Cancer as a defence against depressive pain

An association between object loss and the predisposition to develop physical illness is well established in the psychosomatic literature. This paper describes a psychotherapeutic consultation with a woman who developed breast cancer after the death of her father by cancer, and the loss of her mother by dementia. Her cancer was preceded by persecutory dreams which ‘predicted” the cancer, and which ceased when the cancer was diagnosed. It is argued that the cancer represented a somatic defence against intolerable guilt and despair, which constitute depressive anxiety as described by Klein and Riviere. Cancer is felt by such patients to be preferable to grief and madness. Possible unconscious meanings and functions of the dreams and the cancer are discussed, as well as the patient's inability to avail herself of psychotherapeutic help.     

Perceived collective continuity and ingroup identification as defence against death awareness

Perhaps unique among the animal species, humans are aware that they will ultimately die. Terror management theory (TMT) posits that investing in a social group helps people to manage paralysing anxiety stemming from death awareness. In line with this proposition, research to date has shown that when reminded of their own mortality, people increase their identification with a relevant group and defend its beliefs, values, and practices. In the reported study, we demonstrate that a mortality salience induction enhances people’s perceptions of group temporal endurance—or perceived collective continuity (PCC), as we define it. Enhanced PCC leads, in turn, to enhanced group identification. This is in line with the TMT assumption that death awareness leads people to invest in a social group because this constitutes a temporally enduring meaning-system that imbues life with meaning, order, and permanence, and promises death transcendence to those who meet the prescribed standards of value.     

基于物体的选择性注意理论的证据--对一例视觉忽视病人的研究

对一例视觉忽视病人的研究发现,线段划销任务中其忽视以基于相邻性组织而形成的知觉物体为中心;对视野两侧图形是否一样的判断受连通性组织的影响;报告数字时受基于颜色的相似性组织的影响.结果为基于物体的选择性注意理论提供了神经心理学证据.     

Availability to peer group treatment in residential care as a function of relational ethics

Forty-five adolescent boys from abusive and depriving homes were not doing well in positive peer culture residential care. Despite their backgrounds, given a modified form of the Relational Ethics Scale, they indicated that their relational life with their families of origin was trustworthy, fair, and worthy of continued devotion. In contrast, on the Firo-B these same boys demonstrated distrust of others outside of their families and an unwillingness to get involved. These results support the inference from contextual family theory that peer group interventions cannot bypass identification and resolution of the injustices that took place in the family of origin.This project was fully supported by Teen Ranch, Inc., Marlette, MI 48453.     

Spirituality as a Resiliency Quality in Xhosa-speaking Families in South Africa

The purpose of this qualitative study was to explore spirituality as a characteristic of family resilience in Xhosa-speaking families in South Africa. A parent, and in some cases an adolescent, represented each of the 51 families that participated. Participants were expected to respond to three open-ended questions regarding their family and identify factors or strengths that had recently helped their family. The results indicate that spirituality is an important coping resource. The core theme of spirituality consists of six related categories that facilitated the successful adaptation of the participating families after a crisis. These categories are Gifts from God; Guidance; God's Works; God's Plan; Prayer; and Faith.     

Temporal order judgements as a sensitive measure of the spatial bias in patients with visuospatial neglect

Visuospatial neglect is not a unitary phenomenon, but can be better considered a syndrome, consisting of a multitude of different spatial and non‐spatial components. In this study, we used a temporal order judgement (TOJ) test in a large sample of stroke patients (n = 73) to scrutinize the contribution of a spatial bias to the performance on shape cancellation and line bisection tests. In the TOJ test, patients were presented with two elements, one in each visual field, after which the one needed to indicate which of the two elements was presented earlier. For each visual field, the presentation of the stimuli was determined by a staircase procedure where the interval between the two stimuli was determined by the performance of the patient. Results indicated that the strength of the spatial bias was strongly correlated with an object cancellation test, but not with a line bisection test. We argue that these findings are explained by differences in the extent to which a spatial bias determines performance on both tasks: In contrast to shape cancellation tests, successful performance on line bisection tests depends primarily on an object‐based, allocentric representation of space, unrelated to any spatial bias in the detection of elements in the contralesional visual field.     

Community Resilience as a Metaphor, Theory, Set of Capacities, and Strategy for Disaster Readiness

Communities have the potential to function effectively and adapt successfully in the aftermath of disasters. Drawing upon literatures in several disciplines, we present a theory of resilience that encompasses contemporary understandings of stress, adaptation, wellness, and resource dynamics. Community resilience is a process linking a network of adaptive capacities (resources with dynamic attributes) to adaptation after a disturbance or adversity. Community adaptation is manifest in population wellness, defined as high and non-disparate levels of mental and behavioral health, functioning, and quality of life. Community resilience emerges from four primary sets of adaptive capacities--Economic Development, Social Capital, Information and Communication, and Community Competence--that together provide a strategy for disaster readiness. To build collective resilience, communities must reduce risk and resource inequities, engage local people in mitigation, create organizational linkages, boost and protect social supports, and plan for not having a plan, which requires flexibility, decision-making skills, and trusted sources of information that function in the face of unknowns.     

