Much Ado About Nothing?

Mary Lee Smith. Sex bias in counseling and psychotherapy Bernard E. Whitley, Jr. Sex roles and psychotherapy: A current appraisal     

Assessing Psychosocial Distress in Cystic Fibrosis: Validation of the ‘Distress in Cystic Fibrosis Scale’

Experiences of anxiety and depression are common in adults with Cystic Fibrosis (AwCF) (e.g. Quittner in Thorax 69:1090-1097, 2014) and may impact on a wide range of important health-related behaviours, such as adherence to medication and timely attendance for medical review when experiencing pulmonary exacerbation. Common screening measures used in CF such as the PHQ-9 and GAD-7 may reflect an absence of anxiety or depression when clinically significant emotional difficulties are apparent on further assessment. This study preliminarily validated the previously developed Distress in Cystic Fibrosis Scale (DCFS) (Patel in Journal of Cystic Fibrosis 15:S26, 2016); a 23-item questionnaire to assess psychosocial distress in AwCF. Inpatient and outpatient participants with CF (N?=?119) completed a battery of questionnaires, including the DCFS. PCA results supported a single component model. The DCFS showed high internal consistency and correlated significantly with measures of mood and quality of life. The DCFS shows promise as a screening tool to assess clinically significant psychosocial distress in an adult CF population.

     

How Much for the Child?

In this paper we explore what sacrifices you are morally required to make to save a child who is about to die in front of you. It has been argued that you would have very demanding duties to save such a child (or any adult who is in similar circumstance through no fault of their own, for that matter), and some examples have been presented to make this claim seem intuitively correct. Against this, we argue that you do not in general have a moral requirement to bear more than moderate cost to save even a child who is just in front of you. Moreover, we explain why you have a much more demanding moral requirement in certain cases by appealing to the notions of undue risk and cost sharing.     

How Much do Chinese Applicants Fake?

More and more organizations have applicants who come from different cultural backgrounds, and according to new research, these cultural backgrounds matter for applicants' self‐presentational behavior (i.e., faking). If applicants come from China, can organizations assume that they will present themselves modestly, as suggested by Chinese norms? Or should organizations assume that there will be much self‐presentational behavior due to the high unemployment rate, at least among Chinese graduates? To answer this question, we obtained data from 307 Chinese applicants on their self‐presentational behavior, using the randomized response technique to ensure anonymity. We compared these data with similar data sets from the United States, Switzerland, and China. Contrary to the proposed modesty hypothesis in Chinese samples, perhaps due to high unemployment, self‐presentation was as prevalent in Chinese samples as in American samples.     

Do Maternal Protective Behaviors Alleviate Toddlers' Fearful Distress?

Parenting behaviors during times when young children may feel vulnerable, such as when encountering novelty, undoubtedly affect how children learn to regulate their reactions to these events. Theory suggests and some research supports the link between protective behavior - behaviors that shield child from a potential threat - and regulation of emotions. Less is known, however, about the immediate effects of these behaviors on children's distress. That is, do these protective behaviors alleviate distress in the moment? Presumably, this type of "successful" regulation of distress would be important for the development of successful regulation in other situations. To this end, the current study examined changes in the time course of toddlers' fearful distress, when protective maternal behaviors were observed during a highly novel, fear-eliciting task. Analyses were conducted for two subgroups of dyads: one group where toddlers' distress preceded mothers' protective behavior and one group where mothers' protective behavior preceded toddler distress. When toddlers' distress preceded mothers' reactions, protective behaviors were found to be associated with less steep decreases in fear for toddlers who had the highest initial distress reactions. Results are discussed in the context of toddlers' emerging ability to regulate emotions and the adaptive development of these skills.     

