Predicting Persistence of Nonsuicidal Self‐Injury in Suicidal Adolescents

Prospective predictors of persistent nonsuicidal self‐injury (NSSI) were examined in adolescents admitted to an inpatient psychiatric unit for suicidal behaviors and followed naturalistically for 6 months. Seventy‐one (77%) participants reported NSSI at baseline, and 40 (56%) persisted at the 6 month follow‐up. Those who endorsed automatic positive reinforcement (APR) as the predominant reason for NSSI were more likely to persist in NSSI. Depression over follow‐up, but not at baseline, also predicted persistence. These results suggest that helping high‐risk adolescents to identify alternative ways of generating emotion(s) to counter the effects of APR that may accompany NSSI should be a high priority treatment target.     

I Can Stomach That! Fearlessness About Death Predicts Attenuated Facial Electromyography Activity in Response to Death‐Related Images

Objective measures of suicide risk can convey life‐saving information to clinicians, but few such measures exist. This study examined an objective measure of fearlessness about death (FAD), testing whether FAD relates to self‐reported and physiological aversion to death. Females (n = 87) reported FAD and disgust sensitivity, and facial electromyography was used to measure physiological facial responses consistent with disgust while viewing death‐related images. FAD predicted attenuated expression of physiological death aversion, even when controlling for self‐reported death‐related disgust sensitivity. Diminished physiological aversion to death‐related stimuli holds promise as an objective measure of FAD and suicide risk.     

An integrated model of group treatment for cancer patients

Considerable evidence suggests that group interventions are a valuable resource for cancer patients, but few conceptual frameworks are available to guide decisions about which approaches might be most useful for which patients at what phases of illness. This article presents an integrative treatment model for group services. It describes different group interventions geared toward patients at different phases of illness to accommodate the shifting needs and concerns that evolve over the course of the disease. Recommendations are offered concerning further research and model development.     

Social support,social integration,and health-related quality of life over time: Results from the Fitness and Arthritis in Seniors Trial (FAST)

The present study tested whether baseline perceived social support and social integration predicted baseline and follow-up measures of health-related quality of life for 364 older adults with osteoarthritis. The findings are secondary analyses of a randomized controlled trial of an exercise intervention. Multiple regression analyses indicate that perceived social support was related to baseline measures of functioning in psychological (depressive symptoms, social functioning, and life satisfaction) and physical domains (self-rated disability, observed physical function, and perceived health), after accounting for demographic and clinical status factors. At 18-month follow-up (additionally controlling for exercise intervention and baseline outcomes), social support significantly predicted changes in psychosocial functioning, but was unrelated to changes in self-reported and observed physical health. The findings indicate that social support is an important predictor of long-term psychosocial outcomes, but is less important than baseline clinical status for physical health endpoints in this cohort of older adults. In contrast, social integration was not a consistent predictor of outcomes.     

Positive and Negative Expectations of Hopelessness as Longitudinal Predictors of Depression,Suicidal Ideation,and Suicidal Behavior in High‐Risk Adolescents

The relationship between hopelessness and depression in predicting suicide‐related outcomes varies based on the anticipation of positive versus negative events. In this prospective study of adolescents at elevated risk for suicide, we used two Beck Hopelessness Scale subscales to assess the impact of positive and negative expectations in predicting depression, suicidal ideation, and suicidal behavior over a 2‐ to 4‐year period. In multivariate regressions controlling for depression, suicidal ideation, and negative‐expectation hopelessness, positive‐expectation hopelessness was the only significant predictor of depressive symptoms and suicidal behavior. Clinical interventions may benefit from bolstering positive expectations and building optimism.     

Still a Hetero-Gendered World: A Content Analysis of Gender Stereotypes and Romantic Ideals in Chinese Boy Love Stories

Boy’s Love (BL) stories are a fictional fantasy textual story that describes a romantic relationship between men. Previous qualitative studies claimed that BL stories have depicted androgynous characters and egalitarian love relationships. The current study undertook a quantitative content analysis of 87 randomly sampled popular Chinese BL stories. Our coding system for coding both the masculinity and femininity of each main character in the selected BL stories was developed based on several previous studies. Gay male characters in BL stories were depicted as either similar to traditional masculine men (i.e., scoring high in masculinity and low in femininity) or similar to traditional feminine women (i.e., scoring high in femininity and low in masculinity). In the romantic relationships, BL stories typically paired a masculine character with a feminine character. In addition, heterosexual romantic ideals were prevalent in BL stories. Such an analysis challenges the previous analysis of BL stories. It suggests that heteronormative gender stereotypes exist in BL stories, even if these stories depict gay male characters and romantic relationships. These findings have important implications for understanding media effects in stereotypes toward gay men in contemporary Chinese society. It also encourages further research on alternative explanations for women’s motivation in reading and writing BL stories.     

Gradual escalation: The role of continuous commitments in perceptions of guilt

Many immoral acts are the result of gradually escalating behaviors. The present work focuses on observers of immoral acts and the role of continuous commitments in shaping their perceptions of another person's guilt. Across four studies investigating how gradual escalations affect moral judgments, participants read a scenario describing an instance of immoral behavior that gradually built in severity. In Study 1, female participants perceived a perpetrator as less guilty when his behavior gradually escalated to rape after explicitly committing to the appropriateness his initial morally ambiguous behavior. The findings from Study 2 suggest that inducing a categorical mindset can counteract this reduction in perceptions of guilt. Study 3 illustrated the power of the categorical versus continuous mindset by examining how a categorical (versus a continuous mindset) impacts perceptions of guilt even in the absence of gradually escalating behavior. Finally, Study 4 extended the findings from the prior studies to a sample of both men and women and investigated the effect of the mindset manipulation on perceptions. Together, these studies demonstrate that the potency of gradual escalations to induce acquiescence to immoral behavior may inhere in their ability to create initial commitments to and continuous perceptions of morally ambiguous behavior.     

The impact of implicit prejudice about the elderly on the reaction to stereotype confirmation and disconfirmation

Previous research demonstrated that perceivers explicitly condemn ingroup members who use racial stereotypes but that they are implicitly more likely to favor those ingroup members rather than ingroup members who do not use racial stereotypes (Castelli et al., 2001). The present study has two main goals. First, we want to investigate whether the same effects can be detected in the domain of ageism. In particular, we predicted that young adults would implicitly but not explicitly favor a young male who describes an old man in a stereotype-consistent way rather than in a stereotypeinconsistent way. Most importantly, we hypothesized that this tendency is related to participants’ prejudice level as assessed through an implicit measure (IAT, Greenwald et al., 1998), so that high prejudice individuals will implicitly favor stereotypere and derogate ingroup members who use stereotype-inconsistent information. Results provide general support for the hypotheses, and their implications for stereotype maintenance and change are discussed. Preparation of this paper was supported by a research grant from the University of Padova to the first author (CPDG018859).