Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Candidate Vulnerability and Exposure to Counterattitudinal Information: Evidence From Two U.S. Presidential Elections

Politically motivated selective exposure has traditionally been understood through the lens of long‐standing attitudes and beliefs, but the role of environment in shaping information exposure practices merits further consideration. Citizens might respond to the political environment in their information‐seeking behavior for numerous reasons. Citizens who believe their position is politically vulnerable have specific cognitive and affective needs that may make them uniquely attuned to counterattitudinal information. In the context of a presidential election, this means that as the defeat of a supported candidate appears more likely, attention to counterattitudinal content will increase. Data collected in the 2008 and 2012 U.S. Presidential elections support this prediction, although this relationship was observed primarily among supporters of the Republican candidate in both elections.     

Decoding the language of the heart: Developing a physiology of inclusion

Constructs such as homeostasis and fight/flight have supported a scientific approach to physiology that has yielded a vast database of obvious heuristic value. Yet in spite of its value, these constructs have tended to create a mind-set that unwittingly supports what this article has labeled a “physiology of exclusion.” Reinforced by the philosophy of René Descartes, this perspective has led investigators to focus on isolated or separate animal organisms that are reflexively wired for self-preservation. It has created a mind-set in which both research investigators and the public at large tend to view the human body as either in a steady state of vigilance, maximally prepared for fight/flight, or in a state of quiescence. Assumptions of the solitary body, and solitary man wired to react for “self” preservation, has made it difficult to incorporate a growing body of evidence that indicates that social support and loving relationships are conducive to good health. It also has made it difficult for investigators to fully understand why human loneliness is a major cause of premature death. This article delineates these trends and offers a new construct, one that suggests that a “physiology of inclusion” be added to the prevailing view of a “physiology of exclusion.” Recent cardiovascular research is cited to help underscore the potential heuristic value of this new physiological construct.     

Appropriateness of anxiety and drive for affiliation

Anxiety was induced in first/only born and later born subjects by the threatened injection of a harmless drug. Perceived appropriateness of the induced anxiety was manipulated by the experimenter's suggestion that anxiety over an injection was either perfectly natural (appropriate condition) or to be found only in rather nervous and effeminate men (inappropriate condition). The results indicated that the anxiety induction was successful, but that the perceived appropriateness of the anxiety determined the tendency to affiliate. Subjects in the appropriate condition showed a significantly greater tendency to affiliate than did subjects in the inappropriate condition. Birth order was related to anxiety on one of two measures, but was not implicated in the determination of the affiliative tendency.     

Social Constructivism in Science and Technology Studies

Berger and Luckmann’s concept of “social construction” has been widely adopted in many fields of the humanities and social sciences in the half-century since they wrote The Social Construction of Reality. One field in which constructivism was especially provocative was in Science and Technology Studies (STS), where it was expanded beyond the social domain to encompass the practices and contents of contemporary natural science. This essay discusses the relationship between social construction in STS and Berger and Luckmann’s original conception of it, and identifies problems that arose from indiscriminate uses of constructivism.