Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Hypoglycemia is one of the main burdens for type I Diabetes Mellitus (DM I) patients. The consequences of hypoglycemia can be quite unpleasant due to the variety of disagreeable physical and psychological symptoms it triggers. The patient's previous experience with hypoglycemia episodes will condition his psychological reaction to future episodes, promoting behavioral modifications that associate with poor glycemic control and worse prognosis, and even with developing psychological disorders, leading to fear of hypoglycemia (FH). To be able to provide tailored prevention and treatment of patients with FH it is necessary to identify the risk factors in DM I patients. We developed and validated the FH‐15 scale, a novel instrument to assess FH, which showed good concurrent and predictive validity in DM I patients. In this work we aim to identify the risk factors for suffering FH by detecting DM I patients with FH using the FH‐15 scale and then analyzing the association of clinical and sociodemographic variables. We found that age, needing help to resolve an episode of hypoglycemia, and a perceived lack of social support are risk factors for suffering FH.     

Sublexical and Lexico-Syntactic Factors in Gender Access in Spanish

The influence of sublexical and lexico-syntactic factors during the grammatical gender assignment process in Spanish was studied in two experiments using the gender decision task. In Experiment 1, the regularity of the ending of gender-marked nouns (masculine nouns ended in $-o$ and feminine nouns ended in $-a$ ) and of nouns with gender-correlated but unmarked word-endings (e.g., $-ad$ ) was manipulated. The results showed that regularity affected reaction times and error rates only in the case of gender-marked nouns, suggesting that the mere statistical distribution of a word-ending across genders is not responsible for the regularity effect. In Experiment 2, gender-marked nouns and gender-unmarked nouns were preceded by a masked prime which could be a definite article (which provides information about the gender of the noun) or a possessive pronoun (which does not contain gender information). The presentation of the definite article led to shorter reaction times and less errors only when the word-ending was different from $-o$ or $-a$ . Taken together, these results indicate that gender assignment in Spanish is carried out through different processes depending on the noun ending: gender decisions for gender-marked nouns are based on the gender-to-ending distribution. Meanwhile, gender decisions for unmarked nouns seem to require the retrieval of the corresponding definite grammatical article, regardless of the statistical distribution of the noun ending across genders.     

Reduced habituation to angry faces: increased attentional capture as to override inhibition of return

The aim of this paper was to study whether real angry faces do capture attention to the extent of overcoming the inhibition of return (IOR) effect and whether the anxiety level of participants modulates this effect by stressing biases toward threatening stimuli. With this purpose, participants categorized the emotional valence of face targets in a standard spatial cueing procedure suitable to measure IOR. In Experiment 1, participants were selected according to their high vs. low-trait anxiety, whereas in Experiment 2 participants were induced a positive vs. anxiety mood state. The typical IOR effect was observed with neutral and happy face targets, which disappeared with angry face targets. Similar results were observed for all anxiety groups and in both experiments. The results indicate that IOR is overridden when the target is a biologically relevant angry face, as highly relevant targets should suffer less from habituation to attentional capture regardless of anxiety. We suggest that these data show that attentional capture is less likely to habituate for threatening information, so that no cost is measured in detecting new threatening information appearing at recently cued locations.     

Perversion: a clinical possibility

Abstract

Clinical work with perverse patients presents numerous difficulties to psychoanalysis, be that due to the characteristics typical of the perverse structure, which is founded on the mechanism of disavowal, or to the inefficiency of neutrality and free association in this kind of practice. A study of existing literature on the subject and a thorough examination of their own clinical findings led the authors to propose a different kind of strategy for dealing with transference that would make clinical work with these patients plausible and indicate options for the paralyzing position that is imposed on the analyst by the perverse patient in order to derange the analytic process. By proposing an alternative for the “semblance subject-supposed-knowledge,” the authors defend the idea that clinical work with perverse patients is possible, resulting in a subject less captive of the phantasmagoric scene.

