Social phobia in disabled workers with chronic musculoskeletal pain

The present study assessed the prevalence and impact of social phobia and other anxiety disorders in disabled workers with chronic musculoskeletal pain. Potential participants were 200 disabled workers consecutively referred to an interdisciplinary tertiary care centre. A two stage screening process was used in which: (a) a self-report battery was given during a pre-admission visit, and (b) preplanned selection criteria were applied to the self-report instruments to select patients for a structured diagnostic interview. Fifty-four of the 146 patients who provided complete responses on the self-report battery met criteria for interview. Twenty-six patients (17.8%) met DSM-IV criteria for a current anxiety disorder and, of these, 16 (11.0%) were diagnosed with social phobia. Subjects with social phobia rated themselves as having less social support than subjects with no psychiatric disorder, but the groups did not differ in pain-related life interference, personal control, or health care utilization. The results suggest that social phobia is over-represented in disabled workers with chronic musculoskeletal pain and should be noted as a comorbid condition that may compound both suffering and disability.     

Ken and Barbie at life size

There has been considerable discussion in both the scientific literature and general media concerning the appropriateness of the body shape and proportions of the Ken and Barbie dolls, the most popular dolls in modern history. The greatest concern has been of the possible influence that these, and other cultural ideals for body shape, may have on young children. However, these concerns have been based entirely on the subjective interpretation of how one perceives the body dimensions of the dolls relative to an adult size. We therefore used our skills in anthropometry and the rules of allometry to scale the dolls to an adult height to determine the dimensions that these dolls would assume at this adjusted size. These were compared to actual proportions of several representative adult groups of predominantly Anglo-Australian males and females. The critics have been justified in their opinions since both Barbie and Ken are thin relative to the reference samples. Barbie's mean girth z-score relative to a reference cross-section of the young adult population was –4.2. This indicates that the probability for such a body shape is less than 1 in 100,000. Ken is more realistic at about 1 in 50.Special thanks to Melissa Clough, Brendon Dews, Loretta Downie, Judy Morris, and Kim Birchall.     

The ideal‐self inventory: A new measure of self‐esteem

This article reports on some research in progress developing a new measure of self‐esteem which we have called the Ideal‐Self Inventory (ISI). The inventory is based on a constructivist approach and simply asks participants to list ten characteristics to describe their ideal self together with the ten opposite characteristics to describe their not ideal self. The ISI has been tested on over 100 student volunteers and correlates significantly with the adult version of the Coopersmith Self‐Esteem Inventory. The applications of this new measure are discussed with particular reference to counselling and psychotherapy.     

Three scales of alexithymia: do they measure the same thing?

The psychometric properties of three scales of alexithymia were examined in a sample of 187 female undergraduates. The Shalling Sifneos Personality Scale (SSPS) and the Minnesota Multiphasic Personality Inventory (MMPI) Alexithymia scale had little internal consistency. The scored archetypal test with nine elements (SAT9) had very low interrater reliability. As predicted, the tree measures were not significantly related to one another and the SSPS had a more clearly defined factor structure than the MMPI scale. The MMPI and SSPS scales were differentially related to measures of symptomatology but were similarly related to extraversion, absorption, and SAT scores. Of the three scales, the SSPS appeared to have the highest content validity. The results suggest that alexithymia is not a unitary construct and that its reification as such may be premature.