Co-morbid pain conditions and feelings of invalidation and isolation among women with vulvodynia

Many women with vulvodynia also suffer from other chronic co-morbid pain conditions. Alone, these pain conditions are associated with feeling invalidated by others and feeling socially isolated. It is unclear, however, how the presence of additional pain co-morbidities are associated with the psychosocial wellbeing of women with vulvodynia. We used data from a survey administered by the National Vulvodynia Association. Women reported clinician-diagnosed vulvodynia, presence of co-morbid pain, and how often they felt that they felt no one believed their pain existed (invalidated) and isolated. Analyses determined prevalence of feeling invalidated or isolated, and the difference in prevalence when co-morbidities existed. Forty-five percent of these 1847 women with vulvodynia reported having at least one of the following five chronic pain conditions, chronic fatigue syndrome, endometriosis, fibromyalgia, interstitial cystitis, or irritable bowel syndrome. Adjusted baseline prevalence among all women of feeling invalidated was 9% and of feeling isolated was 14%. Having a co-morbid condition with vulvodynia, as well as having an increasing number of co-morbid conditions with vulvodynia, was significantly associated with the presence of feeling both invalidated and isolated. Chronic fatigue syndrome was the co-morbidity most strongly associated with feelings invalidation and isolation. One or more co-morbid pain conditions in addition to vulvodynia were significantly associated with psychosocial wellbeing. However, the temporality of the association could not be elucidated and therefore we cannot conclude that these pain conditions cause poor psychosocial wellbeing. Despite this, future studies should explore the utility of promoting validation of women's pain conditions and reducing social isolation for women with chronic pain.     

La croyance au monde juste comme facteur explicatif de diverses réactions à des injustices professionnelles

The belief in a just world is defined as the tendency to consider that “people get what they deserve and deserve what they get”, i.e. to consider that the world is, globally, a place of justice. Facing an individual unjustly victim of negative events and for whom it seems impossible to restore the justice objectively, we frequently deny the existence of the unjustice, even if we say the responsible of what he gets. But if we can react by adopting “passive” reactions (using the victim’s moral or behavioral responsibility, as in Lerner, or evocating a future favoring the victim,..), we can also adopt “active” strategies which can lead to an objective re-establishment of the justice. In the present study, we examined the influence of the degree of the belief in the just world on the selected strategy facing professional injustices. And effectively, our results indicate a some preferences in the use of such or strategy, preferences accentuated by the gender and the professional statute.     

Analyzing Rumors,Gossip, and Urban Legends Through Their Conversational Properties

The Psychological Record - A conversational approach is developed to explain the ubiquitous presence of rumors, urban legends, and gossip as arising from their conversational properties rather than...     

Research note: The accuracy of group majorities for disjunctive and conjunctive decision tasks

For complex group decision tasks which can be described in terms of establishing the truth value of conjunctive (and) or disjunctive (or) composite propositions, the advantage for group judgmental accuracy of disaggregating the decision task into separate individual evaluations of the truth value of each component atomic proposition in the composite is investigated. For true propositions it is shown that disaggregation is preferable for conjunctive tasks, but not for disjunctive tasks; while the reverse is true for false propositions.     

Further explorations of common-sense representations of common illnesses

A simple method is presented for measuring people's illness cognitions--their common-sense representations of common illnesses. Data were collected from 1,628 different respondents who described a recent illness form 1 to 3 separate times over a 17-month period. A free-clustering task performed by a set of naive participants confirmed that these cognitions fall into the five components that have been previously noted: identity, time line, consequences, cause, and cure. These five components are found to be reasonably stable over time and across different illness episodes. Several consequences of these illness cognitions, in terms of changes in health-locus-of-control beliefs and different propensities to visit a doctor, are also noted. Specifically, controllable attributions for getting sick and personal responsibility attributions for getting better are associated with increased beliefs in Self-Control Over Health and decreased beliefs in Chance Health Outcomes; people with strong Identity and Cure components in their common-sense representations of common illnesses have a greater propensity to visit a doctor when feeling ill.     

Premature termination: A clinical study

Ten patients who terminated prematurely from 10 different therapy groups were interviewed using a semistructured interview protocol. Half the subjects were patients in private therapy groups; the other half were patients in clinic therapy groups. Among the issues inquired about were subjects' initial attitudes about group treatment; the nature of the preparation process; subjects' experience of the group therapist, other group members, and the group process; their reasons for leaving their groups; and the nature of the termination process. The findings reported focus on patients' perceptions of therapists' motives; the importance of establishing appropriate treatment goals; the handling of negative feelings about the group and/or the group therapist; the issue of narcissistic injury; the experience of the balance between giving and receiving; the difficulties caused by unresolved conflicts within groups; and the problems posed by inadequate preparation for the group experience. Guidelines for practices aimed at minimizing premature terminations are offered.     

A simple method to record arm positioning movements in man with an Apple computer

This paper describes a simple method to record arm positioning movements in humans, via the game paddle entry of an Apple computer. A machine language subroutine reads the successive positions of a rotating potentiometer, with an angular accuracy of .5 deg and a time interval between two measures of 2.5 msec, and stores them sequentially in RAM memory. These measures can be retrieved for further computations of movement parameters.