Marital role strain,illness intrusiveness,and their impact on marital and individual adjustment in end-stage renal disease

Abstract

A marital role theory approach was used to investigate individual psychosocial well-being and marital adjustment in 89 end-stage renal disease (ESRD) patients and their spouses. Four different patient groups were selected according to a continuum of clinical milestones in the treatment of ESRD, including pre-dialysis (n=17), incenter dialysis (n=18), home dialysis (n=19), and posttransplant patients (n=17). A nephrology clinic control group (n=18) was also included. Standardized instruments were employed to investigate marital role strain (Marital Role Questionnaire, KDS-15), marital adjustment (Locke-Wallace Marital Adjustment Test), subjective well-being (Affect Balance Scale, Rosenberg Self-Esteem Inventory), and psychopathology (Symptom Checklist 90-R). Hierarchical multiple regression analyses provided strong and consistent support for the major hypotheses relating elevated marital role strain to compromised marital adjustment and individual well-being. Further analyses demonstrated that increased perceived intrusiveness of ESRD was significantly related to greater marital role strain, poorer marital adjustment, and decreased individual well-being. This is consistent with the idea that perceived intrusiveness may be an important mediator of marital role strain and of coping with chronic illness. “Objective” intrusiveness, defined in terms of patient group, was not significantly related to marital or individual well-being. These findings support a dyadic approach to the psychosocial study of chronic illness.     

Looking at the actor's face: Identity cues and attentional focus in false memories of action performance from observation

Observing another's actions can induce false memories of self-performance. We investigated whether such observation inflation depends on the discriminability between the self and the observed actor. Discriminability was manipulated by presenting actions either with or without a key visual identity cue, i.e., the actor's face. We also examined whether self–other confusions in the face-visible condition depend on attentional focus (directed to the observed action vs. the actor's face). In the action-only condition, observation inflation was significant and greater than in the face-visible conditions, in which the effect was moderated by attentional focus: It persisted under an action focus but was eliminated under a face focus. Findings for correct memories of self-performance suggest that the reduced effect is not merely due to weaker encoding of the actions themselves. We conclude that self–other confusions in action memory are constrained by the availability of distinctive non-self cues during observation, and sustained by a visual focus on observed actions.     

Lexicality and phonological similarity: A challenge for the retrieval‐based account of serial recall?

The retrieval‐based account of serial recall () attributes lexicality, phonological similarity, and articulatory suppression effects to a process where long‐term representations are used to reconstruct degraded phonological traces. Two experiments tested this assumption by manipulating these factors in the recall of four‐ and five‐item lists of words and non‐words. Lexicality enhanced item recall (IR), but only affected position accuracy (PA) for five‐item lists under suppression. Phonological similarity influenced both words and non‐words, and produced impaired PA in silent and suppressed conditions. Consistent with the retrieval‐based account, words and non‐words of high word‐likeness appear subject to redintegration. However, some findings, like suppression not reducing the phonological similarity impairment in suppressed conditions, present challenges for the retrieval‐based account and other models of serial recall.     

Power Spectral Density Analysis of Lateral Human Standing Sway

A number of investigators have used power spectral density (PSD) analysis to try to identify and quantify various sensory systems which are involved in upright standing. Using PSD analysis, over a frequency range from 0.02-2.5 Hz, the present study examined two trials of lateral sway in each of 80 men. The results showed that little change occurred in PSD values between the first and second trials. Exponential curves were fit to the averaged trials data of each subject. The values of the parameter estimates obtained from the curve-fitting were regressed on the values of various direct, and derived anthropometric variables to try to explain the variance of the parameter estimates in terms of the anthropometrics. The subject’s center of gravity location accounted for no more than 15.8% of the parameter variance, whereas the remaining anthropometrics explained even less. The overall averaged data suggest that three functions (related to visual, vestibular, and proprioceptive processes) may underlie the sway pattern over this frequency range. PSD curves of individuals with a history of high-level athletic activity clearly differed from those of sedentary subjects.     

The response to domestic violence in a model court: some initial findings and implications

This study utilized a non-experimental design to obtain information on a full range of domestic violence incidents brought before the Quincy, Massachusetts District Court, a model court. One limitation of previous research on spouse assaults using more sophisticated designs is that the target population has been restricted to specific subgroups of cases thereby limiting subsequent discussions of policy/practice implications of the findings vis-a-vis all spouse assault cases. To address this research “shortfall”, we obtained permission from the Quincy District Court to examine all the spouse assault cases brought before the court during a 7-month period (June, 1995, through February, 1996). The findings show that in a full enforcement environment, victims took out restraining orders only against the most violent, criminally abusive men. Most men who were arrested for domestic violence had prior criminal histories for a variety of offenses. Domestic violence offenders appeared to be of two types: those with extensive and diverse criminal histories and those with little or no such involvement. However, active criminal justice intervention against domestic violence offenders appears to be primarily directed toward offenders already active in the criminal justice system. © 1998 John Wiley & Sons, Ltd.     

