Illness,the mind,and the body: Cancer and immunology: An introduction

From the sixties on it has become clear how the human physical condition could be influenced by human behavior. Although hypothesis were lacking to understand these connections, nursing research especially proved how systematically introduced patient behavior during illness and hospitalization could induce better recovery results and better prognosis for the patient.Information andattitude proved to be crucial elements in these processes of improved patient expectations. It took less than two decades to get to the insights we have in 1994. Recent research shows the interlocking mechanisms of nervous and endocrine systems with the immune system as significantly being influenced by behavior and especially psychic and or psychosocial stress. This special issue of Theoretical Medicine briefly describes the historical development with contributions on the most recent state of the scientific art. These developments are emphasized by discussion on the clinical reality of the (breast) cancer patient and recent findings on the complexity of the prevalence of cancer in epidemiology. An attempt is made to consider practical consequences of the actual knowledge if applied to patient care.     

反应-效应相容性范式下不同数字表征方式和身体经验对数字认知加工的影响

采用反应-效应相容性范式,探讨不同数字表征方式和身体经验对个体数字认知加工的影响。实验1首先采用木棒数字表征从知觉层面证明反应-效应相容性效应的存在;实验2采用累计手指数字表征考察手指数字表征在反应-效应相容性匹配中的优势;实验3则进一步排除了近似数量表征系统的影响,从语义层面探讨中国文化背景下语义概念手指数字表征的反应-效应相容性对数字认知加工的影响。结果发现,不同的数字表征系统中均存在反应-效应相容性效应,支持了观念运动理论;相比客体材料,手指数字表征在相容条件下具有明显的匹配优势,支持了具身数量的观点。     

Illness and the origin of caring

In recent years, many in medical education have examined the question of how best to reinvigorate the doctor-patient relationship, given the increasing technological distance that has emerged between them in modern medicine. In this paper it is argued that "humanism" and caring in medicine reflect the quality of transitional relatedness in the illness condition, a significant separation-attachment phase of life. By improving our understanding of the origin of caring, educational strategies for physicians in training may improve as might our abilities to provide care.     

The lived experience of disability

In this paper I reflect upon my personal experience of chronic progressive multiple sclerosis in order to provide a phenomenological account of the human experience of disability. In particular, I argue that the phenomenological notion of lived body provides important insights into the profound disruptions of space and time that are an integral element of changed physical capacities such as loss of mobility. In addition, phenomenology discloses the emotional dimension of physical disorder. The lived body disruption engendered by loss of mobility includes a change in the character of surrounding space, an alteration in one's taken-for-granted awareness of (and interaction with) objects, the disruption of corporeal identity, a disturbance in one's relations with others, and a change in the character of temporal experience. The loss of upright posture is of particular significance since it not only concretely diminishes autonomy but affects the way one is treated by others. Such a change in posture is, therefore, particularly disruptive in the social world of everyday life. An understanding of the lived body disruption engendered by disability has important applications for the clinical context in devising effective therapies, as well as for the social arena in determining how best to resolve the various challenges posed by chronic disabling disorders.I should like to thank Frances Chaput Waksler for her helpful comments on my work.     

Measuring Stigma Toward Mental Illness: Development and Application of the Mental Illness Stigma Scale1

Guided by theory on stigma, a Likert‐type scale was developed to measure 7 factors of attitudes toward people with mental illness: interpersonal anxiety, relationship disruption, poor hygiene, visibility, treatability, professional efficacy, and recovery. The scale was validated among college students and community members, measuring attitudes toward people with mental illness, depression, bipolar disorder, and schizophrenia. In a second application, college students completed the scale from their own perspective, then from an imagined perspective of someone with mental illness, while psychiatric patients completed the scale from their own perspective, then from an imagined viewpoint of someone without mental illness. Psychiatric patients assumed that they were stigmatized to a greater extent than was admitted by the student sample.     

Switch costs and the operand-recognition paradigm

Experimental research in cognitive arithmetic frequently relies on participants’ self-reports to discriminate solutions based on direct memory retrieval from use of procedural strategies. Given concerns about the validity and reliability of strategy reports, Thevenot et al. in Mem Cogn 35:1344–1352, (2007) developed the operand-recognition paradigm as an objective measure of arithmetic strategies. Participants performed addition or number comparison on two sequentially presented operands followed by a speeded operand-recognition task. Recognition times increased with problem size following addition but not comparison. Thevenot et al. argued that the complexity of addition strategies increases with problem size. A corresponding increase in operand-recognition time occurs because, as problem size increases, working memory contains more numerical distracters. However, because addition is substantially more difficult than comparison, and difficulty increases with problem size for addition but not comparison, their findings could be due to difficulty-related task-switching costs. We repeated Thevenot et al. (Experiment 1) but added a control condition wherein participants performed a parity (odd or even) task instead of operand recognition. We replicated their findings for operand recognition but found robust, albeit smaller, effects of addition problem size on parity judgements. The results indicate that effects of strategy complexity in the operand-recognition paradigm are confounded with task-switching effects, which complicates its application as a precise measure of strategy complexity in arithmetic.     

