The Use of Psychoendocrine Strategies in Post-Traumatic Stress Disorder1

An overview is presented of a pilot psychoendocrine study of PTSD inpatients in comparison with several subgroups of schizophrenic and affective disorder patients. Using a hormonal profile including Cortisol, norepinephrine, epinephrine, testosterone, and thyroxine, it was found that the mean values for the PTSD group were at or near the extreme end of the range for every hormone measured, i.e., relatively low for Cortisol and high for the remaining hormones. The possible clinical meaning of these findings is considered in the light of prior psychoendocrine research on chronic stress. The hormonal alterations in PTSD appear to be persistent and suggest the possibility of being linked largely to traits or character structure, perhaps particularly to cognitive variables related to defense and coping mechanisms, as reviewed in detail for each hormonal system. There appears to be a potential for a fruitful union between the traumatic stress and psychoendocrine fields and some future strategies for developing and strengthening such a union are suggested.     

Subsyllabic units in computerized reading instruction: onset-rime vs. postvowel segmentation

Previous studies suggest that adults and children divide spoken syllables into subsyllabic onset-rime units more readily than into any other kind of subsyllabic unit. We asked whether this same onset-rime segmentation might also be beneficial in teaching children to read. That is, can children learn more words segmented at the onset-rime boundary (e.g., CL-AP, D-ISH) than words segmented after the vowel (CLA-P, DI-SH)? In three experiments, first-grade students studied single words presented by a computer connected to a high-quality speech synthesizer. Experiment 1 used words of four letters but only three phonemes apiece (e.g., WHIP, DISH). In some of these words the onset-rime segmentation corresponded to the initial bigram (e.g., WH-IP); in some it did not (e.g., D-ISH). Experiments 2 and 3 used words of four letters and four phonemes (e.g., CLAP, CORN). In all three experiments, onset-rime segmentation proved more helpful than postvowel segmentation in short-term learning of the words.     

Expectancy models of alcohol use

The primary goal of the present article is to compare expectancy models with competing attitude models of alcohol use. First, several methodological issues in expectancy research were addressed, to more adequately compare the theoretical models. Study 1 examined the effect of possible self-report biases on associations among expectancy constructs and alcohol use. In Studies 2 and 3, the basic distinction between general factors of positive and negative alcohol expectancies was investigated in both cross-sectional and prospective models. Alternative predictions that were based on competing expectancy and attitude theories were evaluated primarily in Study 3. Results from these studies supported the validity of the expectancy constructs and the proposed distinctions among expectancy and attitude constructs-in terms of strong discriminant validity, absence of self-report bias, and differential prediction of alcohol use. Furthermore, the findings favored certain expectancy models over alternative attitude models of alcohol use, reaffirming the usefulness of the expectancy framework.     

Personality Correlates of Confidence in One's Decisions

ABSTRACT Taylor and Brown (1988) hypothesized that certain illusions, such as unrealistic optimism, are predictably associated with positive affect, social skills, and intellectual functioning. To test this hypothesis, we obtained data from 162 students who first filled out a questionnaire containing dispositional measures of affect, social skills, and approaches to problem solving; in a second session they completed three tasks requiring difficult decisions, reporting their confidence in each decision. Accuracy of judgments was found to vary considerably from task to task, but confidence ratings showed a consistent pattern of individual differences. This result lent support to Taylor and Brown's hypothesis, as did other features of the data, most notably several small but significant Pearson r s between confidence ratings and dispositional variables. Removing the effects of accuracy from these r s reduced their magnitude very little; it yielded partial r s interpretable as evidence that illusory confidence is associated with personality traits which, in this case, load saliently on factors labeled ( a ) affective, and ( b ) cognitive/social.     

The fleeting gleam of praise: cognitive processes underlying behavioral reactions to self-relevant feedback

We propose that a preference for favorable social feedback (i.e., self-enhancement) requires only that feedback be characterized as favorable or unfavorable but that a preference for self-confirming feedback (i.e., self-verification) is based on a more elaborate set of cognitive operations that requires both the characterization of feedback and a subsequent comparison of that feedback to a representation of self stored in memory. Study 1 set the stage for testing this hypothesis by showing that depriving people of processing resources interfered with their tendency to access their self-conceptions. In Studies 2 and 3, participants who were deprived of resources preferred the favorable, self-enhancing evaluator, whereas control participants displayed a preference for the self-verifying evaluator, even if that evaluator was relatively unfavorable.     

What does the cook and medley hostility scale measure? Affect, behavior, and attributions in the marital context

The Cook and Medley (1954) Hostility (Ho) scale has been used in several important studies evaluating potential health consequences of hostility. A relative lack of compelling information about the construct validity of the Ho scale, however, has raised concerns about the appropriate interpretation of previous research. In this study, 60 married couples discussed a low conflict topic, a high conflict topic, and then a second low conflict topic. High Ho men responded to the high conflict topic with significant increases in self-reported anger and anxiety and overt hostile behavior, but low Ho men did not. Furthermore, compared to low Ho men, high Ho men blamed their wives more for their usual disagreements on the high conflict topic and saw their disagreement-engendering behavior as more intentional. Among women, Ho scores were weakly related only to overt hostile behavior. Finally, couples consisting of two low Ho persons displayed a uniquely agreeable interactional style.     

Social support and immune function among spouses of cancer patients

This study investigated whether social support was related to immune function among spouses of cancer patients. Effects of depression and negative life events were examined as potential mediators. Results showed evidence of greater immunocompetence on 2 of 3 dynamic measures: natural killer cytotoxicity and proliferation response to phytohemagglutinin among spouses who reported high levels of social support. All six components of social support assessed by the Social Provisions Scale (Cutrona & Russell, 1987) were strongly related to these indices of immune function. No evidence was found for mediation by either life events or depression.     

Body image or body images?: Comparative, multidimensional assessment among college students

A major criticism of research on body image concerns the dubious assumptions of the unidimensionality of the construct and the equivalence of body-image measures. Our study of 125 male and female college students compared multiple measurement methods within each of two modalities of body image: (a) perceptual (body-size estimation) and (b) attitudinal (body-image affect and cognition). Clinically relevant indices of psychological adjustment and eating disturbance were included. Results clearly supported the distinction between attitudinal and perceptual modalities of body image and indicated more convergent and discriminant validity for the former than for the latter. Whereas one method of assessing size-estimation accuracy and most body-image attitudes produced relationships with maladjustment, only attitudinal body image and perceptual, self-ideal discrepancy measures were significantly linked to eating disturbance. Relationships were generally more consistent for women than for men. Implications are discussed in the context of extant and future research on body image with clinical and nonclinical populations.     

Assessing object representations as a continuous variable: a modification of the concept of the object on the Rorschach scale

Current methods for assessing the quality of internalized object representations have not provided a continuous variable that simultaneously includes both an accuracy and a maturity component. A modification of Blatt, Brooks, Brenneis, and Schimek's (1976) Concept of the Object on the Rorschach scale that would combine the two components by weighting the quality of each response according to its form level was proposed. Initial discriminant and convergent validity of this modification was checked through correlations and multiple regression analyses using behavioral, diagnostic, and demographic data from 84 adolescent inpatients as dependent variables. Results indicate the modified score was directly related to measures of peer relatedness, intelligence, psychological health, and reality testing, and indirectly related to measures of psychosis and hostile, unmanageable behavior. The results support the utility of the modification for providing a continuous score that assesses both developmental maturity and accuracy, the two dimensions on which the concept of object representation is based.