Sociotropy/autonomy and vulnerability to specific life events in patients with unipolar depression and bipolar disorders

Followed samples of unipolar and bipolar patients for a 6-month period, with independent assessment of symptoms and life events. Patients were initially categorized into subtypes using Beck's Sociotropy/Autonomy Scale, with the prediction that onset or exacerbation of symptoms, as well as more total symptoms, would occur for sociotropic individuals experiencing more negative interpersonal events than achievement events, and for autonomous-achievement patients experiencing more achievement events than interpersonal events. Results were confirmed for unipolars, indicating that the course of disorder was associated with the occurrence of personally meaningful life events, but not for bipolars. Further research is recommended to examine whether the effect is equally robust for both subtypes of unipolars, whether longer study duration may be required for bipolars, and whether a cognitive self-schema mechanism may account for the specific vulnerability to a subset of stressful events.     

Sociotropy and autonomy: an examination of interpersonal and work adjustment

One-hundred and sixty-five undergraduate students completed measures of sociotropy, autonomy, and adjustment. Autonomy was associated with poor social adjustment but was not associated with work role adjustment. Sociotropy failed to evidence a significant relation with work role or social adjustment. In past research, autonomy has primarily been theorized to contribute to depression when achievement needs are not met. Our results raise the possibility that autonomy may be linked to depression through the pathway of low social support and interpersonal difficulties. In addition, the results suggest that sociotropic individuals may not have objectively poor social adjustment despite their concerns regarding this area. Likewise, autonomous individuals may not have better or worse work adjustment despite their efforts to achieve.     

Sociotropy and autonomy: differential patterns of clinical presentation in unipolar depression

We examined the relations between sociotropy and autonomy and clinical features of depression. Beck (1983) proposed that sociotropy is related to a sense of deprivation and clinical features associated with reactive depression and that autonomy is related to a sense of defeat and clinical features associated with endogenous depression. Robins, Block, & Peselow (1989) found support for the hypothesis for sociotropy but not for autonomy, and they suggested that the autonomy scale may be problematic. We administered new measures of sociotropy and autonomy and a more comprehensive assessment of clinical features to 50 unipolar depressed inpatients. The results support the selective relations of both sociotropy and autonomy to the predicted sets of clinical features. This study adds to the growing evidence that these personality dimensions are important to the understanding of depression.     

Sociotropy and autonomy: preliminary evidence for construct validity using TAT narratives

In this investigation, we evaluated the construct validity of sociotropy and autonomy as assessed by the revised Personal Style Inventory (PSI; Robins et al., 1994). Stories given to 6 cards of the Thematic Apperception Test (Murray, 1943) were coded for need for Achievement (McClelland, Atkinson, Clark, & Lowell, 1953) and need for Affiliation (Heyns, Veroff, & Atkinson, 1958). These scores were correlated with PSI Sociotropy and Autonomy, along with their component subscales. The construct validity of Sociotropy, Autonomy, and 5 of 6 component subscales were supported as hypoth sized. Consistent with past research, there was no support for the construct validity of the Perfectionism/Self-Criticism subscale of Autonomy. In addition, separate analyses by gender suggested that the construct validity of sociotropy may be greater for women than for men. The results represent an important finding in that nonquestionnaire measures of interpersonal and achievement-related concerns were found to support the validity of the PSI, a need identified by the questionnaire's authors.     

Sociotropy,autonomy, and personality disorder criteria in psychiatric patients

Sociotropy and autonomy (Beck, 1983) are sets of beliefs, concerns, and behavioral tendencies that are proposed to create vulnerability to depression and other psychopathology and to influence its manifestation and treatment response. Other theoretical frameworks (Blatt, 1974) have made similar suggestions. We investigated the differential relations of sociotropy and autonomy to dimensional scores for each DSM-III-R personality disorder (PD) in a sample of 188 psychiatric patients, controlling for the other set of characteristics and for the other PDs. Histrionic and dependent PD traits were related specifically to sociotropy. Paranoid, schizoid, schizotypal, and passive-aggressive PD traits were related specifically to autonomy. Borderline, narcissistic, avoidant, and self-defeating PD traits were related significantly and about equally to both sociotropy and autonomy. Obsessive-compulsive PD traits were not related consistently to either. Results were mostly as predicted and suggest that sociotropy and autonomy may be useful constructs for understanding and treating PDs.     

