Coping and anxiety in women recalled for additional diagnostic procedures following an abnormal screening mammogram.

This study characterized women's concurrent and subsequent levels of emotional distress associated with a questionable mammogram screening and relationships between women's coping and psychosocial adjustment. State anxiety was assessed in 98 women 1 day after receiving a mammogram screening (Time 1), after notification of a questionable screening result that necessitated additional testing (Time 2), and after being informed of their breast-cancer-free status (Time 3). Key findings include (a) women reported a significant increase in anxiety following notification of the need to return for follow-up testing; (b) significant and positive associations were found between anxiety and behavioral approach, behavioral avoidance, cognitive approach, and cognitive avoidance coping in cross-sectional analyses; and (c) cognitive avoidance coping was a strong predictor of final levels of state anxiety in women. Findings suggest that cognitive avoidance coping plays an important role in reducing anxiety in women recalled to clarify an initially ambiguous screening procedure.     

RELIGION AND FRANCIS BACON'S SCIENTIFIC UTOPIANISM

Francis Bacon often is depicted as a patriarch of modernity who promotes human rational action over faith in divine Providence and as a secular humanitarian who realized that improvement of the human condition depended on human action and not on God's saving acts in history. Bacon's New Atlantis is usually described as a “scientific utopia” because its ideal order, harmony, and prosperity are the result of the investigations of nature conducted by the members of Solomon's House. I challenge these characterizations by showing that Bacon's so‐called scientific utopianism is grounded in his religious convictions that his age was one of Providential intervention and that he was God's agent for an apocalyptic transformation of the human condition. I examine the centrality of these religious themes in two of his philosophical works, The Advancement of Learning and The Great Instauration, which are well known for setting out Bacon's critique of the state of learning and for presenting the principles of his epistemology. Analysis of The Advancement of Learning demonstrates Bacon's conviction that his reform of natural philosophy was part of a Providentially guided, twofold restoration of the knowledge of nature and the knowledge of God. Examination of The Great Instauration reveals that Bacon sees his age as one of apocalyptic transformation of the human condition that restores humanity to a prelapsarian state. Analysis of the New Atlantis shows that utopian perfection can be achieved only through a combination of right religion and the proper study of nature. Moreover, when the “scientific” work of Solomon's House is recontextualized within the religious themes of salvation and deliverance that permeate the New Atlantis, the full scope of Bacon's “scientific utopianism” can be seen, and this project is not the one usually portrayed in scholarly treatments. Bacon's program for rehabilitating humanity and its relation to nature is not a secular, scientific advance through which humanity gains dominion over nature and mastery of its own destiny but rather one guided by divine Providence and achieved through pious human effort.     

Structure and strategy in image generation

Two experiments were conducted to test a prediction of the Kosslyn & Shwartz computer simulation model of mental image processing. According to this model, more complex images require more time to form because parts are placed sequentially, and larger images require more time to form than smaller ones because more parts are placed. If these accounts are correct, then the advantage of forming a small image (i.e., one that seems to subtend a smaller visual angle) should be greater for more complex objects because the difference in number of parts imaged at the two sizes will be greater than with simpler objects. This prediction was confirmed only when subjects were not motivated to form highly elaborated images at small sizes. When subject tried to include all details, it actually took longest to form images of complex objects at small sizes. Both of these results support the central assumption of the Kosslyn-Shwartz model, namely the existence of a fixed resolution analog spatial medium.     

Silver linings in the face of temptations: how mixed emotions promote self-control efforts in response to goal conflict

Choosing between conflicting goals is a frequent yet difficult problem, especially when temptations are involved because self-control effort is required to overcome them. This study investigated whether experiencing mixed emotions in response to goal conflict can facilitate the necessary self-control effort needed to resist temptations. A sample of 73 individuals participated in an intensive longitudinal study, completing several measures 4 times a day during ten consecutive days, producing over 2500 observations. Results derived from using multilevel structural equation modeling confirmed that mixed emotions mediated the relationship between perceived goal conflict and intentions to resist temptations, over and above the influence of single positive emotions or negative emotions, and trait levels of self-control. Implication of these findings for collaboration and the impact of mixed emotions in more general social dilemmas are explored.     

