From the perverse pact to universal conflicts

We psychoanalysts – as split subjects – are not immune to charismatic leaders who preach violence against selected targets depicted as the cause of all evils. Freud, in Group psychology and the analysis of the ego, alerted us against such leaders, who can manipulate by transforming us into an uncritical mass. This would be the social equivalent of the perverse pact in repressive desublimation between the superego and the id at the expense of the ego: the latter is put to sleep, and the superego exhorts the id to do violence and regress. Socially, these perverse pacts often take place with the superego represented by charismatic leaders who foster identification with themselves, put the egos of their audiences to sleep through manipulation and thus address an amorphous mass that they can direct towards violence and destruction. An event in which such a phenomenon apparently occurred will be discussed to show how urgent it is to revisit psychoanalytic writings on these matters in order to withstand the temptation to be herded by manipulative leaders. This will certainly protect psychoanalysis and allow for its transmission. It is up to us to exercise the critical analysis that psychoanalytic tools equip us for so that we can detect such summons to perverse pacts and denounce them.     

Cuban health psychology: A priority is the primary health care system

Cuban health psychology has experienced a great expansion during the last 25 years, both in the number of psychologists and in range of activities in the field. Today, psychologists are integrated at all levels of the national health system, an achievement which is particularly interesting in that Cuba is a developing country. In a position isolated from trends in international psychology, Cuba has developed a role for psychologists within the field of health which is adapted to its situation as a poor and socialistic country. Priority is given to preventive and community-based psychology within primary health care facilities. Psychologists in primary health care serve a composite client-group, with high priority given to pregnant women and to children. The work of these psychologists covers a wide range of health problems—-physical as well as mental—and focuses upon individuals as bio-psycho-social units. Their responsibilities include health promotion, disease prevention, consultation and treatment, rehabilitation, research and education. This report is based on a 2½ month long field study in Cuba, where Cuban health psychology, particularly as it relates to primary health care, was explored.     

Cognitive processes in psychological adaptation to miscarriage: A preliminary report

Abstract

Twenty-two women who wished to continue their pregnancies were interviewed several months after their first miscarriage. Levels of anxiety and depression showed an extremely high degree of variability. Cognitive processes in the form of a search for meaning, mastery and self-enhancement hypothesised to be important in adaptation to negative events were assessed. Having an explanation for the miscarriage and the experience leading to a general reappraisal of values were associated with lower levels of intrusive thoughts. A belief in a medical cause was linked to lower anxiety. Women believed that neither they themselves nor their doctors could exert much influence over the outcome of future pregnancies. Stronger belief in personal control was associated with higher anxiety levels. There is a need to consider not only the emotional consequences of miscarriage but also the cognitive mediators influencing such responses and although based upon a small sample this study initiates that process.     

The relationship between religion and cardiovascular outcomes and all-cause mortality in the women's health initiative observational study

Some studies suggest that religiosity may be related to health outcomes. The current investigation, involving 92,395 Women's Health Initiative Observational Study participants, examined the prospective association of religious affiliation, religious service attendance, and strength and comfort from religion with subsequent cardiovascular outcomes and death. Baseline characteristics and responses to religiosity questions were collected at enrollment. Women were followed for an average of 7.7 years and outcomes were judged by physician adjudicators. Cox proportional regression models were run to obtain hazard ratios (HR) of religiosity variables and coronary heart disease (CHD) and death. After controlling for demographic, socioeconomic, and prior health variables, self-report of religious affiliation, frequent religious service attendance, and religious strength and comfort were associated with reduced risk of all-cause mortality [HR for religious affiliation = 0.84; 95% confidence interval (CI): 0.75–0.93] [HR for service attendance = 0.80; CI: 0.73–0.87] [HR for strength and comfort = 0.89; CI: 0.82–0.98]. However, these religion-related variables were not associated with reduced risk of CHD morbidity and mortality. In fact, self-report of religiosity was associated with increased risk of this outcome in some models. In conclusion, although self-report measures of religiosity were not associated with reduced risk of CHD morbidity and mortality, these measures were associated with reduced risk of all-cause mortality.     

Current issues and new direction in Psychology and Health: Epidemiology and health psychology – please bridge the gap

Epidemiology has and continues to play a vital role in furthering our understanding of risks for disease development. Large scale studies provide the necessary statistical power to identify biological and environmental factors associated with disease onset and severity. However, association does not confirm causality and in theoretical terms, epidemiology is somewhat limited. In this editorial, we argue that bringing together the methodological strengths of epidemiology with the theoretical rigour of psychology enables researchers to go beyond risk-finding and develop causative [or explanatory] models of disease development which pave the way for directed, evidence-based interventions to improve health.     

Trust of an Automatic Ground Collision Avoidance Technology: A Fighter Pilot Perspective

The present study examined the antecedents of trust among operational Air Force fighter pilots for an automatic ground collision avoidance technology. This technology offered a platform with high face validity for studying trust in automation because it is an automatic system currently being used in operations by the Air Force. Pilots (N = 142) responded to an online survey which asked about their attitudes toward the technology and assessed a number of psychological factors. Consistent with prior research on trust in automation, a number of trust antecedents were identified which corresponded to human factors, learned trust factors, and situational factors. Implications for the introduction of novel automatic systems into the military are discussed.     

Evidence for the Syndrome of Nonverbal Learning Disabilities in Children with Brain Tumors

This study examined the predicted utility of the Nonverbal Learning Disabilities syndrome (NLD) (Rourke, 1995) for characterizing neurocognitive and psychosocial outcomes in 123 children with brain tumors. Children with brain tumors were found to be at high risk of having a specific academic deficit, particularly in arithmetic. Children with arithmetic deficit evidenced a higher rate of impairment on nonverbal tasks than on verbal tasks, whereas children with reading deficit evidenced a higher rate of impairment on verbal tasks than on nonverbal tasks. However, significant differences between children with arithmetic and reading deficits were not found for all of the component features of the NLD syndrome, and arithmetic deficit was not related to treatment with irradiation.     

Disgust sensitivity and the HEXACO model of personality

In the current investigation, we test for relationships between three domains of disgust sensitivity (pathogen, sexual, and moral disgust) and the six dimensions of the HEXACO personality model in a large, demographically diverse Dutch sample. Our results extend upon previous investigations into the relationship between disgust sensitivity and personality in two important ways. First, in contrast with most previous investigations into disgust sensitivity, we measure sensitivities to sexual and moral disgust, two domains that elicit self-reports of disgust and facial expressions of disgust. Second, in contrast with the few investigations that have tested for relationships between sensitivities to sexual and moral disgust and Five Factor Model personality dimensions, we use the HEXACO personality model. We find that honesty–humility, a personality dimension assessed in the HEXACO model but not the Five Factor Model, accounts for unique variance in sensitivities to sexual and moral disgust, but not sensitivity to pathogen disgust. Other relationships between disgust sensitivity and personality are discussed, as are implications for understanding the fitness-relevant tradeoffs potentially underlying disgust sensitivity and personality.     

Personality styles and suggestibility: A differential approach

This study addresses the relationship between personality styles measured with the Portuguese adaptation of the Millon Index of Personality Styles Revised – MIPS-R and interrogative suggestibility assessed by the Portuguese adaptation of the Gudjonsson Suggestibility Scale – GSS1. Hypotheses predicted individual differences in suggestibility and that these differences correspond to differences in individuals’ personality styles. The study was conducted with a sample of 258 individuals (M_age = 31.8 years, SD = 12.0). Results showed that there were individual differences in suggestibility and that these differences corresponded to certain personality characteristics, mainly related to the Thinking Styles and some Behaving Styles.