“Sacred Moments”: Social anxiety in a larger perspective

A treatment protocol was developed and piloted to examine whether perception of the sacred dimensions of their lives can be enhanced for people with social anxiety, and if so, whether that has therapeutic benefit. A 10-session manualized group treatment was developed to increase perception of sacredness in various domains of daily life. The treatment is described, as are preliminary results from two pilot groups. The small sample size limits quantitative analysis, but qualitative follow-up interviews, single-case analysis, and case material indicate decreased anxiety over time. Enhanced sense of sacredness appeared useful in broadening attentional focus, interrupting dysfunctional thought patterns, and generating behaviors incompatible with social anxiety. Focusing on sacredness instead of symptoms allowed participants to form supportive interpersonal relationships within the group, providing a corrective experience of social interaction. Although health professionals rarely discuss religion and spirituality with their clients, participants in these pilot groups welcomed the opportunity to do so.     

Resource loss,religiousness, health,and posttraumatic growth following Hurricane Katrina

This study examined associations among resource loss, religiousness (including general religiousness, religious comfort, and religious strain), posttraumatic growth (PTG), and physical and mental health among a sample of Mississippi university students soon after Hurricane Katrina hit the Gulf coast in 2005. Resource loss was negatively associated with health, but positively associated with PTG. Religious comfort was associated with positive outcomes, and religious strain was associated with negative outcomes. Religious comfort buffered the negative effects of resource loss on emotional health. Ancillary analyses indicated that associations between resource loss and health were mediated by religious strain. Implications of this research are described for mental health practitioners engaged in disaster recovery work.     

Fan effects in event-based prospective memory

Three experiments investigated whether event-based prospective memory was affected by the associative fan of the cues to be detected. The associative fan was operationally defined as the number of associates paired with event-based cues in a paired associate learning phase. Subsequent to the paired associate learning, participants were given a lexical decision task in which event-based cues were embedded. The results from Experiments 1 and 2 confirmed that a larger associative fan significantly reduced event-based cue detection. The third experiment confirmed that the absolute strength of an association does not affect performance, rather the number of associations does. As an ancillary issue, the authors tested whether cue detection was affected by the familiarity of the background words used in the lexical decision task. No consistent evidence for a discrepancy plus search model of prospective memory was found.     

Focused attention on one contextual attribute does not reduce source memory for a different attribute

In three experiments, participants were asked to learn a particular contextual dimension of a study episode for a later memory test. The hypothesis being evaluated was that focused attention towards learning a particular source‐specifying attribute would decrease memory for a different attribute dimension. Although source memory for the attribute dimensions in the focus of attention were generally improved, memory was not diminished for contextual attributes ostensibly outside the focus of primary attention. The absence of any decrease in memory appears to be a somewhat general phenomenon because it was found with external–external, internal–external, and internal–internal combinations of attribute dimensions. The results may be most consistent with a model of cognitive processing in which people have separate pools of attentional resources rather than a single pool of general resources.     

Identifying repressors: A methodological issue for health psychology

Abstract

The majority of studies in health psychology use self-report measures. However, there is a growing body of evidence indicating that this methodology may be problematic for a significant minority of the population: individuals who possess a repressive coping style (repressors). Repressors, who fail to report negative affect, answer many self-report measures in a positive fashion. Research has identified an association between repressors, who are identified by low trait anxiety scores and high defensiveness scores, and adverse health outcomes. Therefore, repressors are an important group for health psychologists to investigate. Health psychology research should use more than one method of data collection in an attempt to unravel this difficult methodological problem.     

Predicting Burnout Among HIV/AIDS and Oncology Health Care Workers

Abstract

This study examined the relationship between repressive coping, controllability, self-esteem and comparative optimism for health-related events. Repressors (low trait anxiety-high defensiveness) compared with both (a) specific control groups on anxiety and defensiveness (e.g., low-anxious, high-anxious and defensive high anxious) and (b) total nonrepressors were significantly more comparatively optimistic for health-related events. Repressors remained significantly more comparatively optimistic than total nonrepressors when self-esteem was partialled out.

For individual events, repressors differed in comparative optimism for events which were rated as high controllability. It is concluded that repressors are exhibiting comparative optimism over and above nonrepressor groups for events which are rated as controllable. These results suggest that comparative optimism findings may be exaggerated by not controlling for the disproportionate influence of repressors in skewing sample means. Suggestions for future studies are discussed.     

