THE ENCHANTED BEDSIDE

This paper is based on the authors' work offering psychological therapies to patients and their families in a specialist palliative care unit, pre‐ and post‐death. In addressing issues of family interaction around the bedside of the dying patient, the authors have noted a pattern of events that arise from strongly ambivalent relationships.

In particular, family adjustment to the declining health of the patient is acted out in a physical and emotional move around the bedside, with a ‘hierarchy of bereavement’ indicating the status of the relationship to the patient. Previously conflicted feelings towards the dying patient are replaced by an impermeable idealization, lasting throughout bereavement.

In trying to understand this process of idealization the authors have used an analytical frame, referring to Freud and Klein and their work on mourning. This leads on to an exploration of the implications for clinical practice within palliative care. An unshifting idealization can be problematic for many reasons. The reader is left with a discussion about how to work best with families whose initial protective defence can easily crystallize into a long‐term grief reaction.     

Does trauma memory play a role in the experience of reporting sexual assault during police interviews? An exploratory study

A recent study indicated that 94.4% of reported sexual assault cases in the UK do not result in successful legal prosecution, also known as the rate of attrition (Kelly, Lovett, & Regan, 2005 Kelly, L., Lovett, J. and Regan, L. 2005. A gap or a chasm? Attrition in rape cases, London: Home Office.  [Google Scholar]). Scant research has examined the role of trauma-related psychological processes in attrition. Victims of sexual assault (N =22) completed questions about peri-traumatic dissociation, trauma memory fragmentation, account incoherence during police interview, and likelihood of proceeding with legal cases. Higher levels of dissociation during sexual assault were associated with participants reporting more fragmented trauma memories. Memory fragmentation was associated with participants indicating that they provided more incoherent accounts of trauma during police interview. Importantly, people who viewed themselves as providing more incoherent accounts predicted that they would be less likely to proceed with their legal cases. The findings suggest trauma impacts on memory, and these trauma-related disruptions to memory may paradoxically contribute to attrition.     

Clinical Commentary

Abstract

This paper is the narrative of a first-time father with a son born seven weeks early by Caesarean section. Against the anxiety and trauma of his infant's birth and his wife's illness, another inner darker drama is being relived. Michael shows all the wounds of a battered child. He asks two awesome questions - Will I be to my son as my father was to me? Will my son be to me as I was to my father? Fearful and at first unvoiced questions, the developing interviews gave them a voice. We respected Michael's sharing of the early and fearful days and nights when his infant first came home. We sometimes found it hard to empathize with his running away to hide in work, until we understood what he was hiding from. Most poignant was his struggle with his anger and hurt with his father and his desire to understand, ‘Why?’, so that he would not be like this to his son. We saw a sensitive revelation of life being born inside him anew, as he made contact with his real infant and his psychic infant within. Of particular interest was the therapeutic use of the research interview space and the interviewer.     

Brightness enhancement seen through a tube

We report a fascinating phenomenon that emerges when a surface is viewed through a tube held close to one eye, with the other eye open. The disk-shaped area seen through the tube looks strikingly brighter and, when viewed on a textured background, also of higher spatial contrast than the same surface area viewed without a tube. The effect is reminiscent of a spotlight illuminating the area under consideration. We call this the 'tube effect'. The tube effect is one of the strongest contrast illusions known to us. It requires a matching luminance that is twice as high as the reference luminance seen through the tube. Brightness ratings increase linearly with the log of the background luminance. The effect (i) produces a dark afterimage, (ii) reverses in polarity with low ambient illumination, (iii) assumes the complementary colour of the illuminant, and (iv) persists with fully dilated pupils. Potential explanations include simultaneous contrast (due to the penumbra and dark inner walls of the tube) and veiling of the surround (due to local adaptation and a lower gain factor).     

