The impact of assuming the primary caregiver role following traumatic spinal cord injury: An interpretative phenomenological analysis of the spouse's experience

This study aimed to explore the lived experience of assuming the primary caregiver role in a group of spouses of individuals living with a traumatic spinal cord injury (SCI) (injuries ranged from paraplegia to quadriplegia). Individual in-depth interviews were conducted with 11 participants who were both the spouse and primary caregiver of an individual with a SCI; of these, 10 were female and 1 was male. All interviews were transcribed verbatim and were subjected to interpretative phenomenological analysis (IPA). Here we present three inter-related master themes: ‘The emotional impact of SCI’; ‘Post-injury shift in relationship dynamics’ and ‘Impact of caregiving on identity’. Regarding the emotional impact of spinal injury, participants reported an almost instantaneous sense of loss, emptiness and grief during the injured person's rehabilitative period and feelings of anxiety were reported in anticipation of their return to the family home. A distinct change in role from spouse and lover to care provider was reported and this ultimately contributed to relationship change and a loss of former identity. The findings are discussed in relation to extant caregiver literature and recommendations for future caregiver support are highlighted.     

Some effects of discriminative training with equated frequency of reinforcement

Pigeons were exposed to a multiple schedule which provided equally frequent reinforcement in the presence of two stimuli but which produced markedly different rates of key-pecking. Generalization gradients were displaced away from the stimulus associated with the lower rate of key-pecking. Another group of pigeons had similar training, except that a low rate of key-pecking was established in a stimulus with a much higher frequency of food reinforcement. In this case, the generalization gradients were not affected by the training on the schedule producing a low response rate.     

Narrative self-constitution and vulnerability to co-authoring

All people are vulnerable to having their self-concepts shaped by others. This article investigates that vulnerability using a theory of narrative self-constitution. According to narrative self-constitution, people depend on others to develop and maintain skills of self-narration and they are vulnerable to having the content of their self-narratives co-authored by others. This theoretical framework highlights how vulnerability to co-authoring is essential to developing a self-narrative and, thus, the possibility of autonomy. However, this vulnerability equally entails that co-authors can undermine autonomy by contributing disvalued content to the agent’s self-narrative and undermining her authorial skills. I illustrate these processes with the first-hand reports of several women who survived sexual abuse as children. Their narratives of survival and healing reveal the challenges involved in (re)developing the skills required to manage vulnerability to co-authoring and how others can help in this process. Finally, I discuss some of the implications of co-authoring for the healthcare professional and the therapeutic relationship.     

A Social Priming Data Set With Troubling Oddities

A recent paper by Chatterjee, Rose, and Sinha (2013) reported impressively large “money priming” effects: incidental exposure to concepts relating to cash or credit cards made participants much less generous with their time and money (after cash primes) or much more generous (after credit card primes ). Primes also altered participants’ choices in a word-stem completion task. To explore these effects, we carried out re-analyses of the raw data. A number of strange oddities were brought to light, including a dramatic similarity of the filler word-stem completion responses produced by the 20 subjects who contributed most to the priming effects. We suggest that these oddities undermine the credibility of the paper and require further investigation.     

Tracking talking: dual task costs of planning and producing speech for young versus older adults

A digital pursuit rotor was used to monitor speech planning and production costs by time-locking tracking performance to the auditory wave form produced as young and older adults were describing someone they admire. The speech sample and time-locked tracking record were segmented at utterance boundaries and multilevel modeling was used to determine how utterance-level predictors such as utterance duration or sentence grammatical complexity and person-level predictors such as speaker age or working memory capacity predicted tracking performance. Three models evaluated the costs of speech planning, the costs of speech production, and the costs of speech output monitoring. The results suggest that planning and producing propositionally dense utterances is more costly for older adults and that older adults experience increased costs as a result of having produced a long, informative, or rapid utterance.     

Depressed people are not less motivated by personal goals but are more pessimistic about attaining them

Despite its theoretical importance, personal goal motivation has rarely been examined in clinical depression. Here we investigate whether clinically depressed persons (n = 23) differ from never-depressed persons (n = 26) on number of freely generated approach and avoidance goals, appraisals of these goals, and reasons why these goals would and would not be achieved. Participants listed approach and avoidance goals separately and generated explanations for why they would (pro) and would not (con) achieve their most important approach and avoidance goals, before rating the importance, likelihood, and perceived control of goal outcomes. Counter to hypothesis, depressed persons did not differ from never-depressed controls on number of approach or avoidance goals, or on the perceived importance of these goals. However, compared to never-depressed controls, depressed individuals gave lower likelihood judgments for desirable approach goal outcomes, tended to give higher likelihood judgments for undesirable to-be-avoided goal outcomes, and gave lower ratings of their control over goal outcomes. Furthermore, although controls generated significantly more pro than con reasons for goal achievement, depressed participants did not. These results suggest that depressed persons do not lack valued goals but are more pessimistic about their likelihood, controllability, and reasons for successful goal attainment.