Drummond S et al. Perversion: eine klinische Möglichkeit

Klinische Arbeit mit perversen Patienten bildet zahlreiche Schwierigkeiten für die Psychoanalyse, sei es wegen der Eigenart der perversen Struktur, welche durch den Mechanismus der Verleugnung begründet wird oder sei es wegen der Ineffektivität der Neutralität und freien Assoziation bei dieser Art von Praxis. Ein Studium der vorhandenen Literatur über das Thema und eine gründliche Überprüfung eigener klinischer Befunde führte die Autoren dazu, eine unterschiedliche Art von Strategie des Umgangs mit Übertragung vorzuschlagen. Das würde klinische Arbeit mit diesen Patienten plausibel machen und auf Optionen für die paralysierende Position hinweisen, die dem Analytiker durch den perversen Patienten aufgebürdet wird, um den analytischen Prozess zu stören. Ein Alternative für das “semblance subject-supposed knowledge” vorschlagend, verteidigen die Autoren die Idee, daß klinische Arbeit mit perversen Patienten möglich ist, mit dem Ergebnis eines Subjekts, welches weniger durch die phantasmagorische Szene gefesselt ist.

Drummond S et al. perversión: una posibilidad clínica.

El trabajo clínico con pacientes perversos presenta numerosas dificultades para el psicoanálisis, puede ser debido a las características típicas de la estructura perversa, fundamentado en le mecanismo de repudio, o debido a la ineficacia de la neutralidad y asociación libre en este tipo de práctica. Un estudio de la literatura existente sobre el tema y un examen completo de los hallazgos clínicos, llevó a los autores a proponer un tipo diferente de estrategia para el manejo de la transferencia, que pudiera hacer posible el trabajo clínico con estos pacientes, también indicar opciones para la situación de paralización que estos pacientes imponen al analista para desorganizar el proceso analítico. Con la proposición de una alternativa para la “semblance-subject-supposed knowledge(apariencia del sujeto-supuesto saber),” el autor defiende la idea de que el trabajo clínico con pacientes perversos es posible, resultando un asunto menos cautivo de la escena fantasmagórica.     

How much does the human medial gastrocnemius muscle contribute to ankle torques outside the sagittal plane?

Ankle movements in the frontal plane are less prominent though not less relevant than movements in the plantar or dorsal flexion direction. Walking on uneven terrains and standing on narrow stances are examples of circumstances likely imposing marked demands on the ankle medio-lateral stabilization. Following our previous evidence associating lateral bodily sways in quiet standing to activation of the medial gastrocnemius (MG) muscle, in this study we ask: how large is the MG contribution to ankle torque in the frontal plane? By arranging stimulation electrodes in a selective configuration, current pulses were applied primarily to the MG nerve branch of ten subjects. The contribution of populations of MG motor units of progressively smaller recruitment threshold to ankle torque was evaluated by increasing the stimulation amplitude by fixed amounts. From smallest intensities (12–32 mA) leading to the firstly observable MG twitches in force-plate recordings, current pulses reached intensities (56–90 mA) below which twitches in other muscles could not be observed from the skin. Key results showed a substantial MG torque contribution tending to rotate upward the foot medial aspect (ankle inversion). Nerve stimulation further revealed a linear relationship between the peak torque of ankle plantar flexion and inversion, across participants (Pearson R > .81, p < .01). Specifically, regardless of the current intensity applied, the peak torque of ankle inversion amounted to about 13% of plantar flexion peak torque. Physiologically, these results provide experimental evidence that MG activation may contribute to stabilize the body in the frontal plane, especially under situations of challenged stability.     

Within-individual variability in self-concepts and personality states: Applying density distribution and situation-behavior approaches across cultures

Within-individual variability in self-concepts and everyday personality states and affects was investigated in two experience sampling studies using density distribution and situation-behavior approaches. In all seven cultures sampled, within-individual variability was substantial and self-concept and personality state variability exhibited moderate convergence. Variability in personality and affect states was moderately predicted by perceived need satisfaction in the situations. The density distribution and situation-behavior approaches were moderately convergent in identifying the most variable individuals, but the pattern of cultural differences differed in the two methods. Contrary to cultural psychology perspectives, cultural differences in within-individual variability did not consistently correspond to cultural differences in individualism–collectivism, dialecticism, or tightness.     

