Attempts to control unwanted thoughts in the night: development of the thought control questionnaire-insomnia revised (TCQI-R)

The attempted control of intrusive, uncontrollable thoughts has been implicated in the maintenance of a range of psychological disorders. The current paper describes the refinement of the Thought Control Questionnaire Insomnia (TCQI; Behav. Cogn. Psychoth. 29 (2001)) through its administration to a sample (n=385) including good sleepers and individuals with insomnia. Several items with poor psychometric properties were discarded, resulting in a 35-item revised TCQI. Factor analysis revealed six factors; aggressive suppression, cognitive distraction, reappraisal, social avoidance, behavioural distraction, and worry. The attempted management of unwanted thoughts was compared across individuals with insomnia and good sleepers, and the impact of these strategies on sleep quality, anxiety and depression was investigated. With the exception of cognitive distraction, individuals with insomnia, relative to good sleepers, more frequently used every thought control strategy. The strategies of aggressive suppression and worry, in particular, appeared to be unhelpful, with the use of these strategies predicting sleep impairment, anxiety and depression. The strategy of cognitive distraction appeared to be helpful, with the use of this strategy predicting better sleep quality.     

Misperception of sleep can adversely affect daytime functioning in insomnia

This experiment was designed to investigate the relationship between subjective perception of sleep and daytime processes in primary insomnia. Twenty-two individuals with primary insomnia received positive or negative feedback about their sleep, immediately on waking, on three consecutive mornings. The positive feedback was that last night's sleep was good quality. The negative feedback was that last night's sleep was poor quality. Objective sleep on each of the three nights was estimated by actigraphy and did not differ across the three nights or the two feedback conditions. Negative feedback (based on 32 nights of data) was associated with more negative thoughts, sleepiness, monitoring for sleep-related threat, and safety behaviours during the day, relative to positive feedback (based on 34 nights of data). These results indicate that the impaired daytime functioning reported by insomnia patients is maintained, at least in part, by subjective perception of sleep.     

Eating Disorders in Men: Current Considerations

Over the past two decades, there has been a change in the way men think about their bodies. The media portrays images of men with muscular bodies and a six pack abdomen. These images can create body dissatisfaction in males. With the change in the way that the media and society in the United States look at men, so has the drive for men to achieve this ideal body image. Eating disorders, body dysmorphia, and strict exercise and diet regimens seem to plague young men as do the images in advertisements. Although eating disorders in men are similar to what women experience, men seem to strive for more body mass whereas women try to obtain thinness. Gay men and heterosexual men seem to experience eating disorders in the same way although there are differences between how they perceive their bodies. This paper outlines how the media contributes to body dissatisfaction in men. In addition to understanding how the media affects men, it is important to review and possibly revise out understanding of eating disorders and body dysmorphia symptoms to gain a solid understanding of how these symptoms appear in men today.     

Action knowledge,acknowledgment, and interpretive action in work with Holocaust survivors

Survivors withhold disclosure of suffering when their terror is unwitnessed and when their expectation of disbelief or disregard obfuscates the reality of persecution. Knowledge itself then becomes traumatized, losing the power to inform and mobilize action. Survivors become habituated to suffering in a manner that subverts meaning, dampens vitality as well as pain, and arrests empathic connectedness. The dearth of transferential cues in such depleted existences leaves analysts in doubt as to whether they have been unintrusive or unavailable to these patients. Restoring survivors' sense of being witnessed requires interpretive actions that acknowledge the suffering that survivors have lost the will and means to make known or even represent. Such interventions draw on analysts' own projective identifications and use of the self, counterposing the will to live against the resignation to unwitnessed terror.     

Remote Odor Memory in Alzheimer's Disease: Deficits as Measured by Familiarity

Deficit in olfaction and remote nonolfactory memory in Alzheimer's disease (AD) motivated the present study of remote memory for odors and faces, operationally defined as rated familiarity, in patients with AD and controls. Uncommon engineering symbols were rated for familiarity to ensure task comprehension. Results showed that patients with AD rate odors, but not faces, as significantly less familiar than do controls, which is indicative of deficit in remote odor memory. Follow-up testing 1 year later again showed this result. Poor odor-detection sensitivity in patients, with AD, but lack of significant correspondence between sensitivity and familiarity, suggests an existing but limited effect of sensitivity on familiarity. The findings provide further evidence that olfaction may be a useful modality for early identification of AD.     

