Short-term effects of a multi-disciplinary cardiac rehabilitation programme on psychological well-being, exercise capacity and weight in a sample of obese in-patients with coronary heart disease: a practice-level study

Given that many patients referred to cardiac rehabilitation (CR) are obese, diet therapy, exercise training, nutritional and psychological counselling for both obesity and psychological distress should be included as important components in all CR programmes. In this practice-level, observational study we evaluated the short-term within-group effects of a four-week multi-factorial inpatient CR programme specifically addressed to weight loss, fitness improvement and psychological health increase on 176 obese in-patients with coronary heart disease (CHD). Outcome measures were exercise capacity measured with estimated metabolic equivalents (METs), body mass index (BMI) and psychological well-being (PGWBI). Results show statistically significant improvements in all the PGWBI sub-scales and total score, except in general health (p = 0.393). No moderation effects were found for BMI class, age, diabetes and ejection fraction (EF). METs significantly increased by 30.3% (p < 0.001) and BMI decreased by 1.37 points (p < 0.001). Significant correlations were found between BMI and weight reductions with PGWBI anxiety and total score improvements. This multi-disciplinary CR programme including diet therapy, exercise training and psychological counselling provides indication for short-term within-group effectiveness on functional exercise capacity, BMI and PGWBI in a sample of obese in-patients with CHD. However, controlled studies are needed to corroborate the results we found.     

Reflections on the recent history and the present challenges of personality psychology

The recent history of personality psychology is rapidly reviewed with the aim of indicating significant cues of the progress which has taken place and of the problems which are still pending. In this regard, a three-stage model of progress provides the arguments which introduce personality psychology into the domain of ‘complexity’. Readmission of individual differences in the investigation of basic processes, attention to marginal perturbances in between non-significant deviations, and use of circumplex models to make sense of multiple facets of phenomena are indicated as viable avenues to the complexity of personality psychology.     

Personalizing politics: a congruency model of political preference

Modern politics become personalized as individual characteristics of voters and candidates assume greater importance in political discourse. Although personalities of candidates capture center stage and become the focus of voters' preferences, individual characteristics of voters, such as their traits and values, become decisive for political choice. The authors' findings reveal that people vote for candidates whose personality traits are in accordance with the ideology of their preferred political party. They also select politicians whose traits match their own traits. Moreover, voters' traits match their own values. The authors outline a congruency model of political preference that highlights the interacting congruencies among voters' self-reported traits and values, voters' perceptions of leaders' personalities, politicians' self-reported traits, and programs of favored political coalitions.     

Lateralized Hand Gesture during Speech

A group of individuals conversing in natural dyads and a group of lecturers were observed for lateral hand movement patterns during speech. Right-handed individuals in both groups displayed a significant right hand bias for gesture movements but no lateral bias for self-touching movements. The study provides external validity for previous laboratory studies of lateralized hand gesture. The results were interpreted as evidence of a central processor for both spoken and gestural communication.     

Body sway during quiet standing: is it the residual chattering of an intermittent stabilization process?

This paper reviews different approaches for explaining body sway while quiet standing that directly address the instability of the human inverted pendulum. We argue that both stiffness control [Winter, D. A., Patla, A. E., Riedtyk, S., & Ishac, M. (2001). Ankle muscle stiffness in the control of balance during quiet standing. Journal of Neurophysiology, 85, 2630-2633] and continuous feedback control by means of a PID (Proportional, Integral, Derivative) mechanism [Peterka, R. J. (2000). Postural control model interpretation of stabilogram diffusion analysis. Biological Cybernetics, 83, 335-343.] can guarantee asymptotic stability of controlled posture at the expense of unrealistic assumptions: the level of intrinsic muscle stiffness in the former case, and the level of background noise in the latter, which also determines an unrealistic level of jerkiness in the sway. We show that the decomposition of the control action into a slow and a fast component (rambling and trembling, respectively, as proposed by [Zatsiorsky, V. M., & Duarte, M. (1999). Instant equilibrium point and its migration in standing tasks: Rambling and trembling components of the stabilogram. Motor Control, 4, 185-200; Zatsiorsky, V. M., & Duarte, M. (2000). Rambling and trembling in quiet standing. Motor Control, 4, 185-200.]) is useful but must be modified in order to take into account that rambling is not a stable equilibrium trajectory. We address the possibility of a form of stability weaker than asymptotic stability in light of the intermittent stabilization mechanism outlined by [Loram, I. D., & Lakie, M. (2002a). Human balancing of an inverted pendulum: position control by small, ballistic-like, throw and catch movements. Journal of Physiology, 540, 1111-1124.], and propose an indicator of intermittent stabilization that is related to the phase portrait of the human inverted pendulum. This indicator provides a further argument against the plausibility of PID-like control mechanisms. Finally, we draw attention to the sliding mode control theory that provides a useful theoretical framework for formulating realistic intermittent, stabilization models.     

