The distressed (Type D) personality mediates the relationship between remembered parenting and psychological distress in cardiac patients

Objective: Both the distressed (Type D) personality (i.e. the combination of negative affectivity and social inhibition traits) and dysfunctional parenting styles are associated with anxiety and depression. As parenting styles have been related to personality development, dysfunctional parenting styles may also be associated with Type D personality. We examined whether remembered parenting was associated with anxiety and depression in cardiac patients and whether Type D personality mediated this relationship.

Methods: Our sample comprised 435 patients treated with percutaneous coronary intervention (PCI) and 123 patients with congestive heart failure (CHF). Patients completed the Hospital Anxiety and Depression Scale, Type D Scale (DS14), and Remembered Relationship with Parents (RRP¹⁰) scale.

Results: Remembered parenting was significantly associated with higher anxiety and depression levels and Type D personality. In multivariable linear regression analyses, Type D personality accounted for 25–29% of the variance in anxiety and 23–46% of the variance in depression, while remembered parenting was no longer significantly associated with these domains. Sobel tests and bootstrapping indicated that Type D personality mediated the relationship between remembered parenting and anxiety and depression.

Conclusion: Type D personality mediated the relationship between remembered parenting and anxiety and depression in both PCI and CHF patients.     

Modeling Interactions Between Latent Variables in Research on Type D Personality: A Monte Carlo Simulation and Clinical Study of Depression and Anxiety

Several approaches exist to model interactions between latent variables. However, it is unclear how these perform when item scores are skewed and ordinal. Research on Type D personality serves as a good case study for that matter. In Study 1, we fitted a multivariate interaction model to predict depression and anxiety with Type D personality, operationalized as an interaction between its two subcomponents negative affectivity (NA) and social inhibition (SI). We constructed this interaction according to four approaches: (1) sum score product; (2) single product indicator; (3) matched product indicators; and (4) latent moderated structural equations (LMS). In Study 2, we compared these interaction models in a simulation study by assessing for each method the bias and precision of the estimated interaction effect under varying conditions. In Study 1, all methods showed a significant Type D effect on both depression and anxiety, although this effect diminished after including the NA and SI quadratic effects. Study 2 showed that the LMS approach performed best with respect to minimizing bias and maximizing power, even when item scores were ordinal and skewed. However, when latent traits were skewed LMS resulted in more false-positive conclusions, while the Matched PI approach adequately controlled the false-positive rate.     

Bion’s discovery of alpha function: Thinking under fire on the battlefield and in the consulting room

This paper has traced Bion’s discovery of alpha function and its subsequent elaboration. His traumatic experiences as a young tank commander in World War I (overlaid on, and intertwined with, childhood conflicts) gave him firsthand exposure to very painful emotions that tested his capacity to manage. Later, in the 1950s, after his analysis with Melanie Klein and marriage to Francesca Bion, he undertook the analysis of psychotic patients and learned how they disassembled their ability to know reality as a defense against unbearable emotional truths in their lives. This led Bion to identify an aspect of dreaming that was necessary in order for reality experience to be given personal meaning so that one may learn from experience. Simultaneous with working out this new theory of dreaming, Bion also revisited his World War I experiences that had remained undigested and all these elements coalesced into a selected fact – his discovery of alpha function. In subsequent writings, Bion explored the constituent factors of alpha function, including the container/contained relationship, the PS?D balance, reverie, tolerated doubt and other factors which I have termed the ‘Constellation for Thinking’.     

A reexamination of sex differences in job preferences

Previous research has found conflicting answers to the question of whether males and females share similar preferences for various job characteristics. It is difficult to determine if the different findings are due to the different populations sampled, the various methodologies employed, or to a real change in the phenomenon itself. This study essentially replicates earlier work by having 130 male and 84 female college students rate the importance of 10 job characteristics for both themselves and members of the opposite sex. Both sexes rated motivators as important, but females also placed importance on the hygienes. Males tended to underestimate the importance of the motivators for females, while females overestimated the importance of hygienes for males. The subject's sex could be predicted by both the importance for self and importance for opposite sex ratings, contrary to the earlier study. The difference in results and interpretation was shown to be due to the type of analyses used. Additionally, it was found that females' job preferences were related to their mothers' educational achievement.     