When the Analyst Suffers Illness and Loss

This paper describes my struggle to retain my personal and professional identity while undergoing treatment for breast cancer. It would have been easy to slip into being “the tumor in the left breast.” A circumscribed writing project helped, since writing has always been part of my life. Some interactions with patients in treatment were also crucial to my sense of ongoing personhood.     

Behavior analysis and the R&D paradigm

This paper considers research and development (R&D) as a style of investigation that holds promise for the field of behavior analysis. Contrasted with academic-style research, R&D tends to be highly targeted toward achievement of specific outcomes, which are determined by a user community. R&D is typically multidisciplinary in character and is coordinated by a funding source. R&D usually includes extensive field testing and systematically addresses technology transfer. A program of R&D focused on detector dogs serves as an exemplar of this approach for behavior analysis.     

Saudi therapists' lived experience of self-awareness

Self-awareness and self-reflection in psychotherapeutic processes have been critical components for effective counselling and psychotherapy. However, little qualitative research in Saudi Arabia has been conducted that aims to explore the therapist's subjective experiences of the self in their professional work. Therefore, the purpose of this phenomenological study was to understand the therapist's self-awareness within psychotherapy, by focusing on the therapist's lived experience of self-awareness and exploring how therapists recognise themselves as an integral component of the therapeutic relationship. Semi-structured interviews were conducted with six experienced and accredited psychologists with at least three years of clinical experience, and the qualitative data were analysed using interpretative phenomenological analysis (IPA). Five superordinate themes emerged from the data; that is, development of the professional self, use of self, self-oriented, supervision and experience. This study provides an understanding of the therapist's self in psychotherapy, as it shows that self-awareness is important for therapists to manage their feelings, thoughts and behaviours in meeting with clients and that it is a valuable resource for a therapist to become aware of and reflect upon the process within oneself. This understanding is integrated into the training programmes in counselling psychology, especially in the areas of self-awareness and personal development.     

Bilingualism in the World of Health and Illness

The movement of peoples across linguistic boundaries means the existence of individuals who speak, to a greater or lesser extent, more than one language. How such individuals have in the past and can in the present serve as mediators within the health care system is described and the need for closer attention to such resources stressed.     

Mental Illness and the Ministry of the Local Church

Due to the stigma associated with mental illness in America, religious leaders and their congregations might be fearful of caring for and worshipping alongside a person with mental illness. This article recounts some of the challenges encountered by the pastor of a small congregation in attempting to provide care for a church member suffering with schizophrenia. It is proposed here that congregations need to grow in courage as they attempt to serve people who struggle with mental illness, just as people with mental illness exhibit courage in venturing out to participate in church life.     

Explanatory Style and Illness

Explanatory style is an individual difference that influences people's response to bad events. The present article discusses the possibility that a pessimistic explanatory style makes illness more likely. Several studies suggest that people who offer internal, stable, and global explanations for bad events are at increased risk for morbidity and mortality. We tentatively conclude that passivity, pessimism, and low morale foreshadow disease and death, although the process by which this occurs is unclear.     

Development and validation of the Illness Behavior Inventory

The development and validation of a measure of illness behavior are presented. From a large domain sample of illness-related behaviors, a 20-item self-report measure was developed, the Illness Behavior Inventory (IBI). Validation data are presented from a series of independent studies with healthy and chronically ill individuals. Results indicate that the IBI possesses acceptable levels of internal consistency, test-retest reliability, structural reliability, discriminant validity, concurrent validity, and predictive validity. The applicability of the IBI to various areas of inquiry in behavioral medicine research and practice is discussed and directions for future research are outlined.     

Cognitive complexity and the similarity-attraction paradigm

The study investigated the role of cognitive complexity as a moderator of the similarity-attraction relationship described by Byrne (1971). Subjects conducted face-to-face interviews with confederates who played roles as job applicants. Similarity-dissimilarity was manipulated by the confederate roles, as well as by the information given the subjects in accordance with the procedures described by Byrne (1971). The situation was viewed as one in which judgments were made about a complex, multidimensional stimulus. Information received about another person in an interview setting was viewed as consisting of different dimensions to be assessed by the perceiver. The hypothesis was tested and confirmed that cognitively complex judges were more likely than simple judges to perceive and evaluate similarity/dissimilarity in others. Thus, complex judges evaluated similar applicants more positively than dissimilar applicants, while no differences were found for simple judges. Cognitive complexity thus appears to moderate the “Law of Attraction” described by Byrne (1971).     

Rethinking the military paradigm

The article begins with an overview of the historic moment of ‘the end of the Cold War’, and of the paradoxically deepening moral, social, and environmental problems posed by the military system. It demonstrates that historical and contemporary analyses of defence and war have dogmatically presupposed the military paradigm, and have therefore failed to recognize the self‐reproducing structure of covert premisses and inferences upon which it rests. In laying bare this underlying system of unreason, the analysis demonstrates that the military paradigm's ultimately self‐contradictory concepts of ‘security’ and ‘defence’ repose on unstated interests of social and political rule. Proposing new distinctions between pathological and life‐enabling forms of war, and between guilty and innocent combatants, the argument develops alternative, non‐military principles of war to guide rational and moral agency