Meaningful coping with chronic pain: Exploring the interplay between goal violation,meaningful coping strategies and life satisfaction in chronic pain patients

Trying to cope with chronic pain is a highly demanding and challenging task and pain patients often need to reformulate goals or aspirations due to their pain condition. This goal violation is often related with experienced distress and requires coping processes in order to decrease the distress and stimulate a healthy adaptation. Some scholars, however, argued that in so‐called unsolvable or irreparable stressors such as chronic pain, conventional coping strategies like problem‐focused coping might not be the most adaptive option. In these situations, meaningful coping strategies attempting to transform the meaning of the stressful experience would be more accurate. In this study, we aim to test if goal violation triggers meaningful coping strategies over time and whether engagement in these meaningful coping strategies result in improved life satisfaction, as an indicator of adaptation. A longitudinal three wave study in a sample of paint patients (n = 125) tests whether goal violation triggers positive reappraisal and downward comparison, two possible meaningful coping strategies. The study furthermore tests if engagement in these strategies results in a better adaptation to the pain condition, reflected in higher life satisfaction. Results partially supported our hypotheses by pointing to the benevolent role of downward comparison on life satisfaction via decreased goal violation of pain patients. Our findings however did also show that positive reappraisal predicted lower life satisfaction via increased levels of appraised goal violation which questions the role of positive reappraisal as a genuine meaningful coping strategy. Implications and limitations are discussed.     

Category learning with a goal: how goals constrain conceptual acquisition

A novel task was used to examine the roles that goals play in concept acquisition. In Experiment 1, we varied the type of interaction, and thus the task goal, of participants working in a novel domain. Following those interactions, participant responses showed that they had organized their knowledge in terms of goal-relevant features. Using a variation of the same methodology, Experiment 2 provided evidence that the goal relevance also played a role in how the participants structured their knowledge of the items, specifically what information about the items was associated with differentiating the categories encountered. The results suggest that the goals not only highlighted particular features, they determined the centrality of those features in the conceptual knowledge. We discuss the results in terms of the goal-framework hypothesis; the idea that goals structure information and provide coherence to the acquired concepts. We discuss how this approach informs category learning research.     

Developmental Changes in Pretend Play from 22- to 34-Months in Younger Siblings of Children with Autism Spectrum Disorder

Developmental trajectories of children’s pretend play and social engagement, as well as parent sensitivity and stimulation, were examined in toddlers with an older sibling with autism spectrum disorder (ASD, high risk; HR) and toddlers with typically-developing older siblings (low risk; LR). Children (N = 168, 97 boys, 71 girls) were observed at 22, 28, and 34 months during free play with a parent and elicited pretend play with an examiner. At 28 and 34 months, children were asked to imagine the consequences of actions pantomimed by the examiner on a pretend transformation task. At 36 months children were assessed for ASD, yielding 3 groups for comparison: HR children with ASD, HR children without ASD (HR-noASD), and LR children. Children in all 3 groups showed developmental changes, engaging in more bouts of pretend play and obtaining higher scores on the elicited pretend and transformation tasks with age, but children with ASD lagged behind the other 2 groups on most measures. Children with ASD were also less engaged with their parents or the examiner during play interactions than either LR or HR-noASD children, with minimal developmental change evident. Parents, regardless of group, were highly engaged with their children, but parents of HR-noASD children received somewhat higher ratings on stimulation than parents of LR children. Most group differences were not accounted for by cognitive functioning. Instead, lower social engagement appears to be an important correlate of less advanced pretend skills, with implications for understanding the early development of children with ASD and for early intervention.     

Second Thoughts About Decision Reversibility: An Empirical Overview

People generally expect that having the opportunity to reverse a decision contributes to the quality of decision‐making. However, previous research has unequivocally shown that reversible decisions actually yield lower levels of post‐choice satisfaction and higher levels of regret than irreversible decisions. Only recently, research has begun to investigate the underlying processes explaining these counterintuitive and detrimental consequences of decision reversibility. In the present paper, we will review and integrate this research and distinguish a number of important cognitive and motivational consequences of decision (ir)reversibility. With this paper, we aim to inspire future research into the discrepancy between people's wish for reversibility on the one hand and their need for irreversibility on the other.     

