Temporal dimensions of the self-concept: Entrapped and possible selves in chronic pain

Abstract

The purpose of this qualitative study was to explore temporal aspects of chronic pain patients' conceptions of their selves; what they were in the past, how they were functioning at the present and what they thought about their potential and future. In-depth interviews with 21 chronic pain patients were performed and analysed. The main results of the analysis included four higher-order conceptual patterns: “the body and I”, “maintaining the consistency of past self”, the “entrapped self”, and “projected selves, defined by others”. These results are presented in a systems-oriented model illustrating the temporal dynamic between the perceived functioning self, the body and others, such as health care personnel and significant others. The mechanisms of the process of how selves are developing in the chronisation or healing process of pain are finally discussed. A clinical implication of these findings might be that with an enlarged insight of the temporal dynamic and the importance of interactive and social factors in shaping positive possible selves, health care personnel can contribute more effectively in stew-arding the chronic pain patient toward health-promotive ends and a concomitantly higher quality of life.     

Static items are automatically prioritized in a dynamic environment

Everyday experience provides us with the intuition that dynamic events guide or capture attention—something which has been confirmed in experimental studies. Recently, we showed that there are limitations to the extent to which dynamic items attract attention. In a visual search task where all items, except one, were dynamic, the dynamic items could be ignored and the static item could be efficiently detected. In the present study we investigated whether attention is automatically drawn to the static item. Three visual search experiments, in which the target and the static object were uncorrelated, revealed that the static item was nevertheless prioritized. This result is at odds with some of the current theories on attentional capture, including the “new object” hypothesis. The current study suggests that differences in dynamics, rather than dynamic features per se, determine where attention is allocated.     

Les interventions préventives en santé mentale du jeune enfant vues par leurs bénéficiaires : l’exemple du projet CAPEDP

ObjectiveHome-visiting programs have become one of the most popular early childhood interventions, though their impact on parents and children remain uncertain. Outcomes measures often rely on experimental quantitative design and little space is offered for the voices of those served by these interventions. This paper presents the results of a qualitative protocol performed by the research team with participants in the CAPEDP project which took place in France from 2005 to 2011.MethodAll 184 women who had accepted at least one home visit in the CAPEDP programme were contacted and invited to participate. Individual and group interviews were conducted with the first 16 who accepted to participate. The semi-structured interview schedule addressed their overall appreciation of the project, their initial concerns, the quality of their relationship with their home visiting psychologist, positive and negative aspects of the intervention and any recommendations they might have for future interventions. Interviews were recorded, transcribed and anonymised. An inductive categorical thematic analysis was performed by the research team.ResultsParticipants expressed overall satisfaction with the CAPEDP intervention, underlining the quality of the relationships with the home visitors, usefulness of parental guidance, the fact that the intervention could be adapted to suit their own personal agenda, routine and needs, the importance of learning how to accept help and give help to others. Less positive aspects included the fact that the home visitors were not mothers themselves and that they lacked technical experience, the difficulty ending the relationship at the end of the 27-month project, insufficient integration of fathers, the difficult and time-consuming evaluation protocol and the lack of interaction with other parents during the intervention.ConclusionAlthough mothers who accepted to participate in the qualitative interview schedule may have had a more positive overall experience of the CAPEDP project than those who declined to participate, participants’ points of view provide potentially useful indications for adapting future home-visiting programs to the French context.     

Modeling recall memory for emotional objects in Alzheimer's disease

ABSTRACT

Objective: To examine whether emotional memory (EM) of objects with self-reference in Alzheimer's disease (AD) can be modeled with binomial logistic regression in a free recall and an object recognition test to predict EM enhancement.?Method: Twenty patients with AD and twenty healthy controls were studied. Six objects (three presented as gifts) were shown to each participant. Ten minutes later, a free recall and a recognition test were applied. The recognition test had target–objects mixed with six similar distracter objects. Participants were asked to name any object in the recall test and identify each object in the recognition test as known or unknown.?Results: The total of gift objects recalled in AD patients (41.6%) was larger than neutral objects (13.3%) and a significant EM recall effect for gifts was found (Wilcoxon: p < .003). EM was not found for recognition in AD patients due to a ceiling effect. Healthy older adults scored overall higher in recall and recognition but showed no EM enhancement due to a ceiling effect. A logistic regression showed that likelihood of emotional recall memory can be modeled as a function of MMSE score (p < .014) and object status (p < .0001) as gift or non-gift.?Conclusion: Recall memory was enhanced in AD patients for emotional objects indicating that EM in mild to moderate AD although impaired can be provoked with strong emotional load. The logistic regression model suggests that EM declines with the progression of AD rather than disrupts and may be a useful tool for evaluating magnitude of emotional load.     

Temperamental Vulnerability and Suicide Risk After Attempted Suicide

The aim was to extend recent findings of suggested temperamental features in attempted suicide and to explore possible domains of vulnerability to suicide risk after attempted suicide. Fifty-four psychiatric inpatients hospitalized after a suicide attempt underwent lumbar puncture for analysis of CSF 5-HIAA concentration and also completed the Karolinska Scales of Personality (KSP) before discharge from the hospital. Suicide attempters scored high on Somatic Anxiety, Psychic Anxiety, and Muscular Tension, and low on Socialization, findings that support recent findings in suicide attempters followed up after an emergency room visit. Five patients committed early suicide, i.e., within 3 years, and the overall long-term suicide mortality after attempted suicide was 13%. There were significant correlations between survival time among early suicides and CSF 5-HIAA (r = .87;p = .054), and the following KSP scale t scores: Somatic Anxiety (r = ?.96;p < .05), Impulsivity (r = ?.88; p < .05), and Socialization (r = .90; p < .05). KSP Socialization showed correlations with CSF 5-HIAA (r = .89; p = .046) among the early suicides. Features of temperamental vulnerability to suicide risk after attempted suicide might involve anxiety proneness, impulsivity, low socialization, and low CSF 5-HIAA.     

The TECO theory and lawful dependency in successive episodic memory tests.

A large number of experiments in successive tests of episodic memory have focused on an experimental paradigm called recognition failure of recallable words. In this paradigm, a cued recall test follows a recognition test. Large amounts of data have revealed a lawful moderate dependence between recognition and cued recall. TECO (Sikstr?m, 1996b), a general connectionist theory of memory, has been applied for the phenomenon of recognition failure. This paper makes a strong claim that all possible pairwise combinations of successive tests between recognition, cued recognition, cued recall, and free recall follow a lawful relationship. The quantitative degree of the dependency predicted between these tests can be summarized in one function. Four experiments were conducted to test this claim. In line with the predictions, the results show that all pairwise combinations of these tests fit reasonably well with the proposed function. The TECO theory suggests theoretical insights into how recognition and recall may be divided into a recollection component, a familiarity component, and a cue-target integration component.