Does prospective memory influence quality of life in community-dwelling older adults?

Older adults commonly experience declines in prospective memory, which describes one’s ability to “remember to remember,” and can adversely affect instrumental activities of daily living and healthcare compliance. However, the extent to which prospective memory failures may influence quality of life in typically aging older adults is not well understood. One-hundred and four community-dwelling older Australians (aged 50 to 82 years) were administered a comprehensive, neuropsychological battery that included the Memory for Intentions Screening Test (MIST), Prospective and Retrospective Memory Questionnaire (PRMQ), Instrumental Activities of Daily Living Questionnaire (IADLQ), and World Health Organization Quality of Life-8 (WHOQOL-8). Multiple regressions controlling for negative affect, medical comorbidities, and other neurocognitive functions revealed an interaction between prospective memory and instrumental activities of daily living in the concurrent prediction of quality of life. Among the 39 older adults who reported multiple problems on the IADLQ, lower performance-based prospective memory (MIST) and higher self-reported prospective memory failures in daily life (PRMQ) were significantly associated with lower quality of life (WHOQOL-8). Conversely, no significant associations were observed between prospective memory and quality of life in the 65 participants without IADL problems. Prospective memory difficulties adversely impact quality of life in community-dwelling older adults who experience problems independently managing their instrumental activities of daily living. These findings extend prior literature showing that prospective memory plays a unique role in the real-world outcomes of older adults and clinical populations and highlight the need to develop effective strategies to enhance prospective memory functioning in these vulnerable groups.     

Working with psychosis: Part 2 – encounters with an omnipotent super-ego

This is the second in a series of four papers presenting work with a man suffering from a bipolar disorder. The present paper describes the second year of the work and my encounters with an omnipotent super-ego which made ferocious attacks on the work, especially when there were any developments. The attacks were particularly disabling because my own implacable super-ego was mobilized in the counter-transference. Consequently developments seemed to melt away as my patient and I were often reduced to mindless states. I came to understand that these omnipotent attacks were stirred by feelings of infantile helplessness and dependency, and were a means of trying to manage a dread of falling to pieces and unintegration.     

Are Conservatives Less Likely to be Prosocial Than Liberals? From Games to Ideology,Political Preferences and Voting

Do political preferences reflect individual differences in interpersonal orientations? Are conservatives less other‐regarding than liberals? On the basis of past theorising, we hypothesised that, relative to individuals with prosocial orientations, those with individualistic and competitive orientations should be more likely to endorse conservative political preferences and vote for conservative parties. This hypothesis was supported in three independent studies conducted in Italy (Studies 1 and 2) and the Netherlands (Study 3). Consistent with hypotheses, a cross‐sectional study revealed that individualists and competitors endorsed stronger conservative political preferences than did prosocials; moreover, this effect was independent of the association between need for structure and conservative political preferences (Study 1). The predicted association of social value orientation and voting was observed in both a four‐week (Study 2) and an eight‐month (Study 3) longitudinal study. Taken together, the findings provide novel support for the claim that interpersonal orientations, as measured with experimental games rooted in game theory, are important to understanding differences in ideology at the societal level. Copyright © 2011 John Wiley & Sons, Ltd.