Studies on pain and analgesia

The Psychological Record -     

The effectiveness of counselling with older people: Results of a systematic review

In 2003 the British Association for Counselling and Psychotherapy (BACP) commissioned a systematic review of the research evidence relating to counselling older people. This paper reports on some of the findings of this review, particularly those which address the effectiveness of counselling with this population. Electronic searches of the research literature spanned six databases and were supplemented by hand‐searches of reference lists and key journals, along with an extensive search of the “grey” literature. The location of papers testing interventions which fall within a definition of counselling set out by the BACP, with samples aged 50 years of age or above resulted in the inclusion of 47 relevant studies. Studies investigated a variety of mental health problems in older people, particularly depression, anxiety, dementia and the psychological impact of physical conditions such as chronic obstructive pulmonary disease. Of the 47 studies, eight tested counselling as a generic treatment, 15 tested cognitive behavioural therapy, 13 tested reminiscence therapy, and 11 tested various other specific approaches. The review concluded that counselling is efficacious with older people, particularly in the treatment of anxiety and depression and outcomes are consistent with those found in younger populations. Evidence as to the efficacy of counselling interventions in the treatment of dementia is weak.     

How do friends influence smoking uptake? Findings from qualitative interviews with identical twins

The smoking behavior of friends is a major risk factor for adolescent smoking uptake. To explore the social context of smoking experimentation and consolidation with a particular focus on friends, the authors interviewed both members of 14 young adult identical twin pairs who were discordant for smoking. The different smoking status of twins was connected to their different friendship groups and development of different identities. Smoking respondents gravitated to the behaviors and images of the peer group who smoked. Many nonsmokers felt strong pressure from their peers not to smoke and spoke about how the images conveyed by smoking were inconsistent with their peer group's image. Adolescents and young adults are aware of the messages that smoking can convey to others and exploit these images to construct a social identity.     

Too Much Reference: Semantics for Multiply Signifying Terms

The logic of singular terms that refer to nothing, such as ‘Santa Claus,’ has been studied extensively under the heading of free logic. The present essay examines expressions whose reference is defective in a different way: they signify more than one entity. The bulk of the effort aims to develop an acceptable formal semantics based upon an intuitive idea introduced informally by Hartry Field and discussed by Joseph Camp; the basic strategy is to use supervaluations. This idea, as it stands, encounters difficulties, but with suitable refinements it can be salvaged. Two other options for a formal semantics of multiply signifying terms are also presented, and I discuss the relative merits of the three semantics briefly. Finally, possible modifications to the standard logical regimentation of the notion of existence are considered.     

INTERRESPONSE TIME STRUCTURES IN VARIABLE-RATIO AND VARIABLE-INTERVAL SCHEDULES

The interresponse-time structures of pigeon key pecking were examined under variable-ratio, variable-interval, and variable-interval plus linear feedback schedules. Whereas the variable-ratio and variable-interval plus linear feedback schedules generally resulted in a distinct group of short interresponse times and a broad distribution of longer interresponse times, the variable-interval schedules generally showed a much more continuous distribution of interresponse times. The results were taken to indicate that a log survivor analysis or double exponential fit of interresponse times may not be universally applicable to the task of demonstrating that operant behavior can be dichotomized into bouts of engagement and periods of disengagement.     

Both maternal sensitivity and atypical maternal behavior independently predict attachment security and disorganization in adolescent mother-infant relationships

Extant theory holds that variation in attachment security is largely determined by caregiver sensitivity whereas disorganization has its roots in atypical interactions that frighten the infant. These hypotheses were confirmed in the current study of a high-risk sample but, contrary to current theory, both atypical maternal behavior and maternal sensitivity were also significant independent predictors of attachment disorganization and security.