New mothers and their babies: attachment in the face of maternal life-threatening illness

Life-threatening illness in the mothers of babies or young children is rare. Its impact is discussed in this paper, which focuses on attachment theory as a foundation for work in this area. A single case study is used to illustrate the potential conflicts and dilemmas for professionals caring for babies and their families in this situation.     

Minority influence and social categorization

In this article, a theoretical distinction is proposed between representative outgroup minorities (representative of a minority category in the society, e.g. gays) and dissident outgroup minorities (defined as a minority subgroup within a larger outgroup category). Two studies are reported comparing the social influence of dissident outgroup minorities with that of ingroup minorities (belonging to the subject's own social category). It was predicted that a position advocated by a dissident outgroup minority would be more readily accepted than that of an ingroup minority, but that the ingroup minority would be more likely to elicit the generation of new, alternative solutions. A first experiment in which subjects were either exposed to an ingroup minority, an outgroup minority, or no influence source confirmed these predictions. In a second experiment, subjects were either exposed to a majority or to a minority source either belonging to the subject's own social category or to the outgroup. The results indicate that the position of an ingroup majority was readily accepted whereas the otherwise identical message of an outgroup majority was rejected; neither ingroup nor outgroup majority stimulated the development of alternative proposals. Again, in line with Nemeth' (1986a) theory, the position of an ingroup minority was rejected but stimulated the generation of new, alternative proposals. The differential role of social category membership in minority and majority influence and the applicability of Nemeth' (1986a) theory to the attitude change area are discussed.     

How do I cope with pain? Let me count the ways: awareness of pain coping behaviors and relationships with depression and anxiety

Patients with chronic pain are often undertreated with medications alone and need alternative ways of coping. Identifying pain coping skills patients use may be beneficial; however, no research has investigated whether patients are aware of their coping skills. The purpose of this study was to determine whether patients are aware of their pain coping skills, whether certain patient characteristics were related to using coping strategies, and whether coping strategies were related to psychiatric symptoms. Chart reviews were conducted on seventy-eight chronic pain patients who completed a semi-structured psychological interview. Patients endorsed using more coping strategies on the measure compared to the verbal self-report. Identifying with certain patient demographics was related to higher use of some coping strategies. Symptoms of anxiety and depression were also related to the use of some coping strategies. Anxiety was negatively related to ignoring the pain and using self-talk coping statements and positively related to catastrophizing. Depression was negatively related to the use of distraction, ignoring the pain, and using self-talk coping statements. Depression and pain severity were both positively related to catastrophizing and prayer. Results suggest that clinicians may need to help patients become aware of adaptive coping strategies they already use and that the use of certain coping strategies is related to lower levels of depression and anxiety.