Personality variable differences between disease clusters

Previous studies of personality and health have focused mainly on the influence of psychological factors on single diseases such as cancer and coronary heart disease (CHD), thereby neglecting the problem of comorbidity (i.e. the combination of different diseases). The main focus of the present study was the discrimination between single‐ and multiple‐disease conditions on the basis of personality traits. An extensive battery of personality scales implicated in health was administered to a sample of n=5133 individuals of both genders between the ages of 40 and 65. Subjects also reported their health or illness status. A factor analysis of the personality scales yielded five dimensions clearly interpretable as “Emotional Lability”, “Type A Behaviour”, “Behavioural Control”, “Locus of Control over Diseases”, and “Psychoticism”. Hierarchical cluster analyses of the subsample of participants who reported suffering from more than one disease led to eight clusters representing individuals with different combinations of diseases. Generally, there were very few significant differences between healthy and single‐disease participants with regard to personality. However, mean factor scores calculated for “Emotional Lability” were higher across the multiple‐disease groups than in the healthy and single‐disease groups. No other personality factor showed this trend. In general the results reported here show the important role negative affectivity (e.g. Emotional Lability, Neuroticism, Depression) plays in differentiating between single and multiple diseases. Copyright © 2003 John Wiley & Sons, Ltd.     

Musiktherapie in der deutschen Psychosomatik

The authors report about the clinical implementation of music therapy in psychosomatic hospitals in FRG based on a survey among practising music therapists: attending especially to the qualification of music therapists, their integration and the problem of indication. The coverage of music therapy in the standard textbooks on psychosomatic medicine is discussed.Finally the state of research on music therapy in psychosomatic hospitals is reviewed.     

Contextual Integration in Multiparty Audience Design

Communicating with multiple addressees poses a problem for speakers: Each addressee necessarily comes to the conversation with a different perspective—different knowledge, different beliefs, and a distinct physical context. Despite the ubiquity of multiparty conversation in everyday life, little is known about the processes by which speakers design language in multiparty conversation. While prior evidence demonstrates that speakers design utterances to accommodate addressee knowledge in multiparty conversation, it is unknown if and how speakers encode and combine different types of perspective information. Here we test whether speakers encode the perspective of multiple addressees, and then simultaneously consider their knowledge and physical context during referential design in a three‐party conversation. Analyses of referential form—expression length, disfluency, and elaboration rate—in an interactive multiparty conversation demonstrate that speakers do take into consideration both addressee knowledge and physical context when designing utterances, consistent with a knowledge‐scene integration view. These findings point to an audience design process that takes as input multiple types of representations about the perspectives of multiple addressees, and that bases the informational content of the to‐be‐designed utterance on a combination of the perspectives of the intended addressees.     

Summary knowledge of results for skill acquisition: support for the guidance hypothesis

Summary knowledge of results (KR) involves the presentation KR for each of a set of trials (e.g., 10) only after the last trial in the set has been completed. Earlier, Lavery (1962) showed that, relative to providing KR after each trial, a 20-trial summary KR was detrimental to performance in a practice phase with KR present but was beneficial for a no-KR retention test. Using a relatively simple ballistic-timing task, we examined summary lengths of 1 (essentially KR after every trial), 5, 10, and 15 trials, searching for an inverted-U relationship between summary length and retention performance as predicated by a guidance hypothesis for KR. During acquisition when KR was present and being manipulated, all groups showed improvements in performance across practice, while increased summary lengths generally depressed performance. However, in a delayed no-KR retention test, there was an inverse relation between the summary length in acquisition and absolute constant error on the retention test. A guidance hypothesis is favored to explain how, relative to immediate KR, long KR summaries can provide detrimental effects in acquisition while enhancing retention performance.     

Training Mental Health Professionals to Assess and Manage Suicidal Behavior: Can Provider Confidence and Practice Behaviors be Altered?

Remarkably little systematic research has studied the effects of clinical suicidology training on changing practitioner attitudes and behaviors. In the current study we investigated whether training in an empirically‐based assessment and treatment approach to suicidal patients administered through a continuing education workshop could meaningfully impact professional practices, clinic policy, clinician confidence, and beliefs posttraining and 6 months later. At the 6 month follow‐up we found that 44% of practitioners reported increased confidence in assessing suicide risk, 54% reported increased confidence in managing suicidal patients, 83% reported changing suicide care practices, and 66% reported changing clinic policy. These results suggest that a brief and carefully developed workshop training experience can potentially change provider perceptions and behaviors with a possible impact on clinical care therein.     

Disinhibition of return: Unnecessary and unlikely

Recently, from data obtained with a temporal order judgment (TOJ) task, Gibson and Egeth (1994) concluded that inhibition of return (IOR; a response time effect that reveals slower responding to targets at previously cued versus uncued locations) reflects impaired perceptual processing. By replotting their data, we demonstrate that the perception of temporal order is influenced only by the facilitatory effect of a cue at short stimulus onset asynchronies (SOAs) and is unaffected by IOR at long SO As. The target paper proposed that, when extra stimuli are presented at task-relevant locations (i.e., in the TOJ task), IOR is prevented by a hypothetical process that is known as disinhibition of return (DOR). We argue that the assumptions that IOR affects perceptual processing and that DOR exists are unnecessary, as a more parsimonious response-based interpretation of IOR is consistent with their data. Further, we summarize recent results and present new data that demonstrate that DOR is unlikely.     

Warm-up effects in the learning of discrete motor skills

Three experiments were conducted to determine the influence of warming-up activities on performance and on learning in two discrete motor tasks. During initial trials on the criterion task, Ss were given various types of warming-up activities having an activity-set that was either the same as or different from the criterion task. Test trials followed in which all groups practiced the criterion task only. No significant differences in performance on the criterion task were found regardless of the appropriateness of the warming-up activity during initial trials. The results suggested that warming-up properties are not a factor in original learning of discrete motor skills.