Adaptiveness: A moderator of the adverse impact of hassles?

Adaptiveness constitutes coping consistently with Stressors so to reduce distress or, at worst, not aggravate it. Accordingly, it should moderate the adverse impact of hassles. Undergraduate volunteers (N = 200) responded to measures of hassles, adaptiveness, and the criteria of subjective distress, psychiatric symptomatology and minor physical ailments. In all three regression analyses, hassles made a substantial positive contribution and adaptiveness a small negative contribution to adverse outcome. The interaction between hassles and adaptiveness was non-significant in all three cases. Alternative interpretations were identified to guide further research.     

Rape Myth Acceptance and Sociodemographic Characteristics: A Multidimensional Analysis

Many myths have been identified surrounding rape, rapists, and rape victims. This study reexamines the acceptance of rape myths across gender role ideologies and selected demographic characteristics to identify core myths. Three myth categories were established and investigated: blaming the woman, excusing the man, and justifications for acquaintance rape. Findings indicate that rape myths remain prevalent and adherence to myths is related to demographic factors and gender role attitudes. Overall, respondents tend to excuse the man more than blame the woman. Males accept rape myths more than females. Racial differences emerged most strongly on the justifications for acquaintance rape dimension. Individuals with a conservative gender role ideology believe rape myths more than those with more liberal ideologies. While core myths did not emerge from the data, the most revealing finding is that summative scaling techniques used in previous studies may mask important differences, between and within the three dimensions, in rape myth acceptance among the groups studied.     

TIME COURSE OF ACTIVATING BRAIN AREAS IN GENERATING VERBAL ASSOCIATIONS

Abstract— Generating a use far a visual word in comparison with reading the word aloud activates frontal attention areas first (170 MS), a left lateral frontal area next (250 ms), and then a left temporoparietal (Wernicke's) area (650 ms). A brief period of practice reduces these activations. If subjects are asked to respond to a word from the same practiced list by giving a novel use, the original activations reappear and are joined by activity similar in location and time to Wernicke's activation but in the right hemisphere. These findings demonstrate the time course of activations of neuroanatomical areas in word processing and indicate a role for the right hemisphere when semantic processing is more difficult, such as in generating a less frequent association in the presence of a highly practiced one.     

Family Functioning and Mental Illness: A Comparison of Psychiatric and Nonclinical Families

The primary objective of the present investigation was to examine adaptive functioning in the families of patients with a wide range of psychiatric disorders. Seven dimensions of family functioning, as measured by the Family Assessment Device (FAD), were compared across families of patients with a schizophrenia spectrum disorder (n = 61 ), bipolar disorder (n = 60 ), major depression (n = 111 ), anxiety disorder (n = 15 ), eating disorder (n = 26 ), substance abuse disorder (n = 48 ), and adjustment disorder (n = 46 ). Families in each psychiatric group were also compared to a control group of nonclinical families (N = 353 ). Results indicated that regardless of specific diagnosis, having a family member in an acute phase of a psychiatric illness was a risk factor for poor family functioning compared to the functioning of control families. However, with few exceptions, the type of the patient's psychiatric illness did not predict significant differences in family functioning. Thus, having a family member with a psychiatric illness is a general stressor for families, and family interventions should be considered for most patients who require a psychiatric hospitalization for either the onset of, or an acute exacerbation of, any psychiatric disorder.     

Reassurance in Analytic Therapy

The American Journal of Psychoanalysis -     

A Whiff of Reality: Empirical Evidence Concerning the Effects of Pleasant Fragrances on Work-Related Behavior1

Two studies were conducted to investigate the potential effects on workrelated behavior of one environmental variable: pleasant fragrances. In Study 1, participants performed a word construction task under low or high stress while in the presence or absence of pleasant fragrances. Performance was significantly enhanced by fragrance in both stress conditions. In addition, exposure to pleasant fragrances significantly increased performance on an additional task (decoding written messages) completed by participants following exposure to stress. In Study 2, both exposure to pleasant fragrances and receipt of a small gift increased performance on the same word construction task used in Study 1. In addition, fragrance and a gift increased participants' willingness to engage in both immediate and delayed helping. Together, the results of these studies offer support for the view that pleasant fragrances can influence work-related behavior, and that such effects may be mediated, at least in part, by increments in positive affect.     

A course in hypnosis for chaplains

Understanding the mental processes involved in suffering has always been the best basis for communication between patients and caretakers. In this paper we are concerned first with acknowledgment of the existence, generally unknown, and the effects, generally unrecognized, of the hypnotic processes that occur in many forms of suffering, and second with developing our thesis that the understanding and use of hypnotic principles can greatly enrich the chaplain's capacity to alleviate suffering. In this brief presentation we will confine our discussion to the teaching of hypnosis as a virtual necessity in modern clinical training for chaplains. Comments and considerations will precede and follow an outline of the course presently offered at Lenox Hill Hospital [but we cannot here attempt to discuss or explain the fundamentals of hypnotic process or any other aspects of the course content itself]. A basic bibliography is appended for those who wish to know more about hypnosis itself.     

Decision-making incapacity among nursing home residents: results from the 1987 NMES survey. National Medical Expenditure Survey

Recent legislative and regulatory developments have focused attention on older adults' capacity for involvement in health care decision-making. The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) focused attention on the rights of nursing home residents to be involved in health care decision-making to the fullest extent possible. This article uses data from the 1987 National Medical Expenditure Survey (NMES) to examine rates of incapacity for health care decision-making among nursing home residents. Elements of the Oklahoma statute were used to operationalize decision-making incapacity: disability or disorder, difficulty in decision-making or communicating decisions, and functional disability. Fifty-three percent of nursing home residents had a combination of either physical or mental impairment and an impairment in either self-care or money management. The discussion focuses on the policy and practice implications of significant rates of incapacity among nursing home residents.     

A general linear model for estimating effect size in the presence of publication bias

When the process of publication favors studies with smallp-values, and hence large effect estimates, combined estimates from many studies may be biased. This paper describes a model for estimation of effect size when there is selection based on one-tailedp-values. The model employs the method of maximum likelihood in the context of a mixed (fixed and random) effects general linear model for effect sizes. It offers a test for the presence of publication bias, and corrected estimates of the parameters of the linear model for effect magnitude. The model is illustrated using a well-known data set on the benefits of psychotherapy.Authors' note: The contributions of the authors are considered equal, and the order of authorship was chosen to be reverse-alphabetical.