Moderators of the association between exercise identity and obligatory exercise among participants of an athletic event

Previous research has connected exercise identity with obligatory exercise, yet to date no empirical studies have identified moderator variables of this association. The current study included participants of an athletic event (full marathon, n = 582; half marathon, n = 1,106; shorter distance, n = 733) who completed questionnaires about exercise behaviors, obligatory exercise, and internalization of both the thin-ideal and athletic-ideal body shapes. General linear model analyses were conducted to examine the exercise identity–obligatory exercise relationship; moderator variables included gender, internalization of the thin-ideal body shape, and internalization of the athletic-ideal body shape. After controlling for the effects of body mass index, age, and distance group, the three-way interaction of exercise identity, gender, and internalization of the athletic-ideal body shape predicted obligatory exercise. Findings suggest that women who report high identification with exercise and high value on having an athletic physique may be vulnerable to obligatory exercise.     

Measuring psychological mindedness: validity,reliability, and relationship with psychopathology of an Italian version of the Balanced Index of Psychological Mindedness

Psychological mindedness (PM) is an underinvestigated, but important construct in psychoanalytic psychotherapy research and practice. It refers to the interest in and ability for reflecting on one's thoughts and feelings, and it represents an important precondition for insight-oriented therapy to be successful. Notwithstanding, very few instruments are available to measure PM. The current investigation aimed at evaluating the validity and reliability of the Balanced Index of Psychological Mindedness (BIPM; Nyklí?ek & Denollet, 2009, Psychological Assessment, 21, 32–44), a brief measure of PM. In a first study, factor structure, internal consistency, and concurrent validity of the BIPM were tested, along with the relationship between the BIPM and a continuous measure of general distress, using a sample of 298 Italian students. In a second study, test-retest stability analyses were completed using a new, different, Italian student sample (N = 58). In a third study, the BIPM scores of a clinical sample with diagnosis of mood spectrum disorders (N = 30) were compared to those of an age-, gender-, and education-matched nonclinical sample. Overall, results indicate that the BIPM is a psychometrically sound instrument that can be used in clinical practice to obtain rapid information about the client's mentalization skills and assess PM.     

Treatment Parameters and Structural Change: Reflections on the Psychotherapy of a Male Homosexual

Abstract

Shechter R. A. Treatment Parameters and Structural Change: Reflections on the Psychotherapy of a Male Homosexual. Int Forum Psychoanal 1992;1:197-201. Stockholm. ISSN 0803-706X

Sequential highlights from a four-year treatment period demonstrate specific instances when technique parameters, defined as deviations from psychoanalytic neutrality, triggered the emergence of repressed memories. These memories were connected to forbidden impulses and intense annihilation and castration anxiety. Parameters also functioned to keep anxiety at tolerable levels, allowing the working-through and rechanneling of highly charged libidinal and aggressive wishes and fears, and the establishment of a reparative transference. As the patient explored affect and memory, he incorporated a more benign superego. Drive was neutralized, sublimation occurred, and structural change unfolded. Intrapsychic change led to behavior change. The patient moved from a monogamous, sadomasochistic, homosexual lifestyle to a more positively invested and pleasurable heterosexual relationship.

Treatment was not a defense analysis. The patient's ego structure could not have tolerated the anxiety of a transference neurosis that mirrored the abuse of childhood. The treatment dyad was a reparative force. Parameters indirectly functioned as interpretations of repressed longings, surgically cutting through false self-deception.     

Letting them go - The short-term treatment of an adolescent at risk

This paper is based on my experience of working in an outpatient centre for adolescents at risk in a North London borough. The paper focuses on the pressures encountered when adolescent patients want to stop treatment prematurely, and on the risks of re-enactment in the transference. Clinical material is presented from the treatment of an adolescent girl who resorted to cutting herself when she had to face new developmental stages. Her unresolved Oedipal anxieties as well as possible meanings of the nature of her self-destructive behaviour are explored. Finally I attempt to explore how my struggles with letting her go contributed to her psychic development, which has continued since the end of the therapy.     

Time processing in children with Tourette’s syndrome

Background

Tourette syndrome (TS) is characterized by dysfunctional connectivity between prefrontal cortex and sub-cortical structures, and altered meso-cortical and/or meso-striatal dopamine release. Since time processing is also regulated by fronto-striatal circuits and modulated by dopaminergic transmission, we hypothesized that time processing is abnormal in TS.

