Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

Health-related quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained (US) syncope. Little is known regarding these patients’ QoL as pertains to their capacity to attain their life goals. Factors influencing QoL, such as sex, syncope type and illness representations have not been studied. Our objective is to examine the relationship between illness representations and QoL, as well as possible sex and syncope type differences. One hundred and four patients undergoing tilt-table testing (TTT) for recurrent syncope were interviewed one month before TTT, using questionnaires. Data were analysed using ANCOVAs, a-priori Helmert contrasts for illness representations, and regressions. Patients with US had a poor QoL compared to those with VVS [F(1, 91) = 10.46; p < 0.01], particularly in men (p < 0.01). Patients with higher perceived syncope severity showed an impoverished QoL relative to those with less severe perceptions [F(1, 91) = 5.47; p < 0.05]. A hierarchical regression revealed that illness representations mediate the impact of lifetime number of syncope on QoL. In conclusion, QoL is reduced in these patients, and is influenced by illness representations. Helping patients change their perceptions about their syncope may be an efficient way to promote QoL.     

Prediction of university students' academic achievement by linear and logistic models

University students' academic achievement measured by means of academic progress is modeled through linear and logistic regression, employing prior achievement and demographic factors as predictors. The main aim of the present paper is to compare results yielded by both statistical procedures, in order to identify the most suitable approach in terms of goodness of fit and predictive power. Grades awarded in basic scientific courses and demographic variables were entered into the models at the first step. Two hypotheses are proposed: (a) Grades in basic courses as well as demographic factors are directly related to academic progress, and (b) Logistic regression is more appropriate than linear regression due to its higher predictive power. Results partially confirm the first prediction, as grades are positively related to progress. However, not all demographic factors considered proved to be good predictors. With regard to the second hypothesis, logistic regression was shown to be a better approach than linear regression, yielding more stable estimates with regard to the presence of ill-fitting patterns.     

Belief, motivational, and ideological correlates of human rights attitudes

Many people believe that an informed and thoughtful citizenry is essential to the maintenance of democratic ideals within the United States and the spread of those ideals abroad. Since the September 11, 2001, terrorist attacks, the evidence that Americans consider issues of human dignity and rights when making judgments about the U.S. government's war on terror has been mixed. In our study, we assessed the relative contributions of ideological, belief, and cognitive-motivational factors to the prediction of human rights and civil liberties attitudes. Individuals scoring high on measures of right-wing authoritarianism (RWA) and the belief that the structure of knowledge is simple were the most likely to support restrictions on human rights and civil liberties as part of the war on terror. In a subsequent regression analysis, individuals scoring higher on personal need for structure or exhibiting lower levels of epistemological belief complexity tended to score higher on RWA. Additionally, men were generally more likely to support restrictions on rights and liberties and to score higher on RWA than were women.     

Family capital and the invisible transfer of privilege: intergenerational support and social class in early adulthood

Sociologists have long recognized the relationships between family background and social class attainment. However, by neglecting the multiple ways in which families and parents provide advantages and the extent to which these advantages extend into adulthood, they may still be underestimating the role of families in the reproduction of class inequalities. This chapter explores these impacts under the conceptual rubric of family capital. A new battery of interviews with a diverse collection of young adults is used to illustrate these points and offer suggestions for future research and analysis.     

The Interface between Mental Health Providers, Families, and Schools: Parent and Child Attitudes about Information-Sharing

Youth with emotional and behavioral disorders (EBD) are at an increased risk for school problems and negative consequences into adulthood, increasing the need for collaboration between families, school personnel and mental health providers. Current treatment guidelines emphasize the importance of information-sharing between providers and schools, yet few studies have addressed parents’ or students’ attitudes and preferences about this process or about the disclosure of mental health-related information to school professionals. Using a sample of 73 pairs of parents and their adolescents seeking outpatient treatment, this study assessed parental and adolescent attitudes about disclosure of mental health treatment information to school personnel. The majority of parents reported that the school should be informed that their adolescent was receiving counseling or medication for EBD, and that they should be the primary informant, rather than providers. By comparison, adolescents preferred more discretion about their involvement in treatment. Taken together, the study results highlight a number of implications relevant to the therapeutic relation and the process of obtaining and sharing mental health-related treatment information with various school personnel. Future research directions regarding the consultative and collaborative process with school personnel are also discussed.     

Familiarity can increase stereotyping

Two experiments show that repeated exposure to information about a target person reduces individuation and thereby increases stereotyping of the target person based on social group memberships. The effect is not due to familiarity-induced liking (the mere exposure effect), nor is it mediated by increased accessibility of the target’s social category, nor by increases in perceived social judgeability. The results are most consistent with the use of feelings of familiarity as a regulator of processing mode, such that familiar objects receive less systematic or analytic processing. In everyday life, frequent exposure to another person ordinarily produces not only familiarity but also liking, individuated knowledge, and friendship, factors that may effectively limit stereotyping. But when previous exposure is unconfounded from these other factors, its effect can be to increase stereotyping.     

Eve's Revenge: Women and a Spirituality of the Body – Lilian Calles Barger

Book reviewed:
Eve's Revenge: Women and a Spirituality of the Body , Lilian Calles Barger, Brazos Press 2003 (ISBN 1-58743-040-1), 224 pp., pb $14.99     

Interference resolution in face perception and name retrieval

Selective retrieval is a rather difficult task, and especially so when one attempts to retrieve personal representations such as faces or names. Retrieval of memories under strong competition conditions is pervasive in human memory and some have suggested that inhibitory control is used to overcome interference between competing stimuli. In the present study, we used the retrieval practice paradigm to investigate if competition among personal representations (such as facial features and names) is also resolved by inhibitory mechanisms. This question is theoretically relevant, since personal representations have been said to have a special status on cognition. Moreover, some models of face recognition assume that interference can arise between different representations, but that this interference would be automatically and rapidly solved, with no need for a controlled inhibitory mechanism to act. In two experiments we showed RIF for facial features and familiar names, but only when participants had to actively retrieve some information. This suggests that personal information is subject to mechanisms of inhibitory control, which could help explain everyday life difficulties in processes such as face feature recognition or name retrieval.     

Neural events in the reinforcement contingency

When neural events are analyzed as stimuli and responses, functional relations among them and among overt stimuli and responses can be unveiled. The integration of neuroscience and the experimental analysis of behavior is beginning to provide empirical evidence of involvement of neural events in the three-term contingency relating discriminative stimuli, responses, and consequences. This paper is aimed at highlighting exemplar instances in the development of this issue. It has long been known that the electrical stimulation of certain cerebral areas can have a reinforcing function. Extraordinary technological advances in recent years show that neural activity can be selected by consequences. For example, the activity of in vitro isolated neurons that receive dopamine as a reinforcer functions as a cellular analogue of operant conditioning. The in vivo activity of populations of neurons of rats and monkeys can be recorded on an instant-to-instant basis and can then be used to move mechanical arms or track a target as a function of consequences. Neural stimulation acts as a discriminative stimulus for operant responses that are in turn maintained by neural consequences. Together with investigations on the molecular basis of classical conditioning, those studies are examples of possibilities that are being created for the study of behavior-environment interactions within the organism. More important, they show that, as an element in the three-term contingency, neural activity follows the same laws as other events.