Cancer Worry,Perceived Risk and Cancer Screening in First-Degree Relatives of Patients with Familial Gastric Cancer

Currently, there is a lack of evidence evaluating the psychological impact of cancer-related risk perception and worry in individuals at high risk for gastric cancer. We examined the relationships between perceived risk, cancer worry and screening behaviors among first-degree relatives (FDRs) of patients with familial gastric cancer. FDRs of patients diagnosed with familial gastric cancer with a non-informative genetic analysis were identified and contacted. Participants completed a telephone interview that assessed socio-demographic information, cancer risk perception, cancer worry, impact of worry on daily functioning, and screening behaviors. Twenty-five FDRs completed the telephone interview. Participants reported high levels of comparative and absolute cancer risk perception, with an average perceived lifetime risk of 54 %. On the other hand, cancer-related worry scores were low, with a significant minority (12 %) experiencing high levels of worry. Study participants exhibited high levels of confidence (median = 70 %) in the effectiveness of screening at detecting a curable cancer. Participants that had undergone screening in the past showed significantly lower levels of cancer-related worry compared to those that had never undergone screening. In conclusion, individuals at high-risk for gastric cancer perceived a very high personal risk of cancer, but reported low levels of cancer worry. This paradoxical result may be attributed to participants’ high levels of confidence in the effectiveness of screening. These findings highlight the importance for clinicians to discuss realistic risk appraisals and expectations towards screening with unaffected members of families at risk for gastric cancer, in an effort to help mitigate anxiety and help with coping.     

Understanding Social Factors in the Context of Trauma: Implications for Measurement and Intervention

One of the most important factors predicting the presence of posttraumatic stress disorder (PTSD) after trauma exposure is social support, yet the construct is theoretically complex and remains variably defined. To better inform the trauma literature on the impact of social factors, a theoretical review of social support and PTSD was conducted, and implications for measurement and intervention are outlined. Type of trauma, sex of participant, timing of social support, and support providers are described as significant moderators of the association between social factors and PTSD. The developmental trajectory of the association between social factors and PTSD occurrence is outlined, emphasizing the positive influence of social support initially following trauma, and the deterioration effect of PTSD symptoms on social support over the longer term. Possibilities for future research and intervention at multiple levels and at different time points are described.     

Equivalency of reaction times for simple and primed tasks

Both simple and choice reaction-time tasks have been used to examine the processes involved in response preparation. With a response priming task, complete information prior to the presentation of the imperative stimulus is given as to which response among several will be required. It is assumed that with the priming procedure, the advanced information allows for the complete preparation of the response to be made prior to the presentation of the imperative stimulus [Klapp, S. T. (1996). Reaction time analysis of central motor control. In H. N. Zelaznik (Ed.), Advances in motor learning and control (pp. 13-36). Champaign, IL: Human Kinetics]. This study used two experiments to test the underlying assumption that the processes occurring within the reaction time interval are equivalent for simple and primed tasks, and to determine if the validity of the prime influences performance. In both experiments, participants completed three reaction-time tasks: simple, primed (100%), and choice. The second experiment added a fourth task in which the prime was valid only 80% of the time. In both experiments, the reaction times were significantly slower for the choice task than for either the simple or 100%-primed tasks. Most important, the simple and primed (100%) reaction times were not significantly different. For the second experiment, the reaction times were not significantly different for the choice and 80%-valid prime tasks. The results of these experiments demonstrate that equivalent response preparation processes occur for simple and primed tasks, but that the validity of the prime does influence the response preparation processes for the primed task. Thus, equivalency is not achieved when invalid primes are used.     

The I That Buys: Narcissists as Consumers

Which people are most swayed by self‐image motives and hence most likely to make consumer choices in line with those motives? This article contends that the answer is narcissists—individuals who see themselves, and who want others to see them, as special, superior, and entitled and who are prone to exhibitionism and vanity. This work hypothesizes that narcissists will, to validate their excessively positive self‐views, strive to purchase the high‐prestige products (i.e., expensive, exclusive, new, and flashy). In so doing, they will regulate their own esteem by increasing their apparent status and consequently earning others’ admiration and envy. This article also hypothesizes that narcissists will show greater interest in the symbolic than utilitarian value of products and will exhibit, even controlling for self‐esteem, more pronounced self‐enhancement phenomena such as endowment and self‐signaling effects.     

