A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

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.     

Adolescent Ego-Development Trajectories and Young Adult Relationship Outcomes

Adolescent ego-development trajectories were related to close-relationship outcomes in young adulthood. An adolescent sample completed annual measures of ego development from ages 14 through 17. The authors theoretically determined and empirically traced five ego-development trajectories reflecting stability or change. At age 25, the sample completed a close-relationship interview and consented for two peers to rate the participants'ego resiliency and hostility. Participants who followed the profound-arrest trajectory in adolescence reported more mundane sharing of experiences, more impulsive or egocentric conflict-resolution tactics, and less mature interpersonal understanding in their young adult relationships, and their young adult peers described these participants as more hostile. Participants who attained or maintained higher levels of ego development in adolescence reported more complex sharing of experiences, more collaborative conflict-resolution strategies, and greater interpersonal understanding, and their young adult peers rated them as less hostile and as more flexible.     

Are there lexicons?

Many models of the processing of printed or spoken words or objects or faces propose that systems of local representations of the forms of such stimuli—lexicons—exist. This is denied by partisans of the distributed-representation connectionist approach to cognitive modelling. An experimental paradigm of key theoretical importance here is lexical decision and its analogue in the domain of objects, object decision. How does each theoretical camp account for our ability to perform these two tasks? The localists say that the tasks are done by matching or failing to match a stimulus to a local representation in a lexicon. Advocates of distributed representations often do not seek to explain these two tasks; however, when they do, they propose that patterns of activation evoked in a semantic system can be used to discriminate between words and nonwords, or between real objects and false objects. Therefore the distributed-representation account of lexical and object decision tasks predicts that performance on these tasks can never be normal in patients with an impaired semantic system, nor in patients who cannot access semantics normally from the stimulus domain being tested. However, numerous such patients have been reported in the literature, indicating that semantic access is not needed for normal performance on these tasks. Such results support the localist form of modelling rather than the distributed-representation approach.