The influence of cancer impact on patients’ preparatory grief

The aims of this study were to investigate the preparatory grief and traumatic distress in advanced cancer patients in a palliative care unit. A total of 94 advanced cancer patients completed the Preparatory Grief in Advanced Cancer Patients (PGAC) scale and the Greek version of the Impact of Events Scale- Revised (IES-R-Gr). The Eastern Cooperative Oncology Group was used to measure patients’ performance status. Statistically significant associations were found between PGAC, patients’ performance status, and all the IES-R-Gr scales (avoidance, intrusion, hyperarousal) and IES-R-Gr total score. The multiple regression analysis revealed that preparatory grief was predicted by patients’ young age, poor performance status, as well as by their high levels of intrusion and hyperarousal, in a model explaining 51.5% of the total variance. Concluding, in advanced cancer patients, preparatory grief is significantly correlated with the impact of cancer and patients’ physical condition, and seems to be influenced by components of the event impact, patients’ age, and physical performance.     

New stable icosahedral phases in Al-Pd-Ru and Al-Pd-Os systems

We have found stable icosahedral (i) phases in alloys with nominal compositions around Al 72 Pd 17 Ru 11 and Al 72 Pd 17 Os 11 . They display very sharp X-ray diffraction peaks, indicating high structural order as in other Al-based i-phases such as i-(Al-Pd-TM) (transition metal TM = Mn or Re) and i-(Al-Cu-TM) (TM =Fe, Ru or Os). The i phases are formed via peritectic reaction and, upon heating, they transform into a mixture of a liquid and the 1/0 cubic approximant phase. The electrical resistivity of the i phases was measured in a wide temperature range from 14K to above their melting points and a reversible change of the resistivity across the melting point has been observed in situ for the first time.     

Children's Causal Explanations of Psychogenic Bodily Reactions

In Experiment 1, 4‐, 5‐, 8‐ and 11‐year‐old Japanese children (n = 69) and adults (n = 21) explained their reasons for bodily induced reactions (e.g. overeating leads to vomiting) and psychogenic bodily reactions (bodily outcomes originating in the mind, e.g. frustration leads to vomiting). Children gave vitalistic explanations, that is, explaining causal connections by referring to a vital force, in responses concerning bodily induced reactions, whereas adults typically gave these explanations in responses concerning psychogenic bodily reactions. In Experiment 2, 5‐, 8‐ and 11‐year‐old children (n = 96) and adults (n = 24) explained bodily induced and psychogenic bodily reactions, and psychological behaviour, for example, that frustration leads to nail biting. As in Experiment 1, vitalistic explanations tended to be found for psychogenic tasks but were seldom found in either children's or adults' explanations of psychological behaviour. The findings suggest that with age vitalistic causality obtains cross mind‐body implications. Copyright © 2013 John Wiley & Sons, Ltd.     

Perceptions of Submissiveness: Implications for Victimization

Some researchers have suggested that a precondition of affective submissiveness may increase the likelihood of female victimization in sexual assault, whereas others have suggested that criminal offenders use perceptions of vulnerability when selecting a victim. In this study, based on American college students, men (decoders) rated videotaped women (encoders) dominant versus submissive using a semantic differential instrument. Cue evaluators analyzed the body language and appearance of the videotaped women using a Likert instrument. The results suggest that (a) men form differentiated perceptions of dominant versus submissive women, (b) such perceptions substantially rely on nonverbal cues, (c) dominant and submissive women display visually different behaviors and appearances, and (d) men tend to select submissive females for exploitation.     

From neurotic guilt to existential guilt as grief: the road to interiority, agency, and compassion through mourning. part I

This study proposes through a case illustration that psychoanalytic patients who can process both aggression and loss through a mourning process are able to free themselves from pathological self attack when the object relations work of attachment, psychic holding, and separation transpires. In the case of Helen discussed here, transformation through a “developmental mourning process” results in the evolution of powerful psychological capacities for interiority, self agency, and interpersonal compassion. This developmental mourning process is endowed with the assimilation and psychic fantasy symbolization of aggression.Susan Kavaler-Adler, Ph.D., ABPP, is Founder and Executive Director, Training Analyst, Faculty Member, and Supervisor at the Object Relations Institute for Psychotherapy and Psychoanalysis, New York.     

Is sense of coherence a mediator or moderator of relationships between violence at work and stress reactions?

The relationships between exposure to violence at work, sense of coherence, and stress reactions were analysed in a large sample of the Danish workforce. The results showed that employees subjected to violence have a weaker sense of coherence than the rest of the respondents. Sense of coherence acted as a mediator and not as a moderator of relationships between exposure to violence and psychological, psychosomatic and cognitive stress reactions. The stability of the sense of coherence construct is discussed. With respect to the relation between sense of coherence and violence, preventative measures at the individual and organizational level are suggested.     

Never ready: Addictions counselors dealing with client death

This study explored the experiences of addictions counselors who have undergone client death and the immediate and long-lasting impacts of client death on addictions counselors through the consensual qualitative research (CQR) method. We conducted semistructured interviews with 10 participants exploring their lived, in-depth, experiences in working with clients with addictive disorders with focus given to the death of clients and how they responded to the experience. Results from a data analysis process using the CQR method indicate eight domains: (a) professional ethics, (b) coping skills, (c) client care, (d) preparation for profession, (e) experience of addiction, (f) agency impact, (g) exploring the death experience, (h) recommendations, and 28 categories embedded in each of these domains. Implications for counselor education, training, and practice are discussed.     

Psychoanalysis and Diplomacy Part II: Large-Group Rituals

This paper focuses on the predominant repetitive activities in which a large group engages to maintain and/or repair its identity. These repetitive activities constitute large-group rituals and can be divided into two general categories: (1) rituals that occur within a society that do not involve an active relationship with a contemporary other large group; and (2) rituals that occur through and depend upon the interaction with an opposing or enemy large group, usually a neighbor. Because others are used as reservoirs for unwanted parts, both at individual and group levels, and are needed to support aspects of identity and a shared sense of sameness, the first type of ritual may also include reference to shared images of others from the large group's past. They therefore may not be strictly domestic or indigenous. Furthermore, the intensity and content of both types of rituals occur across a spectrum depending on whether a large group is at peace, in a hot conflict with an enemy group, or otherwise destabilized due to crises.     

On the Origins of Children's Compliance and Opposition: Family Context, Reinforcement, and Rules

Interactional synchrony and context dependent reinforcement are presented as similar phenomena in this discussion of children's dispositions to comply with or to oppose parental instructions. I argue that consistent and appropriate parental reactions to the full range of a child's response repertoire will establish a family context conducive to positive reinforcement of child compliance. In contrast, inconsistent parental reactions appear to create a chaotic family context conducive to the negative reinforcement of child opposition. Depending on these two forms of context, the parents and children seem to generate distinctive personal rules which outline the functional arrangements of context, behavior and reinforcement. The importance of these personal rules in helping parents and children to improve the lawfulness of family context is highlighted.