Personal Constructs of Mind-Body Identity in People Who Experience Medically Unexplained Symptoms

“Medically unexplained symptoms” (MUS) refers to chronic physical symptoms without a clear medical cause, which produce significant levels of distress and functional impairment. This project modified the repertory grid technique to explore how twenty participants experiencing MUS construed self and others in bodily and psychological ways. Findings suggested that symptoms are well integrated within participants' wider mind–body construct systems. Increased distance between how self in general is construed compared to self when symptoms are worst was associated with reduced anxiety. Measuring intrapersonal and interpersonal implicative dilemmas suggested that moral and relational construing of identity is affected by MUS.     

Anxiety symptomatology: the association with distress tolerance and anxiety sensitivity

Research focused on psychological risk factors for anxiety psychopathology has led to better conceptualization of these conditions as well as pointed toward preventative interventions. Anxiety sensitivity (AS) has been well-established as an anxiety risk factor, while distress tolerance (DT) is a related construct that has received little empirical exploration within the anxiety psychopathology literature. The current investigation sought to extend the existing literature by examining both DT and the relationship between DT and AS across a number of anxiety symptom dimensions, including panic, generalized anxiety, social anxiety, and obsessive-compulsive anxiety. Participants (N = 418) completed a number of measures that assessed DT, AS, anxiety symptomatology, and negative affect. Findings indicated that DT was uniquely associated with panic, obsessive compulsive, general worry, and social anxiety symptoms, but that DT and AS were not synergistically associated with each of these symptom dimensions. These findings indicate that an inability to tolerate emotional distress is associated with an increased vulnerability to experience certain anxiety symptoms.     

Emotional competencies and maladjustment in Singaporean adolescents

This study explores the relationships between four emotional competencies (i.e., intrapersonal skills, interpersonal skills, adaptability skills, and stress management skills) and four factors of maladjustment (i.e., antisocial behavior, anger control problems, emotional distress, and negative self problems) in 217 students from Singapore. Multiple regression findings indicated that stress management skills significantly predicted overall maladjustment, antisocial behavior, anger control problems, emotional distress, and negative self problems. With regard to the three remaining emotional competencies, interpersonal skills significantly predicted negative self problems, while intrapersonal skills and adaptability skills were not predictive of any of the four factors of maladjustment. Implications and limitations of these findings are discussed.     

Rejection Sensitivity,Social Withdrawal,and Loneliness in Young Adults

Rejection sensitivity (RS) has significant negative impacts on individuals' social cognitions, feelings, and interpersonal behaviors. The present research assessed the hypothesis that the effect of RS on young adults' loneliness is mediated by their tendency to withdraw from social contact so as to avoid possible rejection. Participants completed measures of their RS, their tendencies to engage in social withdrawal to avoid rejection, and their loneliness; as well as measures of their social avoidance and distress, self‐esteem, and social self‐efficacy. Results confirmed the main hypothesis and also indicated that RS is positively related to social avoidance and distress, and negatively related to self‐esteem and social self‐efficacy. Implications of the findings for understanding and counteracting RS are discussed.     

Empathy in adolescence: Relations with emotion awareness and social roles

In this study, we aimed at gaining a better understanding of the individual differences contributing to feelings of empathy in adolescents. Therefore, we examined the extent to which emotion awareness (e.g., recognizing and appreciating one's own and the emotions of others) and a tendency for certain social roles (e.g., helping or teasing peers when being bullied) are related to adolescents’ levels of empathy. The sample was comprised of 182 adolescents aged between 11 and 16. Empathy and emotion awareness were assessed using self‐report measures. Peer reports were used to indicate adolescents’ different social roles: Bullying, defending the victim, and outsider behaviour. Outcomes demonstrated that evaluating one's own and the emotions of others, and more defending nominations were associated with both affective and cognitive empathy, whereas aspects of emotion awareness which are linked with internalizing symptoms were related to empathic distress, suggesting maladaptive emotion appraisal. Furthermore, outsider behaviour was associated with empathic distress, emphasizing a self‐focused orientation. In contrast, more bullying was negatively associated with cognitive empathy. Overall, these outcomes demonstrate that, besides social roles, emotion awareness is an important factor for adaptive empathic reactions, whereas emotion dysregulation might cause distress when witnessing the negative feelings of others.     