Effects of Marital Distress on Turkish Adolescents’ Psychological Adjustment

This research explores the effects of parental marital distress on Turkish adolescents’ psychological adjustment, as mediated by adolescents’ perceptions of maternal and paternal acceptance–rejection. This issue has generated considerable interest within the United States, but only recently internationally. The study draws from a sample of 180 12- through 18-year-old Turkish adolescents (94 females and 86 males; mean age of 16 years) and their parents. Assessments of the level of husbands’ and wives’ marital distress were made using the Turkish language version of the Intimate Partner Acceptance–Rejection/Control Questionnaire IPAR/CQ. Adolescents’ perceptions of the level of parental acceptance were made using the mother and father forms of the Child Parental Acceptance–Rejection/Control Questionnaire. Adolescents’ psychological adjustment was assessed using the child version of the Personality Assessment Questionnaire. Mediation analyses revealed that adolescents’ perceptions of both maternal and paternal acceptance mediated the relationship between the adolescents’ (both sons’ and daughters’) psychological adjustment and wives’ perceptions of their husbands’ acceptance. Thus, the spillover hypothesis was partially supported as was one of the central postulates of parental acceptance–rejection theory.     

Posttraumatic Growth: Spouses’ Relationship Quality and Psychological Distress

While research links interpersonal processes to posttraumatic growth (PTG; Calhoun &; Tedeschi, 2006a Calhoun, L. G., &; Tedeschi, R. G. (2006a). Expert companions: Posttraumatic growth in clinical practice. In L. G. Calhoun, &; R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research &; practice (pp. 291–310). Mahwah, NJ: Lawrence Erlbaum. [Google Scholar]), little is known about whether partners’ PTG has consequences for people’s (i.e., actors’) relationship functioning and psychological distress. Sixty-one married couples who had experienced severe flooding completed measures of PTG, perceptions of spouses’ PTG, relationship quality, and psychological distress 6 and 12 months following the event. Partners’ increased PTG predicted actors’ increased perceptions of partners’ PTG, which predicted actors’ increased relationship quality, which, in turn, predicted actors’ decreased psychological distress. Thus, partners’ PTG can benefit spouses’ evaluations of their relationship and, ultimately, actors’ psychological well-being.     

Prenatal Maternal Distress: A Risk Factor for Child Anxiety?

The deleterious association between various types of prenatal maternal psychological distress (PNMS, anxiety, depression, psychological distress, stress) and childhood anxiety symptomatology (internalizing behaviors, anxiety symptoms) has been established using both retrospective and prospective longitudinal studies across varied demographic cohorts and throughout development. Yet, the existing literature cannot claim maternal distress during pregnancy to be a specific risk factor for anxiety symptomatology, as studies utilizing such observational designs are unable to adequately account for confounding of potential genetic factors and the postnatal environment. In this review, we examine studies that attempt to minimize such confounding and thus disentangle the unique intrauterine exposure effect of varying types of PNMS on childhood anxiety symptomatology. Such methodologies include paternal versus maternal comparison studies, sibling comparisons, prenatal cross-fostering designs and timing of exposure studies (including disaster studies). Of the identified studies, findings indicate that prenatal maternal distress is likely to constitute a risk factor for anxiety symptomatology, although more studies are needed to replicate current findings in order to determine whether there are clear differences in effects across specific types of PNMS and for specific subpopulations. We review the methodological limitations and strengths of the literature prior to exploring avenues of future research and implications for theory and clinical practice.     

Openness versus intellect: Much ado about nothing?

McCrae (1990) has argued that Openness to Experience is a fundamental dimension of personality that is not well represented among English-language trait adjectives. Presumably, then, studies of personality adjectives will inevitably fail to capture at least one fundamental personality dimension. I argue that the language does contain many adjectives referring to Openness, and that recent studies of the language of personality reveal a large factor clearly related to both Openness and Intellect. These studies support both the Openness construct and the questionnaire version of the five basic factors. Lexical and questionnaire methods appear to converge on a single structural framework for basic personality traits.     

Are Some Psychotherapies Much More Effective Than Others?

