Helpful Actions of Close Friends to Personal Problems and Distress

Interviews with 26 participants produced 32 responses from close friends said to be helpful in coping with personal problems and distress. The presence and helpfulness of these 32 actions were rated by 150 and 156 volunteers respectively for these two situations. Separate factor analyses of these responses resulted in three factors called Acceptance, Guidance, and Reassurance, which were used to summarise the data into three scales. Acceptance was seen as being the most common and the most helpful reaction to both these situations. It was also the only factor which was significantly positively correlated with the outcome of such support in both situations and with psychological well-being as assessed by self-esteem, even when the attributed helpfulness of these factors was controlled. Contrary to expectations, responses to the two situations did not differ, apart from Guidance being judged to be slightly more helpful for personal problems than for personal distress.     

Children's defensive responses and emotional upset following a disaster: a projective assessment

Projective stories were used to assess the defense mechanisms of 27 preadolescent boys who were victims of a lightning strike in which one boy died. Denial, projection, and identification, in combination, were found to be inversely related to clinical upset, as was the age and sex-appropriate individual defense of projection. In addition, low-defensive boys' self-reports of fears agreed more often with their parents' reports of sleep and somatic disturbances than did high-defensive boys' self-reports. The findings provide support for the validity of the Defense Mechanism Manual (Cramer, 1982) and raise the issue of defense mechanisms as moderator variables in self-report questionnaires.     

Therapeutic relationship and outcome seen by clients in first and third session of individual therapy

Rogers' assertion that therapeutic improvement results from clients seeing their therapist as genuinely empathic and unconditionally accepting was explored in the first and third session of individual therapy with 24 clients. This proposition was partly supported in that higher combined levels of these therapist qualities as seen by clients after session one was associated with higher self-esteem and lower need for approval after session three, when these two variables after session one were respectively controlled. However, no support for this assumption was found for depression and anxiety, in that lower depression and greater anxiety after session one was associated with higher levels of these therapist qualities after session three. These latter two findings imply that the subsequent therapist qualities may have resulted from earlier anxiety and depression.     

Living alone,marital status,gender and health

Non-married people have generally been found to be less healthy than the married. It has been suggested that this difference may be brought about by the greater lack of social integration of those living alone. This hypothesis was tested by comparing the health of those living alone with those living with another person in the four non-married categories of never married, separated, divorced and widowed for women and men separately, initially controlling for age, education and income and subsequently adding five proximate indices of social integration. The person lived with was further categorized as an adult, cohabitee, child aged 4 or under, child aged 5 to 17, adult child, parent, relative or non-relative. The three indices of health were the 30-item General Health Questionnaire of psychological distress. a 15-item checklist of common physical symptoms and alcohol intake. The main differences obtained were that women living alone drank more alcohol than those cohabiting or living with a child aged 4 or under, and that widowers living alone were more psychologically distressed than those living with an adult child, even when social integration was controlled. The results suggested that living alone was not generally associated with poor health and so could not account for the difference between the married and non-married.     

The harmony of grounding

Philosophical Studies - Mereological harmony is the idea that the mereological structure of objects mirrors the mereological structure of locations. Grounding harmony is the idea that there is a...     

Prudence and Person-Stages

Persons care about their future selves. They reason about their future selves’ interests; they plan for their future selves’ happiness and they worry about their future selves’ suffering. This paper is interested in the interplay between diachronic prudential reason and certain accounts of the metaphysics of personal identity that fall under the broad umbrella ‘conventionalist’. Some conventionalists conclude that under certain conditions there are intractable decisions for there is no fact of the matter regarding whether a person-stage ought (prudentially) to φ. This paper suggests otherwise. These decisions are not intractable if we allow that it is sometimes rational for a person-stage to discount the utility of certain future person-stages. The paper then goes on to explore an alternative position that conventionalists might occupy which does not involve any such discounting: prudential relativism. According to prudential relativism, it is impossible to offer a single, correct, answer to the question: should person-stage, P, φ at t? For according to prudential relativism there is no stage-independent stance from which to evaluate whether a person-stage ought to φ. Yet it is not, for all that, intractable, from P’s perspective, whether or not to φ.     

Associations of perceived stress and state anger with symptom burden and functional status in patients with heart failure

Abstract

Background: Psychosocial stress and anger trigger cardiovascular events, but their relationship to heart failure (HF) exacerbations is unclear. We investigated perceived stress and anger associations with HF functional status and symptoms.

Methods and Results: In a prospective cohort study (BETRHEART), 144 patients with HF (77% male; 57.5?±?11.5 years) were evaluated for perceived stress (Perceived Stress Scale; PSS) and state anger (STAXI) at baseline and every 2 weeks for 3 months. Objective functional status (6-min walk test; 6MWT) and health status (Kansas City Cardiomyopathy Questionnaire; KCCQ) were also measured biweekly. Linear mixed model analyses indicated that average PSS and greater than usual increases in PSS were associated with worsened KCCQ scores. Greater than usual increases in PSS were associated with worsened 6MWT. Average anger levels were associated with worsened KCCQ, and increases in anger were associated with worsened 6MWT. Adjusting for PSS, anger associations were no longer statistically significant. Adjusting for anger, PSS associations with KCCQ and 6MWT remained significant.

Conclusion: In patients with HF, both perceived stress and anger are associated with poorer functional and health status, but perceived stress is a stronger predictor. Negative effects of anger on HF functional status and health status may partly operate through psychological stress.     

The Witness Credibility Scale: An outcome measure for expert witness research

The judge or jury makes a subjective determination of when an expert is credible. However, no published measure exists for assessment of the credibility of expert witnesses. The current study addressed this gap by developing and cross‐validating the Witness Credibility Scale (WCS). Drawing on the narrative literature, we hypothesized that credibility was a product of four factors: “likeability,” “believability,” “trustworthiness,” and “intelligence.” A 41‐item measure was initially constructed based on successive iterations of ratings by a panel of judges using items from the Osgood Semantic Differential measure and was subsequently administered to 264 undergraduates. A factor analysis of the data yielded a factor structure that consisted of four factors labeled, “knowledge,” “likeability,” “trustworthiness,” and “confidence.” The final version of the WCS used 20 adjectives with four subscales of five items, each subscale reflecting high loadings on the respective factors. The scale was then tested in five additional studies, in which the scale successfully differentiated between groups of videotaped experts testifying in manipulated conditions. The empirical data from these studies permit a foundation for comparing outcome data in future research investigations. Copyright © 2010 John Wiley & Sons, Ltd.     

Modal Persistence and Modal Travel

We argue that there is an interesting modal analogue of temporal persistence, namely modal persistence, and an interesting modal analogue of time travel, namely modal travel. We explicate each of these notions and then argue that there are plausible conditions under which some ordinary objects modally persist. We go on to consider whether it is plausible that any modally persistent objects also modally travel. 1