Gender Differences in Psychological Distress Among Immigrants from the Former Soviet Union

In this study we compared rates and correlates of psychological distress among immigrant women and men from the former Soviet Union. A demographic, migration, and social network questionnaire and the Symptom Checklist-90-R were administered to 935 female and 706 male immigrants. Older age and less time in the United States predicted distress in both gender groups. However, having less education, leaving relatives behind, and not being sponsored by friends or a religious organization predicted greater distress for women. Women reported significantly more distress than men except for those men who were married and retired.     

An Examination of the Glover Numbing Scale: Expanding the Content Validity of Posttraumatic Numbing

Quantification of posttraumatic numbing (PTN) has largely been limited to the assessment of a small number of items taken directly from the DSM. The current study takes steps to expand the content validity of PTN through examination of the Glover Numbing Scale (GNS), one of the few available measures specific to PTN. Specifically, the factor structure of the GNS and its convergence with DSM-based indices of PTN were examined in a sample of motor vehicle accident survivors (MVA; N = 288). Whereas the 5-factor structure originally proposed by Glover et al. Anxiety 1:70–79 (1994) evidenced a poor fit to the sample data, exploratory analysis suggested a 1-factor structure underlying data collected from the sample. Furthermore, GNS scores derived from this solution evidenced a strong convergent relationship with DSM-based PTN. These data suggest that alternative indicators contained within the GNS may be used to expand current conceptualizations of PTN.

The structure of distress following trauma: posttraumatic stress disorder, major depressive disorder, and generalized anxiety disorder

The current report used confirmatory factor analysis to examine the latent structures of both key features and associated symptoms of three disorders that commonly develop following a traumatic event: posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD). Participants were 228 motor-vehicle accident survivors who sought treatment for emotional difficulties. PTSD, MDD, and GAD were assessed with a combination of self-report and interview-based measures. The results of construct level analyses suggested that PTSD, MDD, and GAD are distinguishable but highly correlated disorders following a traumatic event. Symptom level analyses supported a model where the Reexperiencing, Avoidance, and Hypervigilance factors were subsumed under the PTSD construct. However, in this model the Dysphoria factor was a higher order construct correlated with the PTSD, MDD, and GAD factors, suggesting that the Dysphoria cluster may not be unique to PTSD. Diagnostic and theoretical implications of these results are discussed.     

A tale of four countries: How Bowlby used his trip through Europe to write the WHO report and spread his ideas

Attachment theory, developed by child psychiatrist John Bowlby, is considered a major theory in developmental psychology. Attachment theory can be seen as resulting from Bowlby's personal experiences, his psychoanalytic education, his subsequent study of ethology, and societal developments during the 1930s and 1940s. One of those developments was the outbreak of World War II and its effects on children's psychological wellbeing. In 1950, Bowlby was appointed WHO consultant to study the needs of children who were orphaned or separated from their families for other reasons and needed care in foster homes or institutions. The resulting report is generally considered a landmark publication in psychology, although it subsequently met with methodological criticism. In this paper, by reconstructing Bowlby's visit to several European countries, on the basis of notebooks and letters, the authors shed light on the background of this report and the way Bowlby used or neglected the findings he gathered.     

EDUCATING PHYSICIANS FOR MORAL EXCELLENCE IN THE TWENTY-FIRST CENTURY

Medical professionals are a community of highly educated individuals with a commitment to a core set of ideals and principles. This community provides both technical and ethical socialization. The ideal physician is confident, empathic, forthright, respectful, and thorough. These ideals allow us to define broadly "the excellence" of being a physician. At the core of these ideals is the ability to be empathic. Empathy exhibits itself in attributes of an individual's moral character and also in actions that actualize and support communal life. Empathy, however, can be diminished or even lost and must be nurtured on an ongoing basis. The development of ethical physicians is strongly linked to experiences in the training period. Moral traits are situation-sensitive psychological and behavioral dispositions. The clinical environment of medical training programs can be so intense as to lead to conditions that may actually deprofessionalize trainees. Creating a clinical environment that is ethically nurturing and sustaining is an indispensable component of practicing medicine.     

Multipropositionalism and Necessary a Posteriori identity Statements

We provide an account of necessary a posteriori identity statements that relies upon Perry's multipropositionalism. On our account an utterance of, e.g., ‘Hesperus is Phosphorus', semantically makes available several propositions, one of which is necessary (and a priori) and another of which is a posteriori (and contingent). Since our view resembles two‐dimensionalism, one might assume that it is undermined by the sorts of nesting arguments that Soames and others have raised against two‐dimensionalism. We demonstrate, however, that our account is immune to such nesting arguments.