Ear differences in simple reaction time: The influence of attentional factors

Simple motor reaction times (right-handed) to tape-recorded consonant-vowel syllables were obtained from 12 subjects under two conditions of monotic stimulation: “expected” presentation (subject informed as to ear of presentation) and “random” presentation (ear of presentation varied randomly). Significantly faster left ear reaction times were obtained in the “expected” condition. The rank order of subjects' standard dichotic listening task scores correlated negatively with reaction time ear differences in the “expected” presentation condition. Results are discussed in terms of existing theories of response lateralization in simple reaction time tasks, and an expanded hypothesis is offered. Specifically, it is suggested that two or more distinct but potentially overlapping mechanisms may be responsible for observed asymmetries in monotic auditory perception. Both an attentional or lateralized motor response bias and an inherent lateralization of function may operate side by side, differentially activated by task demands, mode of stimulus presentation, and nature of stimuli.     

Stammering: A stress index in Caribbean classrooms

Speech communities in the British West Indies typically include two major dialect or code distinctions: (1) a standard variety of British West Indian English, and (2) a local variety of English-based dialect. Each dialect or code is intimately linked with political, social, racial, and economic class distinctions. In bicultural settings, characterized by diglossia, there are special situations in which loyalty to one's mother tongue conflicts with social, economic, and political expediency. “No win” speech events or contests, the product of conflicting sociocultural values, become salient features of this particular kind of bicultural setting. A comparatively high incidence of teacher-reported stammering found in two British West Indian speech communities supports this notion and suggests that stress, originating at a sociocultural level, is symbolically expressed through attitudes toward and usages of language. These results further suggest that the classroom, now a “battleground”, will suffer as an effective teaching/learning environment. This paper presents arguments for the teaching of Standard English as a second language with an emphasis on giving regional dialects appropriate and long overdue recognition.     

Reward behavior by male and female leaders: A causal inference analysis

This research investigated causal inferences between leader reward behavior (positive and punitive) and subordinate goal attainment, absenteeism, and work satisfaction over a 3-month period in a merchandise distribution center (n = 252). Four groups were studied: (a) male supervisors-male subordinates, (b) male supervisors-female subordinates, (c) female supervisors-female subordinates, and (d) female supervisors-male subordinates. Using the techniques of tests of mean differences and corrected cross-lag correlations, the results revealed that: (a) No significant differences attributed to sex were found between the four groups with the perceptions of leader reward behavior or subordinate outcome measures, and (b) the causal inference analysis suggested that the relationships between leader reward behavior and subordinate attitudes and behavior were independent of the effects of sex of supervisor or subordinate. Implications for research on sex stereotypes and leadership were discussed.     

A controlled group study of pedestrian-skill training for the mentally retarded

Pedestrian-skills training procedures were compared using 30 mentally retarded institutionalized adults. Ten subjects were randomly assigned to a no-treatment control group and ten subjects were assigned to each of two modes of pedestrian-skills training. The training methods included a form of individualized classroom training consisting of the practice of correct behavior using movable figures on a scale model of an intersection, vs independence training which emphasized self-evaluation of performance, social reinforcement, sign recognition and the utilization of a mock-up of an intersection on the hospital grounds. Data were taken on sign recognition, verbal and performance based responses to classroom training of pedestrian skills, performance of skills at an intersection on the hospital grounds, and performance of pedestrian skills in the community. Independence training proved to be significantly more effective than no treatment or classroom training. In addition, classroom training proved to be significantly more effective than no treatment at all.     

An individualistic approach to the evaluation and remediation of stuttering

A decision model is presented to facilitate the evaluation of stuttering behavior. This model calls for the evaluation to be conducted along a continuum with specified initiation and termination points. Following the evaluation, the information is formulated into an organized remediation procedure leading to fluent productions in the individual. This approach allows evaluation and remediation to be individualized to meet the needs and capabilities of each stutterer while allowing the professional the flexibility to choose remediation materials on the basis of objective information. Two case studies are presented to illustrate the use of the approach.