Factores familiares en la recaída de pacientes esquizofrénicos

Resumen

Nuestro estudio de la atmósfera emocional de los hogares de los pacientes esquizofrénicos en California del Sur ha replicado los descubrimientos británicos en relación con la influencia del ambiente familiar sobre el curso de la esquizofrenia. Como en los estudios británicos, las críticas y la implicación emocional excesiva de un familiar clave para el paciente en el momento de su ingreso constituyen el mejor predictor aislado de recaída sintomática en los nueve meses posteriores al alta hospitalaria. Al igual que en los resultados británicos, la asociación entre la emoción expresada de los familiares y la recaída fue independiente de todas las demas variables investigadas. Los resultados transculturales sobre los efectos preventivos de la medicación sugieren que los clínicos deben considerar la atmósfera emocional del hogar, a la hora de explicar los fracasos de la medicación.     

Let's exist again (like we did last summer)

ABSTRACT

This paper is a defence of a psychological view of personal identity against the attack Peter Unger launches against it in his Identity, Consciousness and Value. Unger attempts to undermine the traditional support which a psychological criterion of identity has drawn from thought-experiments, and to show that such a criterion has totally unacceptable implications—in particular, that it allows that persons can go out of and come back into existence. I respond to both aspects of this criticism, arguing that the relevant thought- experiments (and the support they appear to offer) survive Unger's attack intact, and that he does not establish his case against intermittent existence.     

The elephant tied up with string: a clinical case study showing the importance of NHS provision of intensive,time-limited psychoanalytic psychotherapy treatments

Prof. Richard Layard's influential advocacy for greater provision of ‘evidence-based’ psychological therapies, based in part on an economic rationale, has lead to greatly increased provision of cognitive behavioural therapy (CBT) and short-term therapies for depression, through the Increasing Access to Psychological Therapies (IAPT) initiative, whilst longer-term psychodynamic treatments are under threat, criticised as lacking an evidence base. This paper argues for the continuing provision of intensive thrice-weekly psychoanalytic psychotherapy treatments, time-limited to two years. It does so by describing such a treatment within an NHS psychotherapy department with a patient with a long history of severe personality pathology, including significant levels of perversity. The paper describes the patient's difficulties and his movement through the treatment, focussing on his difficulties making genuine emotional contact, his destructiveness of such contact, his acting out in the treatment, his perversity and the vital working through of the ending. The shifts the patient made are described, and follow-up information on the patient is given. The paper discusses the unique benefits of time-limited treatment and intensive psychoanalytic treatments for this ‘hard-to-help’ group of patients, and the economic rationale that can be made for such treatments.     

The involvement of distinct visual channels in rapid attention towards fearful facial expressions

This paper reports five experiments demonstrating that the low spatial frequency components of faces are critical to the production of rapid attentional responses towards fearful facial expressions. In our main experiments, low spatial frequency (LSF) or high spatial frequency (HSF) face pairs, consisting of one fearful and one neutral expression, were presented on a computer screen for a brief period. Participants were required to identify as quickly as possible the orientation of a bar target that immediately replaced one of the faces. Responses were faster when targets replaced the location of LSF fearful faces, compared with LSF neutral faces. By contrast, there were no differences between responses to targets replacing HSF fearful versus HSF neutral faces. This facilitation in spatial orienting occurred specifically with short time intervals between faces and target, and is consistent with a rapid processing of fear cues from LSF inputs that can serve to guide attention towards threat events.     

Validation of the Career Adapt-Abilities Scale and an examination of a model of career adaptation in the Philippine context

This paper presents the validation of the Career Adapt-Abilities Scale (CAAS) in the Philippine context. The CAAS consists of four subscales, with six items each, measuring self-regulative psychosocial resources (e.g., concern, curiosity, control, and confidence) for coping with occupational tasks and transitions. Filipino university students (N = 289) and working adults (N = 495) participated in the study. Internal consistency estimates for the full scale and subscales ranged from .87 to .97. Confirmatory factor analyses supported the multidimensional and hierarchical model of career adaptability. The factor structure was similar to that obtained from the CAAS international validation from 18 countries. Results also suggested that career adaptability was positively associated with adaptivity in the form of tenacious goal pursuit and flexible goal adjustment as well as with adaptation outcomes of career satisfaction and promotability. Overall, the findings confirm the utility of CAAS in the Philippine context and support the model that states higher levels of personal adaptivity (willingness) and career adaptability (competence) relate to better adaptation outcomes in terms of career success.     

The Validity of Conscientiousness for Predicting Job Performance: A meta‐analytic test of two hypotheses

This study examined two hypotheses regarding the moderating effects of job characteristics on the validity of personality. Using meta‐analytic techniques, the authors explored the extent to which the structural characteristics and cognitive ability requirements of jobs influence the role of conscientiousness in predicting performance. The results suggest that conscientiousness is a stronger predictor of performance in jobs that are highly routinized, and a weaker predictor of performance in jobs with high levels of cognitive ability requirements. Implications for theory and future research are discussed.     

Memories of uncertain origin: Dreamt or real?

The existence of a memory whose origin, real or dreamt, was uncertain was reported by just over half of an undergraduate sample of 358. Each respondent described one such memory if they had one. The memories were typically of mundane events, although 10 respondents described possible crimes. Respondents were often concerned to resolve the origin of these memories. Their plausibility, vividness, and how well the events fitted into one's life were often considered by the respondents, but where resolution occurred it was frequently based on evidence obtained from the physical or social environment. The reported qualities of the event did not correlate with whether the respondent thought it more likely to have been originally a dream or a real event.