Illness perceptions and self efficacy beliefs in adolescents and young adults with insulin dependent diabetes mellitus

Abstract

The study examined the role of illness perceptions and self-efficacy in diabetic regimen adherence and metabolic control among young patients with Insulin Dependent Diabetes Mellitus (IDDM). Sixty-four outpatients with Insulin Dependent Diabetes completed measures of illness perceptions, generalised and diabetes specific self-efficacy and a self-report measure of adherence. Metabolic control (HbAlc) was also assessed. Control, identity and consequences components of illness perceptions were significantly correlated with self-efficacy expectancies. Control beliefs were consistently associated with self-reported adherence across all treatment aspects and accounted for 39% of the predicted variance in total adherence. The associations of the other psychological predictors examined, varied depending on the regimen area. Multiple regression analysis showed that 30.8% of the variance in HbAlc assays was explained by patients' diabetes specific self-efficacy, consequences and identity. Our findings suggest that patients' beliefs are useful predictors of physiological and behavioural outcomes in diabetes self-management and should thus be the focus of routine clinical assessments and future interventions.     

Three types of freedom 1

Freedom interpreted as absence of restraints, as such, is a vacuous ideal. It requires reference to some setting and course of action in order to distinguish those restraints that block human effort from those, say, that support it. More broadly, this notion of freedom has little meaning and less value without some external criterion for evaluating human action and its conditions. Many thinkers have argued that the. criterion must be the absolute Truth — truth that is unconditioned, indubitable, and imperative. They have often argued that there is no freedom of error, and that the many persons who do not know such Truth are free only in obeying the few who do. This concept of freedom is often regarded as intolerable. A third possibility is to interpret freedom as a name for a range of significant alternatives for thought and action. Freedom, here, is compatible with truth interpreted in terms of the process of inquiry, rather than as substantive possession. It is a necessary condition for judging which restraints are real obstacles and which courses of action may be harmless, legitimate or good. The third meaning, especially, is illustrated with reference to the freedoms of utterance (expression) and speech (communication).     

The Effects of a Multiple Family Therapy on Adolescents with Eating Disorders: An Outcome Study

Multiple Family Therapy (MFT) has gained increasing popularity in the treatment of eating disorders and many programs have been developed over the past decade. Still, there is little evidence in the literature on the effectiveness on MFT for treating eating disorders. The present study examines the effects of a particular model of Multiple Family Therapy on eating disorder symptoms, quality of life, and percentage of Expected Body Weight (%EBW) in adolescents with eating disorders (ED). Eighty‐two adolescents with ED, aged between 11 and 19 years, were assessed before and after treatment using the Eating Disorders Inventory 2 (EDI‐2), the Outcome Questionnaire 45 (OQ‐45) and %EBW. Results showed a significant increase in %EBW between the beginning and end of treatment, with a large effect size. 52.4% of patients achieved an EBW above 85%. Symptoms relative to all EDI dimensions (except for bulimia) significantly decreased during treatment. The three dimensions related to quality of life assessment also improved over the course of MFT. At the end of treatment, 70.7% of patients had a total OQ‐45 score below clinical significance. This study suggests that Multiple Family Therapy may benefit adolescents with eating disorders, with improvement on several outcome measures (%EBW, ED symptoms, and quality of life). However, the lack of a comparison group entails caution when drawing conclusions.     

The Genetic Overlap and Distinctiveness of Flourishing and the Big Five Personality Traits

The growing evidence that subjective well-being (SWB) produces an array of beneficial outcomes has increased requests for recommendations on how to promote it. Evidence that all of SWB’s genetic variance overlaps with personality led to the strong claim that it is a ‘personality thing’ and that personality is the strongest predictor of SWB. However, studies do not include a comprehensive assessment that reflects eudaimonic as well as hedonic SWB. We revisit the question of SWB’s complete overlap with personality employing the tripartite model—emotional, psychological, and social—of SWB that, together, reflect Keyes’ (2002) model of flourishing. Data are from the Midlife in the United States national sample of 1,386 twins. Analyses were done using Mx to test Cholesky decomposition models and a two latent factor common pathway model. One-third of the total (72 %) heritability of flourishing and 40 % of its environmental variability are distinct from the big-five personality traits. We also find a low phenotypic association (mean r = .22) between the three dimensions of SWB and big-five personality traits despite substantial shared genetic etiology. In addition to non-trivial amounts of distinctive genetic and environmental variance and low phenotypic correlation, we point to limited investigation of reciprocal causation of SWB and personality. Psychologist should not yet conclude that SWB is a ‘personality thing’ anymore than personality might be a ‘well-being thing’.