Cognitive Factors in Fibromyalgia: The Role of Self-Concept and Identity Related Conflicts

Fibromyalgia is a syndrome characterized by the presence of diffuse and chronic musculoskeletal pain of unknown etiology. Clinical diagnosis and the merely palliative treatments considerably affect the patient's experience and the chronic course of the disease. Therefore, several authors have emphasized the need to explore issues related to self in these patients. The repertory grid technique (RGT), derived from personal construct theory, is a method designed to assess the patient's construction of self and others. A group of women with fibromyalgia (n = 30) and a control group (n = 30) were assessed using RGT. Women with fibromyalgia also completed the Fibromyalgia Impact Questionnaire and a visual-analogue scale for pain, and painful tender points were explored. Results suggest that these women had a higher present self–ideal self discrepancy and a lower perceived adequacy of others, and it was more likely to find implicative dilemmas among them compared to controls. These dilemmas are a type of cognitive conflict in which the symptom is construed as “enmeshed” with positive characteristics of the self. Finally, implications of these results for the psychological treatment of fibromyalgia are suggested to give a more central role to self-identity issues and to the related cognitive conflicts.     

Viewing Cognitive Conflicts as Dilemmas: Implications for Mental Health

The idea that internal conflicts play a significant role in mental health has been extensively addressed in various psychological traditions, including personal construct theory. In the context of the latter, several measures of conflict have been operationalized using the Repertory Grid Technique (RGT). All of them capture the notion that change, although desirable from the viewpoint of a given set of constructs, becomes undesirable from the perspective of other constructs. The goal of this study is to explore the presence of cognitive conflicts in a clinical sample (n = 284) and compare it to a control sample (n = 322). It is also meant to clarify which among the different types of conflict studied provides a greater clinical value and to investigate its relationship to symptom severity (SCL-90-R). Of the types of cognitive conflict studied, implicative dilemmas were the only ones to discriminate between clinical and nonclinical samples. These dilemmas were found in 34% of the nonclinical sample and in 53% of the clinical sample. Participants with implicative dilemmas showed higher symptom severity, and those from the clinical sample displayed a higher frequency of dilemmas than those from the nonclinical sample.     

The Couple's Grid: A Tool for Assessing Interpersonal Construction in Couples

In the study of human relationships, interest in interpersonal construction is increasing because of its implications for the quality of the couple's relationship. The processes involved in construing self and others may play a key role. However, a precise methodology to study those processes has not yet been developed. The aim of this article is to present a dyadic assessment tool, the couple's grid (CG), which is inspired from constructivist and systemic perspectives. Derived from Procter's (1985) family grid, the CG is similarly based on the repertory grid technique. The CG assesses perception of self and partner, and their ideals, and also the metaperception of the partner's view (e.g., “What does your partner think about you?”). These two levels of analysis provide measures of perceived similarity, commonality, and sociality. This article describes the development of CG as an assessment tool with a case illustration.     

The Multi-Center Dilemma Project: an investigation on the role of cognitive conflicts in health

The Multi-Center Dilemma Project is a collaborative research endeavour aimed at determining the role of dilemmas--a kind of cognitive conflict, detected by using an adaptation of Kelly's Repertory Grid Technique--in a variety of clinical conditions. Implicative dilemmas appear in one third of the non-clinical group (n = 321) and in about half of the clinical group (n = 286), the latter having a proportion of dilemmas that doubles that of the non-clinical sample. Within the clinical group, we studied 87 subjects, after completing a psychotherapy process, and found that therapy helps to dissolve those dilemmas. We also studied, independently, a group of subjects diagnosed with social phobia (n = 13) and a group diagnosed with irritable bowel syndrome (n = 13) in comparison to non-clinical groups. In both health related problems, dilemmas seem to be quite relevant. Altogether, these studies, though preliminary (and with a small group size in some cases), yield a promising perspective to the unexplored area of the role of cognitive conflicts as an issue to consider when trying to understand some clinical conditions, as well as a focus to be dealt with in psychotherapy when dilemmas are identified.     

