Nonadherence in Adolescent Oncology Patients: Preliminary Data on Psychological Risk Factors and Relationships to Outcome

Published nonadherence rates in the adolescent oncology population range from 33 to 60% though little is known about the psychological factors that contribute to adherence and the relationship between outcome and nonadherence. Our study was designed to investigate psychological and family factors related to adherence and the relationship between adherence and survival in this population. We evaluated 44 (27 males, 17 females) patients with cancer (13–17 years) who were at least 6-months postdiagnosis. Adherence with trimethoprim/sulfamethoxazole (TMP/SMX) was determined at one point in time, using serum assay. Twelve of the patients (27%) had no detectable TMP/SMX. Patients without detectable drug had higher levels of depression, lower self-esteem, and higher levels of parent–child incongruence. Survival rates, 6 years after the initiation of the study, were lower in the group of participants categorized as nonadherent. These findings, if confirmed, have implications for the management of nonadherence and mood in this population.     

THE RAPE OF MEDUSA IN THE TEMPLE OF ATHENA: ASPECTS OF TRIANGULATION IN THE GIRL2

The relationship between the Greek goddess Athena and her father Zeus, together with the competitive hostility she displays towards other females, is presented as illustrating some previously neglected aspects of triangular developmental conflicts in the little girl. Literature on ‘the Oedipus complex in the female’ is reviewed and discussed. The mythological early histories of both Athena and the female monster Medusa are examined for the light they can shed on female developmental vicissitudes and resultant conflicts in both women and men. Unconscious split representations of women as assertive, phallic and dangerous, or alternatively passive, castrated and receptive result in defensive repudiation of the idea that a woman can be both actively assertive and also feminine and sexual. Athena's enraged action of transforming the beautiful young maiden Medusa into a monster as punishment for the ‘crime’ of having been raped in her temple is discussed as illustrating an outcome of the lack of resolution of the little girl's early triangular conflicts.     

Characteristics of secrets and the frequency,reasons and effects of secrets keeping and disclosure

This longitudinal study examines secrets keeping and disclosure. College students filled in two questionnaires, with a 4 months time span in between. Their psychological and physical wellbeing was investigated, together with self‐esteem, the topic and some characteristics of their most important secret (if they had a secret), reasons for having the secret, to whom they confide the secret, how they felt about confiding, and whether they thought that their behaviour would reveal that they kept a secret when they talked with someone who is not aware of their secret. The findings showed that total secrecy was rare, and that most secret‐holders had informed at least one other person about their secret. Moreover, the findings challenge the view that secrets keeping has negative effects on secret‐holders. Results revealed some negative effects, but only when the secret was serious. No positive effects were found for secrets disclosure. Secret‐holders confided information to those with whom they felt emotionally close; were more reluctant to confide when they kept the secret to avoid disapproval, and more likely to confide when they believed that others would find out about their secrets by paying attention to their (secret‐holders) behaviour. Copyright © 2002 John Wiley & Sons, Ltd.     

A Longitudinal Examination of Correlates of Depressive Symptoms Among Inner-City African-American Children and Adolescents

We longitudinally examined across four years the presence and correlates of depressive symptoms in a sample of inner-city African-American children, an ethnic minority population which is understudied regarding child depressive symptoms. Results, based on mother- and child-report, did not indicate gender differences in depressive symptoms at the onset of adolescence. However, depressive symptoms did significantly predict future child adjustment problems. Implications for the understanding and future study of depressive symptoms in ethnic minority youth are discussed.     

Life Satisfaction,Self‐Esteem,and Subjective Age in Women Across the Life Span

A study of 320 women, ages 21 to 69, explored the relations among relationship status, subjective age, self‐esteem, and life satisfaction. Women in married or partnered relationships had higher levels of life satisfaction than did single women. Women in their 30s and 40s had significantly lower levels of life satisfaction than did other age groups.     

How management style moderates the relationship between abusive supervision and workplace deviance: An uncertainty management theory perspective

Based on uncertainty management theory [Lind, E. A., & Van den Bos, K., (2002). When fairness works: Toward a general theory of uncertainty management. In Staw, B. M., & Kramer, R. M. (Eds.), Research in organizational behavior (Vol. 24, pp. 181–223). Greenwich, CT: JAI Press.], two studies tested whether a management style depicting situational uncertainty moderates the relationship between abusive supervision and workplace deviance. Study 1, using survey data from 379 subordinates of various industries, found that the positive relationship between abusive supervision and organizational deviance was stronger when authoritarian management style was low (high situational uncertainty) rather than high (low situational uncertainty). No significant interaction effect was found on interpersonal deviance. Study 2, using survey data from 1477 subordinates of various industries, found that the positive relationship between abusive supervision and supervisor-directed and organizational deviance was stronger when employees’ perceptions of their organization’s management style reflected high rather than low situational uncertainty.     

Multi-Trial Episodic Recall and Recognition of Emotion-Laden Words in First Versus Second Language

Journal of Psycholinguistic Research - Monolingual studies contrasting memory for positive versus negative emotion-laden words have generally used single-trial paradigms and have produced...     

The future of health psychology interventions.

Progress in health psychology interventions was reviewed to manage chronic illness, treat psychophysiological disorders, and provide complementary treatment for difficult medical symptoms. A closer synergy between research, clinical applications and public policy, and education and training was advocated to guide future work in these areas. Further, the importance of clinical input informing research directions, the need for interventions to focus on a broader range of individual difference and contextual factors, and for effectiveness studies to influence the adoption of treatments in clinical settings was emphasized. In accordance, greater effort should be devoted to disseminating information on treatment effectiveness to professional and lay groups to maximize the public health benefit of established intervention approaches.