Anxiety and Depression in Medically Ill Older Adults

Anxiety and depression are extremely common in the elderly with medical problems. They can manifest not only as symptoms of a primary psychiatric illness, but also as physiologic sequelae of medical illnesses and medical treatments. Recognition and treatment of depression and anxiety in the medically ill is especially difficult. If these states go untreated, they result in higher morbidity and mortality, higher health care costs and utilization, and poorer functional status and outcomes. Three of the most common medical illnesses that afflict geriatric patients, cardiovascular disease, pulmonary disease, and rheumatoid arthritis, will be presented to illustrate the difficulty in recognizing depression and anxiety and the impact of treating these symptoms in the medically ill elderly. Multidisciplinary approaches combining optimal medication regimens and psychosocial interventions can be effective for treatment of anxiety and depression in the medically ill elderly.     

Reflections on Science and Technology

Science and technology are frequently confused. This essay points out thebases for this confusion and then focuses on a basic distinction, namely, that whereas science brings us information that we have little choice but to absorb and reflect upon, technology is something that humans elect to do and, hence, can also elect not to do. It is proposed that technological ethics are most cogently undertaken with scientific understanding as the linchpin and religious/artistic sensibilities as the muse.     

The impact of rewards on empathic accuracy and emotional mimicry

The notion that motivation influences empathic accuracy has been inferred from aspects of the task, the situation or the relationship between interaction partners or between groups. The present research assessed whether monetary reward influences cognitive and affective empathy. In Study 1, cognitive empathy was assessed for 42 participants who decoded briefly (33 ms) presented expressions of sadness and anger. For half the participants, correctly decoded expressions on male faces were rewarded, for the other half correctly decoded expressions on female faces were rewarded. The results showed that rewards increase empathic accuracy for both emotions equally. In Study 2, facial EMG was measured as well to assess emotional mimicry as an index of affective empathy. Study 2 replicated the findings from Study 1 and found a moderation of affective empathy as indexed through facial mimicry for sadness. Thus, simple monetary rewards affect both cognitive and affective empathy.     

Boys Don’t Work? On the Psychological Benefits of Showing Low Effort in High School

Male students show less academic effort and lower academic achievement than do female students. The present study aimed to shed more light on the reasons for why male students show low academic effort despite the finding that this undermines their academic achievement. We explored whether students experience psychological benefits from showing low effort or “effortless” achievement in school and whether these benefits are greater for male than for female students. In two experimental vignette studies with independent samples of German ninth graders (N?=?210) and teachers (N?=?176), we systematically varied student targets’ gender, effort, and achievement and tested for effects on targets’ ascribed intelligence, popularity, likeability, masculinity, femininity, and gender-typicality. The “effortless” achiever was rated as more popular than students showing high effort. Teachers perceived the effortless achiever as the most intelligent target. Academic effort further increased students’ ratings of a low-achieving target’s likeability and students’ and teachers’ ratings of all targets’ femininity as well as decreased students’ ratings of all targets’ masculinity. Students and teachers perceived targets showing low (vs. high) effort as more similar to a typical boy, whereas teachers perceived targets showing high (vs. low) effort as more similar to a typical girl. Results indicate a need to understand the psychological benefits of low academic engagement, especially for male students, and to address the feminine stereotyping of (academic) effort.     

Nature and nurture: Williams syndrome across cultures

This study is concerned with ways in which children with Williams syndrome (WS), a rare neurodevelopmental disorder arising from a hemizygous deletion in chromosome band 7q11.23 including the gene for elastin (ELN) and approximately 20 surrounding genes, are affected by social mores of vastly differing cultures: the United States and Japan. WS presents a compelling model for the investigation because its genetic phenotype is well defined and results in an uneven cognitive profile as well as a social phenotype typical of the syndrome including overt over-friendliness toward strangers. While a number of research groups have been studying the cognitive strengths and weaknesses of individuals with WS in various countries, there have not been studies to date that explore the social phenotype in WS across different cultures. This study examines the ways in which social behavior in WS, stemming from specific genetic underpinnings, might be mediated by cultural expectations. We conducted a cross-cultural study using an instrument that measures aspects of sociability commonly found among people with WS. Quantitative analyses revealed a significant effect of diagnostic category in that in both countries, children with WS were rated as significantly higher in global sociability and more likely to approach strangers than were their normal counterparts. There was also an effect of culture, in that regardless of category, WS and normal children in Japan were rated lower than their counterparts in the US. We suggest that the excessively social phenotype of children with Williams syndrome, although markedly present across cultures, appears to vary in its intensity by culture. This is an intriguing illustration of interactions between nature and nurture.     

Are facial expressions of emotion produced by categorical affect programs or dynamically driven by appraisal?

The different assumptions made by discrete and componential emotion theories about the nature of the facial expression of emotion and the underlying mechanisms are reviewed. Explicit and implicit predictions are derived from each model. It is argued that experimental expression-production paradigms rather than recognition studies are required to critically test these differential predictions. Data from a large-scale actor portrayal study are reported to demonstrate the utility of this approach. The frequencies with which 12 professional actors use major facial muscle actions individually and in combination to express 14 major emotions show little evidence for emotion-specific prototypical affect programs. Rather, the results encourage empirical investigation of componential emotion model predictions of dynamic configurations of appraisal-driven adaptive facial actions.     

Does it only depend on the point of view? Perspective-related differences in justice evaluations of negative incidents in personal relationships

A series of four studies investigated systematic differences between actor and recipient interpretations and justice evaluations of negative incidents in interpersonal relationships. Due to a refined methodology, each negative incident was assessed both by the respective recipient and actor, and each participant reported incidents from both perspectives. The studies provided clear evidence of systematic recipient-actor differences and showed that the quality of the relationship between the parties involved in the incidents can moderate the occurrence and shape of the differences. Significant gender differences were found showing that women respond more accusingly than men in the role of the recipient and more defensively than men in the role of the actor. Copyright © 1998 John Wiley & Sons, Ltd.