In a previous paper we had reported on the examination of comparisons of 18 metaanalyses of active treatments with each other (Luborsky, Rosenthal, Diguer, et al., 2001). These metaanalyses gave a small and nonsignificant mean level of difference between types of treatments. The smallness of this correlation confirms Rosenzweig's (1936) expectation that because of the large overlap in effective ingredients of different psychotherapies, comparative studies of psychotherapies would show little difference. Such a comparison that includes psychoanalyses seems a long way off, but if outcomes of psychoanalyses are defined similarly to those in the other psychotherapies, the expected differences in outcomes may also be small.     

How Much Jungian Theory Is There in My Practice?

This non-clinical paper consists of the author's subjective and personal value judgements on theory and practice. He discusses nine topics: I) What is analysis and why do people seek therapy? 2) Dangers of reification and hypostatizing: reinforcement of narcissistic defences and schizoid unrelatedness. 3) The problems of archetypal psychology and amplification. 4) The cultural and political aspects of the unconscious psyche, and the value of studying the philosophical background to the psychodynamic approach. 5) Criticism of the classical Jungian over-emphasis of the intrapsychic at the expense of the interpersonal. 6) Psychosomatic healing through experience and interpretation of psychosomatic identity in the transference/countertrans-ference; idea of the ‘animating body’. 7) Dangers of theoretical hndamentalism and crusading among Jungian schools: envy and intolerance. 8) The need for the analyst to have enough good objects. 9) An acknowledgement of theoretical influences other than Jung on the author's practice; although Jung's ideas facilitate a personal pluralism - the spirit of Jung.     

Distress vocalizations in infant rats: what's all the fuss about?

Ultrasonic vocalizations emitted by infant rodents are typically characterized as cries of distress. There are two contexts that are known to reliably elicit ultrasound production: extreme cold exposure and administration of clonidine, an α₂ adrenoceptor agonist. Noting that these two contexts both entail pronounced decreases in cardiac rate, we have hypothesized that the vocalizations are acoustic by-products of a physiological maneuver, the abdominal compression reaction (ACR), that increases venous return to the heart when return is compromised. As a critical test of this hypothesis, we measured venous pressure near the right atrium in 15-day-old rats after clonidine administration. Consistent with the ACR hypothesis, emission of ultrasound was accompanied by large and reliable increases in venous pressure and, therefore, venous return. These results provide strong, direct support for the ACR hypothesis and, by doing so, underscore the potential pitfalls of anthropomorphic interpretations of the vocalizations of infant rats.     

Role of Secondary Stressors in the Parental Death–Child Distress Relation

This study examined the psychological consequences and secondary stressors associated with death of a parent. The sample (N = 116) consisted of 26 youths who had lost a parent to homicide, 45 youths who had lost a parent to natural death, and 45 nonbereaved youths. Youngsters completed face-to-face interviews, while their guardians completed measures assessing the children's functioning. Results based on both child and guardian reports indicated that parental death was associated with an increase in secondary stressors, regardless of the mode of death. Findings based on guardian reports also revealed that parental death was related to increased internalizing distress, and that parental death due to homicide was related to increased externalizing distress. Furthermore, secondary stressors mediated the parental death–child distress relation such that parental death led to an increase in stressors, which in turn led to increased child distress. Implications for secondary and tertiary preventive interventions are discussed.     

Sphincter of Oddi dysfunction: Does Psychosocial Distress Play a Role?

Sphincter of Oddi dysfunction (SOD) is a functional gastrointestinal disorder characterized by pancreatobiliary-type of pain in the absence of organic abnormalities. The aim of this study was to investigate specific psychosocial predictors of functional outcome in a group of patients consecutively referred to a gastroenterological department for biliary-type of pain. Based on medical examination patients were divided into functional (SOD) and organic groups. Self-administered questionnaires regarding demographic characteristics, psychological distress (Symptom Check-List-90–R, [SCL-90-R]), severity of acute and chronic stress, level of subjective well-being and satisfaction with health were completed. The analyses were based on the logistic regression approach. In this sample, SOD patients were older than organic patients and more likely female. Logistic regression analysis showed that higher acute stress (i.e., main effect) was associated with a decreased likelihood of functional (SOD) outcome, whereas the combination of acute stress with chronic stress and the combination of acute stress with higher severity of psychopathology (i.e., interaction effect) was associated with an increased likelihood of functional (SOD) outcome. These findings suggest stressful life events in combination with certain psychological symptoms can play a role in the symptom presentation of patients with sphincter of Oddi dysfunction.     

