The development of a brief group intervention (Dynamic Interpersonal Therapy) for patients with medically unexplained somatic symptoms: a pilot study

The primary aim of this equivalence study was to compare the outcome of a brief group therapeutic intervention, based on the principles of dynamic interpersonal therapy (DIT) with an intervention based on cognitive behavioural therapy (CBT) in patients suffering from medically unexplained somatic symptoms (MUSS). Participants were 89 patients (aged 18 to 62) who were offered 20 sessions of either DIT or CBT, as central part of a treatment package, consisting of art therapy, psychomotor therapy, social therapy and physical therapy. Measurements were conducted at baseline, 10 weeks and 20 weeks, using self-rating scales measuring the level of anxiety and depression, the severity of medically unexplained symptoms and quality of life. Results showed that CBT and DIT were comparable. The conclusion was that it is recommended to design a larger scale randomised controlled trial to further elaborate the short-term and long-term effects of this novel psychodynamic group therapy for MUSS patients.     

A Behavioral Analysis of Morality and Value

Morality has long been conceived as divinely instituted, so otherworldly, rules meant not to describe or explain behavior but to guide it towards an absolute good. The philosophical formulation of this theory by Plato was later grafted onto Christian thought by Augustine and Aquinas. The equally ancient theory of the Greek sophist Protagoras (that the good is relative to personal preferences and morality to man-made social customs) was forgotten until revived in the 18th and 19th centuries by such empiricists as David Hume and J. S. Mill. Then it was dismissed again in the 20th century by G. E. Moore and W. D. Ross as naturalistic fallacy, that is, conflation of what is with what ought to be. However, those who took this dismissive attitude themselves made the reverse mistake of conflating what ideally ought to be with what actually is. In other words, they mistook ideals for actualities. As B. F. Skinner (1971) said in Beyond Freedom and Dignity, sorting things out requires behaviorist parsing of the good (the personally reinforcing) and duty (the socially reinforced).     

The Old Catholic churches of the Union of Utrecht

Abstract

The Old Catholic Churches of the Union of Utrecht have different historical backgrounds. The Dutch Church has her roots in the Catholic Counter‐Reformation, the German‐speaking Churches in the protest‐movements against Vatican I, and the Polish Churches in the problems of emigrants to USA. However, they adhere in common to the conciliar and synodical tradition of the Catholic Church. They lay stress on the relative autonomy of the local church, the episcopal apostolic succession, and the Eucharist as the manifestation of the Church. The autonomy of the local church is not seen as detached from the universal Church or the responsibility to stay in or to restore Church unity. This leads to an ecumenical engagement which has resulted in full communion with the Anglican Churches and a doctrinal consensus with the Orthodox Churches. Reference back to the undivided Church is a key feature of Old Catholic ecclesiology, though this does not lead to uncomplicated ecumenical solutions.     

A laboratory analogue of mirrored-self misidentification delusion: The role of hypnosis,suggestion, and demand characteristics

Mirrored-self misidentification is the delusional belief that one’s own reflection in the mirror is a stranger. In two experiments, we tested the ability of hypnotic suggestion to model this condition. In Experiment 1, we compared two suggestions based on either the delusion’s surface features (seeing a stranger in the mirror) or underlying processes (impaired face processing). Fifty-two high hypnotisable participants received one of these suggestions either with hypnosis or without in a wake control. In Experiment 2, we examined the extent to which social cues and role-playing could account for participants’ behaviour by comparing the responses of 14 hypnotised participants to the suggestion for impaired face processing (reals) with those of 14 nonhypnotised participants instructed to fake their responses (simulators). Overall, results from both experiments confirm that we can use hypnotic suggestion to produce a compelling analogue of mirrored-self misidentification that cannot simply be attributed to social cues or role-playing.     

Priming in the attentional blink: Perception without awareness?

The attentional blink refers to a reduction in accuracy that occurs when observers are required to identify the second of two rapidly sequential targets. Even when the second target cannot be reported, however, it is still capable of priming the response to a subsequent related item. At issue in the present work was whether this priming is attributable mainly to conscious or unconscious processes. To answer this question, we used an exclusion procedure that permitted an assessment of the relative dominance of conscious and unconscious processes. The results showed that second targets that are identified incorrectly are nonetheless processed extensively outside of awareness. Moreover, this processing is sufficient to prime a subsequent response for at least 1 s after the onset of the prime.     

Work stress,work–home interference and perceptions of organisational culture amongst insurance employees in Zimbabwe

The objective of the study was to determine the relationship between work stress, work-home interference, and perceptions of organisational culture amongst insurance employees in the Zimbabwean context. Data were collected from a sample of 190 employees (females=46%) who completed the Occupational Stress Inventory-Revised (OSI-R), the Work-Home Interference Questionnaire (SWING), and the Organisational Culture Index (OCI). Data analysis consisted of correlational and standard multiple regression analyses. The results revealed significant positive correlations between the sub-scales Role Overload, Role Insufficiency, Role Ambiguity, Role Boundary, Responsibilities, and Physical Environment of the OSI-R, the sub-scales Positive Work-Home Interference and Negative Work-Home Interference of the SWING, and the sub-scales Bureaucratic, Innovative and Supportive Culture of the OCI. These findings contribute to new knowledge in terms of the work stress experienced by insurance employees who are always under continuous pressure from the industry. Furthermore, it could be used to gain insight to enhance the work-life balance of insurance employees and the effect of organisational culture as perceived by insurance employees.     

Paying attention to reading errors in acquired dyslexia

The important role of selective attention in normal reading is illustrated by a relatively rare form of acquired dyslexia known as 'attentional dyslexia'. Theories of the functional deficit underlying this disorder differ as to the locus of the attentional dysfunction. A recent study by Mayall and Humphreys has contributed to this debate by studying letter migration errors in an attentional dyslexic.     

Satir's Therapeutically Oriented Educational Process: A Critical Appreciation

Virginia Satir, one of the most influential of the early family therapists, reached millions of people throughout the world through her writings, videotapes, workshops, and personal appearances. Yet the Satir model has never been fully accepted by the mainstream of the family therapy movement. This article introduces Satir and her work, and outlines the conceptual foundations of the model, organized in terms of presuppositions, basic constructs, therapeutic process, and methods, and offers some reasons for this lack of acceptance. The relation of theory to method and practice is the least developed aspect of the Satir model.     

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.     

Distinguishing the cognitive and behavioral consequences of attitude importance and certainty: A new approach to testing the common-factor hypothesis

Some published factor analyses have suggested that attitude importance and certainty are distinct psychological constructs, but other factor analytic investigations have suggested they are largely redundant reflections of a more general underlying construct. This latter sort of finding has led investigators to average measures of importance and certainty together into a composite index and then explore its cognitive and behavioral consequences. In this paper, we report three studies gauging the underlying structure of these strength-related attitude attributes by assessing whether they in fact relate in the same ways to information processing and action tendencies. We found that importance and certainty both independently predicted the likelihood that a person attempted to persuade others to adopt his or her attitude. Importance (but not certainty) was associated with the tendency to seek out information that would enable people to use their attitudes in a subsequent judgment and only importance predicted whether or not they turned out to vote in an election to express their attitudes. Certainty (but not importance) was related to the tendency to find more than one political candidate acceptable. And importance and certainty interacted to predict the frequency with which people performed attitude-expressive behaviors. All this suggests that importance and certainty have distinct effects on thinking and behavior and supports the maintenance of conceptual and empirical distinctions between them in social psychological theory building.