Looming Threats and Animacy: Reduced Responsiveness in Youth with Disrupted Behavior Disorders

Theoretical models have implicated amygdala dysfunction in the development of Disruptive Behavior Disorders (DBDs; Conduct Disorder/Oppositional Defiant Disorder). Amygdala dysfunction impacts valence evaluation/response selection and emotion attention in youth with DBDs, particularly in those with elevated callous-unemotional (CU) traits. However, amygdala responsiveness during social cognition and the responsiveness of the acute threat circuitry (amygdala/periaqueductal gray) in youth with DBDs have been less well-examined, particularly with reference to CU traits. 31 youth with DBDs and 27 typically developing youth (IQ, age and gender-matched) completed a threat paradigm during fMRI where animate and inanimate, threatening and neutral stimuli appeared to loom towards or recede from participants. Reduced responsiveness to threat variables, including visual threats and encroaching stimuli, was observed within acute threat circuitry and temporal, lateral frontal and parietal cortices in youth with DBDs. This reduced responsiveness, at least with respect to the looming variable, was modulated by CU traits. Reduced responsiveness to animacy information was also observed within temporal, lateral frontal and parietal cortices, but not within amygdala. Reduced responsiveness to animacy information as a function of CU traits was observed in PCC, though not within the amygdala. Reduced threat responsiveness may contribute to risk taking and impulsivity in youth with DBDs, particularly those with high levels of CU traits. Future work will need to examine the degree to which this reduced response to animacy is independent of amygdala dysfunction in youth with DBDs and what role PCC might play in the dysfunctional social cognition observed in youth with high levels of CU traits.     

Using self‐monitoring and differential reinforcement of low rates of behavior to decrease repetitive behaviors: A case study

We used a reversal design to evaluate the effects of a self‐monitoring system and differential reinforcement of low rates of behavior on decreasing repetitive body movements in a child with autism. A trial‐based functional analysis revealed that repetitive body movements were maintained by automatic reinforcement. Treatment consisted of teaching the participant to use a self‐monitoring system to monitor the occurrence of repetitive body movements. A stimulus control analysis revealed the self‐monitoring system acquired stimulus control over the repetitive body movements, in that they were more likely to occur in the absence of the system than in its presence. The self‐monitoring system was implemented with a differential reinforcement of low rates of behavior, and their combined effects were evaluated within a reversal design. Repetitive body movements decreased with the implementation of the treatment. The use of self‐monitoring systems to target problem behavior is discussed.     

Sexual risk behaviour among HIV-infected women in the first twelve months after delivery in South Africa

This study aimed to assess sexual risk behaviour and its social correlates in HIV-infected women living in rural South Africa at six and twelve months post-partum. Participants were 699 HIV-positive women recruited prenatally by systematic sampling from twelve community health centres in Mpumalanga province, South Africa (mean age = 28.4 years, SD = 5.7; married =41.1%; serodiscordant or unknown partner status = 74.9%). They self-reported on their sexual activity six to twelve months after delivery; including use of condoms and partner involvement. Generalised linear mixed models were utilised to estimate unsafe sex outcomes from a prevention of mother to child transmission (PMTCT) intervention, socio-demographic factors, disclosure, and male involvement. About 20% of sexually active women in the past week had used condoms inconsistently at six and twelve months after delivery. Moreover, 16% and 18% of the women had not used a condom at last sex and 11% and 13% had unprotected sex with HIV-uninfected or unknown-status partners following delivery at six and twelve months, respectively. Higher inconsistent condom use was likely with lower male involvement. Promotion of condom use post-partum, as well as male involvement in sexual decisions, are important for safer sex post-partum by seropositive women.