Daily stress and anxiety and their relation to daily fluctuations of symptoms in asthma and chronic obstructive pulmonary disease (COPD) patients

Although stress and anxiety have long been assumed to play an exacerbatory role in asthma, no study has systematically documented that daily exacerbations of asthma symptoms are related to stress and/or anxiety. In this study, 24 airways obstruction patients (12 asthmatics and 12 chronic obstructive pulmonary disease patients) were instructed to monitor the severity of daily respiratory symptoms. In addition, subjects recorded their daily anxiety level and the number and perceived impact of daily stressors. The results showed that although there were differences between high- and low-stress days for both groups, there were no differences between groups on symptom severity or between high- and low-anxiety days, as measured by the State-Trait Anxiety Inventory (STAI). Thus, although the number and impact of daily stressors were found to be directly associated with the severity of asthma symptoms, anxiety does not appear to have a direct role in the exacerbation of asthma. The findings failed to support the anxiety theory of asthma but provided an explanation for the poor results obtained in previous treatment studies which employed anxiety management with asthmatics.     

Humor and the coronary-prone behavior pattern

The belief is widely held that humor is related to recovery from, and perhaps an increased resistance to, coronary and other stress-related diseases. Such generalizations do not typically distinguish between benign and hostile humor. In the present research, the relationship between a measure of proneness to coronary heart disease (CHD) and appreciation of hostile and nonhostile humor is examined. In two studies, one with college students and one with patients suffering from CHD, the relationship between humor preferences and the coronary-prone (Type A) behavior pattern was examined. Each subject was given the Jenkins Activity Survey as a measure of the coronary-prone personality type, and aggressive and nonaggressive jokes to rate for funniness. Hostile humor was preferred to nonhostile humor by all groups, but among those suffering from CHD, those who could be classified as “Type B’s” preferred nonhostile humor. The results indicate that those less prone to CHD appreciate both hostile and nonhostile humor, while Type A’s seem to enjoy hostile humor only.     

Employee Assistance Programs: A Systemic Investigation of Their Use

Braun, A.L., & Novak, D.E. (1986, November/December). A study of EAP non-utilization. EAP Digest, pp. 52–55. O'Connell, V. (1987, March/April). A strategy for overcoming supervisors' resistance. EAP Digest, pp. 63–66. Penzer, W.N. (1987, March/April). Toward sustaining quality mental health services. EAP Digest, pp. 35–40.     

The Utility of Problem-solving Training that Emphasises Selfmanagement Principles

This study examined the usefulness of an 8-week applied problem-solving training program. Specifically, the study examined (a) whether problem-solving training that emphasised self-management principles would be useful, (b) if the effects of training would persist over time, (c) whether an individual difference variable (problem-solving appraisal) would affect training outcomes, and (d) whether the cognitive responses of the subjects during the course of training were related to their problem-solving appraisal or the change process. Results indicated that problem solving training was effective at enhancing students’ problem-solving appraisal, and that the self-report changes were maintained at a 1 year follow-up. In particular, training seemed most useful for students who initially appraised their problem solving very negatively. Finally, the results suggested that the process-oriented cognitive responses were related to students' initial problem-solving self-appraisal as well as the impact of training. Implications of the results are discussed in terms of counselling interventions, problem solving training, the interpersonal influence process, and future research.     

Knowledge in society: anatomy of an emergent field

An emergent social science of knowledge applications, drawing on a substantial multidisciplinary literature published over the past twenty-five years, signals an inversion of typical scholarly reasoning about the knowledge-society nexus. Whereas most scholarly research thus far has concentrated on conditions believed to affect the production of scientific and professional knowledge, we pose a new problematic: What must we examine in order to comprehend and consciously shape applications of scientific and professional knowledge to the manifold problems facing contemporary societies? To date, approaches to this problematic have proceeded on the basis of four broadly accepted if abstract theses about the nature of contemporary knowledge systems: subjectivity, corrigibility, sociality, and complexity. Within the boundaries supplied by these commonly accepted theses are unresolved controversies expressed in competing visions of complexity, alternative perspectives of causation, rival images of progress, and conflicting criteria of application.     

Oh death,where is thy sting? Reflections on dealing with dying patients

This paper examines the reactions of physicians and other health-professionals when they become involved in decisions about the death of their patients. The way people understand the condition of death has a profound influence on attitudes towards death and dying issues. Four traditional views of death are explored. The problem that physicians have in helping patients die (be it by hastening death through pain control, assisting patients in suicide or by more active means) is analyzed. Physicians, in dealing with such patients, must be mindful of their own, and their patients beliefs as well as mindful of the community in which such dying takes place. They must try to reconcile these often divergent views but can neither paternalistically deny patients their rational will, hide themselves behind an appeal to the law or go against their own deeply held moral views. When such views cannot be reconciled, compassionate transfer to a more compatible physician may be necessary.