Are alexithymia and Type D personality distinct or overlapping constructs? A confirmatory factor analysis of the Toronto alexithymia and Type D scales

Theoretically and conceptually the constructs of alexithymia and Type D personality share many common characteristics. Despite both measures being utilized widely in psychosomatic research, to-date no study has examined the constructs simultaneously. The present study was undertaken to determine if alexithymia and Type D personality are distinct or overlapping constructs. A cross-sectional sample of 1016 healthy participants completed the 20-item version of the Toronto alexithymia scale (TAS-20), and the Type D personality scale (DS14). Confirmatory factor analysis of the 14 items of the DS14, and 20 items of the TAS-20 was conducted. Based on the underlying theoretical structures of the DS14 and TAS-20 a five-factor model was examined (corresponding to the five subscales of the DS14 and TAS-20). The analysis revealed that the five factor model was an acceptable fit for the data (χ²/df = 4.7; CFI = .94, RMSEA = 0.06). These results provide evidence to suggest that alexithymia and Type D are distinct and separate constructs. However, future research should aim to replicate these findings in population and clinical samples.     

Are Americans Getting Sicker or Healthier?

The rising cost of healthcare causes many injustices, and is not sustainable. Cost inflation is partly caused by the nature of medicine. When doctors save lives, the lives we save are usually people with chronic illnesses. Decreases in the mortality rate often lead to increases in the prevalence rate of chronic diseases and duration of chronic diseases, which are expensive to treat. As a result of advances in medical sciences, more and more people live with chronic illnesses, and therefore healthcare costs are rising. This is consistent with the conclusion that the more money a society like the USA spends on medical care, the more expensive medical care becomes. This is the dark side of medicine, which counterbalances the well-known breakthroughs of medical science. Spiritual people seek a balanced view of health that includes both viewpoints. Jeffrey Boyd, MD MPH MDiv, is Chairman of the Department of Behavioral Health at Waterbury Hospital in Waterbury CT. He is the author of Being Sick Well: Joyful Living Despite Chronic Illness (reviewed in this journal 45:1)     

Role of Effect Sizes in Contemporary Research in Counseling

Effect sizes (e.g., Cohen's d, Glass's Δ, η², adjusted R², ω²) quantify the extent to which sample results diverge from the expectations specified in the null hypothesis. The present article addresses 5 related questions. First, is the advocacy for reporting and interpreting effect sizes part of the controversy over statistical significance testing? Second, why cannot p values be used as effect sizes? Third, what are the various categories of effect sizes and some commonly used examples of each type? Fourth, how should effect sizes be interpreted? Fifth, what are some recommendations for further reading?     

Psychological type preferences of Roman Catholic priests in the United Kingdom

This study explores the psychological type profile of Roman Catholic priests. A sample of 79 priests completed the Myers–Briggs Type Indicator (Form G). The study shows that Roman Catholic priests tend to prefer introversion over extraversion, feeling over thinking and judging over perceiving. Near equal preferences are shown for sensing and intuition. The type preferences of Roman Catholic priests in the UK are compared and contrasted with the type preferences of Roman Catholic priests in the USA and Protestant clergy in the UK. These findings are explored within the context of the role of the priest within the Roman Catholic Church.     

Physicians’ views on men's mental health and the role of counselling services – a pilot study

This pilot study aimed to explore how physicians understand men's avoidance of mental health counselling services and to elicit physicians’ views on pairing mental health assessment with routine physical examination. Initially, physicians’ views on men's avoidance of mental health counselling services were explored through a focus group. A short survey exploring views on pairing mental health assessment with a routine physical examination was then developed and sent to 125 physicians at a local medical centre. Physicians discussions indicated that male socialisation processes, the stigma of needing help, and ignorance about counselling sessions, all contribute to men's avoidance of mental health counselling services. The survey results suggest that combining a mental health assessment with an annual physical examination was viewed positively by most physicians (80%), that they would encourage this approach (75%), and would appreciate the support of counselling services in this process (80%). However, these survey results were influenced by the age and sex of the physician. The focus group suggestion to pair mental health assessments with routine medical examinations, with support from counselling services, was viewed by most physicians as a positive way to engage men. Preliminary services could be established that utilise this approach and examine its efficacy.     

Bringing the world to your desk: Evolution of an international resource*

Traces the historical development of an international resource as it has evolved through seven versions from International Directory of Psychologists published as a book in 1958 to Psychology: IUPsyS Global Resource published as a CD‐ROM in 2001 to address the communication needs of the international psychology community in particular and the scholarly community in general.     

Pretreatment Correlates of the Therapeutic Alliance in the Chronically Depressed

We examined the relationship between patient characteristics and the working alliance in a multisite trial for chronic depression. Patients treated with the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), alone (n = 169) or combined with nefazodone (n = 198), completed the Working Alliance Inventory during the 2nd week of treatment. Within the CBASP alone group, a history of drug abuse/dependence, lower peak social adjustment over the past five years, and lower current social adjustment predicted a significantly poorer alliance. Within the combination group, male gender and a distancing coping style predicted a significantly poorer alliance. Results should be interpreted with caution since they did not replicate across treatment groups, and the number of significant findings were not much greater than chance expectations.     

The influence of type A behaviour and locus of control upon job satisfaction and occupational health

Results from this study show that in a sample of 332 German managers a Type A personality and an External locus of control are associated with greater perceived levels of stress (particularly in terms of inter-personal relationships), lower job satisfaction and a poorer physical and mental health than that of managers with a type B personality and an Internal locus of control. The magnitude of main effect size is substantially larger than the interaction terms (Type A×Locus of Control). There is no evidence to support a significant effect of a Type A×Locus of Control interaction on either of the health outcome measures (physical and psychological health), but there is some evidence of an interaction with work satisfaction outcomes (job satisfaction and organizational satisfaction). Those with an External locus showed significantly lower levels of work satisfaction, especially when this characteristic was combined with a Type A personality. It appears that negative health consequences may outweigh the superficial attractiveness of the type A personality in a managerial position, particularly when this trait is coupled with a more external locus of control.