Externalizing problems,internalizing problems,and suicidal ideation in Singaporean adolescents: Sex differences

Adolescent suicide is considered a worldwide problem and an increasing source of concern in Singapore. This study explores the relationships among four factors of maladjustment (that is, emotional distress, negative self, antisocial behavior, and anger control problems) and suicidal ideation in two hundred and seventy-one adolescents from Singapore. Findings from the study indicated that emotional distress, negative self-concept, and antisocial behavior significantly predicted suicidal ideation for the whole sample. Beta weight is largest for emotional distress, followed by negative self, and then antisocial behavior. For females, only emotional distress significantly predicted suicidal ideation. Implications of these findings with regard to working with adolescents with suicidal ideations are discussed. Funding for this research is facilitated by grant RP 1/01 APH.     

Unemployment,Self-Esteem,and Depression: A Social Comparison Theory Approach

A social comparison theory approach to the relation between unemployment, self-esteem, and depression was tested using a cross-sectional questionnaire design (N = 88). Personal attributes were used as the domain of comparison, and four types of comparisons-intrapersonal, interpersonal, intragroup, and intergroup-were operationalized. Employment status affected the salience of intrapersonal comparisons. Comparisons with the past self were highly predictive of psychological distress among unemployed respondents, whereas comparisons with the ideal self predicted distress among the employed. Individual-level and group-level social comparisons had different associations with the dependent measures for unemployed respondents. Intrapersonal and interpersonal comparisons were significantly related to depression and self-esteem scores, whereas intragroup and intergroup comparisons were related only to self-esteem. Social comparisons with unemployed people were related to reduced depression levels among employed respondents. Results also showed that unemployed people had more negative social comparison scores relative to their employed counterparts. Results are discussed in terms of recent developments in social comparison theory. Suggestions for future research are outlined.     

Assessing general maladjustment with the MMPI-2

The validities of 7 MMPI-2 (Butcher, Graham, Ben-Porath, Tellegen, & Kaemmer, 2001) measures of general maladjustment were compared using a composite criterion measure based on self-reported symptom severity and clinicians' ratings of symptom severity and level of functioning. Participants were 274 male and 425 female clients at a community mental health center and 105 male and 247 female clients at a university psychological clinic. All MMPI-2 measures were significantly related to the composite criterion measure for both male and female clients in both settings. The mean score on 8 clinical scales (M8) consistently was the best indicator of maladjustment. Although other MMPI-2 measures sometimes added significantly to the variance accounted for in the criterion measure, increments were small and probably not clinically meaningful. However, M8 added significantly and meaningfully to each of the other MMPI-2 measures in predicting maladjustment. Implications for using the MMPI-2 to assess general maladjustment in outpatient mental health settings are discussed.     

Ambivalence About Interpersonal Problems and Traits Predicts Cross‐Situational Variability of Social Behavior

Multiple theoretical perspectives suggest that maladjusted personality is characterized by not only distress, but also opposing or “ambivalent” self‐perceptions and behavioral lability across social interactions. However, the degree to which ambivalence about oneself predicts cross‐situational variability in social behavior has not been examined empirically. Using the interpersonal circumplex (IPC) as a nomological framework, the present study investigated the extent to which endorsing opposing or “ambivalent” tendencies on IPC measures predicted variability in social behavior across a range of hypothetical interpersonal scenarios (Part 1; N = 288) and naturalistic social interactions (Part 2; N = 192). Ambivalent responding for interpersonal problems and traits was associated with measures of distress, maladaptive interpersonal tendencies, and greater variability of social behavior across both hypothetical and daily social interactions, though more consistently for interpersonal problems. More conservative tests suggested that ambivalence predicted some indexes of behavioral variability even when accounting for mean levels and squared means of social behaviors, vector length, gender, and depressive symptoms. Results suggest that processes theorized as typifying personality disorder may apply more broadly to personality maladjustment occurring outside of clinical samples.     

Perfectionistic Self‐Presentation and Trait Perfectionism in Social Problem‐Solving Ability and Depressive Symptoms

This study examined social problem solving and perfectionistic self‐presentation, and assessed whether social problem solving mediates the association between perfectionism and depression. A sample of 200 community members completed measures of perfectionistic self‐presentation, trait perfectionism, social problem‐solving ability, and depression. Correlational analyses confirmed that perfectionistic self‐presentation and socially prescribed perfectionism are both associated with a negative problem‐solving orientation. Tests of mediating effects revealed that negative problem‐solving ability mediates the associations of socially prescribed perfectionism and perfectionistic self‐presentation with depressive symptoms, particularly among women. The findings support further exploration of mediational models linking perfectionism, problem‐solving ability, and depression and suggest that people who display high perfectionistic self‐presentation are particularly vulnerable to stress and distress and should benefit from problem‐solving training.     