Effects of D-cycloserine on extinction of learned fear to an olfactory cue

D-cycloserine (DCS), a partial NMDA receptor agonist, facilitates extinction of learned fear in rats and has been used to treat anxiety disorders in clinical populations. However, research into the effects of DCS on extinction is still in its infancy, with visual cues being the primary fear-eliciting stimuli under investigation. In both human and animal subjects odors have been found to associate strongly with aversive events. Therefore, this study examined the generality of the effects of DCS on extinction by testing odor cues. Sprague-Dawley rats were conditioned and extinguished to an odor using varying parameters, injected with either saline or DCS (15 mg/kg) following extinction, and then tested for a freezing response 24 h later. Experiment 1 demonstrated that after 3 odor-shock pairings, rats did not display short-term extinction and DCS had no effect on long-term extinction. Experiment 2 demonstrated that after 3 odor-noise pairings, rats displayed significant short-term extinction and DCS significantly facilitated long-term extinction. Following 2 odor-shock pairings in Experiment 3, half the rats displayed short-term extinction ("extinguishers") and half did not ("non-extinguishers"). DCS facilitated long-term extinction in the "extinguishers" condition but not in the "non-extinguishers" condition. In Experiment 4, following 2 odor-shock pairings and an extra extinction session, DCS had a significant facilitatory effect on long-term extinction. Thus, extinction of freezing to an odor cue was facilitated by systemic injections of DCS, but only when some amount of within-session extinction occurred prior to injection.     

Transcendental pride and Luciferism: On being bearers of light and powers of darkness

Continental Philosophy Review - The ancient theme of the metaphysical-theological extremes of being-human is revisited by asking about the condition for the readiness to engage in the form of...     

Deception in psychotherapy: Frequency,typology and relationship

Deception in therapy has been documented anecdotally through various narratives of therapists. The investigation of its occurrence within therapy has largely been overlooked. We explored the reported frequency of deception within psychotherapy, the types of deception used within therapy, the likelihood of people lying to a therapist compared to other groups of people, and client perceptions of the types of deception that therapists use. Ninety‐one participants were provided with a series of deception examples, asked questions about the use of these types of deception within therapy, and asked generally about their use of deception in therapy. We found that a majority of the participants had been deceptive in therapy, and a majority were willing to be deceptive in future therapeutic contexts. Participants were more likely to use white lies than other forms of deception in therapy. Lastly, participants were less likely to lie to therapists compared to strangers and acquaintances. Implications for research and practice are discussed.     

Depressed fathers' stereotyping of infants labeled “depressed”

This study investigated whether depressed and nondepressed fathers stereotyped infants labeled “depressed” and how they viewed their own infants. Twenty-five fathers (12 nondepressed, 13 depressed) of 4-month old infants rated their infants' psychological, social and physical attributes on the Infant Stereotyping Scale (ISS). They then rated videotaped infants, labeled “normal” or “depressed”, on the ISS. Fathers rated depressed versus normal infants lower on sociability, social behavior, and cognitive competence. Depressed versus nondepressed fathers, rated depressed infants lower on social behavior, potency, and sociability. Depressed fathers rated their own infants lower on social behavior, potency, and cognitive competence as well as being more vulnerable. Implications of parental depression on stereotyping effects and possible risks for infants are discussed. © 1997 Michigan Association for Infant Mental Health     

Predicting recurrence of major depressive disorder in young adults: a prospective study.

Sixty-five young adults with remitted major depressive disorder (MDD) were followed for 18 months. Recurrence of MDD was reported by 41.5% of the initial sample and 49.1% of those who completed the study (n = 53). Survival analyses were used to identify predictors of recurrence so that individuals at greatest risk could be targeted for intervention. Potential predictors included measures of comorbid psychopathology (Axis II pathology, and current and lifetime nonmood Axis I diagnoses), depression-specific clinical features (number of episodes, past treatment, and suicidality), and self-reported cognitive and interpersonal constructs (hope, dysfunctional attitudes, and interpersonal problems). Only personality pathology (specifically, the total dimensional and Cluster B dimensional scores on the International Personality Disorder Examination) significantly predicted hazard of recurrence.