Planting the seeds of change: Directionality in the narrative construction of recovery from addiction

Objective: The dominant theoretical perspective that guides treatment evaluations in addiction assumes linearity in the relationship between treatment and outcomes, viewing behaviour change as a ‘before and after event’. In this study we aim to examine how the direction of the trajectory of the process from addiction to recovery is constructed in personal narratives of active and recovering users.

Design: 21 life stories from individuals at different stages of recovery and active use were collected and analysed following the principles of narrative analysis.

Results: Personal trajectories were constructed in discontinuous, non-linear and long lasting patterns of repeated, and interchangeable, episodes of relapse and abstinence. Relapse appeared to be described as an integral part of a learning process through which knowledge leading to recovery was gradually obtained.

Conclusion: The findings show that long-term recovery is represented as being preceded by periods of discontinuity before change is stabilised. Such periods are presented to be lasting longer than most short-term pre-post intervention designs can capture and suggest the need to rethink how change is defined and measured.     

Body Dissatisfaction in College Women and Their Mothers: Cohort Effects, Developmental Effects, and the Influences of Body Size, Sexism, and the Thin Body Ideal

A study of body dissatisfaction, as measured by the Figure Rating Scale (Stunkard, Sorenson, & Schlusinger, 1983) and the Body Esteem Scale (Franzoi & Shields, 1984), in 75 college women and their mothers indicated that both daughters and mothers experienced body dissatisfaction. When body size was statistically controlled, either no difference was found between the groups or daughters were found to have greater body dissatisfaction than mothers. The results supported the hypotheses that (1) there are generational differences in body dissatisfaction, (2) both cohort and developmental effects contribute to these differences, and (3) that a developmental effect (mothers' greater body size) may obscure a cohort effect (daughters' greater exposure to the thin body ideal). Body dissatisfaction measures based on the mothers' retrospective ratings of how they felt at their daughters' age were consistent with these hypotheses. Relationships between body dissatisfaction and the Sociocultural Attitudes Toward Appearance Questionnaire (Heinberg, Thompson, & Stormer, 1995) were stronger and more frequent for daughters than for mothers and for the Internalization Scale than for the Awareness Scale. Relationships between the Ambivalent Sexism Inventory (Glick & Fiske, 2001) and body dissatisfaction were stronger for mothers than for daughters and for Benevolent Sexism than for Hostile Sexism.     

Need for cognitive closure and politics: Voting,political attitudes and attributional style

T his paper examines the impact of dispositional Need for Cognitive Closure (NFC) on different political attitudes and on the “person blame” and the “system blame” dimensions. Two hundred and thirty‐four psychology students completed a questionnaire containing the Italian version of the Need for Closure scale, a measure of political and ideological attitudes, a measure of the person‐system blame dimensions, and a measure of past voting. Results showed that high NFC individuals (vs. low NFCs) reported having voted for a right‐wing party and holding more conservative attitudes. High NFCs (vs. low NFCs) turned out to have stronger anti‐immigrant attitudes, to be more nationalistic, to prefer an autocratic leadership and a centralized form of political power. High NFCs also value religiosity more highly than low NFCs. High NFCs (vs. low NFCs) scored lower on pluralism and multiculturalism. Furthermore, high NFCs (vs. low NFCs) revealed a tendency to blame individuals for social problems, but no significant difference was found with regard to the system blame dimension. Results are discussed in the light of the motivated social cognition approach (Jost, Glaser, Kruglanski, & Sulloway, 2003).     

Impaired awareness of movement disorders in Parkinson’s disease

Background

This study analyzed the presence of awareness of movement disorders (dyskinesias and hypokinesias) in 25 patients with Parkinson’s disease (PD) and motor fluctuations (dyskinesias, wearing off, on–off fluctuations). Of the few studies that have dealt with this topic, none have analyzed the differences in the awareness of motor deficits by comparing the on and off states using motor scales and an extensive battery of tests to assess cognitive and behavioral functioning.

