Do Patients With Psychosis Experience Loss and Grief As a Result of Their Illness?

BACKGROUND: Depression and suicidality are frequently reported in patients with psychosis and schizophrenia, but the grief process that may be associated with this illness has not been systematically studied. In this study, we examined whether patients diagnosed with psychosis identify, grieve, and mourn losses engendered by the illness. METHOD: 24 patients diagnosed with psychosis in the past five years were surveyed to indicate whether their illness led to losses, and to describe their responses to the losses. Psychosis-related perceived losses were surveyed using three subscales of a loss and grief questionnaire (loss of self, self-care, and roles). Their relationship with beliefs about the illness, symptomatology, coping style, and self-efficacy and insight was studied. RESULTS: 23 (96%) patients named specific losses, and 16 patients (67%) reported feelings associated with grief and mourning. More than half reported loss of self-esteem at the onset of illness and only half saw themselves as having improved in the past month. Patients reported more loss within the past month than at the onset of illness. In the past month, patients with an intact sense of self experienced greater self-efficacy (r = .568, p < .004) while those with loss of self reported feelings of shame (r = ?.582, p < .003). Only patients with insight associated the onset of illness with loss. In the past month, most patients saw themselves as experiencing loss. DISCUSSION: The study results suggest that at some distance from diagnosis, patients still experience themselves as having much loss due to their illness. These unresolved feelings may indicate complicated mourning. Insight appears to be associated with the ability to look back at the onset of the illness and recognize that it engendered losses. Further study of the process of and barriers to grief and mourning is recommended. In clinical practice, the assessment of grief as a part of post-psychotic recovery could lead to providing more appropriate treatment and lead to a positive outcome.     

Thought listing and endorsement measures of self-referential thinking in test anxiety

Abstract

The primary purpose of the present study was to examine cognitive reactions of high and low test-anxious subjects while performing a task of extreme difficulty. A sample of 44 subjects (28 females, 16 males) attempted a difficult analogies task and then reported their thoughts during the task. Subjects also completed the Sarason Test Anxiety Scale and several other self-report measures of their cognitive reactions to the task. Thought listings were classified according to their referent (self, task, or unrelated) and their valence (positive, negative, or neutral). Correlational analyses were then performed with the various measures and revealed an association between test anxiety and reports of negative thoughts involving the self. Test anxiety was not related significantly to the number of thoughts involving the task nor to actual performance on the task. However, test-anxious subjects did report more negative expectancies for their performance and greater cognitive interference during the task. Negative self-expectancies were also related to more negative self thoughts, fewer positive self thoughts, and fewer positive task-related thoughts. The results are interpreted as further evidence for both the role of negative self-related cognitions in the experience of test anxiety and the usefulness of unstructured measures in anxiety research.     

Perfectionism and athlete burnout in junior elite athletes: the mediating role of coping tendencies

Abstract

Recent research indicates that some dimensions of perfectionism are positively related to athlete burnout, whereas others are negatively related to athlete burnout. The divergent relationship between these dimensions of perfectionism and athlete burnout may be explained by different coping tendencies. The present investigation examined whether different coping tendencies mediate the relationship between self-oriented and socially prescribed perfectionism and burnout. Two-hundred and six junior elite athletes (M age=15.15 years, SD=1.88 years, range=11–22 years) completed measures of self-oriented and socially prescribed perfectionism, coping tendencies, and athlete burnout. Structural equation modeling indicated that the relationship between dimensions of perfectionism and athlete burnout was mediated by different coping tendencies. Higher levels of socially prescribed perfectionism was related to higher levels of avoidant coping which, in turn, was related to higher levels of athlete burnout. In contrast, higher levels of self-oriented perfectionism was related to higher levels of problem-focused coping and lower levels of avoidant coping which, in turn, was related to lower levels of athlete burnout. The findings suggest that different coping tendencies may underpin the divergent relationship between self-oriented and socially prescribed dimensions of perfectionism and athlete burnout.     

Father–Daughter Communication About Sex Moderates the Association Between Exposure to MTV’s 16 and Pregnant/Teen Mom and Female Students’ Pregnancy-Risk Behavior

MTV’s hit programs 16 and Pregnant and Teen Mom have been the subject of national debate since their inception. Supporters contend that the shows inhibit pregnancy-risk behavior. Critics contend that the shows glamorize adolescent motherhood and encourage pregnancy-risk behavior. The present study explored the possibility that the association between viewing 16 and Pregnant and Teen Mom and student females’ pregnancy-risk behavior depends on the extent to which females’ parents communicated with them about sex while they were growing up. Survey data were gathered from 313 female students. A disordinal interaction was found between father–daughter sexual communication, viewing frequency, and recent intercourse behavior. Frequent viewing was associated with an increased probability of having engaged in recent intercourse for females whose fathers did not communicate with them about sex while growing up. Conversely, frequent viewing was associated with a decreased probability of having engaged in recent intercourse for females whose fathers often communicated about sex with them while growing up. No interaction was found between mother–daughter sexual communication, viewing frequency, and recent intercourse behavior. These results suggest that fathers may play an especially important role in determining how sexual media socialize their daughters.     

