‘It was all intertwined’: Illness representations and self-management in patients with cancer and anxiety/depression

Objective: Cancer and anxiety/depression frequently co-occur, leading to poorer outcomes for these illnesses. However, the majority of existing research investigates how participants view single illnesses alone. This study aimed to explore the content of individuals’ multimorbid representations and how these relate to their coping behaviours and self-management strategies for cancer and anxiety/depression.

Design: A semi-structured qualitative research design with theoretical thematic analysis.

Main Outcome Measures: Multimorbid illness representations, coping behaviours, and self-management strategies.

Results: In interviews with 21 participants multimorbid representations varied, three participants viewed cancer and anxiety/depression as unrelated, five participants were uncertain about the relationship between cancer and anxiety/depression, and the majority of participants perceived cancer and anxiety/depression as related. This third group of participants often described relationships as causal, with representations having both positive and negative influences on coping behaviours and self-management strategies. Representations were shown to change over the course of the cancer experience, with fear of cancer recurrence and the influence of participants’ most challenging illness also discussed.

Conclusions: People hold multimorbid illness representations that can influence self-management. An awareness of these representations by researchers, health professionals, and patients is important for the creation of future interventions that aim to improve and maintain patient wellbeing.     

The Predictive Utility of Narcissism among Childrenand Adolescents: Evidence for a Distinction betweenAdaptive and Maladaptive Narcissism

We examined the predictive utility of narcissism among a community sample of children and adolescents (N=98) longitudinally. Analyses focused on the differential utility between maladaptive and adaptive narcissism for predicting later delinquency. Maladaptive narcissism significantly predicted self-reported delinquency at one-, two-, and three-year follow-ups. This pattern held even when considering other intrapersonal risk factors for conduct problems (i.e., callous-unemotional traits, impulsivity), parenting practices, and when controlling for earlier conduct problems. In addition, adaptive narcissism was predictive of delinquency in the absence of positive parenting practices, with maladaptive narcissism being particularly predictive of delinquency in the presence of negative parenting. The implications for understanding delinquency in terms of the social and motivational characteristics that are the hallmark of maladaptive narcissism are discussed.     

Testing the latent factor structure and construct validity of the Ten-Item Personality Inventory

Recent efforts have aimed to develop relatively short measures of the Five-Factor Model (FFM) of personality, particularly for when time and/or space is limited. We evaluate the Ten-Item Personality Inventory (TIPI), a non-proprietary FFM measure with two items per dimension. We use a latent variable methodology to examine the TIPI’s factor structure and convergent validity with the 50-item International Personality Item Pool (IPIP) FFM measure. We provide correlations between the scale scores and latent factors, and compare each measure’s pattern of correlations with measures of other individual difference constructs. Results were favorable in terms of the factor structure and convergent validity of the TIPI, particularly regarding the correlations between the respective latent factors of the TIPI and the IPIP–FFM measures.     

Sensory extinction of stereotyped object-dropping: Identification of a reinforcer for skill training

Stereotyped motor behavior, resistant to treatment by nonaversive means, can be effectively reduced by sensory extinction. Sensory extinction is a procedure which can identify the powerful sensory reinforcers maintaining stereotyped behavior. In this single-subject, multiple-baseline experiment, the elimination of auditory feedback to a workshop trainee who was blind and profoundly retarded, extinguished stereotyped object-dropping. Contingent auditory stimulation delivered for a fixed ratio of correct object placements increased correct responding. Results were discussed in terms of the utility of selecting reinforcers on the basis of empirical manipulations, such as sensory extinction, and in terms of self-control versus contingency functions of sensory reinforcement.     

Empirical correlates and expanded interpretation of the MMPI-2-RF Restructured Clinical Scale 3 (Cynicism)

The recent release of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) has received much attention from the clinical psychology community. Particular concerns have focused on Restructured Clinical Scale 3 (RC3; Cynicism). This article briefly reviews the major criticisms and responses regarding the restructuring of Clinical Scale 3. The primary purpose of the article is to provide expanded interpretive perspectives on RC3 by correlating it with a selection of external variables that are conceptually related. Forty undergraduate volunteers completed the MMPI-2-RF as well as measures of Machiavellianism, alienation, faith in people, and locus of control. Results showed strong correlations between RC3 and Machiavellianism (.47) and alienation (.60), with item-level information that may extend existing interpretive statements to include, not just a cynical view of others, but a willingness to intentionally lie, cheat, deceive, and manipulate (i.e., Machiavellianism).     

Metaphoric advertisement comprehension: The role of the cerebral hemispheres

Currently little is known about how implicit processes (i.e., cognitive processes that consumers are unaware of) are utilized as consumers read metaphoric advertisements. The field of cognitive neuroscience can help marketers better understand consumers' implicit processing by examining how each cerebral hemisphere uniquely contributes during metaphoric advertisement comprehension. A right hemisphere advantage has been demonstrated during metaphoric language processing; however, it is unclear how each hemisphere of the brain processes metaphors used in advertisements. This study combines the fields of marketing and cognitive neuroscience to investigate the hemispheric processing of metaphoric advertisements. Through the use of the divided visual field paradigm, participants read metaphor, literal, or neutral slogans and responded to related target words presented to either the left visual field‐right hemisphere or the right visual field‐left hemisphere. As predicted, there was a right hemisphere advantage, compared to the left hemisphere, for metaphoric slogans. Additionally, greater facilitation was evident in the right hemisphere for literal slogans compared to metaphoric slogans. Metaphoric messages were also remembered better than literal ones. These findings provide an in‐depth account of how consumers implicitly process messages, suggesting an important role of the right hemisphere during the comprehension of both metaphoric and literal messages. Copyright © 2011 John Wiley & Sons, Ltd.     

Six-month-old infants use analog magnitudes to represent duration

While many studies have investigated duration discrimination in human adults and in nonhuman animals, few have investigated this ability in infants. Here, we report findings that 6-month-old infants are able to discriminate brief durations, and, as with other animal species, their discrimination function is characterized by Weber's Law: proportionate difference rather than absolute difference between stimuli determined successful discrimination. Importantly, paralleling results found with nonhuman animals, the Weber function that we found for infants' discrimination of time is the same as that found for their discrimination of number. Infants discriminated durations of an audiovisual event differing by a 1:2 ratio, but not those differing by a 2:3 ratio, over a range of durations. This suggests that (a) in human as in nonhuman animals, the same mental mechanism may underlie the ability to measure duration as to represent number, and (b) we may share this mental mechanism with other animal species.     

Successful differential evaluative conditioning using simultaneous and trace conditioning procedures in the picture-picture paradigm

This paper describes a study designed to investigate the efficacy of two traditional classical conditioning procedures in generating evaluative conditioning (EC) in the picture-picture paradigm in human participants. Differential EC was found using both simultaneous and trace conditioning procedures. In addition, the use of a block-subblock (BSB) nonpaired control condition and full counterbalancing of conditioned stimulus-unconditioned stimulus (CS-UCS) pairings across participants indicated that the observed EC effects were the result of associative learning. Examination of whether successful conditioning could take place with or without conscious awareness of CS-UCS contingencies was inconclusive. The results provide evidence for EC as an associative process and also provide some insight into the possible conditioning parameters that might successfully generate EC.