Silenced by Betrayal: The Path from Childhood Trauma to Diminished Sexual Communication in Adulthood

Betrayal traumas (Freyd, 1996), abuses that violate trust or dependency, predict numerous negative outcomes, including dissociation and revictimization (DePrince & Freyd, 2007; Gobin & Freyd, 2009; Goldsmith, Freyd, & DePrince, 2012). No previous empirical research examines the relation between betrayal and sexual health, including dissociation during sex. This article addresses this gap with 2 studies, which provide support for a multiple mediation model where high betrayal in childhood predicts worsened sexual communication in adulthood through trait dissociation and sexual dissociation in serial. In both studies, the direct path between betrayal and sexual communication was nonsignificant; only when accounting for trait dissociation overall and sexual dissociation in particular does childhood betrayal predict diminished communication with sex partners in adulthood.     

Depression,Panic-Fear,and Quality of Life in Near-Fatal Asthma Patients

The aim of this study was to assess the relationships between depressive symptoms and symptom-centered panic-fear (P-F), and reports of health-related quality of life (HRQOL), in persons with near-fatal asthma (NFA), controlling for age, gender, and pulmonary function. Forty persons with NFA were interviewed. Sociodemographic and clinical asthma-related information were collected. HRQOL was assessed by the SF-36 Health Questionnaire, depressive symptoms were assessed by the Beck Depression Inventory, and P-F was assessed by the P-F scale of the Asthma Symptom Checklist. Multiple regression analyses were carried out with the Physical Component Summary (PCS) and the Mental Component Summary (MCS) of the SF-36 as a dependent variable, and depressive symptoms, P-F, age, gender, and pulmonary function as independent variables. Results showed that P-F and age were associated with PCS, whereas depressive symptoms accounted for a marked percentage of the variance explained in MCS. Neither gender nor pulmonary function were related to HRQOL. In conclusion, depressive symptoms and P-F play an important role in how persons with NFA assess their HRQOL. These patient-centered variables are potentially modifiable and may offer new ways to intervene in order to improve HRQOL in persons with NFA.     

Telephone analysis: compromised treatment or an interesting opportunity?

Under the pressure of societal changes, today many analysts agree to conduct parts of an analysis over the telephone. However, little has been written about particular ways in which use of the phone affects the psychoanalytic process. The author focuses on the impact of the phone on psychoanalytic treatment and particularly on one of its potential advantages, i.e., the combination of a continuity that intensifies the treatment and physical distance between analyst and patient, making this intensity less threatening. Two detailed case reports illustrate how this combination facilitated the growth of affective tolerance and enabled these two patients to bring their emotional experiences from phone sessions into the consulting room.     

Testing the role of adolescent sexual initiation in later-life sexual risk behavior: a longitudinal twin design

The consistent association between adolescent sexual initiation (ASI) and risky adult sexual behavior (RASB) has generally been assumed to indicate that ASI has a causal effect on RASB; consequently, it is assumed that delaying ASI will reduce RASB. Yet the ASI-RASB association might be better accounted for by some third variable. We evaluated the causal role of ASI (initiation of oral, anal, or vaginal sex at or before age 16) in influencing RASB in a longitudinal sample of 2,173 twins (followed from ages 11 to 24 or from ages 17 to 29) using two methods: the discordant-twin design and the propensity-score design. The former controlled for unmeasured genetic and shared environmental factors, and the latter controlled for measured nonshared environmental factors. We replicated the link between ASI and RASB reported in previous research, but results from the discordant-twin and propensity-score analyses suggested that this association is better explained by common genetic or environmental risk factors than as a causal effect. These findings suggest that preventing ASI is unlikely to reduce RASB.     

