Vital exhaustion measures and their associations with coronary heart disease risk factors in a sample of spanish-speakers

Abstract

The main purpose of this research was to study the reliability and conceptual validity of two Spanish language measures of Vital Exhaustion (VE), a short-term risk factor for coronary artery disease (CAD). The English version of the Maastricht Questionnaire for Vital Exhaustion was used to make a Spanish language questionnaire (VEQ) and a Spanish language interview (VEI) whose scoring systems were equal to the original version. These instruments were administered to a sample of healthy working men (n = 100) and women (n = 130) in Caracas, Venezuela. Participants also completed questionnaires designed to measure anger-expression and social support and were assessed by means of the Structured Interview to measure Type A Behaviour Pattern (TABP). Information about other CAD-risk factors, such as age, smoking behavior, and health habits, were collected.

High reliability coefficients, .85 and .91, were found for the VEI and VEQ, respectively. Principal component analysis provided one-factor solutions for each instrument. The pattern of correlations between VE, assessed by the VEI, and other personality characteristics was rather similar to the pattern observed in other cultures. In general significant, but modest, correlations were observed between VE and TABP, anger expression, a negative self-concept, and low social support. We conclude that VE appears to be a meaningful construct in this particular cultural context.     

Understanding suicidal behaviour in young people referred to specialist CAMHS: a qualitative psychoanalytic clinical research project

A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted suicide, who fulfilled the inclusion criteria and consented to participate, were offered an extended individual and family assessment. Grounded Theory analysis of the qualitative data led to the formulation of the Truth Danger Theory. Typical situations in which suicidal behaviour occurred were identified, including intergenerational confusion, neglect, physical and/or sexual abuse within the family, Oedipal conflict, maternal depression and families in which there was a chronically ill sibling. We found that there was a marked disparity between the young person's experience of relationships in the family and the family's own account of their situation, a fractured reality. This can be reflected in an incongruence in the young person's presentation, which may be misleading when assessing risk. The young person feels him/herself to be in a dead end from which there seems to be no escape. Self-harm, for some, contains this impossible dilemma (albeit pathologically) but when it does not, suicide may seem the only option. The Truth Danger Theory provides explanations and predictions for suicidal behaviour and has implications for clinical practice.     

Cross-cultural generalizability of the Personality and Role Identity Structural Model (PRISM): Implications for trait and cultural psychology

The cross-cultural generalizability of the Personality and Role Identity Structural Model (PRISM; Wood & Roberts, 2006) was tested in the United States, Mexico, Malaysia, China, and Japan. Participants rated their general and role identities, as defined by the PRISM, using Big Five trait adjectives, then rated their personality states (i.e., role experiences) in various roles in multiple daily interactions for 14 days. Structural predictions based on the PRISM were supported in all five cultures. Cultural differences were limited and did not reflect cultural differences in individualism–collectivism, dialecticism, or cultural tightness. The results supported the cross-cultural generalizability of the PRISM and the merits of contextualized trait measures in the prediction of role experiences. Implications for trait and cultural psychology are discussed.     

Thought processes,Loneliness and Anxiety. Experimental and psychoanalytical investigations into creative thinking

The author questions whether Kernberg's suggestion that the interaction between splitting and other defence mechanisms—such as primitive idealization, omnipotence, devaluation and denial [disavowal]—gives an adequate psychodynamic explanation of borderline personality structures. The author shows that the assumption of a splitting mechanism provokes contradictions and that primitive idealization, omnipotence, devaluation and disavowal cannot be seen as genuine defence mechanisms. He argues that primitive idealization is a type of reaction formation and that the omnipotence of these patients can be put down to identification with the idealized ego-functions of their objects. He also maintains that the clinical phenomena can be understood as the outcome of a combination of an “equiparant” and “disequiparant” isolation, displacement, projection and primitive idealization, making the concept of splitting as an explanatory device superfluous.     

