically and statistically justified short forms of each scale were created. Multiple mediation analyses revealed similar patterns of results across the two samples, with the attitudes ‘crying is healthy’ and ‘crying is controllable’ consistently mediating the positive links between attachment anxiety and crying proneness, and the negative links between attachment avoidance and crying proneness. Results are discussed in relation to attachment and emotion regulation literature

Typologies of Black Male Sensitivity in R&B and Hip Hop

A qualitative content analysis was conducted on the lyrics of 79 R&B and Hip Hop songs from 1956-2013 to identify the ways that these Black male artists expressed sensitivity. The songs were determined by Billboard Chart Research Services, and Phenomenology provided the theoretical foundation on which the themes were identified. Qualitative analysis of the lyrics revealed Black male sensitivity in R&B and Hip Hop to be based on the following four typologies: (a) Private Sensitivity; (b) Partnered Sensitivity; (c) Perceptive Sensitivity; and (d) Public Sensitivity. Private Sensitivity occurred when the Black male is alone; feels lonely; disguises or hides his tears from his romantic partner or others; and expresses a determination to not cry and/or continue crying. Partnered Sensitivity occurred when the Black male encourages and/or connects with his romantic partner, other men, and/or members of the Black community through crying. Perceptive Sensitivity was demonstrated when Black men acknowledge the tears shed by others, and shed tears themselves while being conscious of society\u27s expectation that men suppress emotion and/or refrain from crying. Public Sensitivity was exemplified when the Black male cries publicly and verbally expresses that he does not care what others think of him. Qualitative examples are provided to support each of the aforementioned themes