The relationship of social support to physical and psychological aspects of AIDS

Abstract

This study explored the social support networks of 50 homosexual males with Acquired Immune Deficiency Syndrome (AIDS). Data gathered by self report questionnaires and medical records included diagnosis, number of medical symptoms, sociodemographics, extensive information about social support networks, mood state and physical health status. Variables associated with good psychological and physical adaptation included satisfaction with support, instrumental support and emotional support. Results of this study conflict with previous studies in that worse physical condition was not positively associated with satisfaction with support, was related to less instrumental support and was not associated with increased quantitative support. The measures of satisfaction with support, instrumental support and emotional support were all quite high, even though network size was small.     

Between a rock and a hard place? Locus of control,religious problem-solving and psychological help-seeking

Drawing on a college and community sample, this study utilised hierarchical multiple regression to examine the relative contributions of demographic variables, psychological treatment experience, religious service attendance, locus of control, and religious problem-solving style in predicting attitudes towards psychological help-seeking. Women, those holding a graduate degree, and those with treatment experience held more positive attitudes towards psychological help-seeking. While neither the locus of control nor religious problem-solving scales alone were related to help-seeking, several significant interaction effects were observed. God-centred locus of control was a positive predictor of psychological help-seeking, but only for older participants. Chance locus of control was a negative predictor, but only for graduate degree holders. Last, self-directing religious problem-solving style was a negative predictor, especially for individuals also endorsing a deferring religious problem-solving style. Perhaps the composition of the sample – largely educated, religious African-American women – gives some insight into the complex nature of these results.     

Aging,imagery, and the bizarreness effect

ABSTRACT

This study examined the bizarre imagery effect in young and older adults, under incidental and intentional conditions. Intentionality was manipulated across experiments, with participants receiving an incidental free recall test in Experiment 1 and an intentional test in Experiment 2. This study also examined the relation between working memory resources and the bizarreness effect. In Experiment 1 young and older adults were presented with common and bizarre sentences; they later received an incidental recall test. There were no age differences in sensitivity to the bizarreness effect in Experiment 1 when ANOVAs were used to analyze the data. However, when the bizarreness effect was examined in terms of effect size, there was evidence that younger adults produced larger bizarreness effect sizes than younger adults. Experiment 2 further explored age differences in sensitivity to the bizarreness effect by presenting young and older adults with bizarre and common sentences under intentional learning conditions. Experiment 2 failed to yield age differences as a function of item type (bizarre vs. common). In addition, Experiment 2 failed to yield significant evidence that the bizarreness effect is modulated by working memory resources. The results of this study are most consistent with the distinctiveness account of the bizarreness effect.     

Editorial

Abstract

The concept of mentalization (Fonagy, Steele, Moran, Steele, &; Higgitt, 1991 Fonagy, P., Steele, H., Moran, G., Steele, M. and Higgitt, A. 1991. The capacity for understanding mental states: The reflective self in parent and child and its significance of security of attachment. Infant Mental Health Journal, 13: 201–218. [Crossref], [Web of Science ®] , [Google Scholar]) has been used to describe the way in which the child's ability to understand his own and others' minds crucially depends on the developmental opportunity to recognize himself as represented in the mind of another. Within the context of a case presented for supervision, this paper discusses the importance of mentalization or ‘reflective function’ in the development of the psychological self, drawing on recent attachment-related research. Peter Webber's film Girl with a Pearl Earring is also presented and discussed as illustration of the psychotherapeutic significance of searching for the individual's inner psychological potential.     

The Royal Road and the Common Artery

This is the story of two of my dreams and how working with them guided me to discovery and treatment of a life-threatening brain aneurysm. Subsequent study revealed clues to the condition contained in my various creative interests in the year prior to the dreams. These, though they remained unconscious, proved to be probable diagnostic indicators. I had no conscious physical symptoms.     

Gender Stereotypes in the Family Context: Mothers, Fathers, and Siblings

Gender stereotypes of children and their parents were examined. Participants included 355 three-year-old children, their one-year-old siblings, and their mothers and fathers. Families were selected from the Western region of the Netherlands. Implicit gender stereotypes were assessed with computerized versions of the Action Inference Paradigm (AIP; both child and parents) and the Implicit Association Test (parent only). Parental explicit gender stereotypes were measured with the Child Rearing Sex-Role Attitude Scale. Findings revealed that mothers had stronger implicit gender stereotypes than fathers, whereas fathers had stronger explicit stereotypes than mothers. Fathers with same-gender children had stronger implicit gender stereotypes about adults than parents with mixed-gender children. For the children, girls’ implicit gender stereotypes were significantly predicted by their mother’s implicit gender stereotypes about children. This association could only be observed when the AIP was used to assess the stereotypes of both parent and child. A family systems model is applicable to the study of gender stereotypes.     

