Cognitive Alexithymia Mediates the Association Between Avoidant Attachment and Interpersonal Problems in Patients With Somatoform Disorder

Patients with somatoform disorder (SFD) are characterized by the presence of chronic physical complaints that are not fully explained by a general medical condition or another mental disorder. Insecure attachment patterns are common in this patient group, which are often associated with interpersonal difficulties. In the present study, the mediational role of two types of alexithymia and negative affectivity (NA) was examined in the association between attachment styles and interpersonal problems in a group of 120 patients with SFD. Patients were requested to fill out several self-report questionnaires for the assessment of attachment strategies, alexithymia, NA, and interpersonal problems. Cognitive alexithymia (i.e., the inability to identify and verbalize emotions) mediated the relationship between avoidant attachment patterns and interpersonal problems, even after controlling for NA. Preliminary findings also suggested that NA acted as a moderator of the mediator cognitive alexithymia. These results have important implications for clinical practice, as this study clearly shows that interpersonal problems do not automatically follow from insecure attachment strategies, but are contingent upon alexithymic features. It is recommended to target alexithymic features in patients with SFD, particularly in the context of negative emotions. Therefore, cognitive alexithymia may be an important therapeutic focus, specifically in the treatment of avoidant ptients with SFD.     

Parental Attachment and Adolescents' Perception of School Alienation: The Mediation Role of Self-Esteem and Adjustment

The present study examined the relationship between adolescents' attachment to parents and their feelings of alienation in the school context by considering the mediating role of adjustment and self-esteem. It was proposed that the degree of attachment to one's parents was associated with adjustment and self-esteem, which in turn predicted possible school alienation. A total of 227 students completed self-report measures on parental attachment, adjustment, self-esteem, and alienation from school. Results were consistent with the attachment theory and related literature that posits that (a) secure attachment to parents was associated with adjustment and self-esteem, (b) secure attachment to parents was negatively associated with feelings of school alienation, and (c) adjustment and self-esteem were a crucial mediators between attachment to parents and school alienation. In addition to enhanced adjustment, the self-esteem of adolescents may be an additional factor in reducing alienation at school. The results also supported the mediator role of self-esteem in the relationship between attachment to parents and adjustment. Finally, the relationship between self-esteem and school alienation were shown to be fully mediated by adjustment. The results were discussed in the context of responsibilities of teachers and school counselors, which may provide both students and parents with the skills to improve social functioning in the school context.     

Cultural transmission through infant signs: Objects and actions in U.S. and Taiwan

Infant signs are intentionally taught/learned symbolic gestures which can be used to represent objects, actions, requests, and mental state. Through infant signs, parents and infants begin to communicate specific concepts earlier than children’s first spoken language. This study examines whether cultural differences in language are reflected in children’s and parents’ use of infant signs. Parents speaking East Asian languages with their children utilize verbs more often than do English-speaking mothers; and compared to their English-learning peers, Chinese children are more likely to learn verbs as they first acquire spoken words. By comparing parents’ and infants’ use of infant signs in the U.S. and Taiwan, we investigate cultural differences of noun/object versus verb/action bias before children’s first language. Parents reported their own and their children's use of first infant signs retrospectively. Results show that cultural differences in parents’ and children’s infant sign use were consistent with research on early words, reflecting cultural differences in communication functions (referential versus regulatory) and child-rearing goals (independent versus interdependent). The current study provides evidence that intergenerational transmission of culture through symbols begins prior to oral language.     

The Place of Purpose in Life in Women’s Positive Aging

Purpose in life is an orientation associated with energy, effectiveness, and optimism. A general trend is for purpose to decline in the later years, with unclear implications for positive aging. This article, however, takes a new approach to exploring the role of purpose. Using data from the Mills Study, a 55-year study of women’s adult development, we examine four sharp patterns of change in purpose on Ryff’s scale (1995 Ryff, C. D. (1995). Psychological well-being in adult life. Current Directions in Psychological Science, 4, 99–104. doi:10.1111/1467-8721.ep10772395[Crossref], [Web of Science ®] , [Google Scholar]) between ages 61 and 70: high at both times, low at both times, and changes from high to low or low to high. Guiding ideas are advanced about each kind of change and findings examined for each group. Looking at individual women's lives since childhood provides illustrative examples of each pattern. These lives show the impact of depression, inner resources, personality traits (especially Conscientiousness), attachment (secure and avoidant/dismissive styles), life situations (e.g., retirement), and events (e.g., early parental loss or widowhood), and of a motivation in one's 60s to grow or to transform regrets. Women differed in how traditional their lives were and in how much they associated purposiveness and goal attainment with life satisfaction. Implications for therapists include both helping women find the energy and commitment associated with purpose in life, and helping them value more process-oriented experiences such as appreciation, wonder, connection, and relationship. Emphasis on appreciation may become more common as women age. Positive aging is manifested in these ways, but also in acceptance and the courageous and steadfast coping with painful situations.