Motivations for Self‐Injury,Affect, and Impulsivity: A Comparison of Individuals with Current Self‐Injury to Individuals with a History of Self‐Injury

Individuals who report nonsuicidal self‐injury (NSSI) are characterized by the tendency to act rashly while experiencing distress (negative urgency), the tendency to act without thinking, and endorsement of both social and affect regulation motives for the behavior. However, very little research has identified characteristics that distinguish current self‐injurers from those with a history of the behavior. The purpose of this study was to compare individuals with current self‐injury to a history of self‐injury on impulsivity‐related personality traits, motives for self‐injury, and distress. Among a sample of 429 undergraduates, 120 reported self‐injury. Among these 120 individuals, 33 endorsed self‐injury within the past month, with a mean frequency of 4.77 acts of NSSI. Within the self‐injury group, current self‐injurers reported higher endorsement of affect regulation motives for NSSI, and higher levels of current negative affect than individuals with a history of self‐injury. There were no differences between current and former self‐injurers on measures of impulsivity, endorsement of social motives for NSSI, or positive affect. We propose that individuals who use NSSI to regulate negative affect may be more likely to repeatedly engage in this behavior over time.     

Measurement of adolescents' life events: The junior high life experiences survey

The first of these two studies examined the relationship between adolescents' scores on a social desirability questionnaire and scores of negative, positive, and total life events. Only number of positive events was significantly related to social desirability. The second study compared various scoring strategies with respect to their intercorrelation and their ability to predict adolescents' maladjustment (depression, anxiety, and number of missed school days). The results demonstrated that (a) total number of events and readjustment-weighted life change scores were equally predictive of the maladjustment criteria; (b) negative events, but not positive events, however scored, were significantly related to the maladjustment criteria; (c) indices based on psychologist-judges' ratings of event desirability were not more predictive of the maladjustment criteria than were indices based on the adolescents' self-reports; and (d) uncontrollable negative events and controllable negative events were equally predictive of the maladjustment criteria.     

Adjustment in aging: the roles of life stress, hassles, and self-efficacy

This study examines the relationship of life stress, daily hassles, and perceived self-efficacy to adjustment in a community sample of 32 men and 32 women between ages 65 and 75. In a structured interview, negative life change events, daily hassles, self-efficacy, depression, psychosomatic symptoms, and negative well being were assessed. Both negative life events and daily hassles were related to psychological distress and physical symptoms for men, and hassles were associated with psychological distress and physical symptoms for women. An inverse relationship between self-efficacy and maladjustment was also found. Hassles showed the most powerful relationship to distress.     

Unmitigated communion, social constraints, and psychological distress among women with rheumatoid arthritis

The personality trait of unmitigated communion, an extreme focus on relationships that has been associated with self-neglect, has been linked to poorer outcomes for both men and women, but is more common among women. This longitudinal study is the first to examine the influence of unmitigated communion on adaptation to a chronic illness that affects a much greater proportion of women to men. Women with rheumatoid arthritis completed measures of unmitigated communion, social constraints, and psychological distress at study entry and repeated the distress measure one year later. As expected, unmitigated communion was associated with psychological distress. Cross-sectional moderation analyses indicated that low social constraints buffered the negative effects of unmitigated communion.     

Correlates of Functional Impairment in Treatment-Seeking Survivors of Mass Terrorism

This study sought to identify variables associated with functional impairment in persons exposed to terrorism. A sample of adults who sought treatment for psychological distress related to the 2001 World Trade Center attack completed standardized self-report measures of PTSD symptoms, expectancies of ability to regulate negative moods, interpersonal problems, and social-occupational impairment. A multiple regression analysis found that PTSD numbing symptoms, beliefs about the ability to regulate negative moods, feelings of social discomfort and expectations of being disliked, income level, and relationship status significantly predicted 58% of the variance in social-occupational impairment. The results suggest that treatments targeting PTSD numbing symptoms as well as maladaptive expectations about social interactions and one’s ability to manage negative affect may have utility for persons adversely affected by mass violence.     

