A Clinical Intervention in Chronic Pain and Insomnia with a Combined Model of Treatment: A Test of Concept

Co-occurring chronic pain and insomnia are common in a clinical setting. Cognitive–behavioral theoretical (CBT) frameworks exist for both conditions independently. The purpose of this study was to address the problem of co-occurring chronic pain and insomnia with an integrated CBT model based on empirical support. One-hundred eleven individuals (age range 21–65 years) meeting the general criteria for chronic pain and insomnia were included in this study. Participants completed a demographic form, the Dysfunctional Beliefs and Attitudes about Sleep—16-item version, Insomnia Severity Index, Sleep Hygiene Index, Sleep Associated Monitoring Index, Pain Catastrophizing Scale, Pain Disability Questionnaire, Modified Somatic Perceptions Questionnaire, Hospital Anxiety and Depression Scale, and Multidimensional Scale of Perceived Social Support. Significant positive bivariate relationships were observed for pain catastrophizing (PC) and dysfunctional beliefs and attitudes about sleep (DBAS), as well as somatic awareness and sleep-associated monitoring. Two backward stepwise regression models were utilized to determine a model for predicting insomnia severity and pain disability respectively using a combination of sleep and pain-associated measures. Insomnia severity was predicted by DBAS, PC, and somatic awareness. Pain disability was predicted by PC, DBAS, depression, and social support. Maladaptive thought patterns related to pain and insomnia and associated features appear to have a synergistic effect on both insomnia severity and pain disability and support a combined cognitive–behavioral model.     

A Developmental Trajectory in Implicit Memory is Revealed by Picture Fragment Completion

Dissociations between performance on implicit and explicit tasks have often been taken as evidence that different neural structures subserve the two types of memory. One such dissociation involves developmental differences that emerge in explicit tasks, but which appear to be absent in implicit tasks. Such findings are consistent with the idea that implicit memory is subserved by a more primitive system that evolves earlier at both phylogenetic and ontogenetic levels. The present paper reviews previous studies that claimed to find evidence that implicit memory is fully developed in very young children. Issues of measurement error, ceiling effects, and insufficient power brought up questions about those studies with respect to the developmental issue. The present study compares performance on implicit (picture fragment completion) and explicit (free recall and recognition) memory tasks with groups ranging in age from 5–28 years. We find a reliable developmental trend in both implicit and explicit performance in which the former cannot be attributed to the operation ofexplicit memory processes. Thus, we conclude that implicit memory, like explicit memory, develops with age.     

Top Ten Questions Male Sexual Abuse Survivors Want to Know from Health Care Research

Sexual abuse is an often overlooked public health issue for boys and men. Given its prevalence and well-documented connection to mental and physical health disorders, the relevance of male survivor input and engagement in health care research is profound. Using a community-based participatory research design, an in-person focus group with male survivors of sexual abuse and researchers was conducted. This paper describes the top ten research questions male sexual abuse survivors would like to have answered. Survivors were most interested in knowing how sexual abuse and assault impact men’s emotional and sexual functioning, what factors are involved in preventing and treating sexual assault-related emotional distress, and what can be done to prevent sexual abuse of boys and men. The fact that some of the questions survivors expressed an interest in knowing about have actually previously been investigated by researchers suggests a disconnect in translating evidence-based findings. Clinical and research implications include designing outreach interventions and gender-specific psychoeducation to increase engagement and access to care for men.     

The use of religion in coping with grief among bereaved Malay Muslim parents

The purpose of this study is to explore the influence of religion on bereaved parents after the death of a child. Literature had attempted to understand how religiosity may influence parental grief both in positive and negative ways. However, this area is scarcely explored in the Malaysian context. This qualitative study involved 11 bereaved parents who lost their children due to accidents (n?=?9) and homicide (n?=?2). Open-ended questions that focused on the importance, activities, and role of religion in the grieving process among Malay parents were asked. According to the thematic analysis, some of the main themes found were that the bereaved parents described religion as a beneficial mechanism in helping them to adapt with their losses through various responses that indicated the perception that religion as a guidance. However, other than the positive impact, religiosity can also lead the bereaved parents to experience negative effects of using religion as a coping strategy. The influence of culture is prevalent in the current study as the theme of mystical belief and paranormal experiences were also reported. This study provides some professional implication from the possible use of religion in intervention.     