Dynamics of the dyad: How mothers and infants co-construct interaction spaces during object play

Studies of dyadic interaction often examine infants’ social exchanges with their caregivers in settings that constrain their physical properties (e.g., infant posture, fixed seating location for infants and adults). Methodological decisions about the physical arrangements of interaction, however, may limit our ability to understand how posture and position shape them. Here we focused on these embodied properties of dyadic interaction in the context of object play. We followed 30 mother–infant dyads across the first year of life (at 3, 6, 9, and 12 months) and observed them during 5 min of play with a standard set of toys. Using an interval-based coding system, we measured developmental change in infant posture, how mothers and infants positioned themselves relative to one another, and how they populated interaction spaces with objects. Results showed that mother–infant dyads co-constructed interaction spaces and that the contributions of each partner changed across development. Dyads progressively adopted a broader spatial co-orientation during play (e.g., positioned at right angles) across the first year. Moreover, advances in infants’ postural skills, particularly increases in the use of independent sitting in real time, uniquely predicted change in dyadic co-orientation and infants’ actions with objects, independent of age. Taken together, we show that the embodied properties of dyadic object play help determine how interactions are physically organized and unfold, both in real time and across the first year of life.     

Relation between childhood peer victimization and adult perfectionism: are victims of indirect aggression more perfectionistic?

Using two independent samples and two different measures of perfectionism, this study investigated the hypothesized relation between retrospective accounts of perceived peer-inflicted emotional abuse during childhood and perfectionism in adulthood. Emotional victimization ('indirect' aggression) is characterized by behavior in which mental harm is inflicted on victims through exclusionary acts, gossiping, and rumor spreading. Study one: Self-reported questionnaires of indirect victimization [DIAS; Bjorkqvist, Lagerspetz, and Osterman, 1992] and perfectionism [multidimensional perfectionism scale; Hewitt and Flett, 1991] were administered to 162 (mean age=20.14 years) female undergraduate psychology students. Results support the predicted positive relationship between recalled indirect peer victimization and current socially prescribed/self-oriented perfectionism. Study two: self-reports of indirect peer victimization and perfectionism (eating disorder inventory-perfectionism) were collected from 196 (mean age=19.5 years) female undergraduate students. Again, recalled indirect peer victimization was a statistically significant predictor of current socially prescribed/self-oriented perfectionism whereas recalled direct (physical, verbal) peer victimization held no relation. Discussion addresses the implications of these results, which hold importance for both the bullying and perfectionism literatures.     

Parallel Group Treatment of Pre-School Children and Their Mothers

Object relations concepts are applicable in children's group psychoanalytic psychotherapy. The author attempts to explore and delineate areas in which developmental conflicts in object relations, emotional deprivations, traumas, and family pathologies are recapitulated in the group, and how the manifestations of pathologies can be rectified by the process and formation of the group and the role of the therapist as a “new object” in the management of individual and group transferences. Clinical examples are presented.     

Where Are We Now? Some Thoughts on the Current Scene

Although not as yet fully implemented, laws, executive orders, administrative rulings, and court decisions are now available for dealing with the more blatant forms of discrimination against women. But we do not as yet have protection against the subtler forms—the exclusionary "stag effect", for example, and the putdown—which can have equally damaging effects. Research is called for to document just how the self-image of women is injured by these forms of behavior and how their professional careers are prejudiced by them. Collective coping mechanisms are called for. Recourse to the courts may be called for in some cases, but in others these subtle forms of bahvior that have discriminatory consequences for women are inadvertent and require primarily that we call attention to them.     

Identifying Perceived Neighborhood Stressors Across Diverse Communities in New York City

There is growing interest in the role of psychosocial stress in health disparities. Identifying which social stressors are most important to community residents is critical for accurately incorporating stressor exposures into health research. Using a community‐academic partnered approach, we designed a multi‐community study across the five boroughs of New York City to characterize resident perceptions of key neighborhood stressors. We conducted 14 community focus groups; two to three in each borough, with one adolescent group and one Spanish‐speaking group per borough. We then used systematic content analysis and participant ranking data to describe prominent neighborhood stressors and identify dominant themes. Three inter‐related themes regarding the social and structural sources of stressful experiences were most commonly identified across neighborhoods: (1) physical disorder and perceived neglect, (2) harassment by police and perceived safety and (3) gentrification and racial discrimination. Our findings suggest that multiple sources of distress, including social, political, physical and economic factors, should be considered when investigating health effects of community stressor exposures and psychological distress. Community expertise is essential for comprehensively characterizing the range of neighborhood stressors that may be implicated in psychosocial exposure pathways.