Maternal spiritual health as a predictor of psychological well-being and resilience of her young adult offspring

The unique bond between a mother and her child has drawn the attention of many researchers through the years. Yet, there is a dearth of studies that inquire maternal spiritual health and its potential manifestation through the mother–child bond. Since associations between spiritual health, resilience and psychological well-being have been established through literature, it would be interesting to study how spiritual health of a mother might be a potential source of influence in the life of her child. The current study inquires whether maternal spiritual health can predict psychological well-being and resilience in her young adult. Sample data for the study were collected from 205 families (205 mothers along with their respective young adults, N?=?410). Results indicate maternal spiritual health is a significant predictor of psychological well-being (p?p?相似文献   

PTSD and the influence of context: The self as a social mirror

The principal accepted models of posttraumatic stress disorder (PTSD) are based on both memory processing and biological/brain changes occurring when one's life or well-being is threatened. It is our thesis that these models would be greatly informed by community studies indicating that PTSD is predicted to a greater extent by earlier life experience and experiences that occur distant from the threatening event. These findings suggest posttraumatic responding is best conceptualized through the lens of the self-in-context, as opposed to imprinting that results from a given event at a given time. Moreover, studies of non-Western populations often do not express trauma as PTSD, or at least not primarily as PTSD, which argues against specific neural or memory encoding processes, but rather for a more plastic neural process that is shaped by experience and how the self develops in its cultural context, as a product of a broad array of experiences. We posit that fear and emotional conditioning as well as the ways traumas are encoded in memory are only partial explanatory mechanisms for trauma responding, and that issues of safety and harm, which are long term and developmental, are the common and principal underpinnings of the occurrence of posttraumatic distress, including PTSD.     

Heidegger's Brightness as a Responsibility of the Therapist in Existential Family Therapy

The author reflects upon the Heideggerian concepts of thrown-ness, death imagery, arrogance and brightness and their usefulness in existential family therapy. The article describes and illustrates with clinical material the process of helping a couple or family to move from an arrogance response to thrownness and death imagery to the response of brightness as attendants of Being. The responsibilities of the therapist in facilitating such a process are also described.Director of the Worthington Logotherapy Institute, co-director of Lantz and Lantz Counseling Associates, and a professor at The Ohio State University. College of Social Work     

Facebook's Contribution to Well-being among Adolescent and Young Adults as a Function of Mental Resilience

Studies of correlations between general internet use and psychological well-being have shown mixed results. The present study aimed to elucidate the relationship between Facebook use and psychological well-being, with mental resilience expected to moderate the relationship. Two hundred Israeli adolescents and young adults completed questionnaires assessing their Facebook use, mental resilience, and psychological well-being. Results showed that Facebook use was positively correlated with psychological well-being, and that this relationship was particularly strong for participants with low mental resilience. The findings support a positive effect of Facebook use as providing a virtual supportive community for individuals who may lack the social skills needed to develop social capital and confidence through traditional communication paths.     

Trauma history as a resilience factor for patients recovering from total knee replacement surgery

Research concerning the impact of trauma history on individuals' ability to cope with subsequent events is mixed. While many studies find that trauma history increases vulnerability for conditions such as post-traumatic stress disorder and chronic pain, others reveal that there are benefits associated with moderate levels of stress (e.g. development of coping skills).

Objective: The present study investigated whether the experience of prior traumatic stressors would serve as a risk or resilience factor based on physical and emotional outcomes among patients recovering from total knee replacement surgery (TKR).

Design: 110 patients undergoing unilateral, TKR completed surveys before surgery, as well as one and three months following the procedure.

Results: Contrary to hypotheses, patients who reported more prior traumas experienced less severe pain and functional limitations at one- (β = ?.259, p = .006) and three-month follow-up assessments (β = ?.187, p = .04). A similar pattern emerged when specific types of traumas (e.g. interpersonal) were examined in relation to physical recovery. Further, patients’ trauma history was negatively related to symptoms of post-traumatic stress three-months following surgery (e.g. Avoidance: β = ?.200, p = .037).

Conclusion: Trauma history represents a source of resilience, rather than vulnerability, within the context of arthroplastic surgery.     

Optimism and well-being: a prospective multi-method and multi-dimensional examination of optimism as a resilience factor following the occurrence of stressful life events

Optimism has been conceptualised variously as positive expectations (PE) for the future , optimistic attributions , illusion of control , and self-enhancing biases. Relatively little research has examined these multiple dimensions of optimism in relation to psychological and physical health. The current study assessed the multi-dimensional nature of optimism within a prospective vulnerability-stress framework. Initial principal component analyses revealed the following dimensions: PEs, Inferential Style (IS), Sense of Invulnerability (SI), and Overconfidence (O). Prospective follow-up analyses demonstrated that PE was associated with fewer depressive episodes and moderated the effect of stressful life events on depressive symptoms. SI also moderated the effect of life stress on anxiety symptoms. Generally, our findings indicated that optimism is a multifaceted construct and not all forms of optimism have the same effects on well-being. Specifically, our findings indicted that PE may be the most relevant to depression, whereas SI may be the most relevant to anxiety.     

