On the nature of fear of falling in Parkinson's disease

In the elderly, fear of falling (FoF) can lead to activity restriction and affect quality of life (QoL). Our aim was to identify the characteristics of FoF in Parkinson's disease and assess its impact on QoL. We assessed FoF in 130 patients with Parkinson's disease (PD) on scales measuring perceived self-efficacy in performing a range of activities (FES), perceived consequences of falling (CoF), and activity avoidance (SAFFE). A significant difference was found in FoF between PD patients who had previously fallen and those who had not and between frequent and infrequent fallers. Patient-rated disability significantly influenced FoF. Difficulty in rising from a chair, difficulty turning, start hesitation, festination, loss of balance, and shuffling were the specific mobility problems which were associated with greater FoF in PD. Disability was the main predictor of FoF, additionally depression predicted perceived consequences of falling, while anxiety predicted activity avoidance. The FoF measures explained 65% of the variance of QoL in PD, highlighting the clinical importance of FoF. These results have implications for the clinical management of FoF in PD.     

Religious Ambivalence,Liminality, and the Increase of No Religious Preference in the United States, 2006–2014

Americans identified less and less with organized religion over the past two decades. Yet apparently, many people who no longer identify with a religion are not consistently nonreligious. Reinterviews reveal that many people who express no religious preference in one survey name a religion when asked the same question in a subsequent interview. Past research called this phenomenon a “liminal” status. This article improves estimates of liminality by using three interviews and a better statistical model. About 20 percent of Americans were liminal in recent years, 10 percent were consistently nonreligious, and 70 percent were consistently religious. Falling religious identification in cross‐sectional data over the last three decades reflects slow change in religious identity, but some of the rise of the nones is due to more liminals saying they have no religion. Liminals appear equally among people raised conservative Protestant, mainline Protestant, or Catholic.     

Considering Weight Loss Programs and Public Health Partnerships in American Evangelical Protestant Churches

The obesity epidemic is a critical public health threat facing the USA. With the advent of American Evangelical Protestant (AEP) weight loss guides and narratives, AEP churches could potentially aid public health agencies in combatting obesity, and some scholars have called for investment in partnerships between public health agencies and religious institutions. This paper examines the theological and social underpinnings of AEP weight loss programs and considers the potential benefits and risks of public health partnerships with AEP churches to combat obesity. While AEP churches may be successful at empowering people to lose weight, AEP weight loss also carries several risks. These risks include reinforcing gendered bodily norms, stigmatizing both overweight bodies and unhealthy behaviors deemed to be sinful (for example, overeating), and failing to acknowledge social factors that promote obesity. These risks must be assessed and minimized to create appropriate public health weight loss partnerships with AEP communities.     

Falling Man: encounters with catastrophic change

The assault on the twin towers thrust Americans into an encounter with catastrophic change. Previously protected by the illusion of security fed by our relative imperviousness to others' points of view, we are harshly awakened to our defensive blindness. This rupture helps us see the particular beyond the seeming universality, locating culture as a variable frame defining meanings through the narratives that hold complexities of human experience in conceptual space. Don DeLillo's Falling Man offers a reading of catastrophe as a forced encounter with fallibility, breaking apart illusions of sameness and difference, towards integration of what trauma excludes from awareness.     

Falling off the couch

The patient's therapeutic regression intensifies certain unconscious meanings of the analytic couch. In addition to representing the analysis or the analyst in general, the couch can represent the unconscious, or it may take on the symbolic significance of the analyst's or mother's arms, lap, breasts, or womb. When the genetic roots of the patient's transference include substantial experiences of disappointment, narcissistic injury, and mistrust, the theme of falling from the couch may emerge as a dream, an association, or even an enactment. This theme usually implies the presence of a deepening but mistrustful transference, based on earlier disappointments by the patient's primary objects. Falling off the couch may be associated with being dropped as an infant, rolling out of bed as a child, birth, miscarriage, castration, death, termination, defending against passive wishes, punishment for sexual or aggressive transgressions, escaping an attack, descending into the unconscious, or wanting to be picked up and comforted.     

