Quality of Life and Multiple Sclerosis: Comparison Between People with Multiple Sclerosis and People from the General Population

This paper evaluated the quality of life (QOL) of people with multiple sclerosis (MS) and people from the general population. Gender differences between the 2 groups of respondents and the influence of coping style on adjustment were also evaluated. The participants were 381 (144 males, 237 females) people with MS, and 291 (101 males, 190 females) people from the general population. The results demonstrated that people with MS experienced lower levels of QOL than people from the general population for both the objective and subjective dimensions of all domains (physical health, psychological adjustment, social relationships, environmental adjustment). All coping strategies (problem-focused, focusing on the positive, detachment, wishful thinking, seeking social support) were important predictors of QOL for both males and females with MS, with wishful thinking being the strongest predictor of poor QOL. These results are discussed in terms of the various factors that impact on QOL among people with MS, and the types of coping strategies that are most adaptive in improving the QOL of people with this illness.     

Notes for a Critical Personality Psychology: Making Room under the Critical Psychology Umbrella

Inspired by the liberation psychologist Martin‐Baró who provocatively defined personality as that of which individuals can be robbed in conditions of social injustice and research psychologists in training whose appreciation of the possibilities of personality psychology has been limited by the dominance of trait approaches, this paper claims that we need and can practice a critical personality psychology. Conceptual and methodological tools for such an enterprise are identified in two arenas of current research: the study of narratives and new forms of history in personality psychology. Within critical personality psychology, personality is understood to be an expression of (i) a multifaceted organization that includes individual, interpersonal, social, cultural, and political contexts; (ii) individual and social change; and (iii) the moral dimensions of human psychology. Notes on future directions draw on areas of inquiry within and outside personality psychology to insure a place under the critical psychology umbrella.     

Conceptualizing Coping: Optimism as a Case Study

Coping involves any effort to deal with difficult or challenging situations, and coping strategies vary, often depending on individual differences and situational circumstances. Research has typically characterized coping as either involving problem‐focused or emotion‐focused strategies, or sometimes approach or avoidance strategies. The current review suggests that a more useful distinction would be found in crossed dimensions, such as problem‐focused approach or avoidance, or emotion‐focused approach or avoidance. For example, the individual difference of dispositional optimism has been found to be positively associated with approach coping strategies seeking to solve or control either problems or emotions, depending on the type of stressor. Although widely used, current coping scales may contribute to a skewed view of coping strategies and may not adequately depict coping dimensions. The current review calls for revisions of current scales or creation of new and better scales.     

Inattention/Overactivity Following Early Severe Institutional Deprivation: Presentation and Associations in Early Adolescence

The current study examined the persistence and phenotypic presentation of inattention/overactivity (I/O) into early adolescence, in a sample of institution reared (IR) children adopted from Romania before the age of 43 months. Total sample comprised 144 IR and 21 non-IR Romanian adoptees, and a comparison group of 52 within-UK adoptees, assessed at ages 6 and 11 years. I/O was rated using Rutter Scales completed by parents and teachers. I/O continued to be strongly associated with institutional deprivation, with continuities between ages 6 and 11 outcomes. There were higher rates of deprivation-related I/O in boys than girls, and I/O was strongly associated with conduct problems, disinhibited attachment and executive function but not IQ more generally, independently of gender. Deprivation-related I/O shares many common features with ADHD, despite its different etiology and putative developmental mechanisms. I/O is a persistent domain of impairment following early institutional deprivation of 6 months or more, suggesting there may be a possible pathway to impairment through some form of neuro-developmental programming during critical periods of early development.     

