Learning to Live with OCD: Labeling,the Self,and Stigma

Researchers have long questioned relationships among self-conceptions, “mental illness,” and stigma. This article looks at these issues through the lens of Obsessive-Compulsive Disorder (OCD), as minimal research has focused on the lived experience of OCD. We examine the impact of OCD on constructions of identity and the management/resistance of stigma. We do this through in-depth interviews with an untraditional Internet-based sample. We find respondents experience a crisis of self that leads them to a variety of strategies to deal with self-stigma, experienced stigma, and anticipated stigma.     

Self-Induced Water Intoxication in a Psychiatric Asylum: A Case Study of Diagnostic Categorization and Regulation

In this article, we examine the regulation of psychiatric patients becoming intoxicated from drinking excessive amounts of liquids at a large psychiatric asylum in Canada. We analyze how medical staff created a formalized diagnostic category and a specialized ward for its treatment. We consider the institutional context in which “water intoxication” was developed as a diagnostic category and we examine the impact of this diagnosis on the regulation of asylum patients. Finally, we discuss the patients’ opposition to treatment as well as the impact of “water intoxication” on their self-identity and institutional status.     

Quality adjusted survival analysis: A neglected application of the quality of well-being scale

Abstract

Background In survival analysis, those who are alive are statistically coded as 1.0 while those who are dead are coded as 0.0. Since everyone who remains alive is given the same score, a person confined to bed with an irreversible coma is alive and is counted the same as someone who is active and asymtomatic. The Quality of Well-being (QWB) scale defines levels of wellness on the continuum between death and optimum function and integrates morbidity and mortality into the same number. This paper demonstrates the effect of including mortality in QWB estimates for male adults with HIV infection.

Method This study involves follow-up of a cohort of 386 male adults participating in the San Diego HIV Neurobehavioral Research Center (HNRC). Patients were evaluated using the QWB at enrollment and at six month intervals. All patients were classified into three stages of HIV disease according to the Center for Disease Control (CDC) classification: CDC IV (symptomatic HIV disease), CDC II or III (asymptomatic infection) and uninfected male controls.

Results QWB scores were calculated with and without mortality included for men in each CDC class who completed a one year (N = 148) or two year follow-up (N = 60). At each evaluation, there were significant differences among CDC classes and inclusion of deaths increased the variance accounted for by CDC class at each evaluation.

Conclusions HIV infection has significant impacts upon both morbidity and mortality. Survival analysis captures only the mortality dimension, while quality adjusted survival analysis using the QWB includes both dimensions. We propose quality adjusted survival analysis as a more sensitive method for assessing outcome in HIV disease and other health conditions.     

How Many is Enough? Determining Optimal Sample Sizes for Normative Studies in Pediatric Neuropsychology

The purpose of this investigation was to determine how confidence intervals (CIs) for pediatric neuropsychological norms vary as a function of sample size, and to determine optimal sample sizes for normative studies. First, the authors calculated 95% CIs for a set of published pediatric norms for four commonly used neuropsychological instruments. Second, 95% CIs were calculated for varying sample size (from n?=?5 to n?=?500). Results suggest that some pediatric norms have unacceptably wide CIs, and normative studies ought optimally to use 50 to 75 participants per cell. Smaller sample sizes may lead to overpathologizing results, while the cost of obtaining larger samples may not be justifiable.     

Structural Equation Modeling of Spatial Presence: The Influence of Cognitive Processes and Traits

This article examines the formation process of spatial presence, which is conceived as a two-step process involving the construction of a mental model of the mediated environment, followed by the emergence of spatial presence. During both stages, cognitive processes and user traits are in effect. We present data derived from a pooled set of data of three studies using the same virtual environment. Structural equation modeling is used to confirm the proposed theoretical model. The results show that attention and the trait of visual spatial imagery are positive predictors of the mental model of the mediated environment. In the second step, the formation of spatial presence is governed by involvement, the suspension of disbelief, and the domain-specific interest, together with the mental model.     

Task dependent modulation of exogenous attention: Effects of target duration and intervening events

Inhibition of return (IOR) consists of slower reaction times in response to stimuli appearing at previously attended or inspected locations. The exact mechanisms underlying the effect have not yet been determined. In the present work, we manipulated two variables, target duration and intervening event (fixation cue between cue and target), through which we modulated the IOR effect as a function of task. When the target was presented until response, the presence of an intervening event made the cueing effect more negative in all tasks, although facilitation in the absence of an intervening event was only observed in discrimination and go–no-go tasks. When the target duration was 50 ms, the effect of the intervening event on cueing was also only observed for the discrimination and go–no-go tasks. Target duration had no effect at all in the discrimination task. Possible mechanisms for these modulations (detection cost and spatial selection benefit, both of which are based on cue–target integration processes) are discussed.     

“Who said it?” How contextual information influences perceived profundity of meaningful quotes and pseudo-profound bullshit

Psychological research on pseudo-profound bullshit—randomly assembled buzz words plugged into a syntactic structure—has only recently begun. Most such research has focused on dispositional traits, such as thinking styles or political orientation. However, none has investigated contextual factors. In two studies, we introduce a new paradigm by investigating the contextual effect on pseudo-profound bullshit and meaningful quotes. In Study 1, all participants rated the profundity of statements in three contexts: (a) isolated, (b) as allegedly said by a famous author, or (c) within a vignette (short story). Study 2 serves as a conceptual replication in which participants rated statements in only one of three contexts. Overall, our results demonstrate that although contextual information such as author's name increases the perceived profundity of bullshit, it has an inconsistent effect on meaningful quotes. The present study helps to better understand the bullshit receptivity while offering a new line of research.