Psychosocial risk factors, natural immunity, and cancer progression: Implications for intervention

One of the more important and emerging fields in which psychologists collaborate with other disciplines is psychoimmunology. Centuries of clinical anecdote and decades of psychosomatic hypotheses have gained credibility in the eyes of the medical establishment—and many patients—by the systematic investigation of mechanisms potentially explaining how events intrapsychic and interpersonal could affect physical disease processes. The central nervous system is connected with the immune system by both neuronal and endocrinological pathways. The immune system has been found to mediate the organism’s response to aberrations of its own normal functions, as well as to invading organisms from without. AIDS, arthritis, asthma, lupus, and herpes are some of the illnesses in which research is demonstrating important relationships among psychosocial and immunological factors and disease course. In this article, we first discuss the immunological apparatus in order to provide a base for subsequent discussions of the effects of stress on immune function. Then we discuss malignant diseases and current evidence that disease course is related to both psychosocial stressors and immune function. We next discuss a model of these interactions, and finally we talk about interventions incorporating psychosocial factors aimed at influencing immune status and, thus, disease course.     

Old-age deficits in the sense of smell as gauged by thresholds, magnitude matching, and odor identification

Twenty elderly subjects (70-90 years old) and 20 young control subjects (18-24 years old) underwent three kinds of olfactory testing: absolute thresholds to three odorants (d-limonene, iso-amyl butyrate, benzaldehyde), magnitude matching of these odorants to salt tastes, and odor identification of 30 common substances. For all three odorants elderly subjects' mean threshold significantly exceeded that of the young by about ninefold for d-limonene, about threefold for benzaldehyde, and about twofold for iso-amyl butyrate. These threshold differences predict approximate concentration differences necessary to arouse the same estimated odor strength above the threshold for the elderly and the young. Young subjects also scored better than the elderly in odor identification, even when subjects were given four alternatives from which to select the correct label. Unimpaired olfactory functioning is uncommon in the elderly; correlational tests show that as a group the young have better olfactory ability and show more interindividual uniformity.     

Affect, personality, and facial expressive characteristics of older people

This study explored the relationship between emotion-based personality traits and expressive patterns in older subjects. Specifically, the study sought to demonstrate (a) that individuals have emotion expression biases, as revealed by structural and dynamic properties of the face, and (b) that there is a link between facial characteristics (as indexed by the judgments of trained and naive raters) and personality traits. An encoding/decoding paradigm was used; 30 adult, naive judges rated five emotion-pose photographs for each of 14 older subjects who had also completed a personality trait measure. Results indicated that individuals vary in their ability to accurately encode emotion states and that these patterns are linked to personality traits in an affect-specific way. The results are discussed within the framework of Darwinian theory and Plutchik's model of personality.     

Radial localization in the aged

Elderly subjects were 41% less accurate than young subjects in localizing a point in the frontal plane. The decline could be ascribed neither to an age difference in image formation or skill acquisition nor to a difference in motivational level or trace retention. Evidently the "ambient" or "transient" visual system is compromised at an elementary level. Reasons why this deficit may not be compounded at more complex levels of spatial processing are suggested.     

Interventions with care givers of dementia patients: comparison of two approaches

We compared the effect of two approaches, family counseling and support groups, for relieving the stress and burden experienced by care givers of dementia patients. Both treatments are designed to implement features of a stress-management model that have been identified in prior research with this population: providing information about the patient's disease and its effects on behavior, teaching behavioral problem solving for managing difficult behavior, and identifying potential support for care givers. Subjects were primary care givers of dementia patients living in the community; they included husbands, wives, daughters, and other relatives. Although subjects in the treatment groups made significant gains over time, they did not differ from wait-list subjects who showed similar improvements. One-year follow-up interviews indicated that gains made during the treatment period were maintained.     

Social policy and the role of the behavior analyst in the prevention of delinquent behavior

The purpose of this article is to encourage behavior analysts to expand their domain of interest and application to include the "social/political" contingencies that are developed and implemented by policymakers and lawmakers. Using the Vermont juvenile justice system as a prototype, examples are provided that focus on the tertiary, secondary, and primary prevention of delinquent behavior.     

The Use of Syllogism in Rational-Emotive Therapy

The author indicates how the use of syllogistic logic in rational-emotive therapy can help therapists expose clients' irrational beliefs.