Trait predictors of placebo responses in itch

This study investigated trait predictors of placebo responses in the context of inflammatory skin reactions. This was a randomized, cross-over, experimental study using a deceptive placebo protocol. A healthy sample of volunteers (N = 48) completed online personality measures, then attended two laboratory sessions in which short-term inflammatory skin reactions were induced. One was a control session and the other the ‘treatment’ session in which a placebo cream was administered with the suggestion of a reduced skin reaction. A placebo response was defined as smaller skin reactions in control vs. treatment sessions. The traits ego resiliency and neuroticism were selected as possible predictors of placebo responses. Traits were selected in consideration of the two-faceted transactional model of placebo responsiveness and in light of empirical and psychometric considerations ego resiliency emerged as a consistent predictor of placebo responses in itch (p < .05). This is the first study to identify trait predictors of placebo responses in inflammatory skin reactions. Ego resiliency may typify greater placebo responsiveness; however, this may only be in certain contexts. Matching treatment approaches to bio-behavioural response tendencies may be useful clinically if the placebo component of traditional treatments can be enhanced.     

Effort,play, and sport

The effort involved in playing sports calls for a hermeneutical reflection on the power that we have to move our bodies. Drawing on Paul Ricoeur’s phenomenology of the lived body and his later ontology of the flesh, I explore how athletic displays of agility, strength, and speed within the theater of sporting competitions exemplify the way that the effort made by athletes attests to their will and desire to succeed. The agonistic spirit of the Greek Olympics is evident in sporting events where competitors or teams strive against one another. At the same time, the players’ willingness to enter the field of play has a counterpart in real-life situations over which we cannot exert complete control. The contingencies of the game in which the players are caught up are a model of the absence of aseity that is a mark of all human existence. By setting the playing field off from the concerns of everyday life, the game places this feature of the human condition on stage. The players’ physical exertion is the sign of a form of consent that sets the will, desire, and effort to exist against the wish for absolute freedom. Sporting competitions are therefore a theater for dramatizing the misery and grandeur of a specifically human freedom.     

Ask and ye shall receive: behavioural specificity in the accuracy of subjective memory complaints

A cross‐sectional sample of adults completed an extensive set of cognitive tasks and a set of questionnaires measuring depressive affect, memory complaint, and other variables. During an interview about their prescribed medications, the participants also reported whether they were having problems remembering to take the medication as prescribed (an everyday prospective memory problem). Their medication adherence at home was then monitored for one month using pill bottles which microelectronic caps. Cognitive tasks correlated with memory complaints, as measured by the Memory Functioning Questionnaire, but not with problems in remembering to take medications. The highest correlations were with a free recall task. Conversely, reported problems with medication adherence during the interview had good predictive validity for subsequent adherence problems, but not for cognitive tasks, including a measure of prospective memory. Depressive affect was related to both the questionnaire and the interview complaints about medication adherence, but a structural equation model showed that the relationships of cognition and medication adherence to the different memory complaints were independent of depressive affect. The results are interpreted in terms of a behavioural specificity hypothesis, which states that adults' self‐reports of memory problems are valid when they focus directly on specific memory‐related behaviours in everyday contexts. Copyright © 2000 John Wiley & Sons, Ltd.     

A note on the influence of F. M. Alexander on the development of gestalt therapy

Fritz Perls ascribes a significant place in the development of Gestalt theory to his book Ego, Hunger, and Aggression. This note describes the unrecognized influence of F. Matthias Alexander on that work.