Incidence of having dreamed and conservative political attitudes

The association of political attitudes of conservatives and reports of their having had a dream was investigated. 48 female graduate students in counseling psychology were given the KJP Dream Inventory and the Kerlinger Social Attitude Scale II. Scores on conservative political attitudes were positively correlated with having had Dreams of Falling (.40), Dream Discontentedness (.31), Dreams of Being Chased (.40), and Dreams of Being Famous (.30). Negative correlations were observed between scores showing a conservative political tendency and scores on Openness (-.35), and Uninhibitedness (-.50), as well as incidence of Dreams of Sex (-.29). The character of conservative dreaming is discussed along with the study's relevance to past and subsequent issues in research.     

Gravity does rule for falling events

Hood (1995) reported a vertical invisible displacement task where the goal was to find a ball that was dropped down one of three chimneys connected to three hiding boxes below by opaque tubes. Preschool children exhibited perseverative search at the box directly below the chimney where the ball was dropped even though the tubes were always visible and the children were given numerous trials and feedback. This behavior was interpreted as a naive theory of gravity. The current study set out to test the naive gravity theory hypothesis by reversing the motion of the event on a television. On half of the trials the object appeared to fall up the tube into one of the boxes which were now on the top of the apparatus. There were significantly more errors for ‘down’ trials as compared to ‘up’ trials which supports the hypothesis that children are biased to infer that falling objects travel in a straight line whereas anti-gravity events do not conform to this naive theory.     

ON THE THERAPIST'S YEARNING FOR INTIMACY

From the beginning of clinical psychoanalysis, analysts have been at risk of succumbing to yearnings for intimacy and contact that are stirred up by the heat of the analytic encounter. Recently, as theoretical developments have encouraged us to create moments of meeting (Stern et al. 1998) and have urged us to tolerate the feelings stimulated by enactments, these risks have increased. The author points out that foregoing the realization of this yearning within the analytic relationship and the resultant mourning for the loss of a fantasy or illusion carries a heavy personal price tag for the therapist.     

Oscillatory brain responses evoked by video game events: the case of super monkey ball 2.

Electroencephalography (EEG) was recorded while the subjects played a video game where the player had to steer a monkey into a goal while collecting bananas for extra points and had to avoid falling off the edge of the game board. Each of these three studied events evoked differential EEG oscillatory changes. Picking up bananas evoked decreased theta activation on central electrodes, decreased high alpha activation on frontal electrodes, and increased beta activation on frontal electrodes. Falling off the game board evoked decreased central theta activation and increased fronto-central beta activation. Reaching the goal evoked increased theta activation on parietal electrodes, increased low alpha activation on frontal electrodes, increased high alpha activation on frontal, central, and parietal electrodes, and increased beta activation on frontal and central electrodes. It is suggested that the EEG oscillations evoked by picking up bananas reflect increased cortical activation and arousal; the oscillations evoked by falling off the edge of the game board reflect motor functions; and the oscillations evoked by reaching the goal reflect a relaxed state. Thus, EEG may turn out to be a valuable tool when examining psychological responses to video game events.     

Damned if You Do,Damned if You Don’t: The Stigma of Weight Loss Surgery

Willpower, as demonstrated through diet and exercise, is constructed as the only acceptable strategy for losing weight. While weight loss surgery (WLS) is an option for morbidly obese individuals, like obesity itself, WLS carries stigma. Using a 40-item survey, we measured 101 participants’ experiences with WLS stigma. We examined whether WLS is stigmatizing, how that stigma is perceived by patients, and tendencies to hide their surgery status in order to manage stigma. Results indicated evidence of perceived stigma despite support from significant others as well as a tendency to hide surgery status from some people as a stigma management technique.     

