A body with chronic fatigue syndrome as a battleground for the fight to separate from the mother

I describe the therapy of a 20-year-old woman who believed that her difficulties in concentrating and remembering were caused by her 'ME' (Myalgic encephalomyelitis, Chronic fatigue syndrome, or CFS). She had been fathered by a man who never left his own wife. Work with her dreams revealed a within-body drama in which she was locked in an unspeakable fight to the death with her mother. Her symptoms improved after parallels between a dream and an accident showed her own self-destructive hand in her story. Another dream, reflecting her first 'incestuous' affair, showed her search for her original father-self as someone separate from mother, and a later affair provided a between-body drama, helping her to own the arrogant and abject traits she had before seen only as her mother's. I show how we worked in the area of Winnicott's first 'primitive agony' as experienced by a somatizing patient, stuck in a too-close destructive relationship with her mother-body. I discuss how analytical work can be done with the primitive affects and conflicts against which the ME symptoms may be defending.     

Workaholism among employees in Japanese corporations: An examination based on the Japanese version of the Workaholism Scales

Abstract: To examine the validity and reliability of the Japanese version of the Workaholism Scales developed originally by J. T. Spence and A. S. Robbins (1992), a questionnaire survey of workers in Japanese industrial organizations was conducted. The Japanese questionnaire was developed by back-translation. Added to the original questionnaire were scales for work overload - quantity, work overload - quality, role ambiguity and role conflict. A total of 1,072 workers (962 men, 110 women) returned usable data (response rate = 87.5%). The factor structure and reliability of the workaholism instrument for Japanese male subjects look almost identical to those obtained by the original study in America except that the work involvement dimension was not reproduced as an independent factor, but overlapped with the drive dimension for the Japanese sample. There was a significant impact of workaholism on job stress and health complaints among Japanese male employees.     

Obtaining Systematic Teacher Reports of Disruptive Behavior Disorders Utilizing DSM-IV

This study examines the psychometric properties of the Vanderbilt AD/HD Diagnostic Teacher Rating Scale (VADTRS) and provides preliminary normative data from a large, geographically defined population. The VADTRS consists of the complete list of DSM-IV AD/HD symptoms, a screen for other disruptive behavior disorders, anxiety and depression, and ratings of academic and classroom behavior performance. Teachers in one suburban county completed the scale for their students during 2 consecutive years. Statistical methods included (a) exploratory and confirmatory latent variable analyses of item data, (b) evaluation of the internal consistency of the latent dimensions, (c) evaluation of latent structure concordance between school year samples, and (d) preliminary evaluation of criterion-related validity. The instrument comprises four behavioral dimensions and two performance dimensions. The behavioral dimensions were concordant between school years and were consistent with a priori DSM-IV diagnostic criteria. Correlations between latent dimensions and relevant, known disorders or problems varied from .25 to .66.     

Investigating the validity of the Perceptual Awareness Scale – The effect of task-related difficulty on subjective rating

The Perceptual Awareness Scale (PAS) is often used to probe conscious experience, but the assumptions behind the scale and its validity are rarely tested. Using a continuous colour estimation task to assess perceptual quality, we focus on how well PAS follows perceptual quality and how the presence of the estimation task affects PAS ratings. We varied the number and presentation time of stimuli in a simultaneous presentation and target position in a sequential presentation. In all experiments, PAS rating closely followed colour precision. However, it was affected by task-induced response bias, even when the possible task difficulty was judged, without performing the task itself. Still, this bias was only observed on the absolute rating level rather than the scale's ability to capture changes in perceptual quality. Reported studies shed light on factors influencing scales outside of the scale formulation and construction.     

Evaluating associations between maternal social support and cognitive development for infants in poverty

Infant cognitive development may be associated with maternal social support, although these relations have not been well-examined for infants living in poverty. We explore whether maternal social support is associated with cognitive development for 113 infants living in poverty. Infant cognition was measured at age 9–12 months using the Bayley Scales of Infant and Toddler Development 3rd edition. Mothers provided information regarding perceived social support received from fathers, family, friends, and community members. Controls included maternal race and infant sex. Linear regression revealed no significant relationships between maternal social support and infant cognition in this sample.     

