Sonja Heintz’s research while affiliated with University of Plymouth and other places

The prevalence of mental health conditions is high for autistic adults. Yet, the IAPT manual states that referral rates into NHS Talking Therapies Services (NHS-TTS) do not reflect this nationally. Non-adapted treatment has been identified as a key barrier to accessing these services. It is therefore imperative that clinicians adapt to the needs of autistic individuals to make treatment accessible and effective. However, there is limited research in the field, especially for low-intensity cognitive behavioural therapy (LICBT). This service evaluation explores adapted LICBT for autistic adults within Plymouth’s NHS-TTS and Autism Service. It investigated clinical outcomes of adapted group and one-to-one LICBT with 84 participants. It hypothesised that psychometric measures for anxiety and depression would be lowered on treatment completion, whilst exploring whether either intervention showed a greater reduction. Additionally, semi-structured interviews were conducted with six participants from the sample to gather perspectives on what aspects of treatment were favourable or require improvement. A factorial ANOVA revealed that psychometric measures reduced on completion across both interventions, with a greater decrease for one-to-one treatment and the anxiety measure. In addition, four themes and nine subthemes emerged following a thematic analysis, which focus on different aspects of treatment, such as content, structure, interaction, and barriers to engagement. Findings indicated that adapted LICBT was associated with lower anxiety and depression for autistic adults. This consequently has implications for improving the current LICBT provisions being offered to autistic adults within the NHS-TTS. Key learning aims (1) To understand some of the barriers autistic people face accessing an NHS Talking Therapies Service (NHS-TTS) and cognitive behavioural therapy (CBT). (2) To reflect on the importance of adapting practice and CBT for autistic people. (3) To present potential adaptations to low-intensity CBT for autistic adults with anxiety and depression.

Humour and antisocial behaviour on the internet are under-researched. Online spaces have opened a gateway for new ways to express unrestrained humour (e.g., dark humour) and ways to behave antisocially (e.g., online trolling). The tendencies and motivations of those engaging with such humour and behaviour are yet to be clearly established and understood. The present study aimed to fill this gap by exploring the interplay between dark humour, online trolling, and dark personality traits. Participants (N = 160) completed an online survey consisting of trait scales to assess the Dark Tetrad, dark humour, and online trolling, as well as two online trolling tasks (enjoyment and ability) and two dark humour meme tasks (enjoyment and ability). The results confirmed relationships between the Dark Tetrad and the dark humour trait, and several Dark Tetrad traits were related to the enjoyment of and ability to produce dark humour. Furthermore, dark humour and online trolling were closely related. The findings also revealed that online trolls did not enjoy being trolled but did enjoy trolling, and this ability to troll is underpinned by sadism. These findings illustrate the potential dark psychological motivations for using dark humour, demonstrate that online trolling is infused with darker forms of humour, and provide deeper insights into online trolls.

The prevalence of mental health conditions is high for autistic adults. Yet, the IAPT manual states that referral rates into NHS Talking Therapies Services (NHS-TTS) do not reflect this nationally. Non-adapted treatment has been identified as a key barrier to accessing these services. It is therefore imperative clinicians adapt to the needs of autistic individuals to make treatment accessible and effective. However, there is limited research in the field, especially for low-intensity cognitive behavioural therapy (LICBT). This service evaluation explores adapted LICBT for autistic adults within Plymouth’s NHS-TTS and Autism Service. It investigated clinical outcomes of adapted group and one-to-one LICBT with 84 participants. It hypothesised that psychometric measures for anxiety and depression would reduce on treatment completion, whilst exploring whether either intervention showed a greater reduction. Additionally, semi-structured interviews were conducted with six participants from the sample to gather perspectives on what aspects of treatment were favourable or require improvement. A factorial ANOVA revealed that psychometric measures reduced on completion across both interventions, with a greater decrease for one-to-one treatment and the anxiety measure. In addition, four themes and nine subthemes emerged following a thematic analysis, which focus on different aspects of treatment, such as content, structure, interaction, and barriers to engagement. Findings indicated that adapted LICBT reduced anxiety and depression for autistic adults and specified several adaptations that can support positive clinical outcomes. This consequently has implications for improving the current LICBT provisions being offered to autistic adults within NHS-TTS.

The Comic Style Markers (CSM) is a questionnaire that allows a fine-grained description of how people differ in the way they display humor in their daily lives. It includes 48 statements capturing eight interrelated, yet distinct comic styles: fun, irony, wit, sarcasm, benevolent humor, satire, nonsense humor, and cynicism. Despite the independent conceptual roots of these humorous domains, the analysis of the CSM scales’ latent structure shows that their empirical distinction needs to be improved. Using the information derived from a competitive latent approach, including confirmatory factor analysis, bifactor analysis, and exploratory structural equation modeling, we proposed and validated a shorter 24-item version of the CSM in a large sample of 925 Spanish individuals (SP-CSM-24). This scale-refinement improved the psychometric differentiation of the eight comic styles without undermining the good internal consistency and the temporal stability of the CSM scores. Strong invariance was held for gender and age groups, and partial scalar invariance for countries also emerged using a sample of 318 U.S. American adults. Structural equation modeling also corroborated a convincing test-criterion validity for the SP-CSM-24, with dispositional expressions of benevolent humor (positively) and cynicism (negatively) outperforming other comic styles in accounting for individuals’ well-being.