Comments on the Ikonen and Rechardt papers on the death drive and the origin of shame

In this paper, psychoanalysis is viewed as a method in opposition to the reigning spirit of our age with its demands for fast and measurable results. The concept ?the psychoanalytic room” is introduced in order to grasp the uniqueness of psychoanalysis and how it distinguishes itself from what is ordinarily held to be included under the category of work. The psychoanalytic room is explored in both a concrete and metaphoric sense and is discussed in relation to the concept of time, reality, Ogden's concept of the analytic third, and, inspired by Winnicott, children's play. The playroom of the child and its similarity with the analytic room is illustrated by the book ?Benny's Bathtub” by the Danish author Flemming Kvist Møller.     

Adaptive n-back training does not improve fluid intelligence at the construct level: Gains on individual tests suggest that training may enhance visuospatial processing

Short-term adaptive cognitive training based on the n-back task is reported to increase scores on individual ability tests, but the key question of whether such increases generalize to the intelligence construct is not clear. Here we evaluate fluid/abstract intelligence (Gf), crystallized/verbal intelligence (Gc), working memory capacity (WMC), and attention control (ATT) using diverse measures, with equivalent versions, for estimating any changes at the construct level after training. Beginning with a sample of 169 participants, two groups of twenty-eight women each were selected and matched for their general cognitive ability scores and demographic variables. Under strict supervision in the laboratory, the training group completed an intensive adaptive training program based on the n-back task (visual, auditory, and dual versions) across twenty-four sessions distributed over twelve weeks. Results showed that this group had the expected systematic improvements in n-back performance over time; this performance systematically correlated across sessions with Gf, Gc, and WMC, but not with ATT. However, the main finding showed no significant changes in the assessed psychological constructs for the training group as compared with the control group. Nevertheless, post-hoc analyses suggested that specific tests and tasks tapping visuospatial processing might be sensitive to training.     

Post‐Traumatic Symptoms Among Victims of Workplace Bullying: Exploring Gender Differences and Shattered Assumptions

The aims of the present study were twofold: assessing the prevalence and intensity of post‐traumatic stress disorder (PTSD) symptoms in victims of bullying, and exploring whether victims of bullying differ in their basic assumptions compared to a control group. A total of 183 victims of bullying and 183 control group participants took part in the research. The results showed that 42.6% of the total sample met all DSM‐IV‐TR criteria for PTSD, whereas 54.1% did not fulfill the A1 criterion. Post‐traumatic symptoms were more prevalent among women (49%), as compared to men (35.3%). Furthermore, victims showed significantly more negative beliefs about the world, the people, and themselves, compared to their non‐bullied controls. These results fit well with cognitive theory of trauma.     

Getting what you want: Power increases the accessibility of active goals

Power facilitates goal-directed behavior. Two studies, using different types of goals, examined the cognitive mechanisms that underlie this tendency. Participants, primed with power or powerlessness, performed lexical decision tasks that assessed the relative facilitation of goal-relevant constructs during goal striving and after goal attainment. Results showed that during goal striving powerful participants manifested an increased facilitation of goal-relevant constructs compared to other constructs, and this facilitation decreased immediately after goal completion. In contrast, their powerless counterparts showed less facilitation of goal constructs during goal striving and maintained goal accessibility after completion. These results are consistent with the effects of power on goal-directed behavior found in past research.     

Metamemory beliefs and episodic memory in obstructive sleep apnea syndrome

This study assessed metamemory and its role in actual episodic memory performance in 26 patients with obstructive sleep apnea syndrome and 27 healthy controls. Metamemory knowledge and memory beliefs were assessed using the Metamemory Inventory in Adulthood. Episodic memory performance was investigated with the Remember/Know paradigm. Subjective sleepiness was evaluated. Patients underwent a polysomnographic assessment. In contrast to the control group's more stable memory beliefs, patients self-assessed their memory as declining across time, and felt more anxious about their memory. There was only a modest difference between patients' self-perceptions of their memory capacities and those of the control group, but patients' actual memory performance was strongly disturbed. While the latter was significantly correlated with severity of obstructive sleep apnea, scores on the Metamemory Inventory in Adulthood scales were not correlated with physiological measures, subjective sleepiness, or episodic memory performance. Obstructive sleep apnea may affect prefrontal cortex functioning and hence the ability to assess one's own memory impairment.