A Big Five approach to self-regulation: personality traits and health trajectories in the Hawaii longitudinal study of personality and health

Self-regulatory processes influencing health outcomes may have their origins in childhood personality traits. The Big Five approach to personality was used here to investigate the associations between childhood traits, trait-related regulatory processes and changes in health across middle age. Participants (N = 1176) were members of the Hawaii longitudinal study of personality and health. Teacher assessments of the participants’ traits when they were in elementary school were related to trajectories of self-rated health measured on 6 occasions over 14 years in middle age. Five trajectories of self-rated health were identified by latent class growth analysis: Stable Excellent, Stable Very Good, Good, Decreasing and Poor. Childhood Conscientiousness was the only childhood trait to predict membership in the Decreasing class vs. the combined healthy classes (Stable Excellent, Stable Very Good and Good), even after controlling for adult Conscientiousness and the other adult Big Five traits. The Decreasing class had poorer objectively assessed clinical health measured on one occasion in middle age, was less well-educated, and had a history of more lifespan health-damaging behaviors compared to the combined healthy classes. These findings suggest that higher levels of childhood Conscientiousness (i.e. greater self-discipline and goal-directedness) may prevent subsequent health decline decades later through self-regulatory processes involving the acquisition of lifelong healthful behavior patterns and higher educational attainment.     

The IPIP–HEXACO scales: An alternative, public-domain measure of the personality constructs in the HEXACO model

Recently, Lee and Ashton (2004) described the HEXACO Personality Inventory (HEXACO-PI), a new instrument designed to assess the six dimensions observed in lexical studies of personality structure of various languages. Here, we describe the development of an alternative measure of the HEXACO factors and their facets, using the items of the International Personality Item Pool (IPIP). The scales of the resulting IPIP–HEXACO inventory showed satisfactory psychometric properties, as assessed by internal-consistency reliability, convergent and discriminant correlations with the original HEXACO-PI scales, and factor structure. We discuss the potential usefulness of the new IPIP–HEXACO inventory and its strengths and limitations.     

Religion,the Culture of Biomedicine,and the Tremendum: Towards a Non-Essentialist Analysis of Interconnection

The question of the extent of the interconnection, if any, between religion and the Western culture of biomedicine has received considerable scholarly attention over the past several decades. However, any phenomenological analysis that begins by positing an essence of religion is, if not doomed, deeply flawed from the outset. This paper employs William Alston’s non-essentialist notion of ‘religion-making characteristics’ to assess the extent of the interconnection. The conclusion is that the culture of biomedicine does share many, if not all of these characteristics, and that both religion and medicine overlap in significant ways on, to use Erwin Goodenough’s metaphor, the painted curtain that separates man from the tremendum.

Exilic Effects of Illness and Pain in Solzhenitsyn’s Cancer Ward: How Sharpening the Moral Imagination Can Facilitate Repatriation

This essay uses Solzhenitsyn's Cancer Ward to explore the exilic effects of illness and pain. The novel is uniquely suited for such an analysis given the theme of exile that predominates both in the narrative and in the composition of multiple characters within that narrative. I argue that illness, and in particular pain, is a liminal state, an existential hinterlands. The ethical approach to literature and medicine may suggest, as a response to these exilic effects, the need to cultivate connection and empathy by sharpening the moral imagination. If pain and illness exile the sufferer, the imperative to reach out takes on ethical content.     

Sleep arrangements and night waking at 6 and 12 months in relation to infants' stress‐induced cortisol responses

The objective of this short‐term longitudinal study was to examine the concurrent and prospective associations of infants' sleep arrangements and night waking with cortisol responses to an inoculation at 6 and 12 months, controlling for several key covariates. To our knowledge, this was the first study to concurrently and prospectively link proximity in sleep arrangements and night waking to physiological stress reactivity. A sample of 92 mother–infant dyads participated in the study when the infants were 6 and 12 months of age, although sample sizes were reduced for some analyses. Both proximal cosleeping arrangements and more frequent night wakings' were associated concurrently with an increased cortisol response to inoculations at both ages. Night waking at 6 months also was associated with a slightly increased cortisol response to inoculation at 12 months. Results aimed at exploring the direction of influence suggested that cosleeping and night waking may influence infant stress physiology rather than the reverse. Adaptive and maladaptive implications of infants' nocturnal experiences and greater stress‐induced cortisol responses are discussed. Copyright © 2009 John Wiley & Sons, Ltd.     

A risk of confidentiality

The concept of confidentiality is examined from its absolute position espoused by some psychoanalysts to the many exceptions to this position allowed by others. The suggestion made in this paper is offered as a psychoanalytic one which urges us to see confidentiality as posing risks in both positions, that is, the absolute and the necessary exceptions. Confidentiality is representative of many, if not all, of the rules and methods that are implicit in the conduct of an analysis and thus may well be taken for granted. The suggestion offered is for a periodic re-examination of the implicit background of psychoanalysis.     

Fabricated bodies: A model for the somatic false self

This paper draws attention to a particular use of the body, one in which basic psychical security is achieved through a radical detachment from body vitality, necessitating the creation of a coercive regime of psychosomatic control and autostimulation for purposes of artificial enlivenment of the self. When the personality is organized predominantly along the lines of a systematic dissociation (and then pseudo-integration) of the mental and the somatic realms of psychical life, the psyche-soma undergoes a far-reaching transmutation: the desiring body is eclipsed and replaced with a fabricated body. Clinical observation of this set-up is obscured by the fact that, in these cases, the body is deployed in a 'realistic' manner, rather than in a recognizably symptomatic way. It is, indeed, the hallmark of a successful somatic false-self organization that the colonization of the body is disguised as natural, ego-syntonic and compatible with social norms. The treatment approach requires a broadening of analytic attention to apprehend shifts in states of consciousness and psychophysical cues.