Marital role strain,illness intrusiveness,and their impact on marital and individual adjustment in end-stage renal disease

Abstract

A marital role theory approach was used to investigate individual psychosocial well-being and marital adjustment in 89 end-stage renal disease (ESRD) patients and their spouses. Four different patient groups were selected according to a continuum of clinical milestones in the treatment of ESRD, including pre-dialysis (n=17), incenter dialysis (n=18), home dialysis (n=19), and posttransplant patients (n=17). A nephrology clinic control group (n=18) was also included. Standardized instruments were employed to investigate marital role strain (Marital Role Questionnaire, KDS-15), marital adjustment (Locke-Wallace Marital Adjustment Test), subjective well-being (Affect Balance Scale, Rosenberg Self-Esteem Inventory), and psychopathology (Symptom Checklist 90-R). Hierarchical multiple regression analyses provided strong and consistent support for the major hypotheses relating elevated marital role strain to compromised marital adjustment and individual well-being. Further analyses demonstrated that increased perceived intrusiveness of ESRD was significantly related to greater marital role strain, poorer marital adjustment, and decreased individual well-being. This is consistent with the idea that perceived intrusiveness may be an important mediator of marital role strain and of coping with chronic illness. “Objective” intrusiveness, defined in terms of patient group, was not significantly related to marital or individual well-being. These findings support a dyadic approach to the psychosocial study of chronic illness.     

Social support and cardiovascular responding to laboratory stress: Moderating effects of gender role identification,sex, and type of support

The objective of the present study was to examine moderating effects of gender role identification, sex, and type of support on the buffering role of social support on cardiovascular responses. We hypothesized that (a) gender role identification, more than sex, would moderate the effect of social support and (b) to obtain optimal attenuating effects of social support, type of support provided should match type of support preferred in terms of one's gender role identification. That is, feminine participants would benefit more from relatively direct support, whereas masculine participants would benefit more from indirect support. Healthy participants (N = 100) performed a psychological stressor in the presence of a friend, after mental activation of a friend, or alone. Results revealed no moderating effects of gender role identification whether or not in combination with type of support. Nevertheless, results demonstrated an attenuating effect of mental support on heart rate and cardiac output in men. It is concluded that pathways linking social relationships and health may differ between women and men.     

The role of career values for work engagement during the transition to working life

The present longitudinal study examined the role of career values for work engagement across the transition from university education to working life. Finnish young adults reported on their career values (intrinsic, rewards, and security values) at the age of 23; and the degree of person–organization fit (value congruence, and congruence between one's education and the job), subjective income and economic stress two years later at the age of 25. Work engagement was assessed at both measurement points. Structural equation modeling results showed, first, that intrinsic but not rewards or security career values were related to work engagement. Second, value congruence and having a job which was related to young adults' educational field were positively associated with work engagement. Our findings suggest that along with person–organization fit, intrinsic career values are a significant factor in shaping and facilitating successful transitions from education to work.     

The Changing Role of Fatherhood: The Father as a Provider of Selfobject Functions

Fatherhood is evolving. The way that men carry out their paternal role is reflective of the historical time era in which they live, social and cultural forces, both the mother and the father's expectations for fathering behaviors, as well as the father's own innate capabilities, wishes, and desires. Fatherhood is also greatly influenced by men's relationships with their own fathers, the quality of that relationship, and the extent to which the father was emotionally available. The ever-changing role of fathers has been a challenge for the psychoanalytic literature. There is no comprehensive theoretical body of knowledge about fatherhood that takes into account the changing nature of fathering, especially considering men's desires to be emotionally responsive and nurturing parents. This article examines the changing role of the father and suggests a model of paternal involvement that expands the nurturing and available father role to include the father as a selfobject. It discusses the importance of understanding men's relationships with their fathers, a central dynamic in shaping fathers’ involvement with their children. The residual impact of paternal deprivation is explored, followed by two clinical vignettes that symbolize the search for missing selfobject functions. This article concludes by outlining clinical implications and questions to pose to assess the selfobject relationship with one's father.     

Social skills and sex‐role functioning in borderline personality disorder: relationship to self‐mutilating behavior

This study compared the social skills functioning and sex role affiliation of female inpatients diagnosed with borderline personality disorder who engaged in self‐mutilating behavior (n?=?30) with female patients with borderline personality disorder who did not engage in such behavior (n?=?18). Patients with borderline personality disorder who engaged in self‐mutilating behavior were found to have relatively poorer skills in communicating non‐verbal emotional information to others and in receiving and interpreting such information from others. In terms of sex role orientation, patients who engaged in self‐mutilating behavior were significantly more likely than non‐mutilators to be typed as undifferentiated using the Bem Sex Role Inventory. These participants were less likely to identify with either masculine or feminine sex roles. Patients who did not self‐mutilate were found to be significantly more likely than those who did self‐mutilate to identify with the masculine sex role.     

