SUBLIMINAL EXPOSURE TO DEATH-RELATED STIMULI INCREASES DEFENSE OF THE CULTURAL WORLDVIEW

Abstract— Three experiments reported here provide empirical support for the hypothesis derived from terror management theory that unconscious concerns about death motivate allegiance to cultural beliefs, Study 1, contrasted exposure to a subliminal death-related stimulus, a standard mortality-salience treatment, and a neutral subliminal stimulus, and found that both the subliminal and the standard reminder of mortality led to more favorable evaluations of people who praised subjects' cultural worldview and more unfavorable evaluations of those who challenged it Study 2, replicated this finding by comparing the effects of exposure to subliminal death stimuli and subliminal pain stimuli. Study 3, contrasted subliminal death stimuli, supraliminal death stimuli, and subliminal pain stimuli and found that only subliminal death stimuli produced these effects.     

An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

DISORDERED EATING AND PERCEPTIONS OF CHILDHOOD ABUSE AMONG WOMEN IN A PRIMARY CARE SETTING

Research has demonstrated links between sexual abuse and disordered eating among women in college student and mental health samples. Little is known about such relationships among women from other samples or the relationship between other forms of childhood abuse as well as disordered eating (vomiting, starvation, laxative abuse). Prevalence of disordered eating was significantly higher among women who indicated a perceived childhood history of sexual, physical, or emotional abuse or who had personally witnessed violence.     

Folic acid and the prevention of neural tube defects: A position paper of the national society of genetic counselors

Considerable scientific evidence demonstrates the reduction in risk for neural tube defects (NTDs) associated with maternal preconceptional folic acid supplementation. The National Society of Genetic Counselors (NSGC) endorses the U.S. Public Health Service recommendations for folic acid supplementation at the 0.4 mg level for women in the general population and at the 4.0 mg level for women at high or increased risk for NTD pregnancies for at least 4 weeks prior to active pursuit of conception. We encourage targeted educational efforts and surveillance to assess results of this dietary supplementation. The NSGC further urges the Food and Drug Administration to fortify staple foodstuffs with folic acid for a population-based approach to minimize the number of NTD births.     

The self-serving attributional bias: Beyond self-presentation

An experiment was conducted to provide empirical support for the notion that asymmetrical causal attributions for favorable and unfavorable outcomes result from a self-serving attributional bias that occurs independently of self-presentational concerns. Subjects did either well or poorly on an ego-involving test for which their performance, attributions, and evaluations of the test were either public or private. A pattern of self-serving responses for subjects' attributions and evaluations of the test was found in the private conditions, thus providing evidence of the influence of outcome favorability on individuals' perceptions of causality. Theoretical and practical implications of these finding are discussed and suggestions for future research are offered.     

Compensatory Response to Anticipated Densities1

The coping processes associated with crowding stress were conceptualized as dynamic sequences of personal or situational adjustments and readjustments directed toward maintaining desired frequencies of social contact. By studying ongoing coping processes as subjects prepared for anticipated crowding, evidence of social withdrawal as a response to crowding was obtained. In addition, findings suggested that these processes were sensitive to change in the situation, seeking or avoiding interaction as anticipated group size changed. Subjects who were subsequently told that they would be interacting in small groups rather than in larger groups reported less crowding and discomfort than subjects whose anticipation of large group interaction was maintained. Furthermore, subjects whose expectations of large group interaction were disconfirmed increased facial regard for others following disconfirmation, indicating a greater willingness to interact. These findings were discussed as evidence of optimization processes governing desired levels of social contact, intimacy, and personal space.     

Brief Cognitive-Behavioral Therapy for Suicidal Inpatients

Suicide risk is elevated in psychiatric patients following discharge from inpatient care. Despite this vulnerability, there has been limited research investigating suicide prevention protocols that take into account the unique system characteristics of this setting (e.g., short lengths of stay, crisis stabilization treatment model, multidisciplinary team coordination). Cognitive-behavioral therapy (CBT) has demonstrated efficacy for improving suicide risk in outpatients, but has not been validated with inpatients. The current study was a treatment development and pilot feasibility open trial that modified brief cognitive-behavioral therapy (BCBT) for an inpatient setting (BCBT-I). Key treatment modifications included administering up to 10 sessions (depending on patient length of stay), daily, and in a standardized order, with core crisis management skills introduced during the first three sessions. In addition, coordination with the inpatient treatment team was included in BCBT-I implementation. Six adult inpatients with a recent suicide attempt enrolled and completed an average of 4.67 BCBT-I sessions (SD = 1.36). The treatment was highly acceptable (Client Satisfaction Questionnaire total score M = 3.49, SD = 0.73). Pre- to posttreatment effect sizes demonstrated improvements in suicidal ideation (d = 0.97), depression (d = 1.33), and suicidal implicit associations (d = 1.28). All but one of the participants (83%) completed follow-up assessments 1-, 2-, and 3-months postdischarge. Over follow-up, two participants reported suicidal ideation (both without intent), and none reported suicide attempts, preparatory acts or behaviors, or nonsuicidal self-injury. This study provided preliminary evidence supporting the feasibility of CBT to treat suicidal inpatients. Future research is needed to validate BCBT-I in a larger, randomized controlled trial to determine whether BCBT-I reduces suicide risk beyond that afforded by inpatient treatment alone.