Associational social capital and psychological type: an empirical enquiry among cathedral Friends in England

A sample of 1131 members of the Friends associations of six English cathedrals (616 women and 515 men) completed the Francis Psychological Type Scales (FPTS) and a modified version of the Williams Religious Social Capital Index (WRSCI). The data demonstrated that higher levels of religious social capital were found among extraverts (compared with introverts), sensing types (compared with intuitive types), and feeling types (compared with thinking types). No significant differences were found between judging types and perceiving types. The finding that extraverts displayed higher levels of religious social capital poses a challenge for the cathedrals, given that introverts outnumbered extraverts by nearly 2:1 in the Friends groups. Since religious social networks are known to influence generosity with time and money, it is suggested that cathedrals not only develop strategies to recruit more extravert Friends but also devise novel ways of encouraging introvert types to participate in associational activities where social capital will be generated.     

Linguistic and cognitive prominence in anaphor resolution: topic,contrastive focus and pronouns

This paper examines the role that linguistic and cognitive prominence play in the resolution of anaphor–antecedent relationships. In two experiments, we found that pronouns are immediately sensitive to the cognitive prominence of potential antecedents when other antecedent selection cues are uninformative. In experiment 1, results suggest that despite their theoretical dissimilarities, topic and contrastive focus both serve to enhance cognitive prominence. Results from experiment 2 suggest that the contrastive prosody appropriate for focus constructions may also play an important role in enhancing cognitive prominence. Thus different types of linguistic prominence (topic, contrastive focus) appear to have the common effect of increasing the cognitive prominence of the discourse referent. For pronouns with two possible antecedents, the cognitive prominence of an antecedent aids in anaphor resolution, immediately biasing selection towards the more prominent (and ultimately preferred) antecedent.

Higher-order exploratory factor analysis of the Reynolds Intellectual Assessment Scales with a referred sample

The factor structure of the Reynolds Intellectual Assessment Scales (RIAS; [Reynolds, C.R., & Kamphaus, R.W. (2003). Reynolds Intellectual Assessment Scales. Lutz, FL: Psychological Assessment Resources, Inc.]) was investigated with a large (N = 1163) independent sample of referred students (ages 6-18). More rigorous factor extraction criteria (viz., Horn's parallel analysis (HPA); [Horn, J.L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179-185.], and Minimum Average Partial (MAP) analysis; [Velicer, W.F. (1976). Determining the number of components from the matrix of partial correlations. Psychometrika, 41, 321-327.]), in addition to those used in RIAS development, were investigated. Exploratory factor analyses using both orthogonal and oblique rotations and higher-order exploratory factor analyses using the Schmid and Leiman [Schmid, J., and Leiman, J.M. (1957). The development of hierarchical factor solutions. Psychometrika, 22, 53-61.] procedure were conducted. All factor extraction criteria indicated extraction of only one factor. Oblique rotations resulted in different results than orthogonal rotations, and higher-order factor analysis indicated the largest amount of variance was accounted for by the general intelligence factor. The proposed three-factor solution was not supported. Implications for the use of the RIAS with similarly referred students are discussed.     

Prevalence and treatment of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis and co-morbid severe health anxiety

Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) is a debilitating condition that affects 0.2–0.4% of the population. Health focussed anxiety is common across medical conditions, and may be relevant in CFS/ME. This study sought to identify the prevalence and impact of health anxiety (HA) in CFS/ME and evaluate the effectiveness of Cognitive Behavioural Therapy for HA in CFS/ME. Cross-sectional questionnaire methods and case-series design were used to achieve study aims. Analysis indicated that 41.9% of the CFS/ME clinic sample experienced threshold levels of health anxiety, which was associated with elevated symptom severity across several dimensions. Stepwise multiple regression indicated physical functioning and depression accounted for 23.8% of variance in fatigue; depression, fatigue and HA, accounted for 32.9% of variance in physical functioning. Large effect sizes and clinically significant changes were generated in the treatment study. HA is common in CFS/ME and likely to exacerbate fatigue and physical functioning. This study identifies HA as an important target for treatment, trial findings should be further replicated on a larger scale.     

Moving from “I” to “We”: A Grounded Theory Analysis of Couple Therapy with Liver Patients and Their Partners

Prior research indicates that couples who cope with chronic illness from a relational “we” orientation experience more positive outcomes than couples that cope individually; however, little prior research identifies clinical processes that promote reciprocity or how societal gender processes are involved. This grounded theory analysis of 25 videotaped therapy sessions with six heterosexual couples coping with chronic liver disease (LD) used a feminist-informed relational lens to focus on the clinical processes involved in shifting from an individual to a relational orientation. Findings identified three contextual barriers to attaining a “we orientation”: (a) autonomy discourse, (b) illness-related power, and (c) gendered power. Analysis detailed therapist actions that decreased the impact of barriers to reciprocity and fostered relational coping. Clinical implications attend to complex intersections among gender, caregiving, and contextual barriers to reciprocity.