Reduced autobiographical memory specificity and posttraumatic stress: exploring the contributions of impaired executive control and affect regulation

Reduced specificity of autobiographical memories retrieved to word cues on the Autobiographical Memory Test (AMT) is associated with increased posttraumatic stress in traumatized samples. Theoretical debates concerning the dominant influences on this effect have focused on affect regulation, whereby specific personal information is avoided more by those experiencing greater distress, versus compromised executive control, whereby increased distress is associated with an inability to set aside inappropriately general responses on the AMT. The present study compared these 2 views in a correlational design using a reversed version of the AMT (the AMT-R) for which trauma-exposed participants (N=36) had to generate general memories from the past and avoid specific memories. An emphasis on the role of affect regulation would predict that distress would be associated with reduced specificity (as in the standard AMT), whereas emphasis on the role of executive control would predict that this relationship would be reversed. The data supported the affect regulation account, with greater posttraumatic stress being associated with reduced memory specificity.     

Reduced specificity of autobiographical memory and depression: the role of executive control

It has been widely established that depressed mood states and clinical depression, as well as a range of other psychiatric disorders, are associated with a relative difficulty in accessing specific autobiographical information in response to emotion-related cue words on an Autobiographical Memory Test (AMT; J. M. G. Williams & K. Broadbent, 1986). In 8 studies the authors examined the extent to which this relationship is a function of impaired executive control associated with these mood states and clinical disorders. Studies 1-4 demonstrated that performance on the AMT is associated with performance on measures of executive control, independent of depressed mood. Furthermore, Study 1 showed that executive control (as measured by verbal fluency) mediated the relationship between both depressed mood and a clinical diagnosis of eating disorder and AMT performance. Using a stratified sample in Study 5, the authors confirmed the positive association between depressed mood and impaired performance on the AMT. Studies 6-8 involved experimental manipulations of the parameters of the AMT designed to further indicate that reduced executive control is to a significant extent driving the relationship between depressed mood and AMT performance. The potential role of executive control in accounting for other aspects of the AMT literature is discussed.     

Stress factors,social support,and violence in Israeli society: A quantitative analysis

In the present study violence in Israel for a period of 32 years (1950-1981) was analyzed, within a stress model according to which the probability of violence and agression as a reaction to stress will increase when social support systems fail or malfunction. Following this model, three types of variables were identified: 1. Measures of stress and social change: to the regular social stressors (i.e., inflation and unemployment), we added two measures of affluence (income per capita and rates of cars) as well as population density. 2. Measures of social support: rates of birth to unmarried mothers and marriage and divorce rates served as measures of the strength of the family. Another measure in this category was rates of psychiatric hospitalization. 3. Measures of violence: in addition to rates of homicide, robbery, and all offenses, inward directed aggression (suicide) was included in this category. At the first stage of the data analysis, Guttman's Smallest Space Analysis (SSA-1) was applied, providing a two-dimensional space diagram of the correlations between the variables. At the second stage, a multiple regression analysis was introduced. The findings indicate that the theoretical model received substantial support mainly from four stress measures (inflation, income per capita, cars, and population density) and one measure of social support (divorce). Unemployment contributed significantly (in the expected direction) only to homicide. Some theoretical implications of the findings, as well as their relevance to some developments in Israeli society are discussed, and suggestions are made for future research.     

Religiosity as a Substance Use Protective Factor Among Female College Students

Journal of Religion and Health - Research exists about religiosity as a substance use protective factor. However, there is little attention of this issue regarding Israeli female college students....     

Relationship Quality among Chronically Ill Children and their Parents

The present study examined the quality of parent–child relationships as reported by 383 parents of chronically ill children. The medical condition category, child’s mobility, education type and childcare assistance were examined. Parents answered the Parent–Child Relationship Inventory (PCRI). In addition, 45 parents of chronically ill children were interviewed. The results indicated a significant difference in most aspects of the PCRI (limit setting, promotion of autonomy, communication, satisfaction and involvement) across medical condition categories. Further child variables (mobility, assistance and education type) had an effect on the PCRI subscales as well. Interview analysis revealed a difference in the reported quality of parent–child relationships between medical conditions categories. Parents of mentally ill children primarily felt anger and guilt in their relationship with their ill children, whereas parents of children with cancer and autoimmune disease primarily felt depressed. Our results suggest the need for further study of parent–child relationships in and between different chronic childhood medical conditions in an attempt to address parents’ and children’s needs in an optimal way.     

Maternal depression and locus of control orientation as predictors of dyadic play behavior

Maternal locus of control orientation and depression were examined in relation to joint negotiation and coordination of mother-child play at 20 months. Subjects were 51 high-social-risk mothers and children. Mothers completed the I-E Scale and the Beck Depression Inventory prenatally and at 20 months; mother-child interaction was videotaped in a laboratory playroom at 20 months. Tapes were coded using the Control-Autonomy Balance Scales to evaluate maternal control and sensitivity and child engagement and autonomy. Analyses of dyadic play behavior indicated that maternal controllingness was related to an external locus of control orientation. Child engagement during play was related to the resolution of mild maternal depression.     

Reflections of a reluctant clinical ethicist: Ethics consultation and the collapse of critical distance

The obvious appeal and growing momentum of clinical ethics in academic medical centers should not blind us to a potential danger: the collapse of critical distance. The very integration into the clinical milieu and the processes of clinical decision making, that clinical ethics claims as its greatest success, carries the seeds of a dilution of ethics' critical stance toward medicine and medical education. The purpose of this paper is to suggest how this might occur, and what potential contributions of ethics to medicine might be sacrificed as a result. Medical sociology will be used for comparison. Sociologists have found that they may function either as students and critics of established medical practices and educational philosophies, or as collaborative participants in them — but rarely both. It may be that professional ethics is most effective when it plays the role of stranger rather than insider, and is continually able to question the most basic assumptions and values of the enterprise with which it is associated. As with medical sociology, ethics and humanities must ask to what extent their desire for acceptance in the clinic requires their acceptance of the clinic: specifically, acceptance of basic assumptions about optimal ways of organizing medical education, socializing physicians-in-training, providing care, and even of defining medical ethics itself. The paper concludes by recommending that ethics reassert its strangeness in the medical milieu even as it assumes a more prominent role within the medical center.     

Alcoholism and incest: Improving diagnostic comprehensiveness

This article is designed to underscore the similarities in characteristics between alcoholic and incestuous family operations. Hopefully, readers will develop a more acute appreciation and understanding of the frequency of occurrence of both of these behaviors in the same family. The author contends that too often alcoholism will be diagnosed, while the incest is diagnostically missed or vice versa. To best insure that recidivism of either the alcohol or incest can be avoided, the author believes it is important to comprehensively diagnose and then treat appropriately.