How Can We Understand and Describe “Non-Narrative” Narratives? A Qualitative Study of Workers with Recurring Sick Leave

This study explored methodologies enabling us to hear the “non-narrative” voices of participants in narrative research. Individual semi-structured interviews were conducted with seven Japanese workers with recurring sick leave, and the data were analyzed using thematic analysis (TA) and dialogical narrative analysis (DNA). In narrators' apparently chaotic and fragmented statements, TA identified three divided self-images that remained disconnected: image of present self with a sense of setbacks, image of past self, and image of ideal self. As the last two self-images ceaselessly negate the first, these workers had lost a sense of autonomy and self-confidence. On the other hand, DNA described their desperate endeavors to organize their sick leave experiences by appealing to the typology of the illness narrative; however, this effort remained a failure. Through two qualitative analyses that suspended the premise that each narrative enables the narrator's construction of self, we were able to understand the real status of participants who could not narrate their experiences. The ethical obligation of researchers to respect the “unfinalizability” of narrative and remain open to continuous dialogue is discussed.     

The stigma of seeking help for mental health issues: mediating roles of support and coping and the moderating role of symptom profile

A key factor to the prevalence of mental illness might be the disinclination to seek help, perhaps owing to the stigma of mental illness. In two studies, the contribution of severity of depressive symptoms, social support, and unsupport, coping strategies, and salience of psychological versus biological features of depression in relation to perceived self‐ and other‐stigma of help‐seeking for mental health issues were examined. Participants were first year students experiencing a transitional stressor, namely entry to university. Together, the findings point to the contribution of social support and unsupportive interactions, and coping methods to the prediction of perceived stigma of seeking help, but that the framing of mental illness can limit or strengthen these relations.     

Procrastination and Precrastination from the Perspective of Self-Control

Procrastination is defined as postponing a task, anticipating adverse consequences in the future. In contrast, D. A. Rosenbaum and colleagues introduced the concept of “precrastination” in 2014, defining it as people doing a task early even when involving physical cost because they desire to minimize their cognitive load. This study aimed to organize and expand the new concept and advance understanding of precrastination in everyday situations and of the associations between precrastination and self-control. Using the scenario assumption method, we examined whether people would precrastinate or procrastinate a task to remove cognitive load and clear their mind even if there was physical cost/burden (Study 1), and whether they would precrastinate or procrastinate a painful event to remove emotional load stemming from a fear of pain (Study 2). The results showed that (a) people start tasks early in order to remove cognitive and emotional load; (b) people do not start tasks early when they involve physical cost, burden, or fear; (c) people with high self-control start tasks early to remove cognitive load even when involving physical cost; and (d) people with high self-control and low fear start tasks earlier to remove emotional load.     

The Effectiveness of Brief Versus Intermediate Duration Psychodynamic Psychotherapy in the Treatment of Adjustment Disorder

Treatment studies and particularly psychotherapeutic treatment studies of patients suffering from an adjustment disorder are very scarce, leading to insufficient evidence regarding the efficacy of treatment in this population. Whereas timely psychotherapy is known to be of benefit in the treatment of adjustment disorders, the ideal duration of psychotherapeutic interventions is not known. This study examined whether a brief 12-session focused psychodynamic psychotherapy may be as efficient as a longer intermediate-term (1?year) psychodynamic psychotherapy in treating patients suffering from an adjustment disorder. Subjects (n?=?66) were randomly assigned to either brief or intermediate psychotherapy. They were assessed by self-report measures and clinician’s evaluation at baseline, end of therapy, and 9?months after therapy was terminated. The results showed a good overall improvement in the whole group. Furthermore, brief psychotherapy was found to be as good as intermediate psychotherapy both at the end of treatment and at follow-up. Although our study was not designed to confirm the efficacy of dynamic psychotherapy in the treatment of adjustment disorders, our results suggest that brief interventions may be good enough in adjustment disorder, thus allowing treatment of a greater number of patients without compromising for the quality and suitability of treatment.     

