Editorial

Abstract

Happiness and positive moods influence health, and vice versa. A number of social and personality factors influence health directly, for example by affecting health behaviour or the immune system. These factors also affect health indirectly by influencing happiness and moods. These factors include social relationships, exercise and other aspects of leisure, job status and other aspects of work, social class, and several aspects of personality. The evidence on direct and indirect influences of happiness on health is summarised here.     

Young men’s minimisation of their body dissatisfaction

Abstract

Objective: To examine men’s body dissatisfaction qualitatively.

Design: Forty-two British men aged 18–45 years took part in a two-session group intervention across 12 groups. The intervention was designed to improve body dissatisfaction by engaging them in a critique of the appearance ideal through written and behavioural exercises.

Main outcome measures/results: Analysis of the topics discussed during the intervention generated two core themes. Theme 1 showed that, in general, men minimised the existence of their own body dissatisfaction while (somewhat surprisingly) outlining the ubiquity and potency of the appearance ideal for men in general. Theme 2 involved men reporting the problematic impact of body dissatisfaction in their lives (despite earlier minimisation), such as social avoidance, strict eating and supplement regimes, or difficulty in situations where the body was exposed.

Conclusion: The results stress the need to acknowledge that men experience a range of impacts of body dissatisfaction beyond clinical presentations (such as disordered eating) that influence their everyday lives, while also recognising that they tend to minimise this dissatisfaction in conversation. These findings have important implications for advocacy and interventions to improve men’s body dissatisfaction.     

Posttraumatic growth after childbirth: A prospective study

A growing body of research has examined the potential for positive change following challenging and traumatic events, this is known as posttraumatic growth (PTG). Childbirth is a valuable opportunity to extend previous work on PTG as it allows the role of different variables to be considered prospectively. The aim of this study was to prospectively examine correlates of PTG after birth, including sociodemographic and obstetric variables, social support and psychological distress, using a prospective, longitudinal design. A total of 125 women completed questionnaires during their third trimester of pregnancy and 8 weeks after birth. At least a small degree of positive change following childbirth was reported by 47.9% of women; however, average levels of growth were lower than generally reported in other studies. A regression model of age, type of delivery, posttraumatic stress symptoms during pregnancy and general distress after birth significantly predicted 32% of the variance in growth after childbirth. The strongest predictors of growth were operative delivery (β 0.23–0.30) and posttraumatic stress symptoms in pregnancy (β 0.32). These findings emphasise the importance of assessing pre-event characteristics when considering the development of PTG after a challenging event.     

Resilient Children: Individual Differences in Developmental Outcome of Children Born to Drug Abusers

Since 1977, we have been following the neurobehavioral development of two groups of children: a group born to women on methadone maintenance and a drug-free comparison group. This study used the data on the children evaluated at 36 months of age to determine whether distinct patterns of developmental outcome can be identified, and which medical, familial, or environmental characteristics are associated with developmental differences. The children were clustered on four measures at 36 months: head circumference percentile, Merrill-Palmer Scale score, neurological evaluation, and referrals for developmental problems. Three distinct clusters emerged, with methadone children disproportionately frequent in Cluster 3, the group showing the poorest development. Comparisons of the clusters on a wide range of variables revealed consistent differences between Cluster 1 and Cluster 3 children in maternal responsiveness and incidence of neglect and family violence. These findings indicate that distinct developmental patterns do occur within this predominantly lower-class ghetto population; further, that children born to methadone-maintained women are more likely to show poor development. However, when the environment provides nurturance and stability, methadone children can show resilience and develop well.     

Activity under Low Motivational Levels as a Function of the Method of Manipulating the Deprivation Period

Boys and girls in Grades 4, 6, and 8 were presented a 48-word list, in which each item was associated with a 5¢, 3¢, or l¢ reward, in order to test incentive effects on storage by means of a forced choice recognition paradigm assumed to minimize retrieval effects. Results showed (a) higher probabilities of recognition for words associated with higher incentive values, (b) serial position effects, and (c) a suggestive developmental progression in recognition performance. Differential reward influences upon storage and serial position were interpreted in terms of two-process memorial and incentive theories.     

Experiences in running a staff group

This study examines an activating mechanism of aggressive behaviour in young children. Many studies on attachment theories have indicated disorganised attachment as a significant risk factor for externalising problems and have explained the aetiology of disorganised attachment in terms of deficits in affect, behaviour and cognitive functions from a traumatic or inconsistent environment. Via the moment-to-moment analysis of the play therapy process with a three-year-old, this paper attempts to identify how these emotional, behavioural and cognitive factors interact in actual situations and can lead to an observable behaviour: aggressive behaviour. The findings from this study indicate that the child with disorganised attachment was going through a dual process, one with her therapist and the other with her internalised caregivers. When anxiety and an ambiguous social cue from an unpredictable situation were added to the child's repetition of previous attachment experience, this ‘click’ lowered the threshold of regulation of affect, behaviour and cognition. The child turned to disorganised and aggressive behaviour, relying on her physiological signals regarding the perceived threat. Finally, this paper describes how these difficulties can be channelled by symbolic play via displacement and containment.     

The Assessment of Post‐traumatic Stress Disorder for Workers' Compensation in Emergency Service Personnel

There is considerable debate concerning the diagnosis of post‐traumatic stress disorder (PTSD) in compensation claims. This study reviewed the quality of the assessment reports prepared by clinicians who evaluated 31 emergency service workers making PTSD‐related compensation claims. Assessments were conducted by 4‐year trained psychologists (39%), psychologists holding a masters degree (36%), and psychiatrists (19%). The assessment reports were evaluated relative to the diagnostic criteria for PTSD in the Diagnostic and Statistical Manual of Mental Disorders 4th edition (2000). In the majority of cases (81%), the assessor determined that the emergency service worker had PTSD, but only one report met the minimum standard for that diagnosis. In the majority (65%) of cases the clinician failed to address the possibility of malingering. These data suggest that clinical assessment reports for PTSD frequently fail to meet minimum assessment standards.