Quality-of-life assessment in HIV-infected psychiatric outpatients: Perceived health,functional status,symptoms, and preferences for cardiopulmonary resuscitation

Abstract

The current study had two purposes: (1) to describe the reliability and validity of a measure of quality of life (QOL) in HIV-infected psychiatric outpatients, and (2) to predict cardiopulmonary resuscitation (CPR) preferences from disease stage, depression, and other QOL factors. We studied 63 patients, who were seen in one year at an HIV/AIDS psychiatry clinic. The results provide evidence for the validity of our instrument as a measure of health status in an HIV-infected psychiatric population. Overall symptoms were the strongest associates of functional limitations. disability, and perceived health, but depression was also significantly associated with all measures of QOL. Twenty-two patients (35.5%) would not have wanted to be revived if their heart stopped beating the day of the study. Disease stage and poor mental health were independent predictors of this preference, but severity of depression, social support, fatigue, perceived health, functional limitations, and life satisfaction were not.     

Transpersonal Psychology: Defining the Past,Divining the Future

Retrospective analysis of definitions published over some 35 years suggests the major subject areas of the field can be summed up in three themes: beyond-ego psychology, integrative/holistic psychology, and psychology of transformation. Theme frequency analysis reveals that early emphasis on alternative states of consciousness has moderated into a broader approach to human transcendence, wholeness, and transformation. This expanded definition of transpersonal psychology suggests the field has much in common with integral psychology. As a comprehensive, historically based content summary, this tripartite definition contributes a small but vital piece to the foundation of a transpersonal vision that is spreading across the globe. While transpersonal psychology still needs to embody the inclusiveness and diversity that it represents, its vision is one of great relevance to the contemporary human condition.     

A Review of “Trauma and Human Existence: Autobiographical,Psychoanalytic and Philosophical Reflections”

Abstract

The author sets out to locate Bion's model of the mind within the developmental history of psychoanalysis, from Freud to Klein to Bion, using biographical material and clinical case examples, to illustrate Bion's concepts of container/contained, his understanding and use of projective identification, his extension of the use of the countertransference, and his differentiation between the psychotic and non-psychotic aspects of the mind. Links, and attacks against linking are discussed, as well as Bion's thoughts about learning versus knowing, being versus becoming and his emphasis on the essential importance of the development of the capacity to think.     

Is False Belief Skin-Deep? The Agent's Eye Status Influences Infants' Reasoning in Belief-Inducing Situations

Two experiments were conducted to determine if infants attribute false beliefs to others when tested with the violation-of-expectancy procedure. In Experiment 1, the false-belief task was administered to 14- and 18-month-old infants. The procedure was identical to the one used by Onishi and Baillargeon (2005 Onishi , K. H. , & Baillargeon , R. ( 2005 ). Do 15-month-old infants understand false beliefs? Science , 308 , 255 – 258 . doi: 10.1126/science.1107621 [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), except that two transparent boxes replaced the opaque boxes. Results revealed that infants looked longer when the agent searched in the empty box, a pattern of looking time opposite to the one typically observed with opaque boxes. It is, however, unclear whether infants' behavior was simply guided by their own visual access to the toy's location visible through the transparent box. To test this alternative explanation, Experiment 2 was conducted with 14- and 18-month-old infants. Infants were administered the same modified nonverbal false-belief task with transparent boxes, except that the agent wore a blindfold during the test phase. Contrary to Experiment 1, results revealed that infants were not surprised when the agent searched in either of the two transparent boxes and therefore appeared to treat her as ignorant. These findings demonstrate that infants' psychological reasoning system is more rigid than later forms when predicting an agent's future actions.     

Frame-differencing methods for measuring bodily synchrony in conversation

The study of interpersonal synchrony examines how interacting individuals grow to have similar behavior, cognition, and emotion in time. Many of the established methods of analyzing interpersonal synchrony are costly and time-consuming; the study of bodily synchrony has been especially laborious, traditionally requiring researchers to hand-code movement frame by frame. Because of this, researchers have been searching for more efficient alternatives for decades. Recently, some researchers (e.g., Nagaoka & Komori (IEICE Transactions on Information and Systems, 91(6), 1634–1640, 2008); Ramseyer & Tschacher, 2008) have applied computer science and computer vision techniques to create frame-differencing methods (FDMs) to simplify analyses. In this article, we provide a detailed presentation of one such FDM, created by modifying and adding to existing FDMs. The FDM that we present requires little programming experience or specialized equipment: Only a few lines of MATLAB code are required to execute an automated analysis of interpersonal synchrony. We provide sample code and demonstrate its use with an analysis of brief, friendly conversations; using linear mixed-effects models, the measure of interpersonal synchrony was found to be significantly predicted by time lag (p < .001) and by the interaction between time lag and measures of interpersonal liking (p < .001). This pattern of results fits with existing literature on synchrony. We discuss the current limitations and future directions for FDMs, including their use as part of a larger methodology for capturing and analyzing multimodal interaction.     

Prologue: Introduction and Overview to Special Volume

Abstract

The editors provide an overview of the obstacles that prevent us from ending child abuse in the United States and briefly summarize the various articles in this volume that address these obstacles from multiple points of view.     

Long-term gaze cueing effects: Evidence for retrieval of prior states of attention from memory

When people observe other individuals shift gaze to a particular location, the observer's attention automatically and rapidly shifts to the same location. Initial studies provided evidence in support of the idea that such gaze-evoked shifts of attention were transient, no longer being observed after about 1000 ms. However, in contrast to the idea that gaze shifts of attention are transitory, the current work suggests that under certain conditions long-term gaze cueing effects can be detected over a period of 3 minutes. We propose that attention states that are activated when encoding an object such as a face can be retrieved from memory when the face is re-encountered some minutes later.