Psychometric evaluation of the Fear of Positive Evaluation Scale in patients with social anxiety disorder

The Fear of Positive Evaluation Scale (FPES; J. W. Weeks, R. G. Heimberg, & T. L. Rodebaugh, 2008) was designed to assess fear of positive evaluation, a proposed cognitive component of social anxiety. Although previous findings on the psychometric properties of the FPES have been highly encouraging, only 1 previous study has examined the psychometric profile of the FPES in a sample of patients with social anxiety disorder (T. A. Fergus et al., 2009). The primary purpose of the present study was to conduct a large multisite examination of the psychometric profile of the FPES among patients with a principal diagnosis of social anxiety disorder (n = 226; generalized subtype = 97.8%). Responses of nonanxious control participants (n = 42) were also examined. The factorial validity, internal consistency, test-retest reliability, construct validity, and treatment sensitivity of the FPES were strongly supported by our findings. Furthermore, an FPES cutoff score was identified for distinguishing levels of fear of positive evaluation characteristic of patients with social anxiety disorder from those characteristic of the control group. Results provide additional support for the psychometric properties of the FPES in clinical samples.     

Social awareness and early self-recognition

Self-recognition by 86 children (14-52months) was assessed using the mirror mark test in two different social contexts. In the classic mirror task condition, only the child was marked prior to mirror exposure (Classic condition). In the social norm condition, the child, experimenter, and accompanying parent were marked prior to the child's mirror exposure (Norm condition). Results indicate that in both conditions children pass the test in comparable proportion, with the same increase as a function of age. However, in the Norm condition, children displayed significantly more hesitation while removing the mark, often touching it without removing it or, if so, promptly putting the mark back onto their forehead. In the Classic condition, only one child showed such hesitation. These results suggest that from the outset, mirror self-recognition can refer to social awareness. This link is interpreted as the trademark of human self-consciousness, a deeply rooted "looking glass" self-awareness.     

Information Related to Prenatal Genetic Counseling: Interpretation by Adolescents, Effects on Risk Perception and Ethical Implications

Being raised in the genomic era may not only increase knowledge of available genetic testing but may also have an impact on how genetic information is perceived. However, little is known about how current adolescents react to the language commonly used by health care professionals providing prenatal counseling. In addition, as risk communication is related to numbers and figures, having different educational backgrounds may be associated with variability in risk perceptions. In order to investigate these issues, a previously developed questionnaire studying different ways of being told about hypothetical anomalies in a baby and corresponding risks (Abramsky and Fletcher Prenatal Diagnosis 22(13):1188-1194, 2002) was administered to high-school students in Sweden. A total of 344 questionnaires were completed by students belonging to a natural science or a social science program. The data show that teenage participants found technical jargon and words such as rare and abnormal more worrying than the presented comparison terms. Negative framing effects and perception differences related to numeric risk formats were also present. Additionally, participants' gender and educational program did not seem to have an effect on risk assessment. In addition to reporting the questionnaire results, we discuss the ethical implications of the data based on the norm of non-directiveness and make some recommendations for practice. In general, genetic counselors should be aware that the language used within clinical services can be influential on this group of upcoming counselees.     

Five levels of self-awareness as they unfold early in life

When do children become aware of themselves as differentiated and unique entity in the world? When and how do they become self-aware? Based on some recent empirical evidence, 5 levels of self-awareness are presented and discussed as they chronologically unfold from the moment of birth to approximately 4-5 years of age. A natural history of children's developing self-awareness is proposed as well as a model of adult self-awareness that is informed by the dynamic of early development. Adult self-awareness is viewed as the dynamic flux between basic levels of consciousness that develop chronologically early in life.     

Diagnostic colours contribute to the early stages of scene categorization: Behavioural and neurophysiological evidence

We examined the effects of colour cues on the express categorization of natural scenes. Using a go/no-go paradigm sensitive to fast recognition processes, we measured early event-related potential (ERP) correlates of scene categorization to elucidate the processing stage at which colour contributes to scene recognition. Observers were presented with scenes belonging to four colour-diagnostic categories (desert, forest, canyon and coastline). Scenes were presented in one of three forms: Diagnostically coloured, nondiagnostically coloured, or greyscale images. In a verification task, observers were instructed to respond whenever the presented stimulus matched a previously presented category name. Reaction times and accuracy were optimal when the stimuli were presented as their original diagnostically coloured version, followed by their greyscale version, and lastly by their nondiagostically coloured version. These effects were mirrored in the early (i.e., 150 ms following stimulus onset) ERP frontal correlates. Their onset was delayed for greyscale scenes compared to diagnostically coloured scenes, and for nondiagnostically coloured scenes compared to the other two conditions. Frontal ERP amplitudes also decreased for greyscale and nondiagnostically coloured scenes. Together, the results suggest that diagnostic colours are part of the scene gist responsible for express scene categorization.     

Indiscriminable shades and demonstrative concepts

Virtue ethicists argue that modern ethical theories aim to give direct guidance about particular situations at the cost of offering artificial or narrow accounts of ethics. In contrast, virtue ethical theories guide action indirectly by helping one understand the virtues—but the theory will not provide answers as to what to do in particular instances. Recently, this had led many to think that virtue ethical theories are self-effacing the way some claim consequentialist and deontological theories are. In this paper I defend virtue ethics against the charge of self-effacement. I distinguish between modestly self-effacing theories, immodestly self-effacing theories and theories that recommend indirect guidance. Though all self-effacing theories are indirect, not all indirect theories are self-effacing. I argue that virtue ethics is not self-effacing, but rather indirectly action-guiding. The response I articulate draws on the distinctive virtue ethical mode of action-guidance: namely, that thinking hard about virtue and what kind of person one aims to be offers the kind of guidance we want (or should want) as we face practical moral problems.     

Restoration processes after need thwarting: When autonomy depends on competence

Like other fundamental needs, recent studies have shown that the need for autonomy elicits goal-oriented behaviors that aim to its restoration when it is thwarted. However, no research has yet examined the factors that moderate the restoration process. In the present studies, we investigated the moderating role of perceived competence in the restoration of autonomy. We monitored autonomy restoration behaviors by assessing the extent to which participants turn away from a controlling function in a computerized puzzle task. Across the two studies, the results suggested that, in comparison with baseline participants, autonomy-deprived participants acted to regain their autonomy but only when their level of perceived competence in the task was high. When perceived competence was low, participants disengaged from autonomy restoration, seemingly to favor competence. These findings are discussed using self-determination theory and models of stress and coping.     

Assessing Resources in a Population of Hemodialysis Patients: A New Approach to Improve Quality of Care

Journal of Contemporary Psychotherapy - Hemodialysis patients constitute a vulnerable population. Their health needs are considerable and they often present psychological symptoms such as...