An interruption in unconscious communication in the analytic couple

The authors describe an interruption in communication in the analyses of two patients, which gradually brings the analytic process to a halt/standstill. They propose several hypotheses for understanding this situation. One explanation is mutual identification of primitive superegos in the analytic couple which generates a moralizing effect thereby hindering investigation and discovery. They emphasize the importance of countertransference involvement which partly provokes this particular type of impasse. They also suggest the idea of shared acting out, with complementary participations of analyst and patient. In this way the analytic couple supports a 'bastion' which protects against the risk of breaking the omnipotence of patient and analyst or contributes to this omnipotence. Their shared unconscious phantasy feeds collusion linked to unconscious persecutory guilt. The authors also describe movements to break free from this impasse. The enclave created by the analytic couple is detected and subsequently worked through by way of the patient's contribution of dream material and the analyst's work with her countertransference.     

Predictors of cancer survivors’ response to a community-based exercise program

ObjectiveTo explore the degree to which sociodemographic (i.e., age, sex, ethnicity, weight status, vocational status, marital status), medical (i.e., stage of cancer, treatment status, comorbidity burden), functional (i.e., self-rated health, exercise capacity), cognitive (i.e., exercise self-efficacy beliefs), and behavioural (i.e., program adherence, extra-curricular exercise) factors predicted cancer-related fatigue and quality of life among 224 cancer survivors who participated in the community-based Wellspring Cancer Exercise Program (WCEP).DesignProspective, quasi-experimental single-group repeated measures design.MethodData on predictors and outcomes were collected using self-report and objective measures upon enrollment in the program (week 0), every 10 weeks until program completion (weeks 10, 20, 30), and at 16-weeks follow-up (46 weeks). Data were analyzed using multilevel modeling.ResultsIn general, participants who were working or transitioning to work, rated their health better, and had higher exercise self-efficacy beliefs had lower cancer-related fatigue, and those who rated their health better and had higher exercise self-efficacy beliefs had higher quality of life. Also, there was a significant interaction between time and exercise self-efficacy beliefs for cancer-related fatigue and quality of life such that greater improvements were observed among participants with higher exercise self-efficacy beliefs.ConclusionCancer survivors’ perceptions of their health and their ability to exercise should be fostered to ensure they respond positively to exercise programs in terms of cancer-related fatigue and quality of life.     

Predicting 2-year weight loss through temporally specific earlier losses,relevant behaviors,and their psychological correlates: Implications for behavioral treatment architectures

Maintaining loss of weight beyond an initial 6–9 months remains problematic, with research indicating little recent progress. A poor understanding of how and when prior weight loss, behavioral changes, and psychosocial predictors are associated with long-term weight changes persists. To better-inform behavioral treatments for long-term success with weight loss, women with obesity (N = 86; M_age = 48.6 years) volunteered for research incorporating community-based weight-management treatments. They were assessed at months 6, 12, and 24 on theory-based psychosocial and behavioral factors, and over 24 months on weight. Considering the included times and temporal ranges, it was found that change in weight from month 6–24 was the strongest predictor of 24-month weight change, and physical activity and fruit/vegetable intake at month 24 best predicted that change in weight. Self-regulation, self-efficacy, and mood at month 24 best predicted both physical activity and fruit/vegetable intake at month 24, with body satisfaction also a significant predictor of physical activity. From these data, mediation analyses found that the predictions of long-term weight loss by scores of self-regulation, self-efficacy, body satisfaction, and mood at month 24 were significantly mediated by fruit/vegetable intake and physical activity in separate equations. Findings indicated both psychosocial and behavioral targets, and timing for those targets, most indicative of long-term success with weight loss.     

马克思的自由观及其当代意义

马克思的哲学中,艺术活动始终是人类自由生存的典范状态。在其早期思想中,由于视生产劳动本质上是一种类似于艺术的活动,马克思认为消除了异化的生产实践便是人的自由的实现?而在其晚年思想中,由于认识到物质生产领域始终是一个必然性王国,自由王国便被置于这一必然王国的彼岸,自由的实现也便只能存在于艺术活动之中,但这一自由王国的繁荣又依赖于必然王国借助生产率的提高所提供的自由时间的增长。马克思的这一自由观对于当代人类的自我理解仍有重要的意义。     

Employee well-being: A multilevel model linking work and nonwork domains

In this article, we review recent methodological developments that have enabled conceptual advances addressing intraindividual processes leading to psychological well-being. We contend that the introduction of dynamic assessment methodologies for sampling experiences, feelings, and behaviours on and off the job, together with the implementation of multilevel modelling strategies in organizational research on well-being, should lead to the development of richer models of employee well-being (compared to existing theoretical models). Accordingly, we develop a model of employee well-being that considers both personal and situational predictors, and both work and nonwork well-being indicators, as well as the real-time relationships between well-being antecedents and indicators across these two life spheres.     

