Trauma-Related Negative Cognitions Mediate the Relationship Between Avoidant Personality Beliefs and Impeded Response to Psychotherapy for PTSD

There is strong research evidence for the association of personality pathology and posttraumatic stress disorder (PTSD), as well as trauma-related negative cognitions (TRNC) and PTSD symptoms. However, the relationship between personality pathology and TRNC in the context of PTSD is mostly unknown. In the present study, we aimed to examine whether avoidant and borderline personality beliefs (PB, indicator of personality pathology) could predict therapy outcome in PTSD, and whether the relationship between PB and therapy outcome could be mediated by TRNC. Sixty patients with PTSD were assessed for PB, TRNC and PTSD symptoms at baseline, and for PTSD symptoms at the termination of Prolonged Exposure Therapy. Baseline avoidant PB predicted significant variance in PTSD symptoms at termination over and above baseline PTSD symptoms (16% reduction in treatment effect per SD on avoidant PB). Moreover, TRNC at baseline fully mediated the relationships between baseline avoidant PB and PTSD symptoms at termination. This is the first study to show that avoidant PB predicts treatment response in PTSD, and that patients with avoidant beliefs are more vulnerable to have TRNC, which are associated with impeded therapy response. Our results highlight the importance of targeting both dysfunctional PB and TRNC in PTSD interventions.     

Effect of trait anger on cognitive processing of emotional stimuli

In the present experiment, the authors examined whether trait anger was associated with cognitive biases for anger-related semantic stimuli. Fifty-two undergraduate students completed the Trait Anger Scale (TAS; C. D. Spielberger, G. Jacobs, S. Russell, & R. Crane, 1983), and those reporting TAS scores in the upper (n = 17) or lower (n = 13) quartiles of the sample were assigned to high- and low-anger groups, respectively. The 30 participants then engaged in a lexical decision task that presented various emotion words, neutral words, and nonwords. Results indicated that individuals who reported high levels of trait anger displayed facilitative biases in the processing of semantic anger-related stimuli. This predisposition to more readily process anger-related information may underlie their propensity to experience intense feelings of anger when provoked.     

The surgical anxiety questionnaire (SAQ): development and validation

Objective: Preoperative anxiety is often assessed using general anxiety measures; existing specific measures might lack content coverage and/or are not psychometrically validated. This study aimed to develop a new self-report measure of surgery-specific anxiety and test its psychometric properties.

Design: The surgical anxiety questionnaire (SAQ) was developed from themes identified in qualitative research and reviewed by an interdisciplinary expert team. It was administered preoperatively to 135 patients (56% female, mean age 51) on the day of surgery alongside additional measures of preoperative anxiety, state anxiety, perceived stress, depression and social desirability. Follow-up assessment was conducted immediately post-surgery and two weeks post-surgery (n?=?114) to examine recovery and predictive validity of the scale.

Results: Factor analysis revealed a three component structure, including: concerns about health (six items), concerns about recovery (four items) and concerns about procedures (four items). Three additional items of relatively high concern were retained in the total score (17 items). The SAQ displayed good reliability, validity (content, construct and predictive) and adequate overall psychometric properties.

Conclusions: Preliminary results suggest that the SAQ is a promising tool for measuring preoperative anxiety and predicting recovery. Recommendations for future research include employing a confirmatory factor analysis and examining test-retest reliability.     

The automated psychological evaluation system (APES)

This paper describes the rationale, design, cost, and extensions related to an automated test battery. Increased manpower, speed of service, lower cost, accuracy, and quality of reporting support the use of the system. The liability of failure to maintain and update the system is noted. Design considerations concerning mode of testing, tests included, and method of programming are discussed. The relative cost of automated and conventional testing is examined. Future extensions to the system are reviewed.     

The Necessity of Thinking Historically – Heidegger After Nietzsche

ABSTRACT

This paper is concerned with the turning that occurs within the work of Martin Heidegger. In particular it seeks to reveal it as a turning that takes place within the notion of history as it is elaborated by Heidegger in the difference between Nietzsche and Hölderlin, that is, in the difference between philosophy and poetizing. It locates the necessity for such a turning in Heidegger's dissatisfaction with his own thinking up to the early 1930s (as suggested in his Black Notebooks). In particular the paper focuses on Heidegger's confrontation with Nietzsche over the question of nihilism in the hope of drawing out the different approaches of each thinker in trying to think this problem historically, and how this confrontation helps move Heidegger's thought towards a more poietical way of thinking. The paper concludes that Heidegger, in seeking to distinguish his thought from that of Nietzsche's, not only owes a debt to Nietzsche but that Heidegger's non-public texts of the late 1930s and early 1940s are also formally indebted to him.