Reconsidering three dichotomies

Certain dichotomies that are built into modern medical and psychiatric care—mind versus body, the individual versus the group, and sin versus sickness—are discussed and criticized. Judeo-Christian views regarding these issues are presented as helpful alternatives that can help set limits on the distinctions made.     

Dilemmas in diagnosis and treatment of Gilles de la Tourette syndrome.

Gilles de la Tourette syndrome (TS) is a neurological disorder which has an inordinate risk of being diagnosed as psychogenic in nature because of commonly shared behavioral symptomes with syndromes of psychological origin. An overview of TS is presented including its history, symptomatology, and treatment of choice. The problems and pitfalls inherent in the diagnostic process which lead to psychogenic misconceptions are discussed. Treatment considerations include the secondary emotional problems and the negative consequences of the medication for TS. The implications for training professionals are discussed, but the essential point is that without an adequate history of the onset of symptoms, the potential for misdiagnosis is dramatically increased.     

Deeper processing at target selection increases the magnitude of negative priming

Do deeper levels of processing produce equivalent priming effects at all stages of task performance? In Experiment 1, we varied the level of processing factorially across two task stages—target selection and response selection. Each stage required perceptual (e.g., color) or conceptual (e.g., friendliness) processing of stimulus items (i.e., animal names). Negative priming was substantially greater when deeper processing was required at thetarget selection stage, but it was unaffected by the level of processing at the response selection stage. In contrast, positive priming was greater when deeper processing was required at theresponse selection stage, but it was unaffected by processing at the target selection stage. In Experiment 2, we generalized this finding using a task in which numeric targets were selected on the basis of their parity. As in Experiment 1, the deeper level of processing at the target selection stage produced a larger negative priming effect. These results illuminate the role of target selection demands in modulating the strength of negative priming.     

Meaning gained versus meaning lost: The effects of meaning salience on anxiety and depression during the coronavirus pandemic

People who have meaningful lives generally experience less anxiety and depression. Meaning salience, or the awareness of the meaning in one's life, is believed to partially explain this relationship. However, in times of isolation, what might be most salient to people are the meaningful aspects of their lives that have disappeared. This study seeks to understand how making gained versus lost meaning salient affects anxiety and depression. Participants either wrote for 5 minutes about how their life gained meaning (n = 29) or lost meaning (n = 30) due to the coronavirus restrictions, or about music (i.e., the control condition; n = 32). Those who wrote about gained meaning experienced less momentary anxiety than those who wrote about lost meaning. In addition, meaning salience moderated the relationship between meaning and both anxiety and depression. Those who wrote about gained meaning appeared to exhibit a positive relationship between meaning in life (MIL) and both anxiety and depression, while those who wrote about lost meaning exhibited negative relationships. In all, this suggests that meaning salience is not always positive and that researchers and practitioners should consider how making positive meaning salient may be more beneficial than a general focus on MIL.     

Utility of a cognitive-behavioral model to predict fatigue following breast cancer treatment.

The objective of the current study was twofold: (a) to determine whether subgroups of breast cancer patients could be identified on the basis of their distinct trajectory or pattern of fatigue following treatment for early stage cancer using growth mixture modeling and (b) to examine whether the subgroups could be distinguished on the basis of a cognitive-behavioral model. Growth mixture modeling and a prospective longitudinal design were used to examine the course of fatigue after treatment for early stage breast cancer. Women (n = 261; mean age = 55.2 years) provided fatigue ratings for 6 months following treatment. A low-fatigue group (n = 85) and a high-fatigue group (n = 176) were extracted. Women who were not married, had a lower income, had a higher body mass index, engaged in greater fatigue catastrophizing, and were lower in exercise participation were more likely to be in the high-fatigue group. Only body mass index and catastrophizing remained significant predictors in multivariate analysis. Findings suggest considerable heterogeneity in the experience of fatigue following treatment and support the utility of a cognitive-behavioral model in predicting the course of posttreatment fatigue.     

Hold your horses: how exposure to different items influences infant categorization

We investigated how exposure to pairs of different items (as compared with pairs of identical items) influences 10-month-olds' (n=79) categorization of horses versus dogs in an object-examining task. Infants responded to an exclusive category when familiarized with pairs of different items but not when familiarized with pairs of identical items (Experiment 1), even when the frequency of exposure to each item was controlled (Experiment 2). When familiarized with pairs of identical items, infants failed to show evidence of memory for the individual exemplars (Experiment 3). Reducing the retention interval between presentations of different items in the identical pairs condition facilitated infants' recognition of an exclusive categorical distinction (Experiment 4). These results are discussed in terms of how exposure to collections of different items, and how opportunities to compare items, influences infants' categorization.     

Body dissatisfaction, bulimic symptoms, and clothing practices among college women

Clothing use may be a behavioral avoidance strategy for individuals with body dissatisfaction and eating pathology. The authors administered the Body Image Avoidance Questionnaire (J. C. Rosen, D. Srebnik, E. Saltzberg, & S. Wendt, 1991), the Bulimia Test-Revised (M. Thelen, J. Farmer, S. Wonderlich, & M. Smith, 1991), and the Body dissatisfaction subscale of the Eating Disorder Inventory (D. M. Garner, M. P. Olmstead, & J. Polivy, 1983) to undergraduate college women from two universities (N = 540). Results indicated that women who were more dissatisfied with their bodies (beta = .396) and had greater disordered eating behaviors (beta = .378) were more likely to engage in clothing-related appearance-management behaviors (p < .001), including wearing apparel to camouflage their bodies; avoiding revealing, brightly colored, or tightly fitting clothing; and avoiding shopping for clothing. These findings suggest that the presence of certain clothing-related appearance-management behaviors may be a warning sign that an individual is at risk for developing an eating disorder or may currently have an eating disorder.     

Reliability, validity and normative data for the Danish Beck Youth Inventories

This study examines reliability and validity and establish Danish norms for the Danish version of the Beck Youth Inventories (BYI) ( Beck, Beck & Jolly, 2001 ), which consists of five self-report scales; Self-Concept (BSCI), Anxiety (BAI), Depression (BDI), Anger (BANI) and Disruptive Behavior (BDBI). A total of 1,116 school children and 128 clinical children, aged 7–14, completed BYI. Internal consistency coefficients were high. Most test-retest correlations were >0.70. A test-retest difference was found for BAI. Exploratory and confirmatory factor analysis indicated that the five factor structure of the instrument was justified. The BSCI, BAI and BDI discriminated moderately between the norming sample and the clinical group, and the latter group included more children who exceeded the 90th percentile of the norming sample. Diagnostic groups scored higher on relevant scales than norms. Only BSCI and BDI differentiated between diagnostic groups. The BYI showed acceptable internal consistency and test-retest stability, except for BAI. The BYI did not adequately differentiate between internalizing disorders.