Relative contributions of perceived mattering to parents and friends in predicting adolescents' psychological well-being

Perceived mattering is the psychological tendency to perceive the self as significant to specific other people. The central goal of this study was to examine whether adolescents' perceived mattering across social spheres (parents and friends) is addtive or compensatory in predicting adolescents' psychological well-being. Tests of the relative importance of adolescents' perceived mattering to parents and friends for psychological well-being were conducted using data from two convenience samples. Study 1 participants were, on the average, 17.5 yr. old and living in rural northwestern United States (N=128, 50% male, n=64; 50% female, n=64). Study 2 participants, on the average, were 16.9 yr. old, from a suburban western Canadian region (N=532, 51.4% male, n=273; 48.6% female, n=259). Hierarchical regression analysed with indicators of self-concept and behavioral misconduct as dependent variables used perceived mattering to parents and perceived mattering to friends and the interaction between these two variables as independent variables. Perceived mattering in both social spheres seemed the optimal condition for adolescents. Perceived mattering to friends "added" to perceived mattering to parents in explaining variance in assessments of psychological well-being in both studies.     

Access to Child and Adolescent Mental Health Services

Adequate access to child and adolescent mental health services for young people in high need populations is an important concern of service systems researchers and program evaluators. We present results of a statewide study of access to community mental health services for eight populations of special concern. The analysis relied exclusively on existing databases in conjunction with innovative statistical techniques to provide comprehensive measures of access to care. Our findings indicate that access to care varied substantially across special populations, although children and adolescents in each of our eight “special populations” had greater access to public mental health services than members of the general population of the state. The interpretation of the findings and directions for future research are discussed.     

Treatment with medications affecting dopaminergic and serotonergic mechanisms: effects on fluency and anxiety in persons who stutter

Medications with dopamine antagonist properties, such as haloperidol, and those with serotonin reuptake inhibitor properties, such as clomipramine, have been shown to improve fluency. To examine the degree to which each of these two pharmacological mechanisms might independently affect fluency, a selective serotonin reuptake inhibitor, paroxetine, and a selective dopamine (D-2) antagonist, pimozide, were evaluated. Both types of medications also affect mood and anxiety, factors that could influence fluency levels. Therefore, we also evaluated the medications’ effects on generalized and speech-related anxiety and the relationships between changes in anxiety and changes in fluency in 11 subjects with a history of developmental stuttering. The randomized, double blind, placebo-controlled crossover study that was designed had to be terminated prior to completion due to severe side effects following withdrawal from paroxetine. Even with a reduced sample size (n = 6), significant improvement in percent fluent speaking time (p = 0.02) was found using a telephone task between baseline and pimozide (n = 6), with average duration of dysfluencies significantly shorter (p = 0.04) but no significant difference in the estimated number of dysfluencies per minute. This significant improvement was associated with non-significant increases in generalized anxiety, but non-significant decreases in speech-related anxiety. No significant differences were found in fluency between baseline and paroxetine (n = 5). These preliminary results suggest that fluency improvement is more likely to be mediated by dopaminergic rather than serotonergic mechanisms. Due to its side effects, however, pimozide may be considered a risk for treatment of stuttering.

Educational objectives: As a result of reading this paper the reader will describe and explain: (1) how medications may affect fluency and the rationale for selecting medications for treatment trials; (2) the interrelationship between fluency and anxiety; and (3) factors important in developing clinical trials using medications.     

Perinatal exposure to diethylstilbestrol improves olfactory discrimination learning in male and female Swiss-Webster mice

During late prenatal and early postnatal brain development, estrogen induces structural sex differences that correspond to behavioral differences in certain domains such as learning and memory. The typically superior performance of males is attributed to the action of elevated concentrations of estrogen, derived inside neurons from the aromatization of testosterone. In contrast, female performance appears dependent on minimal estrogenic activity. Rat models of the relationship between hormones and cognitive behavior predominate the field, but the advent of genetically modified mice as research tools necessitates development of analogous mouse models. This study examined how early postnatal exposure to the synthetic estrogen diethylstilbestrol (DES) affected the ability of male and female Swiss-Webster mice to learn a two-choice olfactory discrimination and three repeated reversals. Mice treated with subcutaneous injections of DES from postnatal days 1-10 learned reversals more readily than oil-treated controls, a difference that became evident after repeated testing. DES-exposed males and females learned reversals at a comparable rate, suggesting that early postnatal estrogen exposure does not influence this mode of learning through a sexually differentiated mechanism in mice. An analysis of response patterns during qualitatively different phases of reversal learning revealed that DES-induced improvements probably were not due to greater inhibitory control. Instead, DES appeared to enhance associative ability. Early postnatal estrogen exposure may have the potential to preserve certain cognitive skills in adulthood.