Quality of Life in Gulf War Veterans: the Influence of Recency and Persistence of Psychiatric Morbidity

Important contributors to quality of life (QOL), such as psychosocial factors, have received limited exploration in veteran populations, in contrast to a significant amount of research focused on health-related quality of life (HRQL). This study investigated QOL and HRQL amongst Gulf War veterans compared with an era-military comparison group 20 years after the 1990/91 Gulf War, and whether psychiatric status over time and psychiatric comorbidities predicted QOL and HRQL. We then investigated which of a range of psychological health, physical health and social factors contribute greatest to QOL. Psychological interviews and postal questionnaires were administered to a cohort of Gulf War veterans and a military-era comparison group in 2000–02 and 2011–12. Gulf War veterans had poorer QOL and HRQL compared with a military comparison group, but the pattern of factors that influenced QOL was the same for both groups. Poorer QOL and HRQL were significantly associated with more recent and persistent psychiatric morbidity over time. Further analyses showed that affective disorders, followed by anxiety disorders had the largest impact on QOL and HRQL, and that QOL and HRQL were negatively affected by each additional psychiatric diagnosis. The importance of these findings was highlighted in a structural equation model that revealed psychological health contributed most to QOL, social support contributed a moderate amount, but physical health contributed only a very small amount. QOL in veterans is an important issue even many years after deployment and psychological health plays a predominant role in QOL.

     

Retrieval Inhibition and Memory Distortion: Negative Consequences of an Adaptive Process

ABSTRACT— Despite the fact that misinformation effects have long been studied by both applied researchers and modelers of human memory, there is little consensus as to the value of such endeavors. We argue that this may be due to a failure to identify the underlying mechanism responsible for such memory distortions. We consider novel evidence for a relationship between retrieval-induced forgetting and the reporting of misinformation. We also explore the extent to which retrieval inhibition underpins this relationship and the implications this has for the modeling of memory and finding potential solutions to real-world problems.     

Does the covert nature of caring prohibit the development of effective services for young carers?

Almost 3 million children in the UK live in households where at least one family member is affected by chronic illness or disability. A proportion of these children will be young carers. This paper begins with a brief review of the literature relating to young carers. Particular attention is paid to the adoption of a caring role, the'hidden' nature of caring including young people'sreluctance to discuss their caring, the impact of caring on education, and the location and type of services provided.The findings of a small-scale study carried out in Scotland are presented in order to highlight some of the issues raised in the literature. Discussion focuses on the implications for the field of guidance and counselling.     

Toward a refined view of aggressive fantasy as a risk factor for aggression: interaction effects involving cognitive and situational variables

Over three decades of research have established a positive connection between fantasizing about aggression and enacting aggression. Such findings have provided strong evidence against the catharsis view of aggressive fantasy. However, little attention has been paid to the potentially nuanced nature of the link between fantasy aggression and actual aggression. In the present article, we examined the influence of four variables in the aggressive fantasy–aggressive behavior link: gender, exposure to violence, fantasy absorption, and level of fantasy about harm befalling loved ones and the self (dysphoric fantasy). Using data from a diverse, community‐based sample of 7–14‐year olds and their mothers, we replicated the general finding that aggressive fantasy is positively associated with real‐world aggressive behavior. However, we also found that the interaction of aggressive fantasy and exposure to violence related significantly to aggression, as did the relation between aggressive fantasy and dysphoric fantasy. When exposure to violence was low, even high levels of aggressive fantasizing did not predict aggressive behavior, and, when aggressive fantasizing was low, even high levels of exposure to violence did not predict aggressive behavior. Similarly, when dysphoric fantasy was high, the connection between fantasy aggression and real aggression was markedly attenuated. The implications of these findings for intervention efforts and future research are considered. Aggr. Behav. 35:313–323, 2009. © 2009 Wiley‐Liss, Inc.     

Non-bayesian foundations for statistical estimation, prediction, and the ravens example

The paper provides a formal proof that efficient estimates of parameters, which vary as as little as possible when measurements are repeated, may be expected to provide more accurate predictions. The definition of predictive accuracy is motivated by the work of Akaike (1973). Surprisingly, the same explanation provides a novel solution for a well known problem for standard theories of scientific confirmation — the Ravens Paradox. This is significant in light of the fact that standard Bayesian analyses of the paradox fail to account for the predictive utility of universal laws like All ravens are black.I wish to thank Martin Barrett, Ellery Eells, Berent Enç, Branden Fitelson, Dan Hausman, Eric Saidel, Brian Skyrms, Elliott Sober, Mariam Thalos, as well as anonymous reviewer, for helpful suggestions. This research was supported by NSF grant DIR-8822278, and by the Graduate School at the University of Wisconsin, Madison.     

On mirroring in group psychotherapy

“A woman has two images. There is a magical person seen or remembered by those who love her, her finest qualities are flesh and spirit illuminated. She herself knows this ideal self; she projects it, if she is confident; or she daydreams her ideal self; or she recognizes it with gratitude in the admiring eye of others. There is at the same time a second image; the woman as seen by those who dislike or fear her. This cruel picture has an all too powerful mirror in her own negative idea of herself. She sees with fear her own ravaging impulses and most painful of all, a graceless, freakish, and unlovable physical self, this was the mirror her parents held before Edith. Her brothers saw her with love. She herself knew both images. Her life, and her poetry, constituted a flight from the second one.”     

The Reality and Myth of Rape: Implications for theCriminal Justice System

This article sets out to evaluate the researchevidence for rape myths and the extent to which theyare causally related to rape proclivity; negativeattitudes towards rape victims; and the reporting ofsexual assault incidents to the police. In reviewingthis literature, we provide an evaluation of theimpact of this research on the criminal justice systemand possible future developments. We argue that thisresearch, while failing to provide conclusive evidenceof a causal relationship, has nevertheless played animportant part in shaping more sympathetic approachestowards rape victims in the criminal justice system.However, we also argue that the current research fallsshort of the level of proof required for it to beadmitted as evidence in criminal trials. We considera number of alternative uses including AmicusCuriae briefs, and the training of juries and judgesprior to hearing rape cases.     

Why did it happen to me? Social cognition processes in adjustment and recovery from criminal victimisation and illness

This article reviews the theoretical framework and empirical evidence for the hypothesised relationship between self-blame attributions and psychological adjustment. In doing so, an argument is presented that poses an alternative interpretation to that which is widely accepted regarding the complex relationship between blame attributions, perceived control, self-esteem, and recovery. A number of fundamental issues concerning the assumptions underlying Janoff-Bulman’s model are identified and explored. In particular, attention is given to the importance of distinguishing perceived control from likelihood of recurrence, and perceived control from outcome expectancy. Finally, the possibility that attributions may not play as fundamental a role in adjustment as first thought is considered, and future lines of enquiry are identified.     

Problems involved in toilet-training profoundly mentally handicapped adults

Toileting difficulties constitute a severe problem in institutions for the mentally handicapped. The present study, in a British institution, is a cross-validation of the approach to toilet training outlined by Azrin et al. in the U.S.A. Although Azrin's approach was basically successful, a number of differences were found in running the programme. These differences, together with practical difficulties encountered, are discussed.