Dyadic predictors of outcome in a cognitive-behavioral program for patients with generalized anxiety disorder in committed relationships: a "spoonful of sugar" and a dose of non-hostile criticism may help

The present study tested whether pre-treatment levels of partner hostility and non-hostile criticism predicted outcome in an individual cognitive-behavioral therapy package for generalized anxiety disorder (GAD). Eighteen patients with a principal or co-principal diagnosis of GAD were randomly allocated to a treatment condition (n=8) or a delayed treatment condition (n=10). In addition, the patients and their partners were videotaped discussing the patients’ worries. These videotapes were later coded for levels of partner hostility and non-hostile criticism directed at the patients. Treatment resulted in statistically and clinically significant change at post-test. Finally, partner hostility predicted worse end-state functioning whereas partner non-hostile criticism predicted better end-state functioning.     

Downsides of an overly context-sensitive self: implications from the culture and subjective well-being research

The self becomes context sensitive in service of the need to belong. When it comes to achieving personal happiness, an identity system that derives its worth and meaning excessively from its social context puts itself in a significantly disadvantageous position. This article integrates empirical findings and ideas from the self, subjective well-being, and cross-cultural literature and tries to offer insights to why East Asian cultural members report surprisingly low levels of happiness. The various cognitive, motivational, behavioral, and affective characteristics of the overly relation-oriented self are discussed as potential explanations. Implications for the study of self and culture are offered.     

Individual attitudes and perceived social norms: Reports on HIV/AIDS‐related stigma among service providers in China

This study examined HIV/AIDS‐related stigma among Chinese service providers by comparing their personal attitudes toward people living with HIV/AIDS with their perception of social norms related to people living with HIV/AIDS. We randomly selected three provincial hospitals, four city/prefecture hospitals, 10 county hospitals, 18 township health clinics, and 54 village clinics from Yunnan, China. Doctors and nurses were randomly sampled proportionally to the doctor–nurse ratio of each hospital or clinic. Lab technicians were over‐sampled in order to include an adequate representation in the analysis. A total of 1,101 service providers participated in a voluntary, anonymous survey where demographic characteristics, individual attitude and perceived social norms toward people living with HIV/AIDS, discrimination intent at work, general prejudicial attitude and knowledge on HIV/AIDS were measured. A majority of the sample demonstrated a similarity between their personal views and what they thought most people in society believe. Multiple logistic regressions revealed that participants who were younger or reported personal contact with people living with HIV/AIDS were significantly more likely to report personal attitudes toward the population that were more liberal than their perceived social norms. Holding a more liberal personal attitude toward people living with HIV/AIDS than perceived social norms was significantly and negatively related to the level of discrimination intent at work, perceived discrimination at interpersonal level and the level of general prejudicial attitude toward people living with HIV/AIDS. Results underscored the importance of understanding social norms and personal attitudes in studying HIV‐related stigma and called for the incorporation of existing human capital into future HIV stigma reduction programs.     

Imaging intelligence with proton magnetic resonance spectroscopy

Proton magnetic resonance spectroscopy (¹H-MRS) is a technique for the assay of brain neurochemistry in vivo. N-acetylaspartate (NAA), the most prominent metabolite visible within the ¹H-MRS spectrum, is found primarily within neurons. The current study was designed to further elucidate NAA–cognition relationships, particularly whether such relationships are moderated by sex, or tissue type (gray or white matter). We administered standard measures of intelligence to 63 young, healthy subjects and obtained spectroscopic imaging data within a slab of tissue superior to the lateral ventricles. We found that lower NAA within right anterior gray matter predicted better performance VIQ (F = 6.83, p = .011, r² = .10), while higher NAA within the right posterior gray matter region predicted better PIQ (F = 8.175, p = .006, r² = .12). These findings add to the small but growing body of literature linking brain biochemistry to intelligence in normal healthy subjects using ¹H-MRSI.     

Propelled by the Force of Memory: New Directions in Korean Literature in the 1990s

This paper deals with the sudden change in the mood, themes and style of Korean literature in the 1990s, which was brought on by the inauguration of the first civilian government in three decades and the lifting of the oppressive shadow of military dictatorship. Under military dictatorship, serious Korean writers all felt obligated to be the conscience of the nation, so the emphasis of their works tended to be on social and political injustice and the lives of the exploited workers or helpless and powerless citizens. Their tone, therefore, was that of harsh protest. However, with the demise of military dictatorship, Korean writers felt free to focus on personal relationships and the inner psyche. Shin Kyoung-suuk and Choi Yoon are just two among the many new talents who emerged in the Korean literary scene since the end of the 1980s. They awakened the deep-seated repression of the Korean psyche and fueled the exuberance of psychic liberation.     

Global Versus Health-Specific Social Support and Match of Preferred and Perceived Social Support Levels in Relationship to Compliance and Blood Pressure of Hypertensives1

A comparison of the relative usefulness of a standardized measure of global perceived social support (Procidano and Heller, 1983) with a health-specific index showed that the latter was a better predictor of compliance for a sample consisting mostly of older female hypertensives. However, the relationship of support and compliance to actual health, as measured by blood pressure levels at two times separated by 3 to 6 months, was found to be weak. The hypothesis that the degree of fit between preference for social support and amount of perceived support would affect compliance was not upheld. A model of social support as the positive reaction of others to patients with good health status was proposed as an alternative or complement to the prevalent model in which support is viewed as an antecedent of compliance, and eventually, of improved health.     

Structural Family Therapy

Research studies show that Chinese communities in the United States are in need of mental health services. Structural family therapy offers an effective model for treating families in need of therapy. This article describes why and how the model can be applied.     

Firearm violence and the effects of gun control legislation

Two gun control laws designed to reduce different types of violent crimes were evaluated. In 1981, East St. Louis, IL, imposed stricter penalties for individuals who carry firearms outside their homes for protection (individuals could keep firearms in their homes). This law had only a temporary impact in reducing firearm use in assaults and robberies. In Evanston, IL, a slightly different approach was taken with legislation that banned handguns in the entire city (i.e., individuals could not keep handguns within their homes). A temporary reduction in firearm assaults occurred a few months before the gun law took effect. The implications of these findings are discussed.     

Social Support Rejection and Reappraisal by Providers and Recipients1

Study 1 used recalled incidents involving offered or sought social support that were either rejected or later reappraised. Rejected offers of support were perceived to be ignored by would-be recipients, whereas rejected requests for support were viewed as due to lack of concern by would-be providers. For providers, upward reappraisal of support as well as downward reappraisal was usually based on direct feedback of consequences. Recipient reappraisals in either direction were also based mainly on outcomes that contradicted initial perceived effects of support. Study 2 provided additional evidence on the factors that might lead to rejected support. Evaluations of the effect of specific behaviors from potential support providers in hypothetical stress situations identified common behaviors such as offering advice, implying blame, second-guessing the victim's behavior, and minimizing the problem to be unhelpful. Implications for increasing the effective delivery of social support are discussed.