Hemodynamic responses to active and passive coping tasks and the prediction of future blood pressure in Thai participants: A preliminary prospective cohort study

Cardiovascular responses to mental stress tests have been related to future blood pressure (BP) levels. However, most studies have been completed in North America and Europe; only one study has been conducted in Asia. Therefore, the study explored whether cardiovascular responses to mental stress predict future resting BP in Thailand. Hemodynamic measures were obtained from 101 healthy adults before, during and after mental arithmetic, a speech task, and a cold pressor task. A follow‐up assessment of resting BP was undertaken 1 year later. Results showed that Thais responded to standardized mental stress tasks with large and significant cardiovascular reactivity. Regression analyses indicated that, after adjustment for baseline BP and traditional risk factors, heightened systolic blood pressure (SBP) responses to mental arithmetic were associated with increased future SBP (ΔR² = .045). These findings suggest that BP reactivity predicts future BP and may play a role in the development of hypertension. In addition, Thais displayed large cardiovascular responses to standardized mental stress tasks, of a similar magnitude to previous studies of North Americans and Europeans.     

新生市民主动发展倾向对城市生活适应性的影响:社会支持的中介效应

为探究主动发展倾向和社会支持对新生市民城市生活适应性的作用机制,本研究构建了结构方程模型.采用两个自编量表和一个现成量表,运用两阶段抽样调查法,在作为统筹城乡发展试验区的重庆市范围内,对已经取得城镇户口的新生市民进行问卷调查,获得有效样本322人.对采集的数据运用统计分析软件SPSS17.0和AMOS18.0进行数据分析和模型检验.结果表明,城市化新生市民的主动发展倾向和社会支持均对新生市民的城市生活适应具有显著影响,其中,社会支持在主动发展倾向对城市生活适应影响中具有部分中介作用.     

Prior distributions for random choice structures

We study various axioms of discrete probabilistic choice, measuring how restrictive they are, both alone and in the presence of other axioms, given a specific class of prior distributions over a complete collection of finite choice probabilities. We do this by using Monte Carlo simulation to compute, for a range of prior distributions, probabilities that various simple and compound axioms hold. For example, the probability of the triangle inequality is usually many orders of magnitude higher than the probability of random utility. While neither the triangle inequality nor weak stochastic transitivity imply the other, the conditional probability that one holds given the other holds is greater than the marginal probability, for all priors in the class we consider. The reciprocal of the prior probability that an axiom holds is an upper bound on the Bayes factor in favor of a restricted model, in which the axiom holds, against an unrestricted model. The relatively high prior probability of the triangle inequality limits the degree of support that data from a single decision maker can provide in its favor. The much lower probability of random utility implies that the Bayes factor in favor of it can be much higher, for suitable data.     

Work-Induced Changes in Feelings of Mastery

ABSTRACT

Past theory and research indicate that conditions of work can have lasting effects on job incumbents. R. A. Karasek and T. Theorell (1990) Karasek, R. A. and Theorell, T. 1990. Healthy work: Stress, productivity, and the reconstruction of working life, New York: Basic Books.  [Google Scholar], for example, proposed that workers’ feelings of mastery increase with levels of job demands and job control, and that these effects are mediated by the process of active learning. To test these propositions, 657 school teachers completed scales assessing job demands, control, active learning, and mastery on 2 occasions, 8 months apart. As hypothesized, job control predicted change in mastery, an effect that was mediated by active learning. Job demands had a weaker effect on change in mastery. The demands–mastery relationship was moderated by job control, so that under conditions of high control, but not low control, increasing job demands were associated with gains in mastery. The findings partially support R. A. Karasek and T. Theorell's (1990) predictions regarding the main, interactive, and mediated effects of job conditions on employee mastery.     

Treating PTSD in active duty service members using cognitive processing therapy or prolonged exposure therapy: Examining everyday practice at a military outpatient clinic

The Institute of Medicine has stressed the need for evaluations of evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD) among active duty service members (AD) using a variety of evaluation approaches (Institute of Medicine, 2012). The current study examined the clinical files of 134 service members who completed treatment for PTSD using either prolonged exposure (PE) or cognitive processing therapy at an outpatient clinic. At the completion of each session, therapists made a clinical rating as to whether or not the session was protocol adherent. The total number of treatment sessions and the proportion of sessions rated as being protocol adherent were calculated. Multi-level models estimated the change in patient PTSD and other psychological symptoms over time as a function of clinician-rated protocol adherence and total number of sessions. Approximately 65% of clinic encounters were rated by therapists as being protocol adherent. Significant reductions in PTSD and psychological symptoms were associated with protocol adherence, and this was particularly true for patients who began treatment above clinical thresholds for both PTSD and other psychological symptoms. However, as the number of sessions increased, the impact of protocol adherence was attenuated. Patient characteristics, including gender, ethnicity, and co-morbidity for other psychiatric disorders were not related to symptom change trajectories over time. These findings suggest that protocol adherence and efficiency in delivery of EBTs for the treatment of PTSD with AD is critical.     

Some thoughts about psychoanalysis and cinema

Abstract

This article approaches the pleasures of the cinema through a discussion of the conditions of cinema going and the place of the cinema in twentieth-century culture. It links them to the history of cinema and to the debates about art and psychoanalysis. It introduces the centrality of parallels between the cinema and dreaming and the importance of sexuality for the cinema. It suggests that discussion about the psychic mechanisms elicited by film going is a productive way of thinking about the cinema.     

Solving distant analogies reduces belief-based responding in transitive inference

ABSTRACT

Previous research demonstrated that relational processing in transitive inference problems can be disrupted by belief-based content. Given the premises, The horse is larger than the goat, and The goat is larger than the elephant, accepting the valid conclusion, The horse is larger than the elephant suggests use of relational processing whereas accepting the invalid conclusion The elephant is larger than the horse indicates belief-based responding. This research examined whether solving analogies influenced participants’ reliance on belief-based or relational processing. Participants generated solutions to either distant analogies (e.g. nose:scent::antenna: ______) or near analogies (e.g. nose:scent::tongue:______) before evaluating the conclusions of transitive inference problems that were valid (V) or invalid (I) and believable (B), unbelievable (U) or neutral (N). Solving distant analogies eliminated belief-based responding (possibly reflecting improved inhibitory control) and facilitated relational responding on VU problems.     

Book reviews

Books reviewed:
Dale Mathers, An Introduction to Meaning and Purpose in Analytical Psychology
Jane Cabot Reid (ed. & narrator), Jung, My Mother, and I: The Analytic Diaries of Catharine Rush Cabot
Heather Formaini (compiler), Landmarks. Papers by Jungian Analysts from Australia and New Zealand
Neil Russack, Animal Guides in Life, Myth and Dreams: An Analyst's Notebook
Rose–Emily Rothenberg, The Jewel in the Wound
Judith Edwards (ed.), Being Alive, Building on the Work of Anne Alvarez     

Guidelines for Writing Letters to Patients

Patient letters provide a permanent record of the genetic counseling that was provided and are unique in medical care; rarely do other health care providers send summaries written specifically to their patients and families. We surveyed genetic counseling training program directors and found that while the acquisition of patient letter-writing skills was considered important, there were no specific guidelines made available to students. To develop letter-writing guidelines, we evaluated patient letters, reviewed references on professional correspondence, surveyed the medical literature, and worked with a writing consultant. The guidelines we subsequently developed and present here include a format for writing patient letters, suggestions on presenting medical information in understandable terms, and wording considerations. These patient letter-writing guidelines are intended to serve as a guide for teaching students this important skill and as a resource for practicing health care professionals.