Transitioning from a hospital rehabilitation programme to home: Exploring the experiences of people with complex regional pain syndrome

Complex regional pain syndrome (CRPS) is difficult to diagnose and is characterised by burning pain in one or more limbs. Treatment is palliative not curative and focuses on improving function. This requires patients to make long-term changes to their behaviour. As with all such regimens, adherence is often poor. This study explored the lived experience of 10 patients who had returned home after completing a two-week in-patient treatment programme. The interviews focused on how they coped with the transition from hospital to home, and on the things that they considered had facilitated or hindered this transition. Battling for Control was an overarching theme that connected the four superordinate themes: ‘Gaining Momentum’ that facilitated the implementation of treatment advice, ‘Distance from the pool of expertise’ that detailed the barriers to adherence experienced; ‘It helped me realise it was not all in my head’ that detailed a facilitative process, and the ‘nag list’ that was a technique patients’ used to garner support. This article offers insights into the transition experience. A key outcome is the recognition of the need to better prepare patients for their transition back home.     

Trait Self‐Esteem Moderates the Effect of Initiator Status on Emotional and Cognitive Responses to Romantic Relationship Dissolution

ABSTRACT We hypothesized that the effect of initiator status on post breakup distress would vary as a function of trait self‐esteem, such that individuals with low self‐esteem would experience more distress after being rejected by their partners, whereas, among individuals with high self‐esteem, initiator status would not predict distress. We used a prospective design in which university students (N=66) were assessed for emotional responses following the dissolution of their real‐life romantic relationships, as well as a laboratory design in which students (N=190) imagined breaking up with their partners. As predicted, participants with lower trait self‐esteem exhibited greater distress after experiencing or imagining a romantic rejection than after ending or imagining themselves ending their relationships. Conversely, distress experienced by those with high trait self‐esteem did not differ as a function of who ended the relationship. Implications for understanding self‐esteem processes and the effects of romantic rejection are discussed.     

On Separable Tests,Correlated Priors,and Paradoxical Results in Multidimensional Item Response Theory

This paper presents a study of the impact of prior structure on paradoxical results in multidimensional item response theory. Paradoxical results refer to the possibility that an incorrect response could be beneficial to an examinee. We demonstrate that when three or more ability dimensions are being used, paradoxical results can be induced by using priors in which all abilities are positively correlated where they would not occur if the abilities were modeled as being independent. In the case of separable tests, we demonstrate the mathematical causes of paradoxical results, develop a computationally feasible means to check whether they can occur in any given test, and demonstrate a class of prior covariance matrices that can be guaranteed to avoid them.     

Hakuin,Scepticism, and Seeing into One’s Own Nature

One of the most significant figures in the history of Japanese philosophy is the Zen master Hakuin. Yet, in the West, little attempt has been made to present and evaluate his thought in a way that would make it accessible to Western philosophers. This article attempts to redress this neglect. Here, it is shown how Hakuin uses kōan meditation to create ‘the great doubt’ or scepticism concerning the self. Hakuin’s method shares elements in common with both ancient Greek scepticism and Descartes. Kōan-induced scepticism leads to ‘the great death’ or a rejection of the self as a delusion. Hume’s similar rejection of the self helps to explain the basis of this delusion. The rejection of this delusion carries with it the realization that one is not separate from the rest of reality. This is the instant of seeing into one’s own nature and, for Hakuin, is the experience of nirvana.     

Intrinsic array structure is neither necessary nor sufficient for nonegocentric coding of spatial layouts

Mou and McNamara (2002) have recently theorized that nonegocentric reference frames (viz., intrinsic reference frames, based on the spatial structure of a configuration of objects) are used to organize spatial relationships in memory. The theory has not made claims about whether the intrinsic structure of a stimulus array is necessary or sufficient for such nonegocentric coding. We demonstrate that salient intrinsic axes in a layout of objects are neither necessary nor sufficient for people to use a nonegocentric reference frame in organizing spatial memory. In Experiment 1, participants were successfully instructed to adopt a nonegocentric preferred direction in memory for an array of objects with no salient intrinsic reference axes. In Experiment 2, with no instructions, participants adopted an egocentric preferred direction for an array with a salient intrinsic axis. These results suggest that physically salient array structure exerts a minimal influence in the coding of spatial memory through nonegocentric reference frames.     

Correcting distance estimates by interacting with immersive virtual environments: effects of task and available sensory information

The tendency to underestimate egocentric distances in immersive virtual environments (VEs) is not well understood. However, previous research (A. R. Richardson & D. Waller, 2007) has demonstrated that a brief period of interaction with the VE prior to making distance judgments can effectively eliminate subsequent underestimation. Here the authors examine the mechanism underlying the effect of VE interaction and the conditions that may give rise to it. In Experiment 1, after interacting with an immersive VE, participants tended to overestimate distances in the physical world, indicating that the interaction involved a recalibration of the perceptual-motor system. Experiment 2 demonstrates that visual information is not necessary (and that body-based information is necessary) during the interaction period for it to have a positive effect on subsequent distance estimation accuracy. Experiment 3 illustrates that the interaction task does not need to be goal directed in order to be effective.     

Implicit theories of a desire for fame

The aim of the present studies was to generate implicit theories of a desire for fame among the general population. In Study 1, we were able to develop a nine‐factor analytic model of conceptions of the desire to be famous that initially comprised nine separate factors; ambition, meaning derived through comparison with others, psychologically vulnerable, attention seeking, conceitedness, social access, altruistic, positive affect, and glamour. Analysis that sought to examine replicability among these factors suggested that three factors (altruistic, positive affect, and glamour) neither display factor congruence nor display adequate internal reliability. A second study examined the validity of these factors in predicting profiles of individuals who may desire fame. The findings from this study suggested that two of the nine factors (positive affect and altruism) could not be considered strong factors within the model. Overall, the findings suggest that implicit theories of a desire for fame comprise six factors. The discussion focuses on how an implicit model of a desire for fame might progress into formal theories of a desire for fame.     

Fungible Weights in Multiple Regression

Every set of alternate weights (i.e., nonleast squares weights) in a multiple regression analysis with three or more predictors is associated with an infinite class of weights. All members of a given class can be deemed fungiblebecause they yield identical SSE (sum of squared errors) and R ² values. Equations for generating fungible weights are reviewed and an example is given that illustrates how fungible weights can be profitably used to evaluate parameter sensitivity in multiple regression. The author wishes to thank Drs. Robyn Dawes, William Grove, Markus Keel, Leslie Yonce, Joe Rausch, the editor, and three anonymous reviewers for helpful comments on earlier versions of this article.