The role of illness perceptions in the attachment-related process of affect regulation

Abstract

Based on the predictions of the attachment theory and the Common Sense Model of illness perceptions, the current study focused on the role played by illness perceptions in explaining the path linking attachment orientations to negative affect during recovery from cardiac illness. We predicted two putative mechanisms: (1) illness perceptions would mediate the direct association between attachment-related insecurity (especially attachment anxiety) and levels of distress at follow-up and (2) illness perceptions would interact with attachment orientations (attachment avoidance in particular) in explaining patients' distress. The sample consisted of 111 male patients admitted to the Cardiac Care Unit of the Meir Medical Center, located in the central region of Israel. Patients completed a measure of attachment orientations during hospitalization (baseline). One month later, patients' illness perceptions were measured. Patients' depression and anxiety symptoms were measured at baseline and at the six-month follow-up. The associations between attachment-related anxiety and anxiety symptoms at follow-up were fully mediated by illness perceptions. Attachment-related avoidance was found to interact with illness perceptions in the prediction of depressive symptoms at follow-up. The findings shed light on the possible dynamics among personality, cognitive appraisals, and affect regulation efforts when coping with illness.     

Induction,trance, and ritual in family mythologizing

The authors put forward a theory of family mythologizing as a process of induction, trance, and ritual. These phenomena, in the context of expressive language, comprise myths. Mythologizing is assumed to be part of normative development. All individuals and families employ myths as schemata for organizing highly complex yet cognitively inexplicable relationships. The authors propose a systemic explanation for the operations of mythologizing and present case illustrations.     

A preliminary scale to measure connected and separate knowing: The Knowing Styles Inventory

The present investigation reported the development and validation of the Knowing Styles Inventory (KSI), a scale to measure connected and separate knowing [M. F. Belenky, B. M. Clinchy, N. R. Goldberger, and J. M. Tarule (1986), Women's Ways of Knowing: The Development of Self, Voice, and Mind New York, Basic Books]. In Study 1, principal components analyses for samples of females (N = 300) and males (N = 253) yielded two components, Connected and Separate Knowing. Studies 2 and 3 focused on females exclusively. The results indicated adequate test—retest reliability and internal consistency for both components. Additionally, Connected Knowing was positively correlated with empathic concern, perspective-taking, social desirability, and the femininity factor of the Bem Sex Role Inventory (BSRI). Separate Knowing was positively correlated with the masculinity factor of the BSRI and negatively correlated with social desirability. Suggestions for future research were presented.The authors wish to thank Jill Mattuck Tarule for the insight that she offered in the early stages of this project, and they wish to acknowledge the contribution of Nicole Bressler who participated in item development.     

Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk

The main procedure used by clinicians to determine whether an individual may be at risk of suicidal behaviors is the suicide risk assessment (SRA). The purpose of the SRA is to identify risk and protective factors that then provide the data for the formulation of suicide risk. The suicide risk formulation (SRF) assigns a level of suicide risk that ideally leads to triage and treatment deemed appropriate for that level of risk. Some of the problems with the SRA are explored here, with an emphasis on addressing the over reliance on communicated suicide ideation, and recommendations are made for improvements. Part II of this article (Berman & Silverman, 2013, also appears in this issue of STLB) examines the process of an SRF and, similarly, makes recommendations to improve clinical practice toward the desired end of saving lives.     

Rigidity in social and emotional memory in the R6/2 mouse model of Huntington's disease

Four experiments were conducted to examine social and emotional memory in the R6/2 transgenic mouse model of Huntington’s disease. First, R6/2 mice were tested in a social transmission of food preference task where they had to acquire a preference for a flavoured food (acquisition) and subsequently to learn a preference for a different flavour (shifted reinforcement). R6/2 mice performed well in the acquisition trial. However, they were impaired in the shifted reinforcement trial and perseverated on the first preference learned. Second, mice were trained in an inhibitory avoidance paradigm, with either one or two footshocks delivered during the training. WT mice given one footshock showed retention levels lower than those of mice trained with two footshocks. By contrast, there was no difference in retention levels of R6/2 mice given either one or two footshocks. Third, mice were tested in an active avoidance task that paired a mild footshock with a warning light. R6/2 mice had a strong age-dependent deficit in this task. Finally, mice were tested in a conditioned taste aversion task that paired a saccharine solution with a nausea-inducing agent (LiCl). R6/2 mice displayed normal aversion, however this was not extinguished following repeated exposure to saccharine solution alone. Our data show that while R6/2 mice have functional hippocampus-based memory, they have deficits in striatum-based memory skills. Further, social and emotional memories appear to be encoded in a rigid way that is not influenced by subsequent learning or by arousal levels.     

We Value What Values Us: The Appeal of Identity-Affirming Science

Members of the public (Study 1; n =  184) and university students (Study 2; n =  101) evaluated a piece of research and indicated their support for its continuation. The research findings were held constant, but the methods that revealed those findings were attributed to either neuroscience or social science, and the conclusions based on those findings were biased either in favor of men or in favor of women. Study 1 revealed that participants were more positive about research that affirmed their gender identity and that was based on neuroscience rather than social science. Study 2 found this pattern to be apparent in more specialist samples. Indeed, participants with some scientific training were more influenced by research that affirmed the reader's gender identity. Participants with less scientific training, in comparison, were more influenced by the type of science described when making judgments about the value of the research. Contrary to popular claims, this suggests that scientific knowledge alone is no protection against the effects of bias on research evaluation. Implications for the practice and popularization of science are discussed.     

HYPERCOMPARATIVES

In natural language we rarely use relation-words with more than three argument places. This paper studies one systematic device, rooted in natural language, by which relations of greater adicity can be expressed. It is based on a higher-order relation between 1-place, 2-place, and 4-place relations (and so on) of which the relation between the positive and comparative degrees of a predicate is a special case. Two formal languages are presented in this connection, one of which represents the language of communication and the other the contextual information against which the first language is interpreted. A semantical theory is described, which treats the two languages in an interdependent way. Logical consequence is non-compact. Connections with issues about vagueness are made.