Correlates of Fear of Falling in Older Adults Who Have Experienced a Fall

Nearly one half of older adults who have experienced a fall report a fear of falling. The present study examined several variables in relation to fear of falling. Thirty community-dwelling older adults, over 60 years of age, who experienced a fall in the previous 12 months participated. Subjects were divided into two groups (low-fear and high-fear) and compared on scores on a Fear of Falling questionnaire, the Falls Efficacy Scale, the Philadelphia Geriatric Center Pain Intensity Scale, the Ways of Coping Checklist-Revised, the Geriatric Depression Scale-15, and the State–Trait Anxiety Inventory for Children. At least a little fear of falling was reported by 25 (83.3%) of the individuals who had fallen. Highly fearful fallers were significantly more likely to endorse higher levels of pain and general anxiety than fallers reporting low levels of fear of falling. Future directions for research were noted.     

When family and research clash: The role of autobiographical emotion in the production of stories of the Italian civil war, 1943–1945

This paper engages the emotional side of Second World War storytelling practices and research. Specifically, it explores how a politics of trust and togetherness animates communities of remembrance concerning the anti-Fascist Resistance experience in northern Italy. I reflect on my encounter with memories of wartime violence through the lens of autobiographical emotion. In a region torn asunder by conflicting stories of loss and violence during the anti-Nazi resistance and civil war, I possess a dual identity of researcher and Partisan's grandchild. This carries a powerful emotional bond of ethical obligations that cannot be ignored in the research process. Drawing on affect theory, I contextualize my oral history fieldwork experience in relation to that emotional bond.     

The role of working memory in the carry operation of mental arithmetic: number and value of the carry

Two experiments were conducted to investigate the role of phonological and executive working-memory components in the carry operation in mental arithmetic. We manipulated the number of carry operations, as previous research had done, but also the value that had to be carried. Results of these experiments show that in addition to the number of carry operations, the value of the carry is also an important variable determining the difficulty of arithmetical sums. Furthermore, both variables (number and value) interacted with each other in such a way that the combination of multiple carries and values of carries larger than one resulted in more difficult problems irrespective of the presence of a working-memory load. The findings with respect to working-memory load suggest that mainly the central executive is important in handling the number of carry operations as well as the value that has to be carried. The implications of the present findings for our views on mental arithmetic and its reliance on working memory are discussed.     

The role of working memory in the carry operation of mental arithmetic: Number and value of the carry

Two experiments were conducted to investigate the role of phonological and executive working-memory components in the carry operation in mental arithmetic. We manipulated the number of carry operations, as previous research had done, but also the value that had to be carried. Results of these experiments show that in addition to the number of carry operations, the value of the carry is also an important variable determining the difficulty of arithmetical sums. Furthermore, both variables (number and value) interacted with each other in such a way that the combination of multiple carries and values of carries larger than one resulted in more difficult problems irrespective of the presence of a working-memory load. The findings with respect to working-memory load suggest that mainly the central executive is important in handling the number of carry operations as well as the value that has to be carried. The implications of the present findings for our views on mental arithmetic and its reliance on working memory are discussed.     

Information and action in punching a falling ball

Lee, Young, Reddish, Lough, and Clayton (1983) reported that the timing control of jumping and vertically punching a dropping ball exploits the inverse of the rate of change of optical expansion, τ(r). We raise a number of methodological and logical criticisms against their experiment and conclusions and attempt to rectify them by examining elbow joint angles only,in seated punchers, under both monocular and binocular conditions, with two ball sizes, dropped from two heights. Differences between the binocular and monocular cases suggest the exploitation of different information. We present several techniques to help determine the operative variable(s) controlling the action. The optical variable used to initiate and guide flexion appeared to be expansion velocity (looming), rather than τ(r); extension appeared to be under the control of different variables in the monocular and binocular cases. Simulations using single variables and single perceptuo-motor intervals were of mixed success.