Gender differences in STEM undergraduates' vocational interests: People–thing orientation and goal affordances

This study addressed why women have greater representation in some STEM (science, technology, engineering, and mathematics) fields compared to others by linking two theoretical approaches, people–thing orientation (PO, TO) and role congruity theory, which emphasizes occupation goal affordances associated with traditionally feminine and masculine roles. Vocational interest and goal affordance ratings (having a positive social impact, family, and occupation status) for occupations characterized as working with people or things were assessed in 1848 students (42% female; 81% white non-Hispanic) majoring in biology (gender balanced), non-biology STEM (male-dominated), and female-dominated health fields. Participant PO and TO interests were also collected. Results indicated that non-biology STEM majors showed lower PO and higher TO interests than biology and health majors. Non-biology STEM majors also endorsed PO and TO interests at similar levels, but the other two major groups indicated higher PO than TO. People Jobs were perceived to more likely afford goals related to family and positive social impact; whereas Thing Jobs were perceived to more likely afford status goals. Interest in People Jobs was similar for women in both STEM major groups. Female non-biology STEM majors were equally interested in People and Thing Jobs; whereas biology majors preferred People Jobs. PO, TO, and goal affordance ratings independently predicted interest in People and Thing Jobs, and gender accounted for very little additional variance. Taken together, the findings point to the importance of using both person–thing orientation and role congruity theory when explaining varied gender representations in different STEM fields.     

WHAT’S NEW IN PARALLEL PROCESS? THE EVOLUTION OF SUPERVISION’S SIGNATURE PHENOMENON

The American Journal of Psychoanalysis - The concept of parallel process has played a central role in psychoanalytic supervision for the last 60 years, generating continuing interest in...     

Eye movements of young and older adults while reading with distraction

The authors used eye-tracking technology to examine young and older adults' online performance in the reading in distraction paradigm. Participants read target sentences and answered comprehension questions following each sentence. In some sentences, single-word distracters were presented in either italic or red font. Distracters could be related or unrelated to the target text. Online measures, including probability of fixation, fixation duration, and number of fixations to distracting text, revealed no age differences in text processing. However, young adults did have an advantage over older adults in overall reading time and text comprehension. These results provide no support for an inhibition deficit account of age differences in the reading in distraction paradigm, but are consistent with J. Dywan and W. E. Murphy's (1996) suggestion that older adults are less able than the young to distinguish target and distracter information held in working memory.     

Asymmetric cultural effects on perceptual expertise underlie an own-race bias for voices

The own-race bias in memory for faces has been a rich source of empirical work on the mechanisms of person perception. This effect is thought to arise because the face-perception system differentially encodes the relevant structural dimensions of features and their configuration based on experiences with different groups of faces. However, the effects of sociocultural experiences on person perception abilities in other identity-conveying modalities like audition have not been explored. Investigating an own-race bias in the auditory domain provides a unique opportunity for studying whether person identification is a modality-independent construct and how it is sensitive to asymmetric cultural experiences. Here we show that an own-race bias in talker identification arises from asymmetric experience with different spoken dialects. When listeners categorized voices by race (White or Black), a subset of the Black voices were categorized as sounding White, while the opposite case was unattested. Acoustic analyses indicated listeners’ perceptions about race were consistent with differences in specific phonetic and phonological features. In a subsequent person-identification experiment, the Black voices initially categorized as sounding White elicited an own-race bias from White listeners, but not from Black listeners. These effects are inconsistent with person-perception models that strictly analogize faces and voices based on recognition from only structural features. Our results demonstrate that asymmetric exposure to spoken dialect, independent from talkers’ physical characteristics, affects auditory perceptual expertise for talker identification. Person perception thus additionally relies on socioculturally-acquired dynamic information, which may be represented by different mechanisms in different sensory modalities.