Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas

Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.     

RICOEUR'S PHILOSOPHY AND ITS IMPLICATIONS FOR PSYCHOANALYSIS

In differentiation of early and mature shame, the phenomenological content of shame changes with the development of a stable self-state. In this hypothesis, early shame refers to a person's dependence upon mirroring himself and in being mirrored by an outer object, while mature shame refers to introspection and self-reflection. From a developmental psychological point of view, the connection between self-development and mirroring is expounded. Mirroring is defined as a psychic dialectic process between the inner psychic reality and the outer reality. Early shame is connected to dyadic mirroring, which refers to attachment and empathy. Mature shame is connected to triadic mirroring, which refers to separation and reflection. Early shame emerges from discrepancies between the infant's expectations of a complementary affective response and the mother's response, and is defined as an early marker of differences in the mother/infant unit. It is argued that early shame in smaller ‘doses’ has a regulating function on self-development by maintaining the psychic dialectic process, while in larger ‘doses’, it has a disturbing effect on the self-development, resulting in pathological shame. In the therapeutic process, early shame appears as shame scenarios illustrated in the text by a clinical vignette.     

Busting a Myth about Leśniewski and Definitions

A theory of definitions which places the eliminability and conservativeness requirements on definitions is usually called the standard theory. We examine a persistent myth which credits this theory to Le?niewski, a Polish logician. After a brief survey of its origins, we show that the myth is highly dubious. First, no place in Le?niewski's published or unpublished work is known where the standard conditions are discussed. Second, Le?niewski's own logical theories allow for creative definitions. Third, Le?niewski's celebrated ‘rules of definition’ lay merely syntactical restrictions on the form of definitions: they do not provide definitions with such meta-theoretical requirements as eliminability or conservativeness. On the positive side, we point out that among the Polish logicians, in the 1920s and 1930s, a study of these meta-theoretical conditions is more readily found in the works of ?ukasiewicz and Ajdukiewicz.     

Some considerations on the capacity to be alone

This paper considers the lack of coherence of the psychoanalytic theories of the primary and secondary process. As a consequence, the interplay of primary and secondary process modes of thought cannot be conceptualised properly. Firstly, we summarize the results of an elsewhere-made metapsychological re-examination of both principles of mental functioning, and argue that Rapaport's distinction between a drive and a conceptual organization of memory, elaborated on by Siegfried Zepf is an extremely useful means of understanding primary and secondary process activity. As a central thesis, we state that primary process operates by affects, whilst secondary process utilizes concepts. The second part of the paper makes an attempt to show the dialectical relationship of affective and conceptual thought in the functioning of the living psyche. Temporarily dominating mental functioning, primary and secondary process thinking each utilize the other as a means, but never work purely within the psychic apparatus. It is shown that it is the specific interplay of primary and secondary process activity, which produces new adaptive substitutive formations. Some basic assumptions about the concepts of regression and progression are made to elucidate the shift from secondary to primary process dominance and vice versa.     

Selling the War? System‐Justifying Effects of Commercial Advertising on Civilian Casualty Tolerance

In times of war, news media coverage of the plight of civilian casualties plays a critical role in shaping attitudes regarding war's human costs. We proposed that these attitudes may also be surreptitiously influenced by the commercial advertisements that often accompany this coverage. Specifically, we hypothesized that when newspaper articles pertaining to civilian victims of war are flanked by luxury ads, conservatives, relative to liberals, will subsequently exhibit less concern for these victims. This proposition was based on the notion that commercial ads, particularly those promoting luxury items, make salient the gap between the “haves” and the “have‐nots” and thereby, at least implicitly, threaten the legitimacy of the current socioeconomic system. Drawing upon system justification theory, we posited that this threat would lead individuals with stronger system‐justification tendencies (conservatives), relative to those more open to challenging the current system (liberals), to show greater tolerance for civilian war casualties in order to defend the system's integrity. Evidence consistent with this hypothesis was found in a quasi‐experimental study (n = 329).     