The impact of an emotional self-management skills course on psychosocial functioning and autonomic recovery to stress in middle school children

Unmanaged emotional reactions to stress not only lead to behavior problems in young people but also create physiological conditions that inhibit learning and potentially increase the risk of disease later in life. For these reasons, the integration of emotional self-management skills training programs has become an increased priority in some schools. In this study, middle school students enrolled in a course in emotional competence skills learned techniques designed to intercept stressful responses during emotionally challenging situations. Behavioral outcomes were assessed using the Achievement Inventory Measure and autonomic function was measured by heart rate variability (HRV) analysis during and after a stressful interview. Following the program, students exhibited significant improvements in areas including stress and anger management, risky behavior, work management and focus, and relationships with family, peers and teachers. These improvements were sustained over the following six months. Students using the skills taught in the course to recover from acute emotional stress were also able to positively modulate their physiological stress responses. As compared to a control group, trained students demonstrated significantly increased HRV and more rhythmic, sine wave-like heart rhythm patterns during recovery. This response pattern reflects increased parasympathetic activity, heart rhythm coherence, and entrainment of other biological oscillatory systems to the primary heart rhythm frequency. Increased physiological coherence is associated with improved cognitive performance, emotional balance, mental clarity and health outcomes. These physiological shifts could promote the sustained psychological and behavioral improvements associated with the use of emotional management skills. It is suggested that learning emotional competence skills in childhood establishes healthier physiological response patterns which can benefit learning and long-term health. Results provide support for the integration in school curricula of courses designed to teach effective self-management skills to children.     

The Effect of Mood and Social Outlook on Hypothetical Juridic Decisions1

Data are reported for a laboratory experiment which examines both the impact of information about remote social events on judgments of defendants' guilt or innocence in two court cases and the roles of cognitive and affective elements in mediating these judgments. Subjects were exposed to one of four pretested news bulletins which covaried cognitive factors (positive or negative social information) and affective ones (positive or negative mood stimuli). In accord with previous findings, the results indicate that social information and the changes in social outlook that it caused were of primary importance in altering subjects' judgments about defendants. Subjects who heard positive social information in radio newscasts were more lenient in their judgments of defendants than were those who heard negative social information. Additional findings pertaining to the mediators of this effect suggest that positive mood amplified the impact of social information whatever its direction, while negative mood attenuated it.     

Family therapy approach to incapacitating migraine

A nine-year-old boy who suffered from intractable migraine was referred for psychiatric consultation and treatment after failing to respond to congeries of medications and diets, notwithstanding thorough investigations by neurologists, pediatricians, and other specialists. The decision for a family systems treatment approach resulted in the following defined objectives: (1) to investigate triggers for the headaches and to see if these could be reduced and/or eliminated, (2) to see if therapy would help the boy stay in school, (3) to examine, and if possible, change family rules of interaction and transaction, (4) to allow for more fun within the family (5) to allow for ventilation without retribution, and (6) to clarify the mother's role as a significant contributor to the family's interactions, shifting the focus from the father as the sole generator of family tension. The principal therapeutic tools which proved efficacious involved the following: (1) scrutiny of the maternal and paternal histories, and (2) analysis of triangulations within the family system, leading to (3) the formulation of therapeutic strategies, and (4) specific task assignments. A major intervention by the therapist was the specific strategy to have the family examine the rules of transaction which were in the metapsychological sense unarticulated.     

The mind‐body relationship in Pāli Buddhism: A philosophical investigation

The Suttas indicate physical conditions for success in meditation, and also acceptance of a not‐Self life‐principle (primarily viññana) which is (usually) dependent on the mortal physical body. In the Abhidhamma and commentaries, the physical acts on the mental through the senses and through the ‘basis’ for mind‐organ and mind‐consciousness, which came to be seen as the ‘heart‐basis’. Mind acts on the body through two ‘intimations’: fleeting modulations in the primary physical elements. Various forms of rūpa are also said to originate dependent on citta and other types of rūpa. Meditation makes possible the development of a ‘mind‐made body’ and control over physical elements through psychic powers. The formless rebirths and the state of cessation are anomalous states of mind‐without‐body, or body‐without‐mind, with the latter presenting the problem of how mental phenomena can arise after being completely absent. Does this twin‐category process pluralism avoid the problems of substance‐dualism?     

Type A behavior and processing of social conflict information

Research suggests that the Type A pattern as assessed by the Jenkins Activity Survey (JAS) involves a number of stress-engendering cognitive/social responses. To identify potential responses responsible for social stress, the study tested the relationship between JAS Type A behavior and several cognitive/social variables relevant to assertiveness situations. Male undergraduates completed two measures of cognitive complexity and rated the reasonableness of another's request. Also, subjects were evaluated for positive content (i.e., consideration of the other) in role-played assertion responses. Type A behavior correlated with lower differentiation when sorting aspects of an assertion situation, lower integrative complexity when thinking about conflict topics, and less inclusion of consideration content.