Shared Reality: Experiencing Commonality With Others' Inner States About the World

ABSTRACT— Humans have a fundamental need to experience a shared reality with others. We present a new conceptualization of shared reality based on four conditions. We posit (a) that shared reality involves a (subjectively perceived) commonality of individuals' inner states (not just observable behaviors); (b) that shared reality is about some target referent; (c) that for a shared reality to occur, the commonality of inner states must be appropriately motivated; and (d) that shared reality involves the experience of a successful connection to other people's inner states. In reviewing relevant evidence, we emphasize research on the saying-is-believing effect , which illustrates the creation of shared reality in interpersonal communication. We discuss why shared reality provides a better explanation of the findings from saying-is-believing studies than do other formulations. Finally, we examine relations between our conceptualization of shared reality and related constructs (including empathy, perspective taking, theory of mind, common ground, embodied synchrony, and socially distributed knowledge) and indicate how our approach may promote a comprehensive and differentiated understanding of social-sharing phenomena.     

From Standard Scientific Realism and Structural Realism to Best Current Theory Realism

I defend a realist commitment to the truth of our most empirically successful current scientific theories—on the ground that it provides the best explanation of their success and the success of their falsified predecessors. I argue that this Best Current Theory Realism (BCTR) is superior to preservative realism (PR) and the structural realism (SR). I show that PR and SR rest on the implausible assumption that the success of outdated theories requires the realist to hold that these theories possessed truthful components. PR is undone by the fact that past theories succeeded even though their ontological claims about unobservables are false. SR backpeddles to argue that the realist is only committed to the truth about the structure of relations implied by the outdated theory, in order to explain its success. I argue that the structural component of theories is too bare-bones thin to explain the predictive/explanatory success of outdated theories. I conclude that BCTR can meet these objections to PR and SR, and also overcome the pessimistic meta-induction.     

Talking about visually perceived events: Communication effects on eyewitness memory

Communicators' tuning of a message about a social target to their audience's evaluation can shape their representation of the target. This audience‐tuning effect has been demonstrated with ambiguous text passages as input material. We examined whether the effect also occurs when communicators learn about the target's behaviours from visual (nonverbal) input material. In Experiment 1, participants watched a soundless video depicting ambiguous behaviours of a target, described the video to an audience who liked (vs. disliked) the target, and subsequently recalled the video. Both message and recall were biased towards the audience's judgement. In Experiment 2, the video depicted a forensically relevant event, specifically ambiguous behaviours of two persons involved in a bar brawl. Participants tuned their event retellings to their audience's responsibility judgement and remembered the event accordingly. In both experiments, the effect of the audience's judgement on recall was statistically mediated by the extent to which the message was tuned to the audience. The more participants experienced a shared reality with their audience the stronger was the message‐recall correlation (Experiment 2). We conclude that the audience‐tuning effect for visually perceived information depends on the communicators' creation of a shared reality with their audience. Copyright © 2011 John Wiley & Sons, Ltd.     

Politics perceptions as moderator of the political skill – job performance relationship: A two-study, cross-national, constructive replication

We developed a two-study, cross-national, constructive replication to examine the role of organizational politics perceptions as a contextual moderator of the political skill – job performance relationship. Specifically, we hypothesized that high levels of political skill would demonstrate its strongest positive effects on job performance when politics perceptions were perceived as low. Conversely, we hypothesized that political skill would demonstrate no relationship with job performance under conditions of high politics perceptions. Across studies conducted both in the United States and Greece, the hypothesis received strong support. In settings characterized by lower perceived politics, high levels of political skill predicted significant increases in job performance, whereas these effects were attenuated in environments characterized by high perceived politics. Contributions and implications of this research, strengths and limitations, and directions for future study are discussed.     

Federal Funds to Train Clinical Psychologists for Work with Underserved Populations: The Bureau of Health Professions Graduate Psychology Education Grants Program

This paper describes the Bureau of Health Professions (BHPr) Graduate Psychology Education program (GPE), which supports projects that train health service psychologists for work with underserved populations. BHPr history and funding criteria are discussed, as are those of BHPr's parent organization, the Health Resources Service Administration. BHPr objectives and methods for support of clinical psychology training parallel those that BHPr has used to support training in other heath professions. The paper also describes three psychology internship training programs in academic medical settings that competed successfully for BHPr GPE funding in 2002. The three training projects differ significantly in training rotation sites, target populations with which trainees work, and the other health care professions that partner with psychology in interdisciplinary training—but they are similar in that each project provides an example of a program that effectively satisfied BHPr criteria for expanding psychology's scope of practice with underserved populations.