The Costs of Silencing the Self and Divided Self in the Context of Physical Abuse,Racial/Ethnic Identity,and Medication Adherence in Women Living with HIV

Racial/ethnic minority status and physical abuse history are risk factors for higher mortality rates and lower adherence to antiretroviral therapy (ART) in women living with HIV (WLWH) in the United States. The current study tested the hypotheses that minority status and physical abuse history might lead women to silence the self (minimize and hide thoughts and feelings in order to avoid relational conflict, loss, and/or abuse) as measured by the Silencing the Self Scale (STSS), and that STSS might mediate and moderate relationships of physical abuse and racial/ethnic minority status with ART adherence. Divided Self (DS; acting in ways inconsistent with inner thoughts and feelings), an STSS subscale, was targeted for study along with the total STSS score. Participants were 513 women from the U.S. Women’s Interagency HIV Study (M_age?=?46; 387, 75%, Black; 66, 13%, Hispanic; 60, 12%, White). Multiple logistic regressions indicated that across all racial/ethnic groups, physical abuse history related to higher DS and lower adherence. DS significantly mediated relationships between abuse and adherence. Compared to White women, Black women demonstrated worse ART adherence, but had lower total STSS. Racial/ethnic minority women and women with a physical abuse history who had higher DS had lower adherence than other groups. Results indicate that being a racial/ethnic minority or having a history of physical abuse may increase vulnerability to the deleterious effects of DS on ART adherence, findings that can help inform interventions to decrease health disparities in WLWH.

     

Are we assessing guilt correctly? An investigation of the psychometric properties of a prominent guilt measure

The construct of trait guilt has played an important role in psychological theory across many fields of psychology (e.g., as a diagnostic criterion in clinical psychology, as an individual difference in personality psychology, and as a motivational antecedent or emotional moderator in social and organizational psychology); however, the measurement of guilt has received comparatively limited attention in the literature. Specifically, existing measures have limited factor analytic support, limited evidence of convergent validity among the measures, and although the theoretical distinction between guilt and shame is well established, there is limited empirical support for the discriminant validity of these constructs as they are currently measured. The current study investigates the psychometric properties of the most commonly used measure of guilt, the Test of Self-Conscious Affect-3 (TOSCA-3; in: Tangney, The Test of Self Conscious Affect-3. George Mason University, Fairfax, 2000), in order to (a) examine the factor structure of the measure, (b) estimate the convergent validity of the measure with other guilt assessment instruments, and (c) examine the discriminant validity of guilt and shame. Results involving a sample of 1760 participants provide support for a multitrait-multimethod model and the discriminant validity of guilt and shame. However, limited evidence of convergent validity between the TOSCA-3 and the Revised Mosher Guilt Inventory (φ?=?.21) and the Trauma-Related Guilt Inventory (φ?=?.10) suggested the TOSCA-3 is not assessing guilt in the same manner as more contextualized measures of guilt, highlighting the importance of measurement choice for guilt researchers. Implications for the measurement of trait guilt are discussed.

     

Six Constructs to Define Rorschach M: A Response

The experimental validity of six constructs, conceptualized to account for Rorschach M, was suggested by (a) step-wise regression analysis on scores from task definitions of each construct and M scores for 45 female subjects, and (b) task correlations with their M scores. Fantasy, time estimation, and intelligence were significantly related to M. Inadequacies of task definitions or initial conceptualization were suggested by the correlational data.     

Explorations of silence in the religious rituals of Buddhists and Quakers

This paper is a participant-observation-based study of one Quaker and three Buddhist groups. Using a sociological framework, it explores silence as actively practiced in religious ritual. It demonstrates the usefulness of employing multiple continuums to analyze practices, including a speech–silence continuum, a body movement–body stillness continuum, and a thinking–not thinking continuum. Even when silence is seen as active, it may be construed as functioning to turn people inward and away from each other. Instead, this paper demonstrates how silence for these groups is not necessarily socially isolating. For instance, participants not only learned, practiced, and reflected on silence together, but drew connections between the practice of silence and changes in everyday social interactions, including bringing compassion into these. Some persons referred to realizing a sense of interconnectedness in the silence akin to a Meadian fusion.     

Evidence for a response preparation bottleneck during dual-task performance: Effect of a startling acoustic stimulus on the psychological refractory period

The present study was designed to investigate the mechanism associated with dual-task interference in a psychological refractory period (PRP) paradigm. We used a simple reaction time paradigm consisting of a vocal response (R1) and key-lift task (R2) with a stimulus onset asynchrony (SOA) between 100 ms and 1500 ms. On selected trials we implemented a startling acoustic stimulus concurrent with the second stimulus to determine if we could involuntarily trigger the second response. Our results indicated that the PRP delay in the second response was present for both control and startle trials at short SOAs, suggesting the second response was not prepared in advance. These results support a response preparation bottleneck and can be explained via a neural activation model of preparation. In addition, we found that the reflexive startle activation was reduced in the dual-task condition for all SOAs, a result we attribute to prepulse inhibition associated with dual-task processing.     

Obsessive-Compulsive Disorder in the Media

Scholars have long been concerned that mass media depictions of those with mental disorders foster stigma. Research is needed extricating how particular disorders are represented and perceived, such as obsessive-compulsive disorder (OCD). This article examines what images of obsessions and compulsions exist in the media, and how persons interpret these. It employs two methods: qualitative in-depth interviews and content analysis. Data indicate the media represents obsessions and compulsions in distinguishable ways that both reinforce and complicate common media stereotypes of those with mental disorders—fostering a stigma hierarchy and having contradictory effects on mental health literacy.     

The Kawa River Model: Applying Theory to Develop Interventions for Combat and Operational Stress Control

This article proposes the implementation of the occupational therapy Kawa (Japanese for river) model to promote “culturally relevant” client-centered care for combat and operational stress control services provided in the military context. Currently, the occupational therapy literature lacks a culturally sensitive approach to address the military service members’ experiences with combat and operational stress. A review of the Kawa model features are provided within a case study for a military service member affected by combat and operational stress. This theoretical article offers a pragmatic method for infusing occupational therapy theory to address the cultural aspects of military service members in recovery.