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Danielle H. Millen Tom D. Kennedy Ryan A. Black David Detullio Lenore E. Walker 《Journal of aggression, maltreatment & trauma》2019,28(7):848-869
ABSTRACTThe current study describes the development and evaluation of the reliability and validity of four components of a comprehensive assessment designed for the purpose of identifying women who manifest symptoms due to an intimate partner violence (IPV) relationship: The Battered Woman Syndrome Questionnaire (BWSQ). More specifically, the purpose of this study was to evaluate the factor structure, validity, temporal stability and internal consistency of four instruments for measuring current functioning of IPV survivors; (a) Interpersonal relationship (BWSQ-IR), (b) Sexual Dysfunction (BWSQ-SD), (c) Body Image (BWSQ-BI), and (d) Post-Traumatic Stress Checklist (BWSQ-PTSC). Overall, results indicate the BWSQ subscales have good temporal stability and internal consistency. Exploratory factor analysis of the four subscales indicate that each has a unidimensional factor structure. Internal consistency was high for each of the subscales. A two-way mixed effects model, intraclass correlation was used to demonstrate a high degree of test-retest reliability. Convergent and discriminant validity was demonstrated by comparing each subscale with the Revised Adult Attachment Scale (AAS), the Derogatis Interview of Sexual Functioning – Sexual Response (DISF-SR), the Objectified Body Consciousness Scale (OBCS) and the Trauma Symptom Inventory (TSI). The four instruments demonstrate sound psychometric properties as standalone measures as well as subscales of the BWSQ. 相似文献
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For millennia self has been conjectured to be necessary for consciousness. But scant empirical evidence has been adduced to support this hypothesis. Inconsistent explications of “self” and failure to design apt experiments have impeded progress. Advocates of phenomenological psychiatry, however, have helped explicate “self,” and employed it to explain some psychopathological symptoms. In those studies, “self” is understood in a minimalist sense, sheer “for-me-ness.” Unfortunately, explication of the “minimal self” (MS) has relied on conceptual analysis, and applications to psychopathology have been hermeneutic, allowing for many degrees of interpretive latitude. The result is that MS’s current scientific status is analogous to that of the “atom,” at the time when “atom” was just beginning to undergo transformation from a philosophical to a scientific concept. Fortunately, there is now an opportunity to promote a similar transformation for “MS.” Discovery of the brain’s Default Mode Network (DMN) opened the door to neuroimaging investigations of self. Taking the DMN and other forms of intrinsic activity as a starting point, an empirical foothold can be established, one that spurs experimental research and that enables extension of research into multiple phenomena. New experimental protocols that posit “MS” can help explain phenomena hitherto not thought to be related to self, thereby hastening development of a mature science of self. In particular, targeting phenomena wherein consciousness is lost and recovered, as in some cases of Unresponsive Wakefulness Syndrome (UWS), allow for design of neuroimaging probes that enable detection of MS during non-conscious states. These probes, as well as other experimental protocols applied to NREM Sleep, General Anesthesia (GA), and the waking state, provide some evidence to suggest that not only can self and consciousness dissociate, MS might be a necessary precondition for conscious experience. Finally, these findings have implications for the science of consciousness: it has been suggested that “levels of consciousness” (LoC) is not a legitimate concept for the science of consciousness. But because we have the conceptual and methodological tools with which to refine investigations of MS, we have the means to identify a possible foundation—a bifurcation point—for consciousness, as well as the means by which to measure degrees of distance from that foundation. These neuroimaging investigations of MS position us to better assess whether LoC has a role to play in a mature science of consciousness. 相似文献
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《International Journal of Clinical and Health Psychology》2023,23(3):100370
BackgroundUnderstanding the mechanisms underlying human consciousness is pivotal to improve the prognostication and treatment of severely brain-injured patients. Consciousness remains an elusive concept and the identification of its neural correlates is an active subject of research, however recent neuroscientific advances have allowed scientists to better characterize disorders of consciousness. These breakthroughs question the historical nomenclature and our current management of post-comatose patients.MethodThis review examines the contribution of consciousness neurosciences to the current clinical management of severe brain injury. It investigates the major impact of consciousness disorders on healthcare systems, the scientific frameworks employed to identify their neural correlates and how evidence-based data from neuroimaging research have reshaped the landscape of post-coma care in recent years.ResultsOur increased ability to detect behavioral and neurophysiological signatures of consciousness has led to significant changes in taxonomy and clinical practice. We advocate for a multimodal framework for the management of severely brain-injured patients based on precision medicine and evidence-based decisions, integrating epidemiology, health economics and neuroethics.ConclusionsMajor progress in brain imaging and clinical assessment have opened the door to a new era of post-coma care based on standardized neuroscientific evidence. We highlight its implications in clinical applications and call for improved collaborations between researchers and clinicians to better translate findings to the bedside. 相似文献
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