Do Theory of Mind and Executive Function Deficits Underlie the Adverse Outcomes Associated with Profound Early Deprivation?: Findings from the English and Romanian Adoptees Study

Theory of Mind (ToM) and Executive Function (EF) have been associated with autism and with attention-deficit hyperactivity disorder (ADHD), and hence might play a role in similar syndromes found following profound early institutional deprivation. In order to examine this possibility the current study included a group of 165 Romanian adoptees, of whom 144 were adopted into the UK from deprived institutional settings before 43months of age, and a group of 52 within-UK adoptees, all adopted before 6months of age. Both groups were assessed at 6 and 11years. The Strange Stories task was used to assess ToM and the Stroop task was used to assess EF, both at age 11. The Romanian adoptees displayed deficits in both ToM and EF compared with the within-UK adoptee group. The degree of deficit was greater for children who had experienced more than 6months of institutional deprivation. Deficits in both domains (ToM and EF) were associated with each of the three apparently deprivation-specific problems, namely quasi-autism, disinhibited attachment and inattention/overactivity. Statistical analyses indicated a mediating role for both ToM and EF with respect to quasi-autism; possibly a partial mediating role for EF with respect to inattention/overactivity; and probably no mediating role for either ToM or EF in the case of disinhibited attachment. In conclusion, there is evidence for a possible mediating role for ToM and EF in the development of some apparently deprivation-specific difficulties in institution-reared Romanian adoptees, but neither accounts for the overall pattern of deprivation-related difficulties.     

Differential correlates of reactive and proactive aggression in Asian adolescents: relations to narcissism, anxiety, schizotypal traits, and peer relations

This study investigated relationship between reactive and proactive aggression, and narcissism, anxiety, schizotypal traits, and interpersonal relations in a sample of 698 Asian adolescents from Grades 7 to 9. Proactive aggression was found to be significantly associated with narcissism, whereas reactive aggression was significantly associated with anxiety, schizotypal traits, and poor interpersonal relations. Study findings provide support from a cross-cultural standpoint for differential correlates of reactive and proactive aggression and represent an initial attempt to illustrate the generalizability of existing findings on the distinction between the two subtypes in an Asian context. Implications for theory building of the reactive-proactive aggression typology are discussed.     

Mind–Body Medicine and the Art of Self‐Care: Teaching Mindfulness to Counseling Students Through Yoga,Meditation, and Qigong

A 4‐year qualitative study examined the influence of teaching hatha yoga, meditation, and qigong to counseling graduate students. Participants in the 15‐week, 3‐credit mindfulness‐based stress reduction course reported positive physical, emotional, mental, spiritual, and interpersonal changes and substantial effects on their counseling skills and therapeutic relationships. Students expressed different preferences for and experiences with the 3 mindfulness practices. Most students reported intentions of integrating mindfulness practices into their future profession.     

Consenting to uncertainty: challenges for informed consent to disease screening—a case study

This paper uses chronic beryllium disease as a case study to explore some of the challenges for decision-making and some of the problems for obtaining meaningful informed consent when the interpretation of screening results is complicated by their probabilistic nature and is clouded by empirical uncertainty. Although avoidance of further beryllium exposure might seem prudent for any individual whose test results suggest heightened disease risk, we will argue that such a clinical precautionary approach is likely to be a mistake. Instead, advice on the interpretation of screening results must focus not on risk per se, but on avoidable risk, and must be carefully tailored to the individual. These points are of importance for individual decision-making, for informed consent, and for occupational health.

Affective theory of mind inferences contextually influence the recognition of emotional facial expressions

The recognition of emotional facial expressions is often subject to contextual influence, particularly when the face and the context convey similar emotions. We investigated whether spontaneous, incidental affective theory of mind inferences made while reading vignettes describing social situations would produce context effects on the identification of same-valenced emotions (Experiment 1) as well as differently-valenced emotions (Experiment 2) conveyed by subsequently presented faces. Crucially, we found an effect of context on reaction times in both experiments while, in line with previous work, we found evidence for a context effect on accuracy only in Experiment 1. This demonstrates that affective theory of mind inferences made at the pragmatic level of a text can automatically, contextually influence the perceptual processing of emotional facial expressions in a separate task even when those emotions are of a distinctive valence. Thus, our novel findings suggest that language acts as a contextual influence to the recognition of emotional facial expressions for both same and different valences.