Processes in acceptance and commitment therapy and the rehabilitation of chronic fatigue

Acceptance and commitment therapy (ACT) has never been tested for patients with chronic fatigue. We aimed to test if a 3.5‐week ACT rehabilitation program for patients with chronic fatigue improved quality of life (QoL), fatigue, and psychological flexibility. Further, to test if improvements in QoL and fatigue were associated with improvement in psychological flexibility, and if psychological flexibility explained variance above and beyond maladaptive cognitions typically targeted in CBT for fatigue. Patients (n = 140) who had been on sick leave > 8 weeks due to chronic fatigue received a 3.5‐week non‐controlled inpatient rehabilitation program based on ACT. A physician and a psychologist examined the patients, assessing medication use and SCID‐I diagnoses. Patients completed questionnaires about somatic complaints, psychological complaints, and maladaptive cognitions before and after treatment. At post‐treatment, patients reported improved QoL (p < 0.001; g = 1.07) and less fatigue (p < 0.001; g = 1.08), but not increased psychological flexibility (p = 0.6). Changes in psychological flexibility was associated with improved QoL, but not fatigue, in hierarchical regression analyses. When adjusting for other cognitions, changes in fear‐avoidance cognitions and all‐or‐nothing thoughts, but not psychological flexibility, were associated with improved QoL and fatigue. The ACT‐based treatment improved QoL and reduced fatigue for patients with chronic fatigue with large effect sizes. Improvement was associated with a reduction in fear‐avoidance cognitions and all‐or‐nothing thoughts, but not psychological flexibility.     

Dual support in contract workers' triangular employment relationships

This study investigated the interplay between perceived investment in contract worker development by the client organization and contract workers' perceived organizational support from their temporary employment agency. A study among 2021 contract workers from three temporary employment agencies in Norway showed that the relationships between perceived investment in contract worker development and task and contextual performance were moderated by contract workers' perceived organizational support from the agency. The form of the moderations revealed no positive relationships between perceived investment in contract worker development and performance unless the perceived investment by the client organization was accompanied by higher levels of perceived support from the temporary employment agency. These findings suggest that client organizations, which hire from temporary employment agencies that provide support to their contract workers, will get the most out of their investments in these contract workers' development.     

Associations of Youth and Adulthood Body-Mass Index and Waist-Hip Ratio with Attachment Styles and Dimensions

The current cross-sectional study examined whether body-mass index (BMI) and waist-hip ratio are associated with adult attachment. Participants were 1,570 men and women participating in Cardiovascular Risk in Young Finns study. BMI was measured in youth and in adulthood and waist-hip ratio in adulthood. A single measure of attachment style was conducted when participants were aged 24–39 years. In age and sex adjusted models, youth BMI (Beta = .066, p = .008), adulthood BMI (Beta = .069, p = .007) and waist-hip ratio (Beta = .082, p = .016) were associated with fearful attachment. The associations remained significant when education and relationship status were adjusted for. Age adjusted association between adulthood waist-hip ratio and preoccupied attachment was found in men (Beta = .132, p = .002). The association was not essentially changed by additionally adjusting for education and relationship status, and including fearful attachment in the model. Furthermore, associations for attachment dimensions were also found. These results suggest that in addition to previously reported negative effects of higher BMI on physical health, higher BMI might have negative associations with psychological functioning as well. Furthermore, our results imply that physical appearance might be associated with attachment style in adulthood.     

Analyzing conditions for recognizing pictures of family members in a patient with Alzheimer's disease

In the present study, an 89‐year‐old woman with the neurocognitive disorder Alzheimer's disease participated. The purpose was to study recognition of the participant's relatives' faces with the use of sorting tests and matching‐to‐sample (MTS) trainings and tests for emergent relations. The stimuli used were pictures of her relatives, their written names, and their family relationship. The study also focused on how responding to pictures of relatives changed over time. Therefore, the participant was presented with experimental conditions over three time periods. Time Period 1 included only sorting tests. In Time Period 2, which began 9 months after Time Period 1, the participant was presented with both sorting tests and conditional discrimination training and testing. In Time Period 3, which began 1 year after Time Period 2, both sorting tests and conditional discrimination training and testing were again presented. The results from Time Periods 2 and 3 showed that the percentage of stimuli sorted correctly was maintained over time. Additionally, the results from the MTS training and tests were maintained at the second follow‐up periods.     

Enactive individuation: technics,temporality and affect in digital design and fabrication

Phenomenology and the Cognitive Sciences - The nature of creative engagement with computers and software presents a number of challenges to 4E cognition and requires the development of analytical...     

On Identification and Non-normal Simulation in Ordinal Covariance and Item Response Models

Psychometrika - A standard approach for handling ordinal data in covariance analysis such as structural equation modeling is to assume that the data were produced by discretizing a multivariate...     

Truth-Predicates Still Not like Pronouns: a Reply to Salis

Philosophia - I here respond to Pietro Salis’s objections against my original critique of the Prosentential Theory of Truth (PT). In addition, I clarify some points regarding the relationship...     

Long-term associations of stress and chronic diseases in ageing and retired employees

Long-term associations of prolonged stress symptoms and work-related stressors with chronic diseases were assessed in a sample of ageing and retired food industry workers (N = 100, mean age 62 years) using independent samples t-test, chi-squared test and binary logistic regression analyses. Data was gathered at health checkups and using self-report questionnaires in 1989 and 2000. Prolonged stress symptoms were associated with overall morbidity. Higher scores of stress symptoms predicted musculoskeletal disorders, diseases of the nervous system, eye and ear, endocrine and metabolic diseases, and mental disorders. Of work-related stressors, only job dissatisfaction had a long-term association with endocrine and metabolic diseases. Importantly, prolonged stress symptoms could not be explained by job strain and demands. Identification of prolonged stress symptoms along with traditional and potential risk factors, and combining this knowledge with stress reduction and management is essential for disease prevention and in postponing subsequent onset of disease.     

On the Compositional Extension Problem

A semantics may be compositional and yet partial, in the sense that not all well-formed expressions are assigned meanings by it. Examples come from both natural and formal languages. When can such a semantics be extended to a total one, preserving compositionality? This sort of extension problem was formulated by Hodges, and solved there in a particular case, in which the total extension respects a precise version of the fregean dictum that the meaning of an expression is the contribution it makes to the meanings of complex phrases of which it is a part. Hodges' result presupposes the so-called Husserl property, which says roughly that synonymous expressions must have the same category. Here I solve a different version of the compositional extension problem, corresponding to another type of linguistic situation in which we only have a partial semantics, and without assuming the Husserl property. I also briefly compare Hodges' framework for grammars in terms of partial algebras with more familiar ones, going back to Montague, which use many-sorted algebras instead.

     

Learning Through Shared Christian Praxis: Reflective Practice in the Classroom

The cultivation of reflective practice has become a commonly accepted goal of theological education. However, theological educators must face the challenge of teaching and assessing reflective practice. Hypothesizing that this concern is best addressed in community, the authors of this article devised a collaborative action‐research project using Thomas Groome's “shared Christian praxis” model. They describe the ways in which they have, over the course of the project, modified their pedagogy to improve their students' reflection on practice.