The influence of situational and personal variables on the effectiveness of social support during childbirth

Abstract

This study examined the proposition that the efficacy of social support depends upon situational and personality variables. Specifically, it was hypothesized that women high on trait anxiety or undergoing their first experience of childbirth, would profit more from the presence of the husband during delivery than women low on trait anxiety or who had previously given birth. One hundred and twenty new mothers were asked to rank the level of state anxiety, state anger, tension and pain they had experienced during childbirth. Changes in their blood pressure and the amount of tranquilizing medication they had received were also measured. Results obtained with negative affectivity measures almost fully confirmed the hypotheses. Hypotheses regarding blood pressure were confirmed in part, but no support was found when using pain level and amount of tranquilizing medication as dependent variables. The findings are discussed in relation to the stress-buffering hypothesis and the manner in which trait anxiety might mediate the relationship between level of social support and individuals' stress reactions.     

The wish for annihilation in ‘love–death’ as collapse of the need for recognition,in Wagner's Tristan und Isolde

Wagner's Tristan und Isolde holds a central position in Western music and culture. It is shown to demonstrate consequences of interruption of developmental processes involving the need for recognition of subjectivity, resulting in the collapse of this need into the wish for annihilation of self and other through ‘love–death’ [Liebestod]. A close reading of the musical language of the opera reveals how this interruption is demonstrated, and the consequent location of identity outside of language, particularly suitable for expression in music. Isolde's dynamics are presented as distinct from that of Tristan, and in contrast to other interpretations of Tristan and Isolde's love as an attack on the Oedipal order, or as a regressive wish for pre‐Oedipal union. Isolde's Act I narrative locates the origin of her desire in the protagonists' mutual gaze at a traumatic moment. In this moment powerful and contrasting emotions converge, evoking thwarted developmental needs, and arousing the fantasy of redemption in love–death. By removing the magical elements, Wagner enables a deeper understanding of the characters' positions in relation to each other, each with his or her own needs for recognition and traumatic experiences. These positions invite mutual identifications resulting in rising tension between affirmation of identity and annihilation, with actual death as the only possible psychic solution. The dynamics described in the opera demonstrate the function of music and opera in conveying meaning which is not verbally expressible.     

Transcending the caesura: Reverie,dreaming and counter‐dreaming

The author reflects about our capacity to get in touch with primitive, irrepresentable, seemingly unreachable parts of the Self and with the unrepressed unconscious. It is suggested that when the patient's dreaming comes to a halt, or encounters a caesura, the analyst dreams that which the patient cannot. Getting in touch with such primitive mental states and with the origin of the Self is aspired to, not so much for discovering historical truth or recovering unconscious content, as for generating motion between different parts of the psyche. The movement itself is what expands the mind and facilitates psychic growth. Bion's brave and daring notion of ‘caesura’, suggesting a link between mature emotions and thinking and intra‐uterine life, serves as a model for bridging seemingly unbridgeable states of mind. Bion inspires us to ‘dream’ creatively, to let our minds roam freely, stressing the analyst's speculative imagination and intuition often bordering on hallucination. However, being on the seam between conscious and unconscious, dreaming subverts the psychic equilibrium and poses a threat of catastrophe as a result of the confusion it affords between the psychotic and the non‐psychotic parts of the personality. Hence there is a tendency to try and evade it through a more saturated mode of thinking, often relying on external reality. The analyst's dreaming and intuition, perhaps a remnant of intra‐uterine life, is elaborated as means of penetrating and transcending the caesura, thus facilitating patient and analyst to bear unbearable states of mind and the painful awareness of the unknowability of the emotional experience. This is illustrated clinically.     

Jewish Identity and the Secular Achievements of American Jewish Men and Women

Three questions are addressed concerning the relationship of Jewish identity to secular achievements. Are the secular achievements of American Jews related at all to the strength of their Jewish identity? Which has a stronger relationship to secular achievement, a religious or an ethnic Jewish identity? Do communal aspects or private, personal aspects of Jewish identity have the stronger relationship to secular achievements? Using the 2000–2001 National Jewish Population Survey, we find that educational attainment, labor force participation, and occupational achievements are related to several expressions of Jewish identity, even after controlling for the traditional sources of variation (age, gender, education, family status). Jewish identity, as expressed in terms of religion, ethnicity, communal commitment, and private attitudes and practices, is related to contemporary Jewish secular achievement, albeit differently for men and women.     

Preference for symmetry: only on mars?

Preference for symmetry is a robust bias found throughout the animal kingdom. In humans, the bias for symmetry has been documented in numerous domains, including faces and visual patterns. The function of this potent aesthetic bias still eludes us, but prominent accounts focus on its role in mate selection and perceptual fluency. Previous studies have shown that both males and females find symmetrical faces to be more attractive, but here we show that the preference for symmetry in neutral stimuli (ie everyday and meaningless visual objects) is, on the other hand, unique to male participants. Our findings indicate that symmetry preference cannot be explained exclusively by perceptual or computational efficiency, because such an account is domain-independent yet females did not show any bias for the objects tested here. Further studies are needed to elucidate the utility of the male preference for visual object symmetry.     

Gender Group Differences in Coping with Chronic Terror: The Israeli Scene

Gender group differences in terror–stress, cognitive appraisals, ways of coping with terror, and stress reactions were explored in a sample of Israeli adults following prolonged exposure to political violence. Data were gathered at the height of the Al-Aqsa Intifada uprising (May/July 2002) from a sample of 707 adult participants (60% women and 40% men) residing in Haifa and northern Israel. Israeli women reported that they were more distressed by political violence than the men did, and they also appraised the crisis situation as more threatening and less manageable. Women reported using more problem-focused as well as emotion-focused coping than men did; both men and women used a mixture of coping strategies. Compared to men, women reported that they experienced more somatic symptoms and more frequent posttraumatic stress symptoms than men did. Negative affectivity was found to mediate gender differences in appraisals, coping, and outcomes. Overall, the nexus of relations among key variables was found to be highly similar for men and women. These data suggest that women may be more reactive to chronic political violence situations than men are. The data are discussed and explicated in the context of stress and coping theory and prior research on political violence and community disasters.     

Dubno in the Wake of Khmel'nyts'kyi

This article utilizes a newly discovered source, the protocol book of the municipal council of the Ukrainian town of Dubno, to supplement Hebrew sources that describe the fate of the town and its Jewish community during the Kheml'nyts'kyi Uprising and accompanying Gezeirot in 1648. It shows that the Cossack forces attacked the town twice and while many were killed, a significant number of its Jewish inhabitants survived. Shortly after the withdrawal of the Cossack forces a process of recovery and rebuilding began. Institutionally, both Christian and Jewish leaders quickly resurrected the forms — courts, legislative and administrative bodies, and enforcement officials — which regulated life and kept order. Individuals had to contend with their losses of family, property and belongings and this led to a resumption of business activity, second marriages and many disputes over debts and stolen property. This pattern of people trying to re-create the institutional, familial and material infrastructure of their lives seems to be typical of the communities that endured the Cossack attacks. This revised version was published online in June 2006 with corrections to the Cover Date.     

The crisis of divorce: An opportunity for constructive change

In this article the authors seek a partial answer to the intriguing question of the nature of the factors which help some persons achieve healthy resolution of the divorce crisis with personal gains and successful post-divorce adjustment. A group of 24 divorced people (all members of different Israeli kibbutzim) who fulfilled the criteria used by the authors to identify good adjustment to crisis and personal growth after divorce reported on the beneficial influences which, in their opinion, contributed to the gainful outcome.(1982, Winter)