Can the eyes reveal a person’s emotions? Biasing role of the mouth expression

In this study we investigated how perception of the eye expression in a face is influenced by the mouth expression, even when only the eyes are directly looked at. The same eyes appeared in a face with either an incongruent smiling, angry, or sad mouth, a congruent mouth, or no mouth. Attention was directed to the eyes by means of cueing and there were no fixations on the mouth. Participants evaluated whether the eyes were happy (or angry, or sad) or not. Results indicated that the smile biased the evaluation of the eyes towards happiness to a greater extent than an angry or a sad mouth did towards anger or sadness. The smiling mouth was also more visually salient than the angry and the sad mouths. We conclude that the role of the eyes as a “window” to a person’s emotional and motivational state is constrained and distorted by the configural projection of an expressive mouth, and that this effect is enhanced by the high visual saliency of the smile.     

Facilitation and interference of behavioral responses by task-irrelevant affect-laden stimuli

Emotional interference on behavior is commonly observed when task-irrelevant negative stimuli appear before behavioral targets. One explanation postulates that affect-laden stimuli readily capture attention, interfering with the processing of the upcoming target. Emotional stimuli might also preactivate motor programs incompatible with the demanded response. Using a cued go/no-go procedure we showed that task-irrelevant unpleasant stimuli cause interference or facilitation depending on their onset asynchrony relative to the target. We observed interference with short (200 ms) stimulus-target asynchronies and facilitation for longer ones (600 ms), both for key press (Experiment 1) and key release (Experiment 2) responses. The interference effect is compatible with an attentional explanation, but the behavioral facilitation is hard to accommodate within either attentional or motor accounts. This interference-facilitation pattern can be explained assuming that once the attentional effect subsides, emotional processing may enhance the perceptual processing of the stimuli, or lower the decision threshold, thereby facilitating the response selection process.     

A Dyadic View of Support in Marriage: The Critical Role of Men’s Support Provision

This study examined how sensitive support provision and receipt were related to marital outcomes in a sample of 57 happily married, middle-class couples from the Midwestern U.S. To assess how observed supportive behaviors may be differentially associated with self-reported support satisfaction, marital love, and marital conflict for men and women, we utilized a series of Actor Partner Interdependence Models (APIM). This dyadic approach revealed significant gender differences regarding how the supportive role enacted (i.e., provider versus recipient) contributed considerably to marital outcomes. Specifically, husbands’ sensitive support provision significantly predicted both spouses’ support satisfaction. Additionally, husbands’ sensitive support provision was significantly associated with wives’ marital love. Wives’ reported conflict was predicted by the combination of both providing and receiving sensitive support. For husbands’ outcomes, husbands’ own sensitive support provision was most critically associated with their reporting greater love and less conflict. These findings reveal notable gender differences as men’s ability to provide sensitive support was critical not only to their wives’ marital outcomes, but to their own as well. Our results build upon and extend the literature implicating the importance of examining gender differences in supportive interactions in marriage. Moreover, our findings suggest that simultaneous consideration of spousal support receipt and provision is critical when seeking to understand how support is related to marital outcomes for men and women.     

Social comparison,coping and depression in people with spinal cord injury

The present study among 70 people with spinal cord injury examined the prevalence and correlates of identification (seeing others as a potential future) and contrast (seeing others in competitive terms) in social comparison as related to coping and depression. The most prevalent social comparison strategy was downward contrast (a positive response to seeing others who were worse-off), followed by upward identification (a positive response to perceiving better-off others as a potential future), downward identification (a negative response to perceiving worse-off others as a potential future), and upward contrast (a negative response to seeing others who were better-off). Those with less severe lesions reported the highest levels of upward contrast, coping through blaming others, and depression. Downward contrast was particularly related to constructive coping, and upward identification to wishful thinking. The less adaptive social comparison strategies, i.e., upward contrast and downward identification, were quite strongly related to wishful thinking and blaming others. Particularly upward contrast, i.e., feeling bad as response to seeing that others are better-off, was related to depression.