Background: Humor and laughter might have an alleviating effect on pain threshold and enhance coping and building relationships. However, randomized controlled studies in palliative care have struggled with high percentages of attrition and missing values. Objectives: We aimed to evaluate a study protocol through a pilot study for the evaluation of a multistage humor intervention with psychological and physiological outcome parameters that may be applied successfully in a palliative care environment. Design: This pilot study utilized a pre–post design. The inclusion of a control group for the final study setting recruiting 120 patients is planned. Setting/Subjects: The study was a monocenter study in a clinic for palliative care in Germany. All patients were eligible for recruitment. Seven patients were recruited for the pilot study. Measurements: Interventions were developed using a humor training for psychiatric patients. Quantitative sensory testing for pain threshold testing and questionnaires on humor as a character trait, pain intensity, life satisfaction, and symptom burden were planned to be evaluated before and after three humor interventions. Results: The feasibility of the original study design was re-evaluated after pilot testing. Only two out of the seven patients were able to complete two interventions, requiring modification. Fewer questionnaires, less complex physiological testing, and reduction from three to two interventions were then planned. Conclusion: The initial planned research methodology must be adjusted for patients with high symptom burden. In the experimental group of the final study setting, the effects of one to two interventions will be evaluated measuring oxytocin levels in saliva and using standardized questionnaires to determine cheerfulness, life satisfaction and symptom burden, as well as assessing as-needed medication. Trial registration: DRKS00028978 German Registry of Clinical Studies.

Background: How flexible people react to changes, and adapt their behavior and plans, seems to be crucial in modern society. Nevertheless, no common conceptualization of flexibility exists in the psychological literature. Our work contributes to the scientific understanding of flexibility as a personality trait and offers a novel flexibility questionnaire. Methods and Results: An explorative study ( N = 279) examined three individual-difference concepts of flexibility and their relations with the Big Five personality traits. The results suggested that flexibility consists of predictability, adaptability, and orderliness can be assessed with 24 items (FS-24) and is distinguishable from the Big Five. A confirmatory study ( N = 188) replicated the three flexibility components and showed good test–retest reliability for the FS-24. Convergent and discriminant validity of the instruments need further scrutiny. Limitations: The present study is limited due to self-reports, and the specificity and size of the sample, which could be addressed in future studies. Conclusions: The FS-24 showed promising psychometric properties. The questionnaire has useful applications in personality research, organizational development, and counseling.

Allport’s distinction of personality devaluated (personality) and personality evaluated (character) raised the question of whether the character is redundant with personality, which still remains open today. The present study hence compares the Five-Factor Model of personality and the VIA-classification (Values in Action) of character strengths across two methods (self- and peer-reports) and two levels of abstraction (domains/factors and scales/facets). A sample of 152 participants and 152 peer-raters completed the NEO-Personality Inventory-Revised and the VIA Inventory of Strengths (VIA-IS). Personality and character assessed with these inventories were found to strongly overlap, yet the different operationalizations were rarely redundant (except for three personality facets). Multitrait-multimethod analyses mostly supported the convergent and discriminant validity of personality and character. Interpersonal strengths (e.g., teamwork) and abstract character factors lacked discriminant validity to personality facets. The present investigation contributes to a better understanding of the interplay between personality and character and provides an impetus for future research on the “virtue gap” between devaluated and evaluated personality traits.

This introduction to the “Festschrift for Willibald Ruch” outlines his impressive achievements in humor research, especially in the areas of measurement, individual differences as well as models and theories. Though mostly focusing on the psychology of humor and the sense of humor, Willibald also pioneered interdisciplinary and cross-cultural humor studies. This Festschrift comprises seven invited commentaries and eight articles, which expand areas of research that Willibald significantly shaped and advanced, including humor appreciation, comprehension and production, cheerfulness, dispositions towards laughter and being laughed at, as well as comic styles and humor dimensions.

Humor comprehension and appreciation are two basic domains of humor research and central stages in humor processing. In the present study, 238 Italian adults rated 20 jokes to investigate how a humor comprehension task influences subsequent funniness ratings. Additionally, the relationships between humor comprehension and funniness were investigated for the total set of jokes, for individual jokes, and for jokes with different contents (neutral or tendentious) and difficulty (elementary or advanced). Comparing participants who performed only the funniness ratings with participants who first performed a humor comprehension task showed that funniness scores were reduced in the humor comprehension condition. Humor comprehension and funniness were positively related at the level of individual jokes, while these effects were less pronounced in the analyses across jokes. Overall, advanced-neutral jokes showed the most pronounced differences. The study thus showed that the level of analysis (individual jokes vs. aggregating across jokes), content and difficulty of jokes should be taken into account when relating humor comprehension and appreciation. Additionally, it should be considered that humor comprehension tasks can bias humor appreciation ratings. Hence, the measurement and interplay between these humor domains deserves more attention in research.