Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

Health-related quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained (US) syncope. Little is known regarding these patients’ QoL as pertains to their capacity to attain their life goals. Factors influencing QoL, such as sex, syncope type and illness representations have not been studied. Our objective is to examine the relationship between illness representations and QoL, as well as possible sex and syncope type differences. One hundred and four patients undergoing tilt-table testing (TTT) for recurrent syncope were interviewed one month before TTT, using questionnaires. Data were analysed using ANCOVAs, a-priori Helmert contrasts for illness representations, and regressions. Patients with US had a poor QoL compared to those with VVS [F(1, 91) = 10.46; p < 0.01], particularly in men (p < 0.01). Patients with higher perceived syncope severity showed an impoverished QoL relative to those with less severe perceptions [F(1, 91) = 5.47; p < 0.05]. A hierarchical regression revealed that illness representations mediate the impact of lifetime number of syncope on QoL. In conclusion, QoL is reduced in these patients, and is influenced by illness representations. Helping patients change their perceptions about their syncope may be an efficient way to promote QoL.     

Visual working memory capacity for objects from different categories: a face-specific maintenance effect

The capacity of visual working memory was examined when complex objects from different categories were remembered. Previous studies have not examined how visual similarity affects object memory, though it has long been known that similar-sounding phonological information interferes with rehearsal in auditory working memory. Here, experiments required memory for two or four objects. Memory capacity was compared between remembering four objects from a single object category to remembering four objects from two different categories. Two-category sets led to increased memory capacity only when upright faces were included. Capacity for face-only sets never exceeded their nonface counterparts, and the advantage for two-category sets when faces were one of the categories disappeared when inverted faces were used. These results suggest that two-category sets which include faces are advantaged in working memory but that faces alone do not lead to a memory capacity advantage.     

Splitting as a Focus of Couples Treatment

Current developments in neurophysiology and trauma have re-awakened interest in the reciprocal influences of the interpersonal and intrapsychic domains. Although object relations theory continues to guide clinical practice, its integration into models of best practice has been limited by a lack of empirical study. This paper examines the defense mechanism of splitting in couples from the theoretical, empirical and clinical perspectives in ways that allow for integration with research findings. It is proposed that splitting operates on a continuum from a specific response that is stimulated by anxiety, to a fundamental style of relating that is marked by emotional reactivity, impaired problem solving and relationship instability. Specific treatment interventions that integrate object relations and cognitive perspectives are summarized.     

Measurement by subjective estimation: Testing for separable representations

Studying how individuals compare two given quantitative stimuli, say d₁ and d₂, is a fundamental problem. One very common way to address it is through ratio estimation, that is to ask individuals not to give values to d₁ and d₂, but rather to give their estimates of the ratio p=d₁/d₂. Several psychophysical theories (the best known being Stevens’ power-law) claim that this ratio cannot be known directly and that there are cognitive distortions on the apprehension of the different quantities. These theories result in the so-called separable representations [Luce, R. D. (2002). A psychophysical theory of intensity proportions, joint presentations, and matches. Psychological Review, 109, 520–532; Narens, L. (1996). A theory of ratio magnitude estimation. Journal of Mathematical Psychology, 40, 109–788], which include Stevens’ model as a special case. In this paper we propose a general statistical framework that allows for testing in a rigorous way whether the separable representation theory is grounded or not. We conclude in favor of it, but reject Stevens’ model. As a byproduct, we provide estimates of the psychophysical functions of interest.     

To have and to be: towards the social representation of quality of life in China

This study explores the social representation of quality of life (QOL) in the Chinese socio‐cultural context. The data were collected by 16 open‐ended individual interviews. The study shows that the social representation of QOL embedded deeply in the collective memory of Chinese society is generated from, and organized around, the central thema of ‘having’/‘being’. ‘Having’ and ‘being’ are both antinomic and dialogically interdependent. ‘Having’ gives priority to how subject instrumentalizes object as resources to be possessed and consumed. It is manifested in the possessions of money, food, housing and car. The possessions are not only simply the material things but also the objects of symbolic significance. ‘Being’ prioritizes the authentic relationship between subject and object. It is manifested in rootedness, connectedness, participation and freedom. These provide a sense of belonging, commitment, direction and purpose and involve the establishment and maintenance of the union between the self and others, and between the individual and the outside world. On the other hand, neither ‘having’ nor ‘being’ exists in its pure form. Rather, they co‐exist dynamically, in rival or complementary ways, and each calls the possibility of the other into play. It is the synthesis of opposites between ‘having’ and ‘being’ that the social representation of QOL is generated and structured. Copyright © 2007 John Wiley & Sons, Ltd.     

Rats’ novel object interaction as a measure of environmental familiarity

Environmental familiarization is a learning phenomenon embedded within most tasks used to study learning and motivation. Given its prevalence there is surprisingly little systematic behavioral research on factors affecting familiarization. The six experiments reported in the present report used rats’ tendency to interact more with a novel object in a familiar than in a novel environment as a measure of environmental familiarization. We found that 3 min of exposure to the environment was sufficient to increase object interaction above unfamiliar controls even when testing occurred up to 48 h after initial exposure to the environment; 1 or 1.5 min of exposure was not sufficient. Also, in the brief 2 min test, 10 min of environment exposure did not appear to increase object interaction above the 3-min condition. The 3-min of environment exposure was sufficient for familiarization whether environment exposure occurred in one 3 min placement or two 1.5 min placements. Environmental familiarization as measured by object interaction was also sensitive to ‘interference’ manipulations. That is, a distinct object present during initial exposure to the environment produced a level of object interaction in testing comparable to an unfamiliar control. Similarly, exposure to a second distinct alternate environment immediately after, but not before, initial exposure to the test environment partially disrupted environmental familiarization. In sum, object interaction might serve as a useful measure for studying processes mediating environmental familiarity.     

Words (but not tones) facilitate object categorization: evidence from 6- and 12-month-olds

Recent studies reveal that naming has powerful conceptual consequences within the first year of life. Naming distinct objects with the same word highlights commonalities among the objects and promotes object categorization. In the present experiment, we pursued the origin of this link by examining the influence of words and tones on object categorization in infants at 6 and 12 months. At both ages, infants hearing a novel word for a set of distinct objects successfully formed object categories; those hearing a sequence of tones for the same objects did not. These results support the view that infants are sensitive to powerful and increasingly nuanced links between linguistic and conceptual units very early in the process of lexical acquisition.     

Postural change effects on infants' AB task performance: visual, postural, or spatial?

Smith and colleagues (Smith, L. B., Thelen, E., Titzer, R., & McLin, D. (1999). Knowing in the context of acting: The task dynamics of the A-not-B error. Psychological Review, 106, 235-260) demonstrated that 10-month-olds succeed on a Piagetian AB search task if they are moved from a sitting position to a standing position between A and B trials. These authors explained this result by suggesting that because the reach must be executed by different muscle forces from the standing position, an appropriate reach to B is programmed without the memory of the previous reach interfering with the current reach. In the main study reported here, the influences of postural and spatial factors are separated by adding a condition in which the table containing the hiding wells is moved up at the same time as the infant is shifted to standing, thereby allowing a postural change without a change in the spatial relations between the hand and hiding locations. Results showed that in both a standard control condition and the sitting-to-standing condition in which the table also moved up, performance was poor. Only in the sitting-to-standing condition in which the spatial relation between the hand and apparatus was altered were infants successful. These outcomes demonstrate that perseveration effects are likely to occur at the level of reach planning rather than at the level of execution, thereby narrowing the gap between explanations of improvements in AB performance with age that emphasize prefrontal maturation as opposed to improvements in reaching ability.