Sociotropy and autonomy: relationship to antidepressant drug treatment response and endogenous-nonendogenous dichotomy.

This study evaluated the relationship of sociotropic and autonomous personality traits with response to pharmacotherapy for 217 depressed outpatients using the Sociotropy-Autonomy Scale. Sociotropy was related to nonendogenous depression, whereas autonomy was related to endogenous depression. Subjects who had high autonomous-low sociotropic traits showed greater response to antidepressants (and greater drug-placebo differences) than those who had high sociotropic-low autonomous traits (who showed no drug-placebo differences). Hierarchical multiple regression analysis showed that the sociotropy-autonomy, but not the endogenous-nonendogenous, distinction was a predictor of drug treatment response. The combination of endogeneity and autonomy predicted response to placebo. If replicated, these findings may enable better matching of patient traits to various treatment modalities for depression.     

Adult attachment styles and cognitive vulnerability to depression in a sample of undergraduate students: the mediational roles of sociotropy and autonomy

We analysed the mediational role of the personality dimensions of sociotropy and autonomy in the relationship between certain styles of attachment and depressive symptoms. In order for us to do so, a group of university students filled out the Beck Depression Inventory (BDI), the Revised Personal Style Inventory (PSI-II) and the Relationship Questionnaire (RQ). Individuals having attachment styles with a negative model of self (preoccupied and fearful) obtained significantly higher scores in the BDI than those having attachment styles with a positive model of self (secure and dismissing), which coincides with previous research. We followed the standard procedure of Baron and Kenny of linear regression in order to perform the mediational analyses. The preoccupied attachment style-depressive symptoms relationship was mediated by sociotropy. It was also found that autonomy exerted a significant mediational effect on the relationship between the fearful attachment style and depressive symptoms. These results are consistent with the notion that insecure attachment predisposes individuals to the development of depressogenic personality styles. Thus, the findings of the present study contribute to improving the understanding of the factors involved in the development of vulnerability to depression. Furthermore, the results point out the importance of evaluating both attachment style and sociotropy/autonomy personality dimensions for the treatment of depressive patients.     

Sociotropy and Autonomy: Preliminary Evidence for Construct Validity Using TAT Narratives

In this investigation, we evaluated the construct validity of sociotropy and autonomy as assessed by the revised Personal Style Inventory (PSI; Robins et al., 1994). Stories given to 6 cards of the Thematic Apperception Test (Murray, 1943) were coded for need for Achievement (McClelland, Atkinson, Clark, & Lowell, 1953) and need for Affiliation (Heyns, Veroff, & Atkinson, 1958). These scores were correlated with PSI Sociotropy and Autonomy, along with their component subscales. The construct validity of Sociotropy, Autonomy, and 5 of 6 component subscales were supported as hypothesized. Consistent with past research, there was no support for the construct validity of the Perfectionism/Self-Criticism subscale of Autonomy. In addition, separate analyses by gender suggested that the construct validity of sociotropy may be greater for women than for men. The results represent an important finding in that nonquestionnaire measures of interpersonal and achievement-related concerns were found to support the validity of the PSI, a need identified by the questionnaire's authors.     

An Examination of Sociotropy and Excessive Reassurance Seeking in the Prediction of Depression

The study was an examination of the relationship between sociotropy and excessive reassurance seeking in the prediction of depression. Although there is an obvious theoretical link between these constructs, little empirical work has been directed at integrating these constructs. Because it was theorized that sociotropic persons would be relatively more likely to engage in excessive reassurance seeking relative to autonomous individuals, it was predicted that sociotropy, and not autonomy, would be positively related to excessive reassurance seeking. In addition, it was predicted that excessive reassurance seeking would mediate effects of sociotropy upon depression. Overall, the results from 167 undergraduates completing measures for all variables supported these predictions. The results suggest that beyond the psychological vulnerabilities hypothesized by A. T. Beck (1983), sociotropic persons might engage in interpersonal behaviors that exacerbate their response to life stress.     