How Does an Aristotelian Substance Have its Platonic Properties? Issues and Options

Attempts to explicate the substance-property nexus are legion in the philosophical literature both historical and contemporary. In this paper, I shall attempt to impose some structure into the discussion by exploring ways to combine two unlikely bedfellows—Platonic properties and Aristotelian substances. Special attention is paid to the logical structure of substances and the metaphysics of property exemplification. I shall argue that an Aristotelian-Platonic account of the substance-property nexus is possible and has been ably defended by contemporary philosophers.     

The use of visual information in natural scenes

Despite the complexity and diversity of natural scenes, humans are very fast and accurate at identifying basic-level scene categories. In this paper we develop a new technique (based on Bubbles, Gosselin & Schyns, 2001a; Schyns, Bonnar, & Gosselin, 2002) to determine some of the information requirements of basic-level scene categorizations. Using 2400 scenes from an established scene database (Oliva & Torralba, 2001), the algorithm randomly samples the Fourier coefficients of the phase spectrum. Sampled Fourier coefficients retain their original phase while the phase of nonsampled coefficients is replaced with that of white noise. Observers categorized the stimuli into 8 basic-level categories. The location of the sampled Fourier coefficients leading to correct categorizations was recorded per trial. Statistical analyses revealed the major scales and orientations of the phase spectrum that observers used to distinguish scene categories.     

Top-down attentional modulation of spatial frequency processing in scene perception

Recent evidence suggests that spatial frequency (SF) processing of simple and complex visual patterns is flexible. The use of spatial scale in scene perception seems to be influenced by people's expectations. However as yet there is no direct evidence for top-down attentional effects on flexible scale use in scene perception. In two experiments we provide such evidence. We presented participants with low- and high-pass SF filtered scenes and cued their attention to the relevant scale. In Experiment 1 we subsequently presented them with hybrid scenes (both low- and high-pass scenes present). We observed that participants reported detecting the cued component of hybrids. To explore if this might be due to decision biases, in Experiment 2, we replaced hybrids with images containing meaningful scenes at uncued SFs and noise at the cued SFs (invalid cueing). We found that participants performed poorly on invalid cueing trials. These findings are consistent with top-down attentional modulation of early spatial frequency processing in scene perception.     

Development of own-race biases

This review examines the emergence and development of perceptual and social biases towards own-race individuals. We first discuss evidence regarding the early emergence of an own-race bias in facial preferences and face recognition abilities demonstrated by infants with an abundance of visual experience with own-race individuals, but little to no experience with other-race individuals. We then consider perceptual categorization of face race, visual scanning, and differential processing of own- and other-race faces in relation to recognition of face identity. Finally, we review evidence regarding own-race preferences for social partners and own-race biases in social evaluations that emerge during early childhood. Implications of the existing evidence for understanding the role of experience in perceptual development and the emergence of racial preferences and stereotypes are discussed.     

Attention switching between global and local elements: Distractor category and the level repetition effect

When selecting information at global and local levels of hierarchical stimuli, there is a robust effect of level repetition in which performance is more efficient when a target is presented at the same level as the previous target. Moreover, the effect is symmetrical; it affects global and local processing equally. Evidence exists to suggest the effect may be automatic; however, we show here that the level repetition effect requires some amount of competition from the ignored level, and that the nature of the irrelevant information can determine whether the level-repetition effect is symmetrical (global and local responses are affected equally) or asymmetrical (global responses are more greatly affected than local responses). In Experiment 1, the level-repetition effect was eliminated when information at the distracting level was invariant across trials; effects of hemisphere bias and level repetition were observed only when suppression or filtering of distractor information was required. Experiment 2 demonstrated that simple featural variance is sufficient to produce the level repetition effect and that the symmetry of the level-repetition effect is sensitive to Garner-type interference that affects global processing to a greater extent than local processing. In Experiment 3, we showed that the absence of a level-repetition effect in the invariant distractor condition persists when the position of relevant stimuli is random within a block, a manipulation which should greatly reduce the contribution of controlled attention. We conclude that simple featural variance at the ignored level is critical to produce the advantage of level repetition, and that the size of the effect can be asymmetrical.     

Size and orientation cue figure-ground segregation in infants

ABSTRACT

Adult perceivers segregate figure from ground based on image cues such as small size and main axis orientation. The current study examined whether infants can use such cues to perceive figure-ground segregation. Three- to 7-month-olds were familiarized with a pie-shaped stimulus in which some pieces formed a?+?and other pieces formed an x. The infants were then presented with a novelty preference test pairing the?+?and x. The bases for the pieces forming the?+?or x were size and orientation (Experiment 1), size (Experiment 2), and orientation (Experiment 3). In each experiment, infants responded as if they recognized as familiar the shape specified by small size, main axis orientation, or their combination. Control conditions showed that infant performance could not be attributed to spontaneous preference. The findings suggest that infants can achieve figure-ground segregation based on some of the same cues used by adults.