Habit as moderator of the intention–physical activity relationship in older adults: a longitudinal study

This longitudinal study examined whether habit strength moderates the intention–physical activity (PA) relationship in older adults, within the framework of the attitude–social influences–efficacy (ASE) model and the theory of planned behaviour (TPB). A total of 1836 older adults (M _age?=?62.95?years, SD _age?=?8.17) completed a questionnaire on social cognitive constructs and PA habit strength at baseline, and six?months later a measure of PA. Three PA habit groups (i.e. low, medium and high) were composed, based on tertiles of the mean index score. Multi-group structural equation modelling analyses showed that intention significantly determined PA behaviour only in participants with a low or medium habit strength towards PA. This result suggests that PA is not intentional at high levels of habit strength and demonstrates the usefulness of incorporating habit in the ASE and TPB models. Results also showed that about half of the participants with a strong PA habit did not meet the recommended PA level. As strong habits may prevent intentional behavioural change and may hinder the receptiveness and openness for informational PA change strategies, additional intervention strategies, such as awareness raising and the use of implementation intentions, are needed for strongly habitual, but insufficiently active older adults.     

What do targeting positive views on ageing add to a physical activity intervention in older adults? Results from a randomised controlled trial

Objective: Physical activity is a key factor for healthy ageing, yet many older people lead a sedentary lifestyle. Traditional physical activity interventions do not consider the specific needs and views of older adults. As views on ageing are known to be related to health behaviours, the current study evaluates the effectiveness of prompting positive views on ageing within a physical activity intervention.

Design: Randomised controlled trial with three groups aged 65+: Intervention for physical activity with ‘views-on-ageing’-component (n?=?101; IGVoA), and without ‘views-on-ageing’-component (n?=?30; IG), and active control intervention for volunteering (n?=?103; CG).

Main outcome measures: Attitudes towards older adults and physical activity were assessed five weeks before intervention, two weeks, six weeks and 8.5?months after the intervention.

Results: Compared to the IG and CG, positive attitudes towards older adults increased in the IGVoA after the intervention. For IGVoA, the indirect intervention effect on change in activity via change in attitudes towards older adults was reliable.

Conclusion: A ‘views-on-ageing’-component within a physical activity intervention affects change in physical activity via change in views on ageing. Views on ageing are a promising intervention technique to be incorporated into future physical activity interventions for older adults.     

Physical activity: the relative associations with cognitive and affective risk beliefs

Abstract

Objective: The role of affectively oriented risk beliefs in explaining health behaviors has not been examined in the context of physical activity or in diverse study populations. We evaluated whether affective risk beliefs account for unique variance in physical activity intentions and behavior above and beyond that accounted for by cognitive risk beliefs.

Design: A cross-sectional survey of socio-demographically diverse US residents (N?=?835; 46.4% no college training; 46.7% minority racial/ethnic ancestry; 42.6% men).

Main outcome measures: Physical activity intentions and behavior.

Results: Hierarchical linear regressions showed that affective risk beliefs accounted for variance in physical activity intentions beyond that predicted by socio-demographics and cognitive risk beliefs (F-change ps<.001). Specifically, intentions were higher among people with higher anticipated regret (ps<.001) and with higher absolute feelings of risk (ps<.05) or worry (ps<.05). There was an indirect relationship between perceived absolute likelihood and intentions through anticipated regret and feelings of risk. Neither cognitive nor affective risk beliefs accounted for variance in physical activity behavior (F-change ps>.05), but unsurprisingly, behavior was positively associated with physical activity intentions (p<.001).

Conclusion: Future interventions could target affective risk beliefs—particularly anticipated regret—to increase intentions, and then add other intervention components to bridge the intention–behavior gap.     

Assessment of tripartite efficacy beliefs within school-based physical education: Instrument development and reliability and validity evidence

Objectives

In educational contexts, Lent and Lopez (2002) proposed that students develop a tripartite network of efficacy beliefs, comprising their confidence in their own capabilities (i.e., self-efficacy), their confidence in their teacher’s ability (i.e., other-efficacy), and their estimation of their teacher’s confidence in their ability (i.e., relation-inferred self-efficacy). In spite of the potential for school-based physical education (PE) to stimulate leisure-time activity patterns among adolescents, it is noteworthy that this framework has yet to be explored in school PE contexts.

Design and methods

In Phase 1, we recruited 62 Australian high school students (aged 11-13) in order to develop instruments designed to assess self-efficacy, other-efficacy, and relation-inferred self-efficacy within PE settings. In Phases 2 and 3, we sought to provide evidence for measurement reliability, validity, and invariance with cross-sectional and prospective data derived from Australian (N = 602, M_age = 13.54, SD = .76) as well as Singaporean (N = 606; M_age = 14.10, SD = 1.01) students.

Results

Results revealed (a) support for the factorial validity of these measures in both locations, (b) evidence of gender-related and cross-national measurement invariance, (c) positive inter-relationships between students’ tripartite efficacy perceptions that were consistent with theory, and (d) positive correlations with key in-class (e.g., effort, enjoyment) and leisure-time (e.g., physical activity levels) outcomes.

Conclusions

Taken together, the results provide preliminary evidence for the reliability and validity of measures derived from these tripartite efficacy instruments, and support their use in future research designed to examine PE engagement.