Antenatal predictors and use of coping strategies in labour

Abstract

One aim of antenatal preparation is developing coping strategies for use (luring labour. However, the existing literature suggests that attendance at classes is not associated with lower pain or distress, possibly because receiving training cannot be assumed to be associated with subsequent practice.

This study aimed to assess whether attenders at classes actually used their taught strategies in their labours, whether use was associated with psychological benefits and whether antenatal measures could predict subsequent use. Concepts from the theories of planned behaviour and self efficacy were used to attempt to predict use of three types of coping strategy.

Use was high for breathing strategies but poor for relaxation and posture. Proportion of use of breathing and relaxation showed weak associations with lower fear. Whilst intentions did act as significant predictors for use of posture and relaxation only small proportions of the variance were accounted for and other antenatal measures showed little predictive capacity.

Reasons why women in labour may fail to take behavioural consequences from their antenatal beliefs are considered. Predicting health-related behaviours where maintenance rather than just initiation is involved may require greater consideration of intra-situational and emotional factors. Modifications of antenatal preparation to facilitate use of strategies are discussed.     

Insomniacs' perceived lack of control over sleep

Abstract

It is widely assumed that insomniacs have poor self-efficacy for sleep and it is known that successful treatment is usually accompanied by improved self-efficacy. However, there has been little detailed investigation of insomniacs perceived lack of control over sleep. Insomniacs' perceived control over sleep itself is affected more than their perceived control over pre-sleep mental activity or physical tension. It was hypothesised that insomniacs would diverge from controls more in their sense that sleep was out of their control than that sleep was under their control, though this was not supported by the data. Also, there was no clear support for the idea that insomniacs' dissatisfaction with their control over sleep was the product of excessive aspirations for control. One factor that seems likely to contribute to insomniacs' lack of perceived control over sleep is that they do not have as lawful a pattern of expectations of sleep, based on their recent pattern of sleep, as normal sleepers do. Insomniacs, like non-insomniacs, were most likely to attribute poor sleep to external stresses and an over-active mind. Insomniacs showed a wide range of heightened emotional reactions to poor sleep. The implications of the results for self-regulation approaches to the treatment of insomnia are discussed.     

Chronic PTSD Treated With Metacognitive Therapy: An Open Trial

This paper reports on an open trial of metacognitive therapy (MCT) for chronic PTSD. MCT does not require imaginal reliving, prolonged exposure, or challenging of thoughts about trauma. It is based on an information-processing model of factors that impede normal and in-built recovery processes. It is targeted at modifying maladaptive styles of worry/rumination and attention so that emotional processing can proceed spontaneously. Eleven out of 13 patients with a mean duration of PTSD of 19.5 months completed treatment. Therapists followed the treatment manual by Wells and Sembi (2004b). Self-report measures of PTSD symptoms, anxiety and depression, and assessor ratings of PTSD were administered at pre- and posttreatment, and at 3- and 6-month follow-up. Treatment appeared to result in large and significant improvements on all measures of PTSD and general measures of anxiety and depression. Statistically significant treatment gains were maintained at 3- and 6-month follow-up. Jacobson's criteria for recovery showed that 90% of patients were recovered at posttreatment. At 6-month follow-up approximately 89% were recovered or reliably improved. Results suggest that MCT could be highly effective and extend evidence of its applicability to more treatment-resistant chronic PTSD cases. Comparisons against other active interventions are now clearly indicated.     

Xunzi Versus Zhuangzi: Two Approaches to Death in Classical Chinese Thought

The contrasting approaches to death and bereavement in classical Confucianism and Daoism epitomize the different orientations of the two ethical traditions. Confucianism, here represented by Xunzi, interprets and manages death and bereavement through distinctive cultural practices, specifically rituals and associated norms of propriety, which are intended to bring order, harmony, and beauty to human events and conduct. Daoism, here represented by the Zhuangzi, contextualizes and copes with death and loss through an understanding of and identification with natural processes. Both approaches address death and bereavement through a systematic, naturalistic philosophy of life that makes no appeal to a conception of divinity or a personal afterlife. For Xunzi, the heart of this system is ritual propriety, through which all human affairs—including inevitable, natural events such as death—must be mediated. For the Zhuangzi, by contrast, rigid, ritualized cultural forms are an obstacle to coping efficiently with natural processes such as death. Rather than constructing a sphere of “the human” as distinct from “the natural,” the Zhuangzi urges us to situate the human within nature in a way that removes the opposition between the two. This essay contrasts and critiques the two approaches, contending that although Xunzi’s theory of ritual presents a plausible account of the relation between humanity, culture, and nature, it fails to address death appropriately as an inexorable, natural event. By contrast, the Zhuangzi presents an attractive way of relating human life and death to nature and thus perhaps offers a means of finding solace concerning death. The essay suggests, however, that the Zhuangist stance may be grounded primarily in a certain ethical or aesthetic attitude, rather than in an objectively compelling argument. Ultimately, both approaches may rest as much on contrasting ethical and aesthetic sensibilities as on rational argumentation.     

