"Without being in psychoanalysis I would never have dared to become pregnant": psychoanalytical observations in a multidisciplinary study concerning a woman undergoing prenatal diagnostics

As is well known, Freud described the clinical practice of psychoanalysis as the 'loam' of his cultural-theoretical work, an assessment which is shared by many psychoanalysts up to the present, including the authors of this paper. The complex interplay between unconscious phantasies on the one hand, and the real experiences arising from the new possibilities opened up by prenatal diagnostics on the other, is described with reference to a report of an intensive, long psychoanalysis with an analysand from a family burdened with a genetically transmitted illness (haemophilia). The holding and containing function of the analyst enabled this analysand, despite traumatic experiences with the miscarriage of a healthy child triggered by a prenatal diagnosis and the later abortion of a haemophiliac baby, nevertheless to have the courage to go through another pregnancy and give birth to a healthy girl. The intensive clinical investigation of the unconscious phantasies, conflicts and traumas around the prenatal diagnostics proved to be not only therapeutically fruitful for the analysand, Ms F. It also facilitated insights into those individual chances and risks which appear to be an integral part of the opportunities presented by todays prenatal diagnostics and, through them, it lead to a cultural-critical look at the ambivalence of medical-technical progress. These insights, which are only attainable through psychoanalysis, can represent a distinctive contribution of psychoanalysis to a multi-disciplinary dialogue with medical practitioners, geneticists, ethicists and health policy-makers. By referring to a large EU study on 'Ethical Dilemmas due to Prenatal and Genetic Diagnostics', this paper gives a practical example of such a discussion. Ms F. was psychoanalytically interviewed as part of this study, 16 years after the conclusion of her analysis. The summary of these interviews, which is set against the account of the treatment, offers an impressive insight not only into the long-term effects of a psychoanalysis under very particular personal circumstances, but also into the lasting consequences of decisions made in the context of prenatal diagnostics. Finally, the results of the individual case study are brought together with the clinical outcomes of the EU study, and some considerations are formulated concerning the protective and risk factors facing women during and after prenatal diagnostics. The paper is an appeal to psychoanalysts, with their specific competence in dealing with unconscious phantasies and conflicts and their high level of professionalism in dealing with traumatised patients, to get involved in fresh dialogue with prenatal diagnosticians and their patients.     

Factors associated with self-efficacy in persons with chronic illness

Change of lifestyle may be necessary for persons with chronic illnesses in order to manage their health situation and reduce symptom distress. Success in changing lifestyle partly depends on a person's self-efficacy beliefs. This cross-sectional study explores social support, physical activity, and illness perceptions in relation to self-efficacy in a sample with morbid obesity and in a sample with chronic obstructive pulmonary disease (COPD). The linear regression analyses showed that higher physical activity and less emotional response to illness were directly associated with higher self-efficacy among persons with obesity, while more social support; fewer perceived consequences from illness; and more understanding of the illness were directly associated with higher self-efficacy among persons with COPD. The results indicate that obese persons are likely to benefit from increasing physical activity and from receiving emotional support. Persons with COPD may be empowered by being able to utilize cognitive coping strategies and by receiving social support.     

The relationship between implicit and explicit motives, goal pursuit, and autobiographical memory content during a diary study

This online diary study investigated how motives interact with goal pursuit to predict daily autobiographical experiences. Participants (N = 141) completed measures of implicit and explicit achievement, provided daily memories and reports of their goal pursuit during a 3-week diary period. A stronger implicit achievement motive at the onset of the study was associated with more agentic (and fewer communal) autobiographical content. Goal progress was linked with using more agentic words, while goal attainability was related to using more communal words. Interactions between motives and goal pursuit on autobiographical memory suggests a trade-off: Favorable goal pursuit conditions may prompt people not motivated for achievement to shift their focus from agentic to communal themes, while individuals motivated for achievement maintain their priorities.     

The effect of time constraints and personality facets on general cognitive ability (GCA) assessment

General cognitive ability (GCA) is a recognized construct for predicting job performance and capacity to learn. However, it has recently been argued that the time constraints under which GCA is assessed might provoke test anxiety, which negatively biases GCA scores. This can then lead to erroneous rejection of qualified candidates in personnel hiring contexts. This paper aimed to investigate: (1) to what extent candidates’ GCA scores increase when tested without time constraints and the ability of this GCA score to predict job performance; and (2) the personality characteristics that hinder GCA test performance under time constraints. Results from two field studies conducted in an actual personnel selection context partially confirmed the hypotheses. They revealed that, aside from the improvement of all candidates’ GCA scores when time constraint was removed, only GCA assessed without time constraints predicts job performance. Furthermore, while all candidates’ scores were influenced by the time constraint condition, individuals who are anxious, low-impulse, low value-questioning and deliberating are more penalized by the time constraint condition of such testing and, thus, are more likely to be erroneously eliminated in a selection process.     