College Students’ Affective Distress: The Role of Expectation Discrepancies and Communication

The discrepancy between college students’ performance and parents’ expectations may be related to college students’ affective distress. Further, the role that parent–college student communication reciprocity may play in the context of these discrepancies has not been examined. As a result, this study examined parent–college student expectation discrepancies and communication reciprocity as predictors of college students’ affective distress (i.e., anger, depression, and anxiety). Results of this study suggest that college student–parent expectation discrepancies, communication reciprocity, and college students’ affective distress (i.e., anger, depression, and anxiety) are interrelated significantly. Further, results from the hierarchical regressions conducted for this study suggest that college students’ perception of their communication reciprocity with their parents may be a more important predictor of college students’ depression and anxiety in the context of the expectation discrepancies examined in this study. These findings underscore the importance of teaching communication skills to college students and their parents as a means of diminishing the deleterious effects of perceiving one another inaccurately.     

Gender stereotyping in medical advertising: Much ado about something?

Gender bias in medical advertising may be one factor contributing to differential treatment of women and men by physicians. Four hundred forty advertisements from three prominent medical journals were analyzed. Significantly more male, compared to female, recipient ads were found overall as well as for cardiovascular drugs. Males and females were both portrayed stereotypically in the ads, but this trend was especially true for males. The facial expressions of men were more likely to be serious/neutral whereas the facial expressions of women were more often judged to be pleasant. Females tended to be younger than the males that were depicted. Since heart disease is the number one killer of both men and women, underrepresentation of women in cardiovascular ads was questioned. Stereotypical portrayals as well as differences in facial expressions and age of depicted recipients may contribute to physicians being less likely to take the complaints of women, compared to men, seriously.     

Marriage Matters But How Much? Marital Centrality Among Young Adults

Marriage, once a gateway to adulthood, is no longer as widely considered a requirement for achieving adult status. With declining marriage rates and delayed marital transitions, some have wondered whether current young adults have rejected the traditional notion of marriage. Utilizing a sample of 571 young adults, the present study explored how marital centrality (the expected importance to be placed on the marital role relative to other adult roles) functioned as a unique and previously unexplored marital belief among young adults. Results suggested that marriage remains an important role for many young adults. On average, young adults expected that marriage would be more important to their life than parenting, careers, or leisure activities. Marital centrality profiles were found to significantly differ based on both gender and religiosity. Marital centrality was also associated with various outcomes including binge-drinking and sexual activity. Specifically, the more central marriage was expected to be, the less young adults engaged in risk-taking or sexual behaviors.     

Socially Anxious and Peer-Victimized Preadolescents: “Doubly Primed” for Distress?

We examined independent and interactive associations linking preadolescents' socially anxious feelings and peer victimization experiences with their social behaviors (rated by parents and teachers) and psychophysiological arousal during lab simulations of salient peer stress situations in preadolescence (peer evaluation and peer rebuff). Sixty-three preadolescents and one parent per preadolescent participated. Respiratory sinus arrhythmia (RSA), skin conductance level (SCL), and heart rate (HR) were assessed during peer stress situations. Preadolescents provided reports of social anxiety; preadolescents and parents reported on peer victimization; and parents and teachers rated prosocial and aggressive behaviors. Peer victimization moderated associations between social anxiety and both physiological arousal and social-behavior problems. As hypothesized, social anxiety was more strongly associated with lower RSA, higher HR, and higher aggressive behavior among preadolescents who experienced higher levels of peer victimization, compared to preadolescents who experienced lower levels of peer victimization.