Cognitive behavioral variables mediate the associations of neuroticism and attachment insecurity with Prolonged Grief Disorder severity

Abstract

Prolonged Grief Disorder (PGD) is a debilitating syndrome of grief. A recent cognitive behavioral model asserts that three processes are critical to this condition: (1) insufficient integration of the loss with autobiographical knowledge about the self and the lost person; (2) negative cognitions; and (3) anxious and depressive avoidance behaviors. These processes are assumed to contribute to PGD symptoms and to mediate the influence of personality-related vulnerabilities on the development and maintenance of these symptoms. The present study examined the mediational role of these three processes in the linkage between neuroticism, attachment anxiety, and attachment avoidance on the one hand and PGD symptom severity on the other hand. Self-reported data from 348 bereaved people were used. The results showed that the three personality variables were significantly associated with PGD symptom severity. Moreover, the results provided support for the mediating effects of indices of insufficient integration, negative cognitions, as well as avoidance behaviors – even after controlling for the shared variance between mediators. Theoretical and clinical implications are discussed.     

The role of a parent's illness in the emotional experience of a child evidence from Klein's Narrative of a child analysis

Abstract

The analysis of Richard, described by Melanie Klein in Narrative of a Child Analysis, gives us some insight into the effect on a child of threats to the health of his parents. His mother was involved in a road accident when Richard was 2; his father collapsed during the time of the analysis when he was 10. This paper links these events with disturbances in Richard's relation to his father and to his mother, as well as with threats to his own integrity, as demonstrated in the analysis. Richard's reversal of roles with his father and mother is discussed, as are Klein's reaction to Richard's report of finding his father ‘ill and nearly fainting’ and Richard's response to her behaviour. The paper draws attention to the way in which a child's reaction to the ill health of one parent can affect relations with both parents, as well as disturbing his sense of himself.     

Parental Influence on Children during Educational Television Viewing in Immigrant Families

It has been suggested by researchers that educational television programmes may support the language and literacy development for children, especially those in immigrant families. In an immigrant family, many family characteristics appear to be related to educational television programme viewing of children at home, for example, parental acculturation (the process of adapting to the new culture) and parental mediation (supervision and guidance) of television viewing. In the present work, the parental influence on children during educational television viewing was studied quantitatively, based on a sample (n = 171) of immigrant families with children aged 3–6 years collected across the U.S. The results have revealed that significant differences existed between Asian and Hispanic groups in coviewing mediation and in their children's educational television viewing. Furthermore, language in parental acculturation significantly predicted instructive and restrictive parental mediation, and parental occupation significantly predicted language in parental acculturation. This study initiates the attention to the topic of educational television viewing in immigrant families, which warrants further investigations in the future as the Asian and Hispanic immigrant population increases rapidly in the U.S. Copyright © 2013 John Wiley & Sons, Ltd.     

The Future of the Church as a Primary Health Place

ABSTRACT

There is a critical need for change in America's Health System, and religious organizations can facilitate not only the redefining of what health is but also the shaping of what the primary health services of the future should look like, function as, and be. The vision presented here is that the local parish or some extension of it be seen by the average citizen as a primary health place. The model proposed is that faith based living in community become the core health concept, defining what it means to be human and healthy become the core teaching, and that healing such that no illness need dominate become the goal. Within that context, health information, education, prayer, care, and support for most chronic illness, lifestyle change, and end of life concerns would begin at one's community of faith and only within that context to specially trained persons. This health system will compliment the sophisticated and complex acute medical care system that now exists.     

Relationship Between Childhood Trauma and Sleep Disturbances: The Role of Perceived Stress as a Mediator

The main objective of the current study was to analyze the mediating role of perceived stress on the relationship between childhood trauma and sleep disturbances among the adult population. The sample of this cross-sectional study was composed of 987 Portuguese adults with sleep disturbances, who completed a self-administered questionnaire about childhood trauma, sleep disturbances, and perceived stress. The results of analyses found that in the model that included the variables childhood trauma and perceived stress, both variables were predictors of sleep disturbances; however, perceived stress was the strongest predictor. Regarding the model with the subtypes of maltreatment, only Emotional Abuse predicted sleep problems. Results of the Path Analysis model showed that perceived stress partly mediates the effect of childhood trauma on adult sleep disturbances. This study has clinical implications, supporting the importance of taking into account childhood trauma and perceived stress during the assessment and intervention of sleep disturbances.     