基于动态评估的取样法:经验取样法

研究结果的普适性是心理学研究的黄金标准之一.为达到此目标,研究者不断创造生态效度更高,也更具现实意义的研究方法.通过在现实情境下对被试多次重复测量进行数据收集的研究方法——经验取样法(experience sampling method),一经提出就备受研究者的青睐.文章在综合介绍经验取样法的概念、实施过程和数据处理的基础上,比较和阐述了该方法的优劣势,以及该方法的主要应用领域.文章最后对经验取样法的应用领域和未来发展作了展望.     

从自尊的文化差异说起

在不同的文化背景中,自尊既有相似性,也有差异性。在东西方文化中,自尊在其根源性、包容性及表达性等方面均存在差异。树立文化差异性与普遍性的意识,加强对自尊文化差异的研究对于科学地认识社会心理现象和学科建设都具有重要意义。未来可以从自尊的内涵、自尊研究的内容及研究方法等方面开展自尊的中国化研究。     

腹腔镜下胃转流术治疗2型糖尿病的疗效分析及可行性研究

胃转流术治疗重度肥胖由来已久.近年来,国内研究通过接受胃转流术的肥胖患者的长期随访后发现,胃转流术可长期、稳定的缓解2型糖尿病,并能减少糖尿病并发症,为2型糖尿病的外科治疗开辟了新途径.本文总结我院32例接受腹腔镜胃转流术的2型糖尿病患者术后随访情况,分析后认为腹腔镜下胃转流术治疗2型糖尿病疗效显著,具有微创、安全、有效的特点,是2型糖尿病治疗方法的一种补充和完善,值得临床推广.     

Developments in Catholic Biblical Studies Reflected in Three 20th Century “Catholic Encyclopedias”

ABSTRACT

This article analyzes entries pertaining to biblical studies in three Catholic encyclopedias, the Catholic Encyclopedia(1907-1914) and the original and revised editions of the New Catholic Encyclopedia(1967 and 2003), to determine the degree to which, individually, they represent the “state of the art” at the time of publication and, collectively, whether they accurately reflect developments in Catholic biblical scholarship in the twentieth century. The author concludes that, despite certain inadequacies and gaps in coverage, the three encyclopedias are a valuable resource for tracing the course of those developments.     

Academic Dishonesty,Self-Control,and General Criminality: A Prospective and Retrospective Study of Academic Dishonesty in a New Zealand University

Academic dishonesty is an insidious problem that besets most tertiary institutions, where considerable resources are expended to prevent and manage students' dishonest actions within academia. Using a mixed retrospective and prospective design this research investigated Gottfredson and Hirschi's self-control theory as a possible explanation for academic dishonesty in 264 university students. The relationship between academic dishonesty and general criminality was also examined. A significant but small to moderate relationship between academic dishonesty and general criminality was present, including correlations with general dishonesty, violent crime and drug offending subcategories. These findings suggested that a general criminological theory may be of use in explaining academic dishonesty, but the overall ability of self-control variables to explain academic dishonesty was not strong. Controlled logistic regressions indicated that a significant positive association with academic dishonesty was only present for one of 6 self-control subscales (self-centeredness), and even this association was only present in the prospective study component. A strong relationship between past and future academic dishonesty was present. Implications of the study for institutions are discussed.     

Incongruent Perceptions Among Nurses and Patients: A Qualitative Study of Patient's Dignity in Iran

Dignity is the most fundamental right of every human being, patients in particular. Despite being a fairly disputed concept, dignity is a multidimensional issue, the interpretation of which is affected by a multitude of factors. Semistructured interviews and observation data from 35 patients, their companions, and nurses were performed to highlight their views with regard to patients’ dignity in health care centers. Although findings reveal that nearly all patients felt that their dignity had been violated, there is a considerable difference between participants’ viewpoints of dignity. Interactions among participants can increase their awareness of dignity and may lead to its maintenance.