An examination of the construct validity of the Social Anhedonia Scale

Two studies bearing on the construct validity of the Social Anhedonia Scale (SA) are reported. Study 1 reported convergent validity coefficients between the SA scale and numerous measures of traits reflecting a generalized attitude toward others (e.g., social interest and empathy) as well as several traits reflecting maladjustment without a social component as a test of discriminant validity (e.g., pessimism and rigidity). Study 1 found impressive convergent validity for the SA scale and mixed discriminant validity. Study 2 found that the SA scale was related to two dimensions of striving for security, one of which is strongly influenced by negative interpersonal tendencies, suggesting support for the validity of the SA scale. Implications for the measurement and concept of social anhedonia are presented.     

Embarrassment and empathy before helping: How internal working models come into play

Prior research has described embarrassment and empathy as predictors of social helping and as self-conscious emotions involving reasoning about the self and others. It remains unclear how cognitive representations of the self and others relate to the two emotions as precursors of social helping. We examined 136 participants’ self-report measures of internal working models as well as dispositional embarrassability, empathic concern, personal distress, and perspective taking. Controlling all the other variables, embarrassability was primarily associated with the model of self and personal distress, whereas empathic concern was primarily associated with the model of others and perspective taking. Moreover, the association between personal distress and embarrassability was moderated by the interaction between models of others and perspective taking. The general proneness to distress arousal was also predicted by the interaction between models of self and others. The findings extended prior research linking internal working models and socio-cognitive emotions associated with helping.     

Negativity in psychotherapists' evaluations of clients and personal acquaintances

Forty-seven psychotherapists were studied to determine if they construed their clients more negatively than personal acquaintances. The sample included personal construct therapists, psychoanalytic candidates, and therapists from a community mental health center; they varied in terms of sex, age, years of experience, and clinical discipline. Subjects chose six personal acquaintances and six nonpsychotic individual-therapy clients who were then used as elements in a repertory grid. Constructs were elicited by comparing pairs of elements; all elements were rated on the constructs. Elements were also directly rated on several dimensions, including liking and similarity to self. Results indicated that therapists selectively focused on clients' negative characteristics and acquaintances' positive characteristics. Clients were liked less than acquaintances and were judged to be less like the self. The correlations between valuative variables tended to be higher in the construing of clients than in the construing of acquaintances, whereas expected improvement with therapy was not related to affective evaluation. There were no gender differences in these effects. Although there were no differences in degree of negative construal of clients among the therapist subgroups, the psychoanalytic candidates construed acquaintances less positively than did other therapists. The results suggest that deviancy may be a major dimension distinguishing therapists' construal of clients from their construal of acquaintances. This dimension may result from both therapeutic ideology and the fact that clients selectively present negative aspects of themselves in therapy, producing a bias in the information therapists receive. Possible negative implications for the therapeutic relationship are discussed.     

Self-Characterization and Attachment Style: A Creative Method of Investigating Children's Construing

This study had the aims of evaluating the self-characterization technique as a research instrument with school-age children and investigating whether and how representations of self and others vary as a function of age, gender, and attachment style. Self-characterizations completed by 103 Italian children, 47 boys and 56 girls, aged between 7 and 11 years, were analyzed using an ad hoc coding grid. The Separation Anxiety Test was administered to evaluate children's attachment style. Age predicted the process of construing as well as specific content features of the texts, such as level of abstraction and the type of construct used. In addition, gender was related to the construing process and the expression of emotion, whereas attachment style was associated mainly with stability of self-image and representation of relationships, and in consequence, the emotional aspects of identity.     

Hope, defense mechanisms, and adjustment: implications for false hope and defensive hopelessness

Two studies replicated and expanded an earlier finding that defense style plays a crucial role in the relation between hope and dysphoria (Kwon, 2000). Lower hope and higher defense style immaturity were each associated with greater dysphoria, depression proneness, and maladjustment. Individuals with low hope and low defense immaturity did not have poor outcomes, supporting the existence of a subtype of low hope (defensive hopelessness) that may have adaptive value. The combination of high hope and high defense immaturity was not associated with maladaptive outcomes, arguing against the false hope construct. Additionally, the findings remained after controlling for levels of anxiety. Thus, it appears that the results are not attributable to general distress or negative affectivity. Finally, domain-specific hope was shown to correlate most strongly with matching areas of adjustment, providing evidence for the validity of the construct.