Fibromyalgia: the role of sleep in affect and in negative event reactivity and recovery

OBJECTIVE: Fibromyalgia (FM) syndrome is a chronic pain condition characterized by diffuse muscle pain, increased negative mood, and sleep disturbance. Until recently, sleep disturbance in persons with FM has been modeled as the result of the disease process or its associated pain. The current study examined sleep disturbance (i.e., sleep duration and sleep quality) as a predictor of daily affect, stress reactivity, and stress recovery. DESIGN AND MEASURES: A hybrid of daily diary and ecological momentary assessment methodology was used to evaluate the psychosocial functioning of 89 women with FM. Participants recorded numeric ratings of pain, fatigue, and positive and negative affect 3 times throughout the day for 30 consecutive days. At the end of each day, participants completed daily diary records of positive and negative life events. In addition, participants reported on their sleep duration and sleep quality each morning. RESULTS: After accounting for the effects of positive events, negative events, and pain on daily affect scores, it was found that sleep duration and quality were prospectively related to affect and fatigue. Furthermore, the effects of inadequate sleep on negative affect were cumulative. In addition, an inadequate amount of sleep prevented affective recovery from days with a high number of negative events. CONCLUSIONS: These results lend support to the hypothesis that sleep is a component of allostatic load and has an upstream role in daily functioning.     

AGAINST RECORDING SESSIONS FOR SUPERVISION

The American Psychological Association’s (APA) 2014 injunction that supervisors must listen to recorded sessions of their supervisees’ work is based on a rich and thorough body of research, and yet it entails a narrative of psychotherapy as a discipline of Science. If psychotherapy is understood as an endeavor also of the Humanities, recording sessions may be anathematic to supervision and training. Developing ideas from Greenberg’s (2015) theory of “controlling fiction,” the writer presents a narrative of psychotherapy in which it is not wise to review recorded sessions in supervision.

     

Moratorium and reconciliation in a post-missionary era

The moratorium on Western missionary labour and financial resources has been a matter of lively interest over the past five decades. Postcolonial theologians and missiologists have blamed Western missionaries for introducing Christianity without paying attention to existing cultures of local people. Despite this, the work of Western missionaries has undeniably contributed to evangelization and the advancing of Western civilization in Africa. In this context, this paper considers Colin Morris’s views on the moratorium to prevent sending missionaries and financial resources from the West. Based on an examination of his views, it analyzes two elements that shape the discourse on the moratorium in the post-missionary era: the impact of the moratorium on Christian mission and the need for reconciliation and partnership between the churches in the global North and the global South. This paper concludes that we must promote the interdependence and mutuality of churches in the global North and the global South if the Christian imperative of making disciples of all nations is to be fulfilled.     

Purely Theoretical Explanations

Philosophia - This paper introduces a new kind of explanation that we describe as ‘purely theoretical’. We first present an example, E, of what we take to be a case of purely...     

MEMORY WALLET INTERVENTION IN AN ADULT DAY-CARE SETTING

The use of memory wallets to prompt factual information during conversations with day-care center volunteers was evaluated for four subjects with dementia. Memory wallets contained 15–20 pictures and sentences about familiar persons, places, and events that each subject had difficulty remembering. All subjects used the memory wallets to improve their conversations by increasing factual statements and decreasing ambiguous, unintelligible, and perseverative utterances. Volunteers decreased their use of questions and prompts during conversations in which subjects used their memory wallets. These results demonstrate the effectiveness of using volunteers to develop memory wallets and to encourage their use during conversations with day-care clients.