The emergence of a shared action ontology: building blocks for a theory

To have an ontology is to interpret a world. In this paper we argue that the brain, viewed as a representational system aimed at interpreting our world, possesses an ontology too. It creates primitives and makes existence assumptions. It decomposes target space in a way that exhibits a certain invariance, which in turn is functionally significant. We will investigate which are the functional regularities guiding this decomposition process, by answering to the following questions: What are the explicit and implicit assumptions about the structure of reality, which at the same time shape the causal profile of the brain's motor output and its representational deep structure, in particular of the conscious mind arising from it (its "phenomenal output")? How do they constrain high-level phenomena like conscious experience, the emergence of a first-person perspective, or social cognition? By reviewing a series of neuroscientific results and integrating them with a wider philosophical perspective, we will emphasize the contribution the motor system makes to this process. As it will be shown, the motor system constructs goals, actions, and intending selves as basic constituents of the world it interprets. It does so by assigning a single, unified causal role to them. Empirical evidence demonstrates that the brain models movements and action goals in terms of multimodal representations of organism-object-relations. Under a representationalist analysis, this process can be conceived of as an internal, dynamic representation of the intentionality-relation itself. We will show how such a complex form of representational content, once it is in place, can later function as a functional building block for social cognition and for a more complex, consciously experienced representation of the first-person perspective as well.     

Influence of training on maintenance of equilibrium on a tilting platform

To assess the influence of training on the maintenance of equilibrium on a tilting platform, 13 young healthy male athletes aged 19 to 33 years were randomly divided into experimental (n=7) and control (n=6) groups. Two experimental sessions were performed before and after a specific 4-wk. training by the experimental group. Subjects stood upright on a tilting platform. The athletes were asked to maintain the platform as horizontal as possible during a 30-sec. test. The three-dimensional movements of the platform versus the ground were recorded by using a computerized optoelectronic digitiser. The platform plane was calculated and its directrix computed. The area of oscillation and instantaneous angular velocity of the directrix at standardized height were calculated. In both groups the area of oscillation and the angular velocity were reduced in Session 2, but the reduction was significant only in the experimental group. Specific training can significantly improve skill at maintaining equilibrium in young healthy sport performers.     

Cerebellar ataxia: quantitative assessment and cybernetic interpretation

To assess neuromotor disorders clinicians often rely on rating scales. Unfortunately, these scales lack the sensitivity and accuracy needed to detect the small changes in motor coordination that reflect the clinical progression of the disease on the basis of which treatment programmes can be adjusted. As a contribution to this topic, the present paper proposes a straightforward kinematic and kinetic analysis of reaching movements of patients with cerebellar ataxia in conjunction with a cybernetic interpretation of the data. The aim of the approach is to capture key deficits in the underlying motor control processes. We suggest that cerebellar ataxia may be characterized by defective feedforward control.     

Personality Profiles and Political Parties

This paper explores relationships between basic personality profiles of voters and their political party preferences. The Italian political system has moved recently from previously extreme, ideologically distinctive parties to form complex coalitions varying around more centrist orientations. Significant evidence was found for the utility of the Five-Factor Model of Personality in distinguishing between voters' expressed preferences, even given this greater subtlety in proposed values and agendas. More than 2,000 Italian voters who self-identified as having voted for new center-left or center-right political coalitions differed systematically in predicted directions on several personality dimensions measured by the Big Five Questionnaire. In the context of the model, center-right voters displayed more Energy and slightly more Conscientiousness than center-left voters, whose dominant personality characteristics were Agreeableness (Friendliness) and Openness; Emotional Stability was unrelated to either group. This relationship between individual differences in personality and political preferences was not influenced by the demographic variables of voters' gender, age, or education. Thus, personality dimensions proved to be stronger predictors of political preference than any of these standard predictor variables. Implications are discussed regarding links among personality, persuasion, power, and politics.