From solidarity to autonomy: towards a redefinition of the parameters of the notion of autonomy

Starting from examples of concrete situations in France, I show that autonomy and solidarity can coexist only if the parameters of autonomy are redefined. I show on the one hand that in situations where autonomy is encouraged, solidarity nevertheless remains at the foundation of their practices. On the other hand, in situations largely infused with family solidarity, the individual autonomy may be put in danger. Yet, based on my ethnographic observations regarding clinical encounters and medical secrecy, I show that while solidarity may endanger individual autonomy, it does not necessarily endanger autonomy itself. The social practices observable in France reflect the reality of an autonomy that goes beyond the individual, a reality that involves a collective subject and includes solidarity. The opposition between these two values can then be resolved if the content of the notion of autonomy is understood to be dependent on its cultural context of application and on its social use.     

Choice and ego-depletion: the moderating role of autonomy

The self-regulatory strength model maintains that all acts of self-regulation, self-control, and choice result in a state of fatigue called ego-depletion. Self-determination theory differentiates between autonomous regulation and controlled regulation. Because making decisions represents one instance of self-regulation, the authors also differentiate between autonomous choice and controlled choice. Three experiments support the hypothesis that whereas conditions representing controlled choice would be egodepleting, conditions that represented autonomous choice would not. In Experiment 3, the authors found significant mediation by perceived self-determination of the relation between the choice condition (autonomous vs. controlled) and ego-depletion as measured by performance.     

Race and vulnerability to stress: an examination of differential vulnerability

In this article the possibility of race differences in vulnerability to stress is considered. Structural models linking socioeconomic status, age, and life-change events to psychological distress are fit to blacks' and whites' data, which were obtained in a community survey of 829 Florida residents to evaluate differences in vulnerability. Life-change-distress paths were slightly larger among blacks than among whites, though not significantly so. The possible adaptive or coping resources provided by supportive social ties and by fatalistic responses to chronic stress are suggested as topics for further research with regard to psychological well-being among disadvantaged groups.     

Bealer and the autonomy of philosophy

George Bealer has provided an elaborate defense of the practice of appealing to intuition in philosophy. In the present paper, I argue that his defense fails. First, I argue that Bealer’s theory of determinate concept possession, even if true, would not establish the “autonomy” of philosophy. That is, even if he is correct about what determinate concept possession consists in, it would not follow that it is possible to answer the central questions of philosophy by critical reflection on our intuitions. Furthermore, I argue that Bealer’s account of determinate concept possession in fact faces serious problems. Accordingly, I conclude that Bealer does not succeed in vindicating the appeal to intuition in philosophy.     

India's environment: The enclosure of nature and the nature of enclosure

This Fissured Land: An Ecological History of India, by Madhav Gadgil and Ramachandra Guha. Delhi: Oxford University Press, 1992, 274 pages, £4.95 pb.

Nature, Culture and Imperialism: Essays on the Environmental History of South Asia, David Arnold and Ramachandra Guha. Delhi: Oxford University Press, 1995, 376 pages, £19.50.     

Hysterectomy and autonomy

Hysterectomy (or hysterectomy with oophorectomy) is the most frequently performed major surgery in the United States, affecting approximately 700,000 women each year (Easterday, 1983). There has long been interest in the psychological effects of these surgeries. However, apart from the concern that some hysterectomies may be unnecessary (Pearse, 1976), there has been little attention to bioethical issues relating to hysterectomy. Physicians and nurses are ethically obligated to respect the woman who may have a hysterectomy by treating her as an autonomous agent. Informed consent within the context of a decision for hysterectomy should include balanced information and supportive exploration of the woman's values, goals, and life plan. Care of the patient should assist her adjustment, thereby also promoting her autonomy. Physician attitudes toward hysterectomy and the hysterectomy patient can have a major influence on patient self-determination.     

Prior autonomy frustration facilitates persistent behavior: The moderating role of autonomy causality orientation

Motivation and Emotion - Satisfaction of the basic psychological need of autonomy is essential for one’s optimal functioning and well-being. Recent studies consistently demonstrated that...