Psychosocial adjustment to and control of diabetes mellitus: differences by disease type and treatment

The relationship of diabetic patients' psychosocial adjustment to disease type, treatment mode, and indexes of control was examined in a representative community population. The psychometric properties of the Diabetes Educational Profile (DEP) and its application to psychosocial research in diabetes were also investigated. Findings support the reliability and validity of the DEP. Various measures of psychosocial adjustment were related to diabetes control but the specific relationships depended on the particular aspect of adjustment, the specific measure of diabetes control, and the type of disease and treatment. The findings suggest that analyses that aggregate dissimilar patient groups are subject to misinterpretation due to ecological masking and supressor effects. The results indicate that clinicians and researchers must recognize that patients with different disease types and treatment modes have different norms for psychological adjustment and diabetes control. Further, the particular aspects of psychosocial adjustment associated with diabetes control differ across patient groups.     

Effects of fornix transection on spontaneous and trained non-matching by monkeys

Three monkeys with fornix transection and three normal control monkeys performed a series of tasks which were variations of delayed non-matching. Experiment 1 showed that even at short retention intervals fornix transection impaired the spontaneous tendency to explore novel objects. Experiment 2 provided differential reward for non-matching and showed that the fornix-transected monkeys learned and performed non-matching normally even though the sample-match retention intervals were long throughout the experiment. Experiment 3 showed that non-matching performance was transiently more disrupted in fornix-transected than in normal monkeys when the testing procedure was changed, in a variety of ways, while maintaining the basic non-match rule. Experiment 4 required the monkeys to discriminate objects they had displaced from objects they had seen but not displaced; fornix transection produced in this task a substantial and stable impairment. These four experiments require a revised interpretation of the effects of fornix transection upon recognition memory and exploration. Particularly they contradict the hypothesis, suggested by previous experiments, that fornix transection produces a defect in discrimination of stimulus familiarity in long-term but not in short-term memory. They suggest rather that fornix transection impairs memory of instrumental responses.     

The experiences of person-centred counsellors working with suicidal clients online through the medium of text

ABSTRACT

In this study, we attempt to provide an understanding of the experiences of four UK-based person-centred counsellors working with suicidal clients online using text-based therapies and the impact of their clients’ suicidal ideation upon their “way of being”. The counsellors were selected purposively; each was working as a person-centred counsellor online, was encountering suicidal ideation in their clients, and was a member of a professional organisation. A narrative approach was taken, using unstructured interviews and a stanza format of representation. We found that participants had developed a way of being online that may be distinct from their in-person practice. Challenges included being more directive, lacking physical presence, lacking confidence in assessing risk and questions about empathic understanding. Working online with risk raises specific challenges for person-centred practitioners in line with what is indicated in the little relevant research currently already available.