Is There Still Time?

In this article we intend to discuss the psychoanalysis of elderly patients and, also, to review certain prejudices that are based upon the psychoanalytic technique and theory.     

Executive functions and social skills in survivors of pediatric brain tumor

Medical advances have resulted in increased survival rates for children with brain tumors. Consequently, issues related to survivorship have become more critical. The use of multimodal treatment, in particular cranial radiation therapy, has been associated with subsequent cognitive decline. Specifically, deficits in executive functions have been reported in survivors of various types of pediatric brain tumor. Survivors are left with difficulties, particularly in self-monitoring, initiation, inhibition, and planning, to name a few. Another domain in which survivors of pediatric brain tumor have been reported to show difficulty is that of social skills. Parents, teachers, and survivors themselves have reported decreased social functioning following treatment. Deficits in executive functions and social skills are likely interrelated in this population, as executive skills are needed to navigate various aspects of social interaction; however, this has yet to be studied empirically. Twenty-four survivors of pediatric brain tumor were assessed using a computerized task of executive functions, as well as paper-and-pencil measures of social skills and real-world executive skills. Social functioning was related to a specific aspect of executive functions, that is, the survivors' variability in response time, such that inconsistent responding was associated with better parent-reported and survivor-reported social skills, independent of intellectual abilities. Additionally, parent-reported real-world global executive abilities predicted parent-reported social skills. The implications of these findings for social skills interventions and future research are discussed.     

The interplay of received social support and self-regulatory factors in smoking cessation

Objective: In smoking cessation, individual self-regulation and social support have both proven to be useful. However, the roles of self-regulatory processes and social support are mostly examined separately. The present study aims at examining the unique and joint interactive effects of self-regulation as specified in the health action process approach (HAPA) and social support on smoking cessation. The study tested whether social support can compensate for low levels of self-regulation or whether synergistic effects emerge.

Design & Measures: Around a self-set quit date, 99 smokers completed baseline questionnaires on HAPA-variables, smoking-specific received social support and smoking cessation (continuous abstinence and point prevalence), with a follow-up Cpproximately 29?days after the quitdate.

Results: Social support moderated the association between volitional self-efficacy and smoking, as well as coping planning and smoking but not between action planning and smoking. No compensatory effect of social support for lower levels of individual regulation emerged but the combination of high levels of the individual variables and social support was related to successful smoking cessation, indicating a synergistic effect.

Conclusions: The results confirm the importance of examining both self-regulation and social factors in smoking cessation. This should be considered when developing future interventions for smoking cessation.     

Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study

Abstract

Fear-avoidance beliefs and catastrophizing have been implicated in chronic pain and theoretical models have been developed that feature these factor in the transition from acute to chronic pain. However, little has been done to determine whether these factors occur in the general population or whether they arc associated with the inception of an episode of neck or back pain. The aim of this study was to evaluate prospectively the effects of fear-avoidance beliefs and catastrophizing on the development of an episode of self-reported pain and associated physical functioning. To achieve this, we selected a sample of 415 people from the general population who reported no spinal pain during the past year. At the pretest a battery of questionnaires was administered to assess beliefs about pain and activity and it featured the Pain Catastrophizing Scale and a modified version of the Fear-Avoidance Beliefs Questionnaire. One year later outcome was evaluated by self-reports of the occurrence of a pain episode as well as a self-administered physical function test. The results showed that scores on both fear-avoidme and cabstrophizing were quite low. During the one year follow-up, 19% of the sample suffered an episode of back pain. Those with scores above the median on fear-avoidance beliefs at the pretest had twice the risk of suffering an episode of back pain and a 1.7 times higher risk of lowered physical function at the follow-up. Catastrophizing was somewhat less salient, increasing the risk of pain or lowered function by 1.5. but with confidence intervals falling below unity. These data indicate that fear-avoidance beliefs may be involved at a very early pint in the development of pain and associated activity problems in people with back pain. Theoretically. our results support the idea that fear-avoidance beliefs may develop in an interaction with the experience of pain. Clinically, the results suggest that catastrophizing and particularly fear-avoidance beliefs are important in the development of a pain problem and might be of use in screening procedures.     

