Self and body esteem perception in multiple sclerosis

Self esteem and body esteem were examined in a group of 35 relapsing-remitting multiple sclerosis (MS) patients using the Body Esteem Scale (BES) and the Eysenck Self Esteem Scale (ESES) and compared to age and sex matched normal controls. There were 23 females and 12 males in the MS patient's group; average age 38.9 years (range: 22-52). All participants completed the self-rated BES evaluating the following subscales: females - sexual attractiveness, physical condition and weight concern; males - physical attractiveness, physical condition and upper body strength. In addition all participants were scored, following a semi-structured interview, on the ESES. Psychiatric co-morbidity was excluded using a semi-structured interview by the consulting psychiatrist. All evaluations were carried out during the remitting phase. Statistical analysis, comparing patients to healthy controls, demonstrated lowered self-rating of the physical condition (males < 0.05, females < 0.001). On the other hand, no significant differences were found in the physical (male) or sexual (female)?attractiveness subscales. The mean ESES score in the patients group was 23.2 ± 4.0, slightly above the reported average. The controls mean ESES was 28.4 ± 3.6, (P < 0.05). No correlation was found between self and body esteem amongst M.S. patients. This study emphasizes impaired perception of body esteem in multiple sclerosis patients even in remission. The preservation of physical and sexual attractiveness may be related to the non-disfiguring nature of the disease. Preservation of self-esteem in MS patients suggests that body-esteem should be the focus of supportive treatment.     

Time perspective of female prisoners related to success in a training program.

This study compared scores on future time perspective of 50 female prison inmates who were participating in a vocational training program within the Julia Tutwiler Prison. There was no control group. Zimbardo's measure of future time perspective, administered a year earlier, was associated with success or failure in the program. Associations of future time perspectives with education, age, and ethnicity were investigated. An analysis of covariance between the 21 graduates and 16 dropouts while controlling for education was significant. Despite the incomplete design, some implications are of interest.     

Dreams of Life and Death

This article examines the personal and archetypal aspects of images from six dreams that occurred during the illness and after the death of the dreamer's sister. It connects the dream images to the unresolved issues in the relationship between siblings and to the dreamer's own reflections on typology. It also explores the larger questions concerning the psychological process of grief, the common occurrence of synchronistic events related to death and loss, and includes Jung's comments on life and death. Finally, the article suggests solutions to our very human fears of death and encourages the development of our capacity to discover a personal mythology, a working sacred story, of “the beyond” or “life” after death.     

Consistency of adherence across regimen demands

The extent to which adherence to one demand of the diabetic treatment regimen is related to adherence to other regimen demands was explored in a sample of 227 diabetic patients. Adherence to weight control, urine/blood testing, medication taking, symptom reporting, and safety demands was assessed using a variety of methods: (a) patients' report in relation to physician's criteria, (b) patients' report in relation to their own understanding of those criteria, (c) significant others' reports, (d) nurses' ratings, and (e) physicians' ratings. Based on attribution theory, it was proposed that informed others would view patients as more consistent than patients themselves did. Separate intercorrelation matrices were created for each method. The correlations, however, were uniformly low (most rs less than .25) and mean correlations did not differ significantly between matrices. The relative independence of adherence to different demands of the diabetic regimen has important implications for the conceptualization and measurement of treatment adherence.