Adolescent Motivations to Engage in Pro‐Social Behaviors and Abstain From Health‐Risk Behaviors: A Self‐Determination Theory Approach

The present study used self‐determination theory to examine adolescents' motivations to engage in charitable donating and community volunteering and to abstain from sexual intercourse and marijuana use. The sample consisted of 419 late adolescents recruited from across the country through an online survey panel. Participants completed online measures of motivations to engage in donating and volunteering, motivations to abstain from sex and marijuana, and single‐item indexes of the four behaviors. Variable‐centered analyses (correlation and regression) found evidence for a general motivational factor, motivational specificity by behavioral domain (positive and negative behaviors), motivational specificity by particular behavior (charitable donating, volunteering, sexual risk‐taking, and marijuana use), and a stronger relative role for autonomous motivations than controlled motivations. Person‐centered analyses (cluster analysis) found four motivation profiles (low motivation, medium motivation, high motivation, and mixed motivation) for all four behaviors and suggested that level of autonomous motivation was a key factor differentiating the groups on levels of behavior. The findings suggest different levels of motivational specificity and highlight the importance of autonomous motivations in predicting behaviors as compared to controlled motivations. Further, similar patterns were found for motivations to engage and to abstain.     

Psychological Skills Do Not Always Help Performance: The Moderating Role of Narcissism

Psychological skills are typically viewed as beneficial to performance in competition. Conversely, narcissists appear to thrive in competitive environments so should not need psychological skills to the same degree as less narcissistic individuals. To investigate this moderating hypothesis high-standard ice-skaters completed measures of narcissism, psychological skills, and anxiety before performing their competition routine during training. A week later, participants performed the same routine in competition. Performance was operationalized as the difference between competition and training scores. Moderated regression analyses revealed that narcissism moderated the relationship between psychological skills and performance. Psychological skill effectiveness depends on an individual's degree of narcissism.     

Associations among body dissatisfaction,gender, and three latent profiles of religiosity

Body dissatisfaction is a too-common issue for young women in the US. Body dissatisfaction is a rising issue with young men too, although their average body dissatisfaction remains lower than young women’s. Religiosity has been negatively linked to body dissatisfaction for women, but the relation for men is unclear. The current study (N?=?5104) built upon a previous latent profile analysis of a large, diverse sample of US. college students Multi-Site University Study of Identity and Culture (MUSIC). We examined whether body dissatisfaction scores were related to three religious classes, when depressive symptoms were controlled for, and whether gender moderated that potential relation. Body dissatisfaction scores were significantly related to religious class. Gender had a main effect although not a moderating effect: men had better body dissatisfaction than women did, and their religious class similarly affected their body dissatisfaction scores. Religiosity appears important for emerging adult men’s body dissatisfaction, like for emerging adult women.     

Adaptive adjustment of vocational aspirations among German youths during the transition from school to work

The transition from school to work is a central developmental task with long-term implications for the financial and social status of individuals. We argue that dynamic adjustments of aspirations play a decisive role for a successful outcome of the school to work transition, particularly in the context of the German vocational training system. Latent growth curve analyses conducted on the self-reported occupational aspirations of German adolescents (N = 414) surveyed in a 5-wave longitudinal study during their senior school year support this assumption. Based on expectancy-value-models of achievement, we delineated an adaptive trajectory of aspirations as starting off with relatively high aspirations and subsequently gradually downgrading them until s is attained. Such a trajectory of adjustment should maximize both expectancy (i.e., probability of obtaining an apprenticeship position at all) and value (i.e., training position with promotion potential). Finally, we showed empirically that the trajectory conceptually proposed as most adaptive was characteristic for youth who reported phase-adequate goal engagement strategies as suggested by the life-span theory of control.     

Toward a three-dimensional conceptualization of performance anxiety: Rationale and initial measurement development

ObjectivesAn integrated three-dimensional model of performance anxiety was constructed to offer an alternative conceptualization that may contribute to understanding of the complex anxiety–performance relationship. In particular, the adaptive potential (producing positive effects) of anxiety was acknowledged explicitly by including a regulatory dimension. This model is characterized by five subcomponents, with worry and self-focused attention representing cognitive anxiety, autonomous hyperactivity and somatic tension representing physiological anxiety, and perceived control representing the regulatory dimension of anxiety. The overview of the conceptual framework and the underlying rationale are presented.DesignAs a necessary first step towards model testing, an initial measure was developed and the factorial validity of the model was investigated.MethodConfirmatory factor analysis was used in two independent samples (N = 286, 327) in a wide context of sports performance.ResultsA 25-item measure of performance anxiety was established. Findings of CFA revealed support for a three-dimensional first-order model.ConclusionsAlthough the present model of performance anxiety was best presented as a three-dimensional first-order structure, the integrity of the conceptual framework is considered intact as such a factor structure distinctly reflects the three major processes (i.e., cognitive, physiological and regulatory) that are proposed to be activated in the anxiety dynamics from a broad cognitive perspective.