Empathy and viewing the other as a subject

Empathy and viewing another person as a subject rather than an object are often associated in theoretical contexts, but empirical research of the relation is scarce. The purpose of the present research was to investigate the relationship between subject/object view and empathy. In Study 1, participants watched film clips and indicated their empathy for specific characters in the clips, as well as the extent to which they saw these persons as subjects and objects. The subject/object view explained some, but not all, of the differences in empathy, which raised the question of what else accounts for differences in empathy. A second study was conducted to investigate whether the difficulty of the other's situation also contributes. In Study 2, another group watched the film clips and rated the difficulty of the film character's situations in addition to empathy and subject/object view. The results of Study 2 revealed that subject view/object and perceived difficulty together explain a substantial part of differences in empathy. It was concluded that empathy is evoked primarily when a person in difficulty is viewed as a subject.     

Social disadvantage and neglectful parenting as precursors to the development of antisocial and aggressive child behavior: Testing a theoretical model

The present study tested a theoretical model advanced to understand the direct and mediated effects of social disadvantage, neglectful parenting, and punitive parenting in the developmental trajectory of aggressive and antisocial behavior in young school‐aged children. To test the model, families of 310 first grade children and 361 fifth grade children, participating in a universal prevention trial in high‐risk areas of a medium‐sized metropolitan area, provided data. Multi‐method and multi‐source indices of the four predictive constructs (Social Disadvantage, Denial of Care Neglect, Supervisory Neglect, and Punitive Discipline) were obtained at the time of enrollment. Multi‐method and multi‐source indices of the criterion construct (Aggression and Antisocial Behavior) were obtained at the time of enrollment and at a five year follow‐up. Based on structural equation modeling, the results established care neglect as a mediator of social disadvantage, and the importance of care neglect to both punitive discipline and antisocial outcomes in the first‐ and fifth‐grade cohorts. Supervisory neglect, however, was important in the antisocial outcome of the fifth‐grade cohort only. Overall, the results established the importance of distinguishing between two subtypes of neglect and the need to consider the role of discipline in concert with neglect when attempting to understand the impact of parenting on the development of antisocial behavior. Aggr. Behav. 30:187‐205, 2004. © 2004 Wiley‐Liss, Inc.     

Primal splitting as a basis for emotional and cognitive development in children

This article discusses the importance of good primal splitting as the basis for the child's emotional and cognitive development. A theoretical introduction analyses the possible pathologies of primal splitting, as they were first pointed out by Melanie Klein and then by some post-Kleinian authors, in particular Donald Meltzer. This is followed by some excerpts from the clinical material of the first year of the psychoanalytic psychotherapy of a three-year-old child suffering from eating problems. Starting from the child's play activity, the author tries to identify the splitting problems that underlie the child's view of the world, and to address these with him. The article shows how at times it can be useful to speak also to the child's intelligence, combining the usual analytic work (containment of anxiety and analysis of transference) with the analysis of the child's distortions and cognitive misconceptions. The article also suggests that faulty primal splitting tends to be transmitted from one generation to the next.     

Humor as a protective factor against anxiety and depression

Background/ObjectivesEven though humor its part of everyday life, only in the last 40 years has Psychology begun to discern its impact on mental health. The aim of this paper is to explore the role that humor styles may have as protectors against anxiety and depression and their relationship with optimism.MethodA sample of 804 participants (M = 39.28; SD = 14.71) was used to analyze the uses of humor, optimism and clinical symptoms of anxiety and depression. In addition, the influence of sociodemographic variables such as sex, geographic location, age and educational level on different uses of humor was studied. Through an analysis of structural equations, the variables that had a protective or facilitating role in depression and anxiety were analyzed.ResultsMen and women differ in the use of a more aggressive humor style, and the use of affiliative humor styles decreases with age. The structural equation model indicated a good fit to the proposed theoretical model.ConclusionsHumor is a tool of everyday life and it can act for or against an individual’s mental health.     

Adolescent religiousness as a protective factor against pornography use

This study examined mediators of relations between adolescent religiousness and pornography use. The sample consisted of 419 adolescents (ages 15–18 years; M age = 15.68, SD = 0.98; 56% male). It was hypothesized that religiousness (religious internalization and involvement) would protect adolescents from pornography use (accidental and intentional viewing) by increasing self-regulation, conservative attitudes towards pornography, and social control against pornography. Path analyses revealed religious internalization and involvement were indirectly linked to intentional viewing through all three mediators. For accidental viewing, the only indirect effects were from religious internalization through self-regulation and social control, and from religious involvement through social control. Thus, religiousness may protect adolescents from intentional and accidental exposure to pornography.