Stress,psychiatric co-morbidity and coping in patients with chronic idiopathic urticaria

This study examined life event stress, perceived stress and psychiatric co-morbidity among patients with Chronic Idiopathic Urticaria (CIU). It also investigated the relationship between coping, stress, the severity of CIU and psychiatric co-morbidity. Total of 100 CIU patients and 60 allergy patients participated in the study. They completed the General Health Questionnaire, the Social Readjustment Rating Scale, the Perceived Stress Scale, and the Ways of Coping Checklist. Compared with allergy patients, CIU patients had worse co-morbidity and higher levels of life event stress and perceived stress. Emotion-focussed coping was associated with the severity of CIU; perceived stress was associated with co-morbidity.     

Type D personality and social relations in adults with diabetes: results from diabetes MILES – The Netherlands

Abstract

Objective: To examine whether individual differences in Type D personality (combination of negative affectivity (NA) and social inhibition (SI)) could explain heterogeneity in perceived social support and relationship adjustment (intimate partner relationship) among people living with diabetes.

Design: In the Diabetes MILES—The Netherlands survey, 621 adults with type 1 or type 2 diabetes (54% female, age: 56?±?14 years) completed measures of Type D personality (DS14), perceived social support and relationship adjustment. We used established DS14 cut-off scores to indicate Type D personality, high NA only, high SI only and reference groups.

Results: Participants from the Type D and NA only groups perceived lower levels of social support (Welch[3,259]?=?37.27, p?<?0.001), and relationship adjustment (Welch[3,191]?=?14.74; p?<?0.01) than those from the SI only and reference groups. Type D was associated with lower social support (lowest quartile; adjusted OR?=?8.73; 95%CI?=?5.05?～?15.09; p?<?0.001) and lower relationship adjustment (lowest quartile; adjusted OR?=?3.70; 95%CI?=?2.10?～?6.53; p?<?0.001). Type D was also associated with increased levels of loneliness.

Conclusion: Participants with Type D and participants with high NA only tend to experience less social support and less relationship adjustment. Type D personality was also associated with more loneliness. Experiencing lower social support and relationship adjustment may complicate coping and self-management in people with diabetes.     

Constructing useful connections? A matter of metaphor or reality?

Abstract

Eiser (1996) proposes a set of unifying principles which integrate the social and the individual and acknowledge the role of social reality. Yet he uses a connectionist model. This paper argues that his approach is neither new nor consistent and suggests that by confounding the metaphor of a system with the reality of neutral networks, Eiser's model is inherently incapable of achieving its aims and both maintains the psyche / social divide and privileges physical reality. It concludes that Eiser leaves us with a model which is neither metaphorically creative nor empirically useful.     

Autonomy and reactions to health-risk information

It has been suggested that autonomy promotes enhanced reflection on novel information and reduces defensive or biased information processing. This study investigated how autonomy affected people's reactions to known versus novel health-risk information in relation to three behaviours: sun exposure, alcohol consumption and salt intake. Participants (N = 321) completed a measure of autonomy, read either known or novel health-risk information and reported their relative autonomous motivation, attitudes, perceived behavioural control, subjective norm and intentions towards reducing the health-risk behaviour concerned. In line with our hypotheses, the results showed that higher autonomy participants reported greater relative autonomous motivation towards reducing health-risk behaviours than did lower autonomy participants; this effect was mediated by perceptions of the information as less freedom-threatening. The expected interaction between Autonomy and Information Type was not observed. The results indicate that autonomy is associated with greater relative autonomous motivation to engage in health behaviours, and that autonomous motivation may subsequently influence intentions to reduce health-risk behaviour following exposure to health-risk information.     

Being a Social Worker as an Existential Commitment: From Vulnerability to Meaningful Purpose

One's personal and professional dimensions complement each other in the practice of social work. In plying their trade, social workers construct a personal narrative that gives a sense of meaning to their commitment to clients who face suffering and distress. The study is based on in-depth interviews of twenty-five experienced female social workers. Two themes were identified: The first theme focuses on the construction of an existential vulnerability in the family-of-origin, which drives the choice of a helping profession. The interviewees perceived these difficulties as contributing to their sensitivity toward the suffering and turmoil of others, connecting them with clients, and giving them a sense of purpose, commitment, and meaning in their work. The second theme relates to the special meaning assigned to social values, such as giving and committing to others, in the family-of-origin and the profound effect of this socialization process on professional choices and practice. The discussion of the findings is from an existential perspective and has implications for the professional development of social workers and other helping professionals.     

The Zen Doctrine of “No-Method”

The case is made for a spectrum of methods in Western psychology transcending the normal dichotomy between the categories of quantitative versus qualitative methodology. Although the quantitative–qualitative continuum may be a sufficient representation of methods in the discussion of methodology within the reductionistic sciences, it fails to account for the phenomenology of the science-making process, itself, as a problem of consciousness within the developing human sciences, and also has little relevance for the way non-Western cultures view the problem of the relation of method to theory. A case in point is the problem of method as discussed in Zen Psychology. The act of freeing attention from its attachment to objective thought through the cultivation of wu, or no-thing-ness, is considered in Zen meditation and then applied to an analysis of the method of the koan, or nonrational riddle, which is designed to shock consciousness into a state of release through immediate intuitive insight. The conclusion is that possibly through such means psychologists in the West could free themselves from the overly rigid and narcissistic focus on methods of reductionistic empiricism as the only alleged standard for defining reality.     

Histrionic Managers Wreak Havoc in the Workplace: Identifying the Phenomenon

Histrionic thinking and behavior derive more from emotion than from reason, creating a condition that causes problems for both those who display this emotional style and those they interact with. When histrionic people “manage” others in the workplace, a destructive dynamic often supervenes as employee and manager pursue the goals of work, frequently at cross purposes. In a naturalistic study, three incidents from my experience with histrionic managers are described and the underlying phenomenon of the histrionic manager is identified. This phenomenon is postulated to be universal, which is to say that managers with a histrionic style will be found wherever work is done.     

Developmental Progression of Clock Face Drawing in Children

The clock drawing test has been routinely administered by many neuropsychologists as part of their testing battery with the adult population. Our study investigated the development of clock face drawing in normal children ages 6 to 12 years. Conceptualization of time and construction of the clock face were assessed by an adapted scoring system developed as part of the investigation. As a group, the results indicated an upward progression with regard to the concept of time through age 8 and clock construction through age 12. Results further demonstrated that number reversals were more frequent among left-handers but were no longer evident by age 7 regardless of handedness. It also was determined that left visuospatial neglect specific to the upper quadrant was relatively common in 6- and 7-year olds but not evidenced by age 8. Given the pattern of the findings, it is likely that the neglect was secondary to poor planning and not a visuo-spatial deficit. In general, development of clock face drawing most closely paralleled that of frontal lobe maturation. Implications of these findings and the usefulness of clock face drawing with the pediatric population are presented.     

Contrastive explanation and the many absences problem

We often explain by citing an absence or an omission. Apart from the problem of assigning a causal role to such apparently negative factors as absences and omissions, there is a puzzle as to why only some absences and omissions, out of indefinitely many, should figure in explanations. In this paper we solve this ’many absences problem’ by using the contrastive model of explanation. The contrastive model of explanation is developed by adapting Peter Lipton’s account. What initially appears to be only a trivial amendment to Lipton’s Difference Condition enables us both to offer a much more satisfactory solution to the ’many absences problem’ than David Lewis did, and also to explain why explanation in terms of absences and omissions should be so common.