Sexual Dissatisfaction in a Sample of Married Iranian Women

This article investigates the sexual relationships of dissatisfied couples from the viewpoint of the female spouse. There are two basic approaches toward sexual dissatisfaction: the first regards sexual dissatisfaction as the cause of marital dissatisfaction; the second asserts that marital dissatisfaction leads to sexual dissatisfaction. This study aims at an understanding of the causes and mechanisms of women’s sexual dissatisfaction and its relationship to marital dissatisfaction. The research was organized using the Grounded theory for a holistic and deep understanding of the phenomenon. Findings drawn from the interviews with 20 severely sexually dissatisfied women indicated a discrepancy between the attitudes of men and women toward sexual relationships. This difference builds a sense of sexual inequality amongst women. This is accompanied by an increased importance of sexual satisfaction compared to the past, or “sexualization” of marital relationships and the resulting sexual dissatisfaction within women. Our study suggests that marital dissatisfaction may precede and cause sexual dissatisfaction and that this link ultimately becomes reciprocal.     

Modulation sensitivity in the perceptual organization of speech

In a spoken utterance, a talker expresses linguistic constituents in serial order. A listener resolves these linguistic properties in the rapidly fading auditory sample. Classic measures agree that auditory integration occurs at a fine temporal grain. In contrast, recent studies have proposed that sensory integration of speech occurs at a coarser grain, approximate to the syllable, on the basis of indirect and relatively insensitive perceptual measures. Evidence from cognitive neuroscience and behavioral primatology has also been adduced to support the claim of sensory integration at the pace of syllables. In the present investigation, we used direct performance measures of integration, applying an acoustic technique to isolate the contribution of short-term acoustic properties to the assay of modulation sensitivity. In corroborating the classic finding of a fine temporal grain of integration, these functional measures can inform theory and speculation in accounts of speech perception.     

Retrieval-induced forgetting and unwanted thought intrusions

The act of retrieving an existing memory has been found to inhibit the recall of related memories, a phenomenon known as retrieval-induced forgetting (RIF). The purpose of the present study was to investigate the hypothesis that individuals with a strong RIF effect might be better at suppressing unwanted intrusive thoughts. In Experiment 1 the relationship between RIF and the prevalence of intrusive thoughts was investigated using a sample of 58 normal British participants, who completed three different questionnaires to measure their susceptibility to intrusive thoughts, obsessional thoughts, and impulsive thoughts. Their susceptibility to RIF was also measured, using the standard procedure introduced by Anderson, Bjork, and Bjork (1994). The results showed a significant RIF effect, and, although no significant correlations were found between RIF strength and any of the three measures of intrusive thoughts, there was some evidence to suggest a possible relationship between RIF and intrusive thoughts. In an effort to clarify these inconclusive findings, Experiment 2 investigated the relationship between RIF and intrusive thoughts in a different and more varied population sample, consisting of 90 normal members of the Greek population. Experiment 2 confirmed the RIF effect, but no significant association was found between RIF and intrusive thoughts. These findings therefore offer no support for the hypothesis that RIF assists the suppression of intrusive thoughts in normal individuals.     

The Impact of Cognitive Diversity on Crisis Negotiations

This paper reports on a series of experiments designed to assess the impact of grouping decision makers by level of cognitive complexity on the outcomes they attain in crisis negotiations. The participants—University of Maryland undergraduates who took roles in a simulated international hostage crisis—used a computer decision support system and a controlled network environment for communications. The goal of the experiments was to better understand the dynamics that lead certain types of groupings to have greater success in negotiations, and that lead certain groups of adversaries to achieve more mutually beneficial outcomes such as compromise and agreement. The findings point to a positive relationship between the level of homogeneity in cognitive complexity among decision makers and the achievement of positive outcomes in crisis negotiations.