A comparison of coping strategies in patients with fibromyalgia,chronic neuropathic pain,and pain‐free controls

Patients suffering from chronic pain may benefit from learning adaptive coping strategies. Consensus on efficient strategies for this group of patients is, however, lacking, and previous studies have shown inconsistent results. The present study has examined coping strategies in two distinctly different groups of chronic pain patients and a group of healthy controls. Thirty neuropathic pain (NP) patients, 28 fibromyalgia (FM) patients, and 26 pain‐free healthy controls completed the Coping Strategy Questionnaire (CSQ‐48/27) and rated their daily pain. The results showed that FM and NP patients did not cope differently with pain. The only difference between the groups was that FM patients felt more in control of their pain than NP patients. Both patient groups used more maladaptive/passive coping strategies, but surprisingly also more adaptive/active coping strategies than healthy controls. However, FM patients with high levels of passive strategies felt less in control than FM patients with low levels of passive strategies. This was not seen in NP patients. An important implication for clinical practice is therefore that passive coping strategies should be restructured into active ones, especially for FM patients. Otherwise, the same psychological treatment model can be applied to both groups since they use similar coping styles.     

Youth Self-Views,Coping with Stress,and Behavioral/Emotional Problems: The Role of Incremental Self-Theory

Previous research has established associations between stress and coping processes and internalizing and externalizing problems among adolescents and emerging adults. The purpose of the present study was to integrate this literature with research demonstrating the importance of self-theory—views that individuals hold about themselves and their abilities. We examined the extent to which self-theory may influence both coping processes and internalizing and externalizing problems among adolescents and emerging adults. Using moderated mediation, we tested whether coping serves as a mechanism through which self-theory of both intelligence and personality influences internalizing and externalizing problems among adolescents and emerging adults. One hundred and forty participants (adolescents aged 14–17; emerging adults aged 18–30; 60 % female; 8.5 % ethnic minority) completed questionnaires on self-theory, coping responses, and behavioral/emotional problems. Results of moderated mediation analyses were consistent with coping as a mechanism through which self-theory influences psychopathology symptoms such that more malleable beliefs are associated with increased productive coping strategies and lower levels of internalizing and externalizing problems. The current findings also indicate that these associations were significant for adolescents but not for emerging adults. Although cross-sectional, findings suggest that fostering malleable beliefs among adolescents may increase the use of productive coping strategies and positively influence adjustment.     

Forum: Insiders,Outsiders, and Disclosure in the Undergraduate Classroom

In this set of essays, three authors provide different perspectives on whether personal religious sensibilities and identities affect the ways we teach religion. Elliott Bazzano discusses how, as a white Muslim convert teaching at a Catholic college, he incorporates selective autobiographical anecdotes into his classes as a way to problematize the meaning of “insider” and “outsider,” and pushes his students to recognize the many layers of identity that any given person embodies at a given time. In the second essay, Audrey Truschke explains why she makes no reference to her own religious beliefs or affiliations in class as part of her strategy to demonstrate how students can study any religion regardless of personal convictions. In the third essay, Jayme Yeo explores the benefits of discussing personal religious identity as a means to resist the categories of “inside” and “outside,” which she sees as heterogeneous concepts that do not always offer explanatory power upon close examination.     

Fiduciary Duty and Boundaries: Acting in the Client's Best Interest

The task of defining boundaries and boundary violations in the therapeutic relationship is examined from several perspectives. This paper reviews the ethical rules of the major mental health associations and the American Medical Association to determine the professions' ethical positions with regard to boundary maintenance and boundary violations. It also analyzes judicially sanctioned causes of action for recovery by clients for damages suffered as a result of boundary violations. The authors examine the ways in which fiduciary theory is used in the formulation of the ethical rules and to support the imposition of civil liability for boundary violations. The authors conclude that fiduciary theory provides a useful paradigm for setting and evaluating boundaries that acknowledge and address the fiduciary nature of the therapist–client relationship. The authors point out that measuring boundary violations with the yardstick of fiduciary duty serves the interests of both the client and the therapist. © 1997 John Wiley & Sons, Ltd.     

A Study of Black and White College Women

In an examination of career aspirations, 101 black and 530 white college women were asked to indicate their occupational and educational plans, important considerations for career choices, and their attitudes toward combining the roles of career and family. Results indicated that women who planned careers in male-dominated occupations had higher career and educational aspirations than women who desired careers in femaledominated occupations. Black women who planned careers in male-dominated professions showed high levels of aspirations, planned more education than was necessary for the desired occupations, and perceived less conflict in combining the roles of career and family than their white counterparts. There were few differences between black and white women in their attitudes toward the traditional roles of men and women. Those choosing female-dominated careers, however, had more traditional attitudes regardless of race. Implications of these findings for the influence of occupational gender dominance on career aspirations are discussed.