A study of emotionalism in patients undergoing rehabilitation following severe acquired brain injury

The present study describes the phenomenon of emotionalism in a sample of brain injured patients of mixed aetiology, with a view to identifying issues relevant to clinical management, and possible causal factors. 82 subjects with severe acquired brain injury undergoing rehabilitation participated in a structured interview in which they were asked to report the presence/absence of emotionalism and degree of distress associated with it. Their overt crying behaviour was also observed and recorded. Independent variables that predicted crying during the interview were identified using a multiple logistic regression procedure. Prevalence rates of emotionalism-tearfulness were high in this sample (52% self-report, 36--41% Emotionalism-laughter was much less common (13%) Emotionalism-tearfulness was usually accompanied by negative affect, occurred in response to identifiable precipitants, and was often controllable. It was associated with major personal distress in about half the subjects who reported it. Independent variables which predicted crying behaviour were female gender and focal damage to the right cerebral hemisphere. It is concluded that an increased readiness to cry is common in people with severe acquired brain injury of mixed aetiology. The behaviour is meaningful, though not always distressing. The intensity of the behaviour is variable, and it may be most appropriate to regard emotionalism as a dimension rather than a syndrome. Implications for clinical management are discussed.     

Personality pathology among individuals with a lifetime history of anorexia nervosa

Anorexia nervosa (AN) appears to be associated with certain personality features. The degree to which personality pathology persists after the acute phase of illness is unclear. This study aimed to investigate personality pathology in a large sample (n = 153) of women with histories of AN using the Dimensional Assessment of Personality Pathology (DAPP) and to evaluate the persistence of pathological personality features by comparing women with acute (n = 83) and remitted AN (n = 55). Women with AN demonstrated high levels of emotional dysregulation, social inhibition and compulsivity relative to age-matched healthy women (n = 124). Identity problems, intimacy problems and schizotypal features were highlighted as important. The same 14 pathological personality dimensions were significantly elevated in both ill and remitted participants, though remitted individuals' scores were reduced on 4 of the subscales. These results indicate that pathological personality features in AN are persistent traits, although some features may become exaggerated in the acute phase.     

Personality and Intelligence: Gender,the Big Five,Self‐Estimated and Psychometric Intelligence

This paper reports on two studies that investigated the relationship between the Big Five personality traits, self‐estimates of intelligence (SEI), and scores on two psychometrically validated intelligence tests. In study 1 a total of 100 participants completed the NEO‐PI‐R, the Wonderlic Personnel Test and the Baddeley Reasoning Test, and estimated their own intelligence on a normal distribution curve. Multiple regression showed that psychometric intelligence was predicted by Conscientiousness and SEI, while SEI was predicted by gender, Neuroticism (notably anxiety) and Agreeableness (notably modesty). Personality was a better predictor of SEI than of psychometric intelligence itself. Study 2 attempted to explore the relationship between SEI and psychometric intelligence. A total of 130 participants completed the NEO‐PI‐R, the Baddeley Reasoning Test, and the S & M Spatial intelligence test. In addition, SEI and participants conceptions of intelligence were also examined. In combination with gender and previous IQ test experience, these variables were found to predict about 11% of the variance in SEI. SEI was the only significant predictor of psychometrically measured intelligence. Inconsistencies between results of the two studies, theoretical and applied implications, and limitations of this work are discussed.     

Number of Extensions of Non-Fregean Logics

We show that there are continuum many different extensions of SCI (the basic theory of non-Fregean propositional logic) that lie below WF (the Fregean extension) and are closed under substitution. Moreover, continuum many of them are independent from WB (the Boolean extension), continuum many lie above WB and are independent from WH (the Boolean extension with only two values for the equality relation), and only countably many lie between WH and WF.     

“Nothing About Me, Without Me”: Participatory Action Research with Self-Help/Mutual Aid Organizations for Psychiatric Consumer/Survivors

Participatory action research with self-help/mutual aid organizations for psychiatric consumer/survivors is reviewed. We begin by tracing the origins of and defining both participatory action research and self-help/mutual aid. In so doing, the degree of correspondence between the assumptions/values of participatory action research and those of self-help/mutual aid for psychiatric consumer/survivors is examined. We argue that participatory action research and self-help/mutual aid share four values in common: (a) empowerment, (b) supportive relationships, (c) social change, and (d) learning as an ongoing process. Next, selected examples of participatory action research with psychiatric consumer/survivor-controlled self-help/mutual aid organizations which illustrate these shared values are provided. We conclude with recommendations of how the key values can be promoted in both the methodological and substantive aspects of future participatory action research with self-help/mutual aid organizations for psychiatric consumer/survivors.     

Defensive aggression in terns: Discrimination and response to individual researchers

The defensive responses of roseate terns (Sterna dougallii) were studied during the middle of the breeding season when all reproductive stages (incubation, chick-hatching, chick-rearing) were represented, to determine the factors affecting levels of nest defense and whether terns responded differently towards a familiar versus an unfamiliar researcher. Defensive aggression generally varied as a function of researcher identity, time of day, section or location in the colony and nest density. These variables explained from 60 to 66% of the variation in defensive aggression. More terns mobbed one researcher with more dive attacks than the other researcher. Terns were more aggressive in areas where the chicks had just hatched and were most vulnerable. © 1993 Wiley-Liss, Inc.     

Shortage of highly skilled workers in Hong Kong and policy responses

As Hong Kong develops into a knowledge-based economy, there is a strong increase in demand for highly educated and highly skilled workers. At the same time, many other countries are also experiencing shortages of highly-skilled workers as the development of hi-tech and information technology sectors have become an international trend. In this article, we study the changes in demand and supply of highly-skilled workers in Hong Kong and analyse the role that natural population growth, immigration, emigration, and return migration play in relation to the supply of highly-skilled workers. We also give an account of the policy responses of the government of the Hong Kong Special Administrative Region in its attempt to attract highly-skilled professionals as well as the challenges facing Hong Kong in the light of keen international competition.     

Pilot randomised controlled trial of counselling in a community mental health setting: Pitfalls and learnings

The establishment of counselling and psychotherapy as “evidence‐based” interventions is contingent on the effective implementation of randomised controlled trials (RCTs) in real‐world clinical settings. This paper identifies some of the pitfalls that led to the termination of a practical RCT in a community mental health setting. It reflects upon the significance of the lessons learned by drawing on similar challenges that are documented in the wider literature. Issues surrounding staff turnover, counsellor engagement and procedural clarity are discussed, as is the conflict between the time required for research procedures and counsellors’ clinical time constraints. In our recommendations, we recognise the decisive role of collaboration and counsellor motivation in research partnerships, and the significance of clinical relevance, communication, training and research co‐production in achieving them. Time commitment is identified as the pivotal challenge in the formation and maintenance of collaborative research, but one that also must be overcome for the advancement of the counselling and psychotherapy field.