Methods

PD patients were compared on three different scales that we have devised to measure awareness of movement disorders: Global Awareness of Movement (GAM) Disorders, dyskinesia/hypo-bradykinesia rating scales.

Results

Data showed that PD patients had greater awareness and psychological suffering in the off state than in the on state. In particular, they were troubled by motor disabilities related to hypokinesias and had mood-related symptoms and a perception of disability in activities of daily living. Interestingly, patients only showed a selective reduction of awareness of movement disorders associated with executive functions and related to dyskinesias in the on state, compared to a preserved awareness of hypokinesias in the off state. On the contrary, no association with executive functions was found in the off state.

Conclusion

Our findings suggest that the dopaminergic overstimulation of mesocorticolimbic pathways may cause a dysfunction of prefrontal–subcortical connections related to the impaired insight.     

Expressed emotion and Milan systemic intervention: a pilot study on families of people with a diagnosis of schizophrenia

This article presents the results of a pilot study carried out on families of people with a diagnosis of schizophrenia (high‐frequency users of psychiatric services) using a standardized version of systemic family intervention based on the Milan Approach (‘Circular Interview’). We used expressed emotion (EE) to compare and assess two homogeneous samples of families, a treatment group (n = 10) and a control group (n = 8). We found that families participating in circular interviews showed a reduction in criticism, while 30% of their members with a diagnosis of schizophrenia relapsed. Families not receiving treatment showed no changes in EE levels, while 62.5% of their members with a diagnosis of schizophrenia relapsed. Although the difference in relapse rates is not statistically significant, these results justify further studies on the use of nondirective systemic intervention with families of people with a diagnosis of schizophrenia.     

Group Cancellation and Resolution

We establish a connection between the geometric methods developed in the combinatorial theory of small cancellation and the propositional resolution calculus. We define a precise correspondence between resolution proofs in logic and diagrams in small cancellation theory, and as a consequence, we derive that a resolution proof is a 2-dimensional process. The isoperimetric function defined on diagrams corresponds to the length of resolution proofs.     

Being seen or being watched? A psychoanalytic perspective on body dysmorphia

The focus of this paper is on individuals who present as excessively preoccupied with their body, perceiving some aspect(s) to be 'ugly' such that they feel compelled to alter and/or conceal this 'ugly' body part. These difficulties are understood as symptoms of an underlying narcissistic disturbance. The author suggests that the relative pervasiveness of an identification with a 'super'-ego accounts for the degree of severity of the disturbance (increasing the compulsion to alter and/or conceal the hated body part) and that it has implications for the patient's accessibility in analytic treatment. Understanding the vicissitudes of the development of the body–self in the context of the earliest relationship with the 'object of desire' is core to helping these patients because of the quality of the identifications that ensue and that are then enacted the transference.     

The aggression test as a possible taxonomic tool in the Formica rufa group

The intra- and interspecific aggressive behavior of Formica polyctena, a species of the Formica rufa group, was analyzed and quantified both in the laboratory and in the field. This behavior was used as a potential taxonomic tool for gaining a better understanding of the phyletic relationships among the species within the group. No overt aggression was recorded toward members of the same species. To examine interspecific relationships, F. polyctena was first confronted with F. cunicularia, to ascertain its aggressiveness toward a distantly related species. All such encounters led immediately to overt and prolonged attacks with virtually no initial mutual inspection. This suggests that recognition of strangeness of the unrelated species is almost immediate in F. polyctena, as previously observed in F. lugubris and F. rufa toward the same antagonist. Subsequently, F. polyctena was contrasted with F. lugubris and F. rufa (also belonging to the F. rufa group) in order to compare these related species. Fierce attacks accompanied by all the elements of conflict behavior were observed in all encounters. Moreover, the degree of aggression in the field was higher than in laboratory-paired ants, possibly because of a territorial effect. These data and our previous and similar research indicate that the relationships between F. lugubris and F. rufa are closer than between these two species and F. polyctena. In considering different viewpoints on this problem, the validity of the aggression test is discussed and the opportunity to compare levels of aggressiveness among strictly sympatric samples of red wood ant species gathered from the same ecological environment are considered.