Personality as a risk factor in coronary heart disease

The pioneering work of the authors of the Type A personality concept has now been shown to be seriously flawed, with only the traits of anger, aggression, and hostility remaining as risk factors for coronary heart disease (CHD). There is now evidence for a much stronger relationship between CHD and personality involving a rather different set of concepts and theories. The evidence for such a relationship is summarized, and a causal link suggested. It is also shown that the CHD-prone type of behaviour can be changed by behaviour therapy, decreasing considerably the risk of dying from CHD.     

Adaptation in distance perception with head-movement parallax serving as the veridical cue

When head-movement parallax functioned as the sole veridical distance cue during exposure to spectacles that altered the eyes’ oculomotor adjustments, sizable adaptation was obtained. This result showed that a discrimination of the distances of 60 and 30 cm can be based on head-movement parallax. Using adaptation in demonstrating that head-movement parallax can serve as a distance cue circumvents the problem that the presence of accommodation normally presents when such a demonstration is attempted. The usual contamination of head-movement parallax with accommodation is avoided, because accommodation is altered by the spectacles and does pot function as a veridical cue along with head-movement parallax.     

Two kinds of adaptation in the constancy of visual direction and their different effects on the perception of shape and visual direction

Adaptation in the constancy of visual direction can be obtained under two radically different conditions, called eye-movement adaptation and field adaptation. Adaptation resulting from these conditions and from a “normal” condition was measured with a newly developed estimation test. Eye-movement adaptation was found to cause an alteration of compensatory eye movements. It apparently consists of a changed evaluation of eye movements, as demonstrated by two different pointing tests. A form test where the shape of a large oblong is set to look square also confirmed this interpretation. After field adaptation, a pointing test did not register a change, but an adaptation effect could be measured with a forward direction test. This test and a square test where no eye movements were permitted proved to be specific to field adaptation; they measured no effect after eye-movementadaptation. The normal adaptation condition Was apparently equivalent to the eye-movement adaptation condition. Its effect could be measured only with a pointing test. When we changed the normal adaptation condition so that frequent saccades were made during head turning, strong effects were measured with the two tests that were specific to field adaptation.     

Dissociative Experiences and Trauma Exposure Among Newly Arrived and Settled Young War Refugees

War-traumatized refugee adolescents are a vulnerable and understudied group. This study of two different groups of war-traumatized youth (N = 77) resettled in Sweden (newly arrived refugee adolescents, n = 42, 13–19 years, and settled students with childhood war experiences, n = 35, 11–18 years) evaluated their war experiences, refugee journey, general trauma exposure, posttraumatic stress symptoms, and dissociative experiences. Both groups had experienced many traumas and a substantial proportion reported levels consistent with posttraumatic stress (71% in the newly arrived group and 34% among the settled students) and dissociation (36% and 23%, respectively). The study also provides information about the type of adverse events experienced by war-refugee adolescents, including their own subjective appraisals of the worst events. The results show that the extent of trauma exposure and posttraumatic and dissociative symptomatology among refugee adolescents are considerable even after a period of resettlement, a finding that has educational, clinical, and social implications.     

Metacognitive Therapy in Major Depression: An Open Trial of Comorbid Cases

This open trial investigated the transdiagnostic effects of metacognitive therapy (MCT) in patients with severe major depressive disorder and comorbid psychiatric disorder. Ten patients were treated with MCT over 10 sessions and were assessed with measures of depression, anxiety, rumination, and metacognitions at pre- and posttreatment and at 6 months follow-up. None of the patients were diagnosed as depressed at posttreatment, and of the initial 21 total diagnoses at pretreatment only 3 diagnoses remained at postintervention. The effect sizes were large for symptoms of depression, rumination, and worry. At 6 months follow-up standardized recovery criteria on the BDI showed that 70% were recovered, 20% improved, and 10% unchanged. The results indicate that MCT was associated with high rates of transdiagnostic improvement.