It's never too late for ‘us’ to meet ‘them’: Prior intergroup friendships moderate the impact of later intergroup friendships in educational settings

Background. In this paper, we focused on mixing in educational settings between members of Catholic and Protestant ethnoreligious groups in Northern Ireland. Aims. In Study 1, we examined whether opportunities for contact at home and at university were associated with greater actual out‐group friendships, and whether this friendship was associated with a reduction in prejudice. We also assessed whether the impact of out‐group friendships at university was moderated by experience of out‐group friendships outside university, such that the prejudice‐reducing effect of university friendships was stronger for those with fewer friendships at home. In Study 2, we assessed opportunities for contact and actual out‐group friendships at prior stages of the educational system and their relationship with prejudice. Sample(s). In both studies, our participants were students at universities in Northern Ireland (Study 1 N= 304 and Study 2 N= 157). Methods. We analysed the data using multiple regression and structural equation modelling. Results. First, opportunities for contact were positively associated with self‐reported out‐group friendships in all domains and stages of the educational system. Second, having more out‐group friends was associated with reduced prejudice. Finally, the relationship between out‐group friendships and current levels of prejudice was moderated by prior levels of out‐group friendships (at home in Study 1; and at secondary and primary school in Study 2). Conclusions. Contact, in the form of out‐group friendships, was more powerful when it was a novel feature in a person's life. We discuss these findings in terms of the impact of mixing in educational contexts, especially in Northern Ireland, and outline suggestions for future research.     

Long-term memory for performed and observed actions: Retrieval awareness and source monitoring

The self-performed task (SPT) paradigm was employed to investigate incidental memory for action events, focusing on states of awareness at retrieval (Remembering–Knowing) and source monitoring in performed and observed actions, at delays of 1 and 2 weeks. Recognition was better for performed than observed actions, but this effect was visible only after 1 week of retention. Conversely, observed actions were associated with better source memory at both delays. When the source was correctly identified, performed and observed actions were accompanied by equal proportions of Remember judgements. However, when source monitoring was incorrect, performed actions were more frequently associated with a feeling of re-experiencing the original event, thus suggesting an enactment-related recollective superiority, although secondary to the availability of reliable contextual information.     

Goal Orientation and Work Role Performance: Predicting Adaptive and Proactive Work Role Performance Through Self-Leadership Strategies

This article explores the relationship between goal orientation, self-leadership dimensions, and adaptive and proactive work role performances. The authors hypothesize that learning orientation, in contrast to performance orientation, positively predicts proactive and adaptive work role performances and that this relationship is mediated by self-leadership behavior-focused strategies. It is posited that self-leadership natural reward strategies and thought pattern strategies are expected to moderate this relationship. Workers (N = 108) from a software company participated in this study. As expected, learning orientation did predict adaptive and proactive work role performance. Moreover, in the relationship between learning orientation and proactive work role performance through self-leadership behavior-focused strategies, a moderated mediation effect was found for self-leadership natural reward and thought pattern strategies. In the end, the authors discuss the results and implications are discussed and future research directions are proposed.     

Modeling fMRI Data: Challenges and Opportunities

We offer an introduction to the five papers that make up this special section. These papers deal with a range of the methodological challenges that face researchers analyzing fMRI data—the spatial, multilevel, and longitudinal nature of the data, the sources of noise, and so on. The papers all provide analyses of data collected by a multi-site consortium, the Function Biomedical Informatics Research Network. Due to the sheer volume of data, univariate procedures are often applied, which leads to a multiple comparisons problem (since the data are necessarily multivariate). The papers in this section include interesting applications, such as a state-space model applied to these data, and conclude with a reflection on basic measurement problems in fMRI. All in all, they provide a good overview of the challenges that fMRI data present to the standard psychometric toolbox, but also to the opportunities they offer for new psychometric modeling.