The role of core self-evaluations in the relationship between religious involvement and subjective well-being: a moderated mediation model

This study examined whether core self-evaluations (CSE), a personality-based construct, mediates the association between religious involvement and subjective well-being (i.e., physical and psychological). Furthermore, investigates whether the indirect relation of religious involvement to well-being through CSE is conditional on age group (elderly vs. adults). Two different samples were examined: an elderly (N?=?300) and an adult community sample (N?=?294). To determine whether the strength of these effects depend on (moderated by) age group, we used multiple regression analyses and bootstrapping framework to probe conditional indirect (i.e., moderated mediation) effects. The results showed that CSE mediates the relationship between religious involvement (i.e., religious attendance and intrinsic religiosity) and both aspects of subjective well-being. However, the moderated mediation models revealed that this mechanism exists only for elderly. Implications of these results for improving the quality of life in elderly are discussed and directions for future research are provided.     

Coping Self-Efficacy as Mediator in the Dynamics of Psychological Well-Being in Various Contexts

The aim of this study was to explore whether coping self-efficacy mediates between various distress related variables on the one hand (symptoms of stress and depression), and the degree of psycho-social well-being as measured on the upper end of the mental health continuum on the other hand. Participants were two multi-cultural student groups (n₁ = 568; n₂=1480) as well as two community samples of Setswana speaking adults (n₃=477; n₄=1275). Students completed the English versions of measures, and the community samples of adults the Setswana versions. Mediation was evaluated through the testing of structural equation models. Coping self-efficacy mediated significantly between distress and wellbeing, although stressors also influenced the level of psychosocial well-being directly.     

When seeing is not believing: A critique of priest's argument from perception

In this paper I critically examine an argument proposed by Graham Priest in support of the claim that the observable world is consistent. According to this argument we have good reason to think that the observable world is consistent, specifically we perceive it to be consistent. I critique this argument on two fronts. First, Priest appears to reason from the claim ‘we know what it is to have a contradictory perception’ to the claim ‘we know what it is to perceive a contradiction’. I argue that this inference fails to be valid. Secondly, I give reasons for thinking that if an observable state of affairs were to be contradictory, we would perceive it to be consistent. As such that the world we observe appears consistent does not constitute evidence that it is in fact consistent. That we see a consistent world is no reason to believe that the world is consistent. I conclude the paper with some reflections on the implications of this analysis for the plausibility of trivialism.     

医学影像结构与发展中存在的问题与思考

医学影像学在医学领域中是一门重要的学科,已成为医疗工作的重要支柱.现代医学影像已从传统的显示宏观结构发展到反映分子、生化水平的变化;从显示形态改变到反映功能变化;从单纯诊断向治疗方面发展.本文针对医学影像中存在的普遍性问题,分为内部结构性和宏观发展性两个方面,进行了较为系统的揭示和探讨.包括形成原因、表现形式和影响评估.同时指出,只有尊重学科发展规律,通过准入规范、制度建设、继续教育等多种手段,结合发展与辩证的思维,才是解决问题的正确途径.     

Gender role conflict and emotional approach coping in men with cancer

The utility of emotional approach coping (EAC), or expressing and processing emotions, has been equivocal for men. Gender role conflict, or the negative cognitive, emotional and behavioural consequences associated with male gender role socialisation, likely shape coping responses and may negatively affect the efficacy of men's emotion-directed coping efforts and adjustment to cancer. Perceptions of receptiveness of one's interpersonal environment may be particularly important to the effectiveness of EAC. This study examined the relationships among EAC, gender role conflict, and distress in a group of 183 men with cancer. Structural equation modelling revealed that higher gender role conflict was associated with lower emotional expression, which in turn was associated with greater distress. Gender role conflict was not related to emotional processing. Higher gender role conflict also was associated directly with more distress. In subsequent analyses, social constraints and age were examined as possible moderators of EAC. Emotional expression was related to more psychological distress for those in highly constrained environments; and emotional processing was associated with more distress with younger age. Emotional expression may be particularly affected by social influences related to gender and social receptivity. More research is needed to better distinguish constructive and unconstructive emotional processing.