Psychological distance reduces the effect of internalized stigma on mental health treatment decisions

Although stigma is a major barrier to treatment for those with mental health concerns, it is poorly understood when stigma is more or less influential in mental health treatment decisions. In the current work, we examined whether psychological distance—the removal of an event from direct experience—reduced the influence of internalized stigma on willingness to seek treatment. Specifically, we tested the hypothesis that psychological distance versus proximity (e.g., seeking treatment in three months vs. in two days, respectively) decreases the negative influence of stigma on willingness to seek treatment. We focused on a population for whom mental health treatment decisions are personally-relevant: individuals who had previously sought mental health treatment. Experiment 1 showed that the extent to which these individuals internalized (i.e., personally endorsed) stigma about mental illness predicted lower intentions to make an appointment with a mental health care provider for themselves (but not another person). Experiment 2 replicated this result using a different measure of psychological distance (temporal distance) and extended this finding to behavior (time spent reading mental health resources). Overall, this research demonstrated that internalized stigma disrupts mental health treatment-seeking intentions and behaviors when they are psychologically proximal, but not when they are distant. Potential applications of these results are discussed.     

Modeling support provision in intimate relationships

Whereas supportive interactions are usually studied from the perspective of recipients alone, the authors used a dyadic design to incorporate the perspectives of both provider and recipient. In 2 daily diary studies, the authors modeled provider reports of support provision in intimate dyads over several weeks. The 1st involved couples experiencing daily stressors (n = 79); the 2nd involved couples experiencing a major professional stressor (n = 196). The authors hypothesized that factors relating to (a) recipients (their requests for support, moods, and stressful events), (b) providers (their moods and stressful events), (c) the relationship (relationship emotions and history of support exchanges), and (d) the stressor (daily vs. major stressors) would each predict daily support provision. Across both studies, characteristics of providers, recipients, and their relationship emerged as key predictors. Implications for theoretical models of dyadic support processes are discussed.     

Analogical modification in the creation of contemporary art

The goal of this study was to propose a framework to describe the analogical process in the context of creation. We conducted retrospective interviews with two contemporary artists in their forties using portfolios of their past works so that they could recall their creation processes in detail. We found that the artists often use analogical modification to produce new series of artwork. Analogical modification is a cognitive process used to generate a new target, in the context of creation, by changing values of a source to make differences during analogical mapping. We found three types of analogical modification, namely, subject modification, structure modification, and concept modification. Creative vision, which is formed through many years of creative activity and consists of long-term intentions or goals for creation, plays an important role in guiding the use of analogical modification. The process of artistic creation can be better understood using the framework of the interaction between activities in different time spans, such as analogical modification and creative vision.     

Loss of control over eating reflects eating disturbances and general psychopathology

This study examined the clinical significance of the loss of control over eating as a key component of eating disorders. It investigated the association of eating-related psychopathology and general psychopathology with objective bulimic episodes (OBEs; experiencing a loss of control while consuming large amounts of food) and subjective bulimic episodes (SBEs; experiencing a loss of control while consuming small/moderate amounts). A community sample of 81 women with a range of disordered eating was recruited: binge-eating disorder, bulimia nervosa, subclinical eating disturbances, or no eating disorders. They were interviewed using the Eating Disorder Examination and completed measures of eating-related and general psychopathology. Both OBE and SBE frequencies correlated significantly with measures of eating-related and general psychopathology, and no significant differences were found between the magnitudes of the correlations with either binge episode type. SBE frequency significantly and independently predicted global eating disorder psychopathology. The loss of control over eating, without consuming large amounts of food, was as closely associated with specific eating disorder psychopathology and general mental health as were traditionally defined OBEs. SBEs may be an important target of treatment and should be considered for future diagnostic classifications of eating disorders.     

Ryff's psychological well-being inventory: factorial structure and life history correlates among Japanese university students

The theoretical model of psychological well-being that encompasses six domains (self-acceptance, positive relations with others, autonomy, environmental mastery, purpose in life, and personal growth) was tested with a Japanese university student population (N = 574) using a Japanese translation of Ryff's 1989 Psychological Well-being Inventory. A factor structure similar to Ryff's original model emerged. Both depression and anxiety correlated only moderately with scores on some subscales of the inventory, suggesting the relative independence of these dimensions of psychological well-being and negative affectivity. With negative affectivity controlled, some early life experiences were significantly linked with psychological well-being: relationships with romantic partners were linked with greater autonomy and experiences which enhance self-esteem were liked with greater personal growth. Careful psychometric work on the Japanese version is required to use the scale; then a replication and extension of the present study would be feasible.     

Stereotype performance boosts: the impact of self-relevance and the manner of stereotype activation

The activation of positive stereotypes has been shown to produce academic performance boosts. Evidence regarding the role of self-relevance in producing such effects has been mixed. The authors propose that the subtlety of stereotype activation plays a key role in creating performance boosts among targets and nontargets of stereotypes. Study 1 found that subtle stereotype activation boosted performance in targets, but blatant activation did not. Study 2 was conducted on both targets and nontargets using different methods of stereotype activation. Again, targets showed performance boosts when stereotypes were subtly activated but not when they were blatantly activated. Nontargets, however, showed boosts in performance only when stereotypes were blatantly activated. The role of self-relevance in mediating sensitivity to stimuli is discussed.     

Brief Cognitive Behavioral Therapy for Insomnia in Parkinson's Disease: A Case Series Study1

Parkinson's disease (PD) patients frequently suffer from insomnia and insomnia can result in reduction of quality of life in PD. Although pharmacotherapy is most applicable for insomnia, it may cause side-effects in PD. The purpose of the study was to investigate the efficacy of brief cognitive behavioral therapy for insomnia (CBTI) in PD. A total of 11 PD patients aged 43–84 years with chronic insomnia received two sessions of CBTI. Patients reported a significant decrease in total score for the Insomnia Severity Index (ISI). The total score for the Parkinson's Disease Sleep Scale (PDSS) improved. Although objective sleep measured by actigraph did not improve, subjective sleep measured by sleep diary improved. Functional impairment measured by the Sheehan Disability Scale (SDS) significantly decreased. These results revealed that brief CBTI was effective in improving insomnia in PD, with improvements extending to functional impairments that had been affected by insomnia. Additionally, this non-pharmacotherapy treatment could be easily applied to PD patients who may have difficulty coming to the clinic frequently due to physical symptoms.