Methods

We compared time processing abilities between nine children with TS-only (i.e. without major psychiatric comorbidities) and 10 age-matched healthy children, employing a time reproduction task in which subjects actively reproduce different temporal intervals, and a time comparison task in which subjects judge whether a test interval is longer or shorter than a reference interval. IQ, sustained and divided attention, and working memory were assessed in both groups using the Leiter International Performance Scale-Revised, and the Digit Span sub-test of the WISC-R.

Results

Children with TS-only reproduced in an overestimated fashion over-second, but not sub-second, time intervals. The precision of over-second intervals reproduction correlated with tic severity, in that the lower the tic severity, the closer the reproduction of over-second time intervals to their real duration. Time reproduction performance did not significantly correlate with IQ, attention and working memory measures in both groups. No differences between groups were documented in the time comparison task.

Conclusions

The improvement of time processing in children with TS-only seems specific for the over-second range of intervals, consistent with an enhancement in the ‘cognitively controlled’ timing system, which mainly processes longer duration intervals, and depends upon dysfunctional connectivity between the basal ganglia and the dorso-lateral prefrontal cortex. The absence of between-group differences on time comparison, moreover, suggests that TS patients manifest a selective improvement of ‘motor’ timing abilities, rather than of perceptual time abilities. Our data also support an enhancement of cognitive control processes in TS children, probably facilitated by effortful tic suppression.     

Spirituality and Religiousness Among American Jews

In this article we examine the association between spirituality and religiousness for Jews in the United States. Using data from the most recent National Jewish Population Survey of 2000–2001, a large national sample, we examined the extent to which these two concepts correlate. In addition, we compared the relative importance of sociodemographic factors, stressors, and Jewish contextual factors in predicting spirituality and religiousness. We found that spirituality and religiousness correlated, but modestly; some variables were predictive of both concepts (less education, younger age, experienced anti-Semitism in last year, ethnic identity, social identity), some of being highly spiritual only (female, not living in the Northeast), and others of being highly religious only (being married, having a child at home, living in the Northeast, not living in the West, and Jewish background). The differences in sociodemographic characteristics and Jewish background suggest that family life (marriage, having children at home), knowledge about Judaism, and living in a geographic area where there is a high population of Jews are conducive to religiousness as a framework for meaning. Jewish contextual factors were salient for both spiritual and religious pathways.     

Effect of the 5-HTTLPR polymorphism on posttraumatic stress disorder,depression, anxiety,and quality of life among Iraq and Afghanistan veterans

Background and Objectives: Posttraumatic stress disorder (PTSD), depression, anxiety, and stress are significant problems among returning veterans and are associated with reduced quality of life. Design: A correlational design was used to examine the impact of a polymorphism (5-HTTLPR) in the serotonin transporter promoter gene on post-deployment adjustment among returning veterans. Methods: A total of 186 returning Iraq and Afghanistan veterans were genotyped for the 5-HTTLPR polymorphism. Symptoms of PTSD, depression, general stress, and anxiety were assessed along with quality of life. Results: After controlling for combat exposure, age, sex of the participant, and race, 5-HTTLPR had a significant multivariate effect on post-deployment adjustment, such that S′ carriers reported more post-deployment adjustment problems and worse quality of life than veterans homozygous for the L′ allele. This effect was larger when the analyses were restricted to veterans of European ancestry. Conclusions: Our findings suggest that veterans who carry the S′ allele of the 5-HTTLPR polymorphism may be at increased risk for adjustment problems and reduced quality of life following deployments to war zones.     

Time course of planning for object and action parameters in visually guided manipulation

Under visual guidance, subjects reached for and manipulated an object that variedin weight and surface texture (slipperiness). The manipulatory action was either grasping, lifting, or posting in a slot. The task was constrained or unconstrained with respect to speed, grasp pattern, and contact force. Initiation time (pre-reach), movement time (reach), and post-contact errors were measured, to examine planning for task performance at three points in time. Results indicate that in the constrained task, the manipulatory action was planned during the initiation time, but planning for object parameters was deferred until the reach interval. With relaxed task constraints, initiation times increased,and texture and manipulatory action had independent effects on premovement planning. Errors were affected interactively by all variables. The results suggest a planning process that unfolds over time, incorporating in turn the manipulatory action, object texture, and object weight. This unfolding accommodates variables proximate to the time where they will affect physical action.