Nurturing spirituality in secular classrooms

Since 1999 the New Zealand secular school curriculum has included a statement on fostering children's spirituality in classrooms. This statement defines spirituality in a broad fashion and includes reference to Maori (indigenous New Zealander) views on spirituality. The implications of this for classroom teachers have not been researched in this country and therefore this paper reports on a study that examined teachers' views on spirituality and the implications for the children they teach. The methodology focused on the experiences of nine teachers in two multicultural secular primary schools. The classroom experiences of a spiritual nature that the teachers recounted, while many and varied, revealed some common themes that related to the climate of the classrooms. Such classrooms were characterized as being non-judgemental and non-self-conscious and as places where a community of spiritual discourse was encouraged and where deeply meaningful activities and events occurred. The findings suggest that while teachers cannot plan and predict precisely what will foster spirituality in classrooms, teachers can cultivate a climate that enhances children's spirituality.     

Introduction

Frege attempted to provide arithmetic with a foundation in logic. But his attempt to do so was confounded by Russell's discovery of paradox at the heart of Frege's system. The papers collected in this special issue contribute to the on-going investigation into the foundations of mathematics and logic. After sketching the historical background, this introduction provides an overview of the papers collected here, tracing some of the themes that connect them.     

Perfectionistic Concerns,Social Negativity,and Subjective Well‐Being: A Test of the Social Disconnection Model

Partner‐specific perfectionistic concerns (PC) include concern over mistakes, self‐criticism, and socially prescribed perfectionism as it pertains to one's partner. The social disconnection model proposes that PC influences well‐being indirectly through interpersonal problems. Thus, we hypothesized that social negativity (expressed anger, hostility, and rejection) would mediate the relationship between dyadic PC and subjective well‐being. Data from 203 romantic dyads (92.1% heterosexual) were collected using self‐report surveys and a four‐wave, 4‐week longitudinal design. Participants were predominantly female (53.1%), young (M = 22.69 years), and Caucasian (82.3%). Data were analyzed using an actor‐partner interdependence model with multilevel structural equation modeling. There were significant actor effects at the between‐subjects and within‐subjects levels, and significant partner effects for the relationship between PC and social negativity at the within‐subject level. Social negativity mediated the relationships between PC and both negative affect and life satisfaction. However, positive affect was more weakly related to PC and social negativity. The social disconnection model was supported. PC was positively associated with one's own social negativity and evoked hostile behaviors from one's partner. Hostile, rejecting behaviors reduced the well‐being of the actor, but not the partner. Results suggest perfectionism may be best understood within an interpersonal context.     

MUTUAL ENHANCEMENT BETWEEN SCIENCE AND RELIGION: IN THE FOOTSTEPS OF THE EPIPHANY PHILOSOPHERS

This article describes some key features of the distinctive approach to issues in science and religion of the Epiphany Philosophers (EPs), and introduces a set of articles from a recent meeting. The objective of the EPs is not merely to establish harmonious coexistence between science and religion. Rather, they are dissatisfied with both, and have a reformist agenda. They see science as unduly constrained by arbitrary metaphysical assumptions, predominantly of an atheist kind, and wish to see it liberated from such constraints. They are also interested in the potential contribution of contemplative enquiry to scientific research. They see no reason why science should not engage with the transcendent, but they do not support any simplistic argument from scientific research to religious belief. They wish to see an approach to religion that is rooted more firmly in the contemplative path.     

Positive mood and executive function: evidence from stroop and fluency tasks

Contrasting predictions have been made about the effects of positive mood states on the performance of frontal lobe tests that tap executive functions such as inhibition, switching, and strategy use. It has been argued that positive mood is likely to improve some cognitive processes, particularly those dependent on the frontal cortex and anterior cingulate of the brain. However, there is some evidence that happy mood may impair executive functioning. The current experiments investigated the effects of positive mood on Stoop and fluency tests, which are frequently used to assess executive function. Positive mood impaired performance on a switching condition of the Stroop test, but improved performance on a creative uses test of fluency. The effect of positive mood on an executive task may therefore depend on whether a task is inherently motivating or is impaired by diffuse semantic activation.