Men's media use, sexual cognitions, and sexual risk behavior: testing a mediational model

Efforts to link media use to adolescents' sexual initiation have produced somewhat inconsistent results, perhaps as a result of the limited framing of the question. This study sought to expand current approaches by sampling college students instead of high school students, by investigating a range of sexual behaviors and media formats, and by testing a model that featured sexual cognitions as mediators. We tested our model with a sample of 796 heterosexual, male college students who reported on their regular consumption of 4 media (prime-time TV programs, music videos, movies, and men's magazines); their attitudes toward abstinence, the male sexual role, and nonrelational sex; their perceptions of peer sexual behavior; and several aspects of their sexual behavior (e.g., number of sexual partners). Findings revealed strong support for our mediated model, with exposure to men's magazines and movies contributing most strongly to their sexual cognitions, and with men's cognitions, in turn, contributing heavily to their sexual behavior. Some direct connections from media use to sexual behavior also emerged. Together, the findings provide insight into both potential mechanisms for and new approaches to addressing this issue.     

The effects of self-criticism and self-oriented perfectionism on goal pursuit

Five separate studies examined the associations of self-criticism and self-oriented perfectionism with goal pursuit across a variety of domains. Although self-criticism has previously been shown to be related to diminished goal progress, a controversy remains regarding the potential association between aspects of "positive perfectionism," such as self-oriented perfectionism, and enhanced goal progress. The results of the five studies demonstrated a consistent pattern of negative association between self-criticism and goal progress. The results also showed a positive association between self-oriented perfectionism and goal progress when self-criticism was controlled. The important role of self-criticism for understanding the impact of perfectionistic concerns is highlighted by these results. Implications for the debate concerning the possible positive effects of perfectionistic strivings are also discussed.     

Self-Regulation: Reminders and Suggestions from Personality Science

La littérature sur l’autorégulation est couramment accusée de faiblesse théorique. Il est possible que les avancées dans les recherches sur la personnalité puissent ouvrir des horizons dans ce secteur. Notre objectif est double. Nous rappelons d’abord des distinctions conceptuelles qui, bien que parfois négligées, sont essentielles dans les études contemporaines sur la personnalité et incontournables pour accéder au niveau théorique dans la littérature sur l’autorégulation. Nous disons ensuite que ceux qui font des études fondamentales et appliquées sur l’autorégulation auraient intérêt à assimiler les progrès récents concernant la dynamique et la structure de la personnalité intra‐individuelle. Nous passons en revue la théorie de base et les recherches sur l’architecture des systèmes de la personnalité intra‐individuelle, ainsi que les retombées de ce travail dans trois domaines d’application: la psychologie du travail/industrielle/organisationnelle, la psychologie clinique et la santé. The self‐regulation literature commonly is said to lack theoretical order. This paper explores the possibility that advances in personality science may foster clarity in this literature. Our goals are two‐fold. We remind readers of conceptual distinctions that are central to contemporary personality science, that are necessary to the attainment of theoretical order in the self‐regulation literature, yet that sometimes are overlooked. Secondly, we suggest that basic and applied students of self‐regulation would profit by capitalising on recent advances in personality science that explore intra‐individual personality structure and dynamics. We review theory and research on the architecture of intra‐individual personality systems and applications of this work to three domains: health, clinical, and work/industrial/organisation psychology.     

The ontogeny of intent‐based normative judgments

When evaluating norm transgressions, children begin to show some sensitivity to the agent's intentionality around preschool age. However, the specific developmental trajectories of different forms of such intent‐based judgments and their cognitive underpinnings are still largely unclear. The current studies, therefore, systematically investigated the development of intent‐based normative judgments as a function of two crucial factors: (a) the type of the agent's mental state underlying a normative transgression, and (b) the type of norm transgressed (moral versus conventional). In Study 1, 5‐ and 7‐year‐old children as well as adults were presented with vignettes in which an agent transgressed either a moral or a conventional norm. Crucially, she did so either intentionally, accidentally (not intentionally at all) or unknowingly (intentionally, yet based on a false belief regarding the outcome). The results revealed two asymmetries in children's intent‐based judgments. First, all age groups showed greater sensitivity to mental state information for moral compared to conventional transgressions. Second, children's (but not adults') normative judgments were more sensitive to the agent's intention than to her belief. Two subsequent studies investigated this asymmetry in children more closely and found evidence that it is based on performance factors: children are able in principle to take into account an agent's false belief in much the same way as her intentions, yet do not make belief‐based judgments in many existing tasks (like that of Study 1) due to their inferential complexity. Taken together, these findings contribute to a more systematic understanding of the development of intent‐based normative judgment.