Seeing through The Bell Jar: Investigating Linguistic Patterns of Psychological Disorder

As a means of conveying difficult personal experiences, illness narratives and their analysis have the potential to increase awareness of patients' lives and circumstances. Becoming sensitised to the linguistic texture of narrative offers readers a means of increasing narrative understanding. Using the fictional narrative of The Bell Jar, this paper outlines a novel method for exploring the language of illness narratives. Corpus stylistics provides new insights into narrative texture and demonstrates the importance of recurrent linguistic features in shaping meaning. The paper concludes by proposing the application of a similar methodology to non-fictional illness narratives in therapeutic contexts.     

Behavioral Self-Management as a Supplement to External Sales Force Controls

Salesforce control systems tend to focus on outcomes rather than behaviors. The use and effectiveness of behavior-based control systems is limited, particularly with industrial sales-people, who generally operate in the field much of the time where their behavior cannot be closely observed or supervised by management. The authors propose Behavioral Self-Management (BSM) as a means of controlling the methods salespeople use to achieve results. Specific BSM techniques applicable to selling and strategies for encouraging salespeople to engage in self- management are reviewed.     

Cognitive vulnerability to depression in never depressed subjects

The purpose of this study was to investigate whether dysfunctional cognitions could be measured in never-depressed individuals after a sad mood prime, and if these dysfunctional cognitions would predict future depression. Subjects were first screened for current or past depression. Never-depressed subjects were randomly assigned to a prime or no-prime condition and completed the Dysfunctional Attitudes Scale. After one month, subjects completed the Beck Depression Inventory. The mood induction was successful in producing a sad mood, but had no effect on accessibility of dysfunctional cognition. Dysfunctional cognitions did predict depressive symptoms one month later, for the women in the sample, but not the men. These results were actually stronger for the unprimed subjects. The results provide some support for the cognitive diathesis-stress model, and suggest that cognitive vulnerability to depression may exist prior to a clinically significant depressive episode. However, mood priming does not appear to be a useful strategy with never-depressed subjects.     

Screening for Muir-Torre Syndrome Using Mismatch Repair Protein Immunohistochemistry of Sebaceous Neoplasms

Screening for the Muir-Torre variant of Lynch Syndrome (LS) using Mismatch Repair (MMR) gene immunohistochemistry (IHC) on sebaceous neoplasms (SNs) is technically feasible. To date, research into the clinical utility of MMR IHC for this indication is limited. We conducted a retrospective chart review of 90 patients with MMR IHC completed on at least one SN from January 2005 to May 2010. SNs included were adenomas, epitheliomas, carcinomas and basal and squamous cell carcinomas with sebaceous differentiation. Of the 90 patients, 13 (14 %) had genetically confirmed or fulfilled clinical criteria for a diagnosis of MTS and 51 patients (57 %) presented with an abnormal MMR IHC result (loss of one or more MMR proteins) on at least one SN. Abnormal IHC had a sensitivity of 85 %, specificity of 48 %, positive predictive value (PPV) of 22 % and negative predictive value (NPV) of 95 % when evaluating for MTS. When personal or family history of colorectal cancer (≥2 family members with a history of colorectal cancer) was taken into consideration, ignoring IHC results, sensitivity was 92 %, specificity was 99 %, PPV was 92 % and NPV was 99 %. MMR IHC on SNs when used to screen for MTS has poor diagnostic utility. We recommend that MMR IHC not be performed routinely on SNs when the patient does not have either personal or family history of colorectal cancer.     

Studies of the Startle Pattern: II. Bodily Pattern

The effects of two different faking instructions on Orientation Inventory scores were investigated in five groups of university students. The faking sets tended to produce increased scores on task orientation and decreased scores on self orientation. Changes in interaction orientation scores were inconsistent. Results were compared with those obtained earlier by Bass.     

An Operant Electromagnetic Chamber

Forty-eight middle-class fathers having their first child were divided into three groups: An Experimental Group received a demonstration of physical and behavioral characteristics of their own infants resulting in a doubling of the usual time for interaction during the first two days. A Hospital Group spent the same amount of time viewing a prepared videotape of the same characteristics of a newborn infant who was not theirs. An Office Control Group, without experimental intervention, was recruited to control for effects of demand characteristics of the experimental situation. All three groups attended their infants' one-month well-baby examination where outcome measures were obtained. Analyses of variance showed no differences between groups on demographic or pregnancy variables. Further, 108 analyses of variance for 36 father and infant behaviors scored from videotapes did not reveal significant group differences. It is argued that in addition to amount of early contact and sex of parent, crucial socioeconomic factors need to be considered.     

Aspects of Psychosomatic Orchidalgia

Children aged 5 to 9 years matched the shape of (a) small squares embedded in large rectangles and (b) small rectangles embedded in large squares. Predictions made were that (a) the influence of the whole on the perception of the part would be greatest at the 5-year-old level and (b) this effect of the whole would make the parts look to the child somewhat like the whole figure of which the part is a member. Both predictions were supported by the data. The 5-year-olds perceived the small squares as more rectangular, and the small rectangles as more square-like, significantly more than the older age groups, each result representing a shift towards the shape of the whole configuration.