Spatial and temporal organization of episodic and semantic processes revealed by event-related potentials to unfamiliar faces

This study investigated whether the semantic and episodic processes underlying the old/new effect can be dissociated by analyzing the spatial and temporal characteristics of event-related potentials (ERPs) evoked by unfamiliar face stimuli during direct and indirect memory tests. The ERP old/new effects obtained included three components. First, the classical posterior component, present in both tasks, which was thus interpreted as reflecting changes in the automatic activation of semantic representation. Second, an earlier frontal component, present in the direct test only, which was seen a consequence of the building of a contextual representation of presented items formed of a conjunction of elements stored in semantic memory. Third, a late right-temporal component, in the direct test, which was related to the integration of this conjunction into a unitized representation of the presented stimuli.     

The Formation of Left‐Right Identification: Pathways and Correlates of Parental Influence

Given the significance of the left‐right dimension as one of the most frequently employed capping term of ideological thought in most western democracies, the question arises as to how people come to identify themselves along this continuum. Drawing on a set of parent‐child pairs located in Catalonia, we seek to determine whether the processes found elsewhere with respect to the intergenerational transmission of partisanship and issue stances also apply to left‐right ideology, in a novel context characterized by the presence of a distinctive, partially cross‐cutting dimension based on center‐periphery loyalties. Results provide strong support for the principles of the direct transmission model as derived from social learning theory, while also showing the significant role of parents' place identities in conditioning the passing on of left‐right orientations.     

Viewing Cognitive Conflicts as Dilemmas: Implications for Mental Health

The idea that internal conflicts play a significant role in mental health has been extensively addressed in various psychological traditions, including personal construct theory. In the context of the latter, several measures of conflict have been operationalized using the Repertory Grid Technique (RGT). All of them capture the notion that change, although desirable from the viewpoint of a given set of constructs, becomes undesirable from the perspective of other constructs. The goal of this study is to explore the presence of cognitive conflicts in a clinical sample (n = 284) and compare it to a control sample (n = 322). It is also meant to clarify which among the different types of conflict studied provides a greater clinical value and to investigate its relationship to symptom severity (SCL-90-R). Of the types of cognitive conflict studied, implicative dilemmas were the only ones to discriminate between clinical and nonclinical samples. These dilemmas were found in 34% of the nonclinical sample and in 53% of the clinical sample. Participants with implicative dilemmas showed higher symptom severity, and those from the clinical sample displayed a higher frequency of dilemmas than those from the nonclinical sample.     

The stability of structural measures derived from repertory grids

Although the use of repertory grids in psychological research has proliferated, studies of their psychometric properties are relatively rare. For this reason, we studied the reliability and convergence of several measures of cognitive structure derived from grids, including intensity, percentage of variance accounted for by the first component, cognitive complexity, ordination, extremity of ratings, self-ideal discrepancy, and self-other discrepancy, as well two measures of rating stability, construct consistency and factor loading consistency. Eighty-two Spanish (Catalan) and American participants completed small and large grids on each of four occasions, which enabled exploratory analyses of the impact of grid size and subject characteristics on the structural scores obtained. Results indicated that the majority of scores showed impressive test-relest reliability (modal r = .85 for periods up to 1 month), but also suggested a gradual tightening effect across subsequent administrations. In general, scores intercorrelated in theoretically anticipated ways, converging on the assessment of cognitive differentiation and discrimination of elements within construct dimensions. The results have implications for the reactivity of structural scores to variations in grid format, as well as for use of grids in the study of sex differences and cross-cultural comparisons.     

Self-Construction,Cognitive Conflicts,and Disordered Eating Attitudes in Young Women

The aim of this study is to identify cognitive variables that predict disordered eating attitudes in a nonclinical sample composed of 50 female university students. Repertory grid technique was used to assess cognitive features of self-construing and cognitive conflicts. Drive for Thinness and Body Dissatisfaction scales from the Eating Disorder Inventory–2 were used as dependent variables, as previous studies suggested that high scores on these scales are associated with the risk of developing or aggravating eating syndromes. Results suggest that drive for thinness can be associated with cognitive conflicts, whereas body dissatisfaction may be higher for those who construct themselves as inadequate and similar to others. In addition, both dependent variables were predicted by being younger and having a higher body mass index.