Cultural influences on body dissatisfaction,body change behaviours,and disordered eating of Japanese adolescents

We administered a paper‐and‐pencil questionnaire to 133 female and 99 male Japanese high school students 13–18 years old (M = 15.9, SD = 1.57) from the Kansai area to examine cultural influences on their body image and body change behaviours. Our aim was to ascertain the independent and combined influences from traditional Japanese, modern Japanese, and Western values. Cluster analyses identified four ‘acculturative’ groups: ‘anti‐modern’, ‘traditional’, ‘pro‐modern/anti‐traditional’, and ‘pro‐Western/anti‐Japanese’. Pro‐modern and pro‐Western adolescents were most dissatisfied with their bodies, and pro‐Western adolescents were also most likely to attempt weight loss. The results demonstrate the value of assessing cultural interactions in Japan along three dimensions.     

Age-stage differences in body sway during a static upright posture based on sway factors and relative accumulation of power frequency

This study was done to examine age-stage (preschool children, young adults, and elderly people) differences in the center-of-pressure sway using body-sway factors (unit-time sway, front-back sway, left-right sway, and high frequency-band power), power-spectrum distribution, and relative accumulation of power frequency (25%, 50%, and 75% RAPF) of the center-of-pressure spectrum. The center-of-pressure movement for 1 min. was measured twice using Anima's stabilometer. Data-sampling frequency was set at 20 Hz. Significant age-stage differences were found for 3 factors except for left-right sway, which was larger for preschool children and elderly than for young adults. The power spectrum of body sway in any age-stage was noted mainly in low frequency bands. A marked age-stage difference was found at 75% RAPF. Body-sway characteristics in each age-stage differ, and differences of postural-sway frequency are marked in the low frequency bands.     

Characteristics of body excursion during a static upright posture in elderly people with central nervous system disorders and with other disorders from the viewpoint of body-excursion parameters

This study aimed to compare characteristics of body excursion of healthy elderly and elderly people with disorders. The participants were 38 healthy elderly who were at home (Healthy Elderly group) and 24 elderly people with disorders. The latter consisted of two groups: 12 in the Central Nervous System Disorders group with vestibular organ or central nervous system disorders, and 12 in the Other Disorders group with other system disorders. 34 parameters were selected from six domains: distance, distribution of amplitude, area, velocity, power spectrum, and vector. When compared with the Healthy Elderly group, the Central Nervous System Disorders group was judged abnormal on many parameters and showed large and quick body excursion characteristics, particularly in left-right excursion. The Other Disorders group showed different characteristics in the size of the left-right excursion and velocity of the front-back excursion. However, compared with the Central Nervous System Disorders group, very few people in the Other Disorders group were judged abnormal, and they showed slower velocity for front-back excursion.     

Effects of music on mood during bench stepping exercise

This study evaluated the effect of music on the mood of women during exercise. 16 middle-aged women, aged 49.9 +/- 7.53 yr., performed 60-min. bench stepping exercise while listening to Japanese traditional folk song, aerobic dance music, or nonmusic. The subjects reported significantly less fatigue with aerobic dance music and Japanese traditional folk song than with nonmusic. Aerobic dance music was associated with significantly more vigor and less confusion than nonmusic.     

Respecting autonomy in difficult medical settings: a questionnaire study in Japan

Some people in Japan are still comfortable with the paternalistic role of doctors, but others wish that their own decisions would receive a greater amount of respect. A total of 747 students of universities and colleges and 114 parents of these students participated in a questionnaire survey. Most of the participants thought that autonomy should be respected in situations involving death with dignity and euthanasia, whereas it should not be respected in attempted suicide and involuntary admission of individuals with mental illness. A cluster analysis revealed that the participants could be divided into the following groups: aid in dying advocates (n=577), complete libertarians (n=109), protectors of the mentally ill (n=90), complete paternalists (n=29), and questionables (n=27). The assertion of independence score of the Scale for Independent and Interdependent Construal of the Self showed a significant difference among the 5 clusters. These findings suggest that the traditional paternalistic relationship between doctor and patient is undergoing a gradual transformation in Japan.