Do You See What I See? The Influence of Gender Stereotypes on Student and Royal Canadian Mounted Police (RCMP) Perceptions of Violent Same-Sex and Opposite-Sex Relationships

ABSTRACT

Forty-one men and 67 women undergraduate students, as well as 35 men and 27 women Royal Canadian Mounted Police (RCMP) officers, rated the abusiveness of intimate partner violence (IPV) vignettes portraying each possible gender combination of victim and perpetrator (Harris &; Cook, 1994 Harris, R. J. and Cook, C. A. 1994. Attributions about spouse abuse: It matters who the batterers and victims are. Sex Roles, 30: 553–565. [Crossref], [Web of Science ®] , [Google Scholar]). Rating differences according to victim and perpetrator gender, occupation (student or RCMP officer), and participant gender were anticipated. Analyses found that student and RCMP ratings of abuse severity were both highest for the male-female scenario. However, the RCMP considered the female-male, male-male, and female-female scenarios to be more abusive than did the students. Our findings suggest that, while the RCMP appeared to be more sensitive to male and same-sex victims than students, both groups remain somewhat biased.     

Strategies for spatial organization in adults and children

People have a tendency to organize space by extracting meaningful shapes from the configuration of elements. However, research on spatial correspondence in children suggests that when configural processing is difficult, individuation of elements may be critical. To begin to address the distinction between the use of configurations and individuation, and changes associated with age, we relied upon perceptual grouping and manipulated the colour of the displays—promoting either extraction of configural information (monochromatic) or individuation of elements (multicoloured). In a layout reproduction task (Experiments 1 and 2), children showed a robust advantage for multicoloured arrays, whereas adults showed an attenuated advantage for monochromatic displays. Visual discrimination in adults (Experiment 3) revealed that the influence of the display type occurs at the level of perception. Taken together, these results suggest that there are (at least) two routes to establishing spatial correspondence in arrays of elements, with differential dependence over development.     

Size and orientation cue figure-ground segregation in infants

ABSTRACT

Adult perceivers segregate figure from ground based on image cues such as small size and main axis orientation. The current study examined whether infants can use such cues to perceive figure-ground segregation. Three- to 7-month-olds were familiarized with a pie-shaped stimulus in which some pieces formed a?+?and other pieces formed an x. The infants were then presented with a novelty preference test pairing the?+?and x. The bases for the pieces forming the?+?or x were size and orientation (Experiment 1), size (Experiment 2), and orientation (Experiment 3). In each experiment, infants responded as if they recognized as familiar the shape specified by small size, main axis orientation, or their combination. Control conditions showed that infant performance could not be attributed to spontaneous preference. The findings suggest that infants can achieve figure-ground segregation based on some of the same cues used by adults.     

Infant perception of static two-dimensional transparency information

The present habituation – dishabituation study focused on infants' perception of static two-dimensional transparency displays. Infants 4 and 8 months of age were habituated to a transparency display. In this stimulus, each corner of a semi-transparent square surface covered a quadrant of a circle. During the posthabituation period, the infants were presented with the semi-transparent square overlay from the habituation display and a (non-transparent) square area cut out of the habituation stimulus. The 8-month-olds looked significantly longer at the non-transparent surface, meaning that they apparently recognized the other test pattern as the semi-transparent filter they had also seen during the habituation trials, and that they regarded the non-transparent test target as being novel. In contrast, the younger participants did not exhibit a novelty preference during the posthabituation trials. Control conditions tested the impact of spontaneous stimulus preferences on the results. The findings are discussed within the framework of infant pictorial depth perception. They provide further evidence for the hypothesis that infants' sensitivity to pictorial depth cues emerges between 4 – 5 and 7 – 8 months of life.     

Good Athlete – Bad Athlete? on the ‘Role-Model Argument’ for Banning Performance-Enhancing Drugs

The paper critically discusses a role-model argument (RMA) in favour of banning performance-enhancing drugs in sport. The argument concludes that athletes should be banned from using performance-enhancing drugs because if they are allowed to use such drugs they will encourage, or cause, youngsters who look up to them to use drugs in a way that would be harmful. In Section 2 the structure of the argument and some versions of it are presented. In Section 3 a critical discussion of RMA is presented. It is argued that we should be reluctant to accept the argument as it stands for at least three reasons: (i) it rests on an unsupported empirical claim; (ii) it also makes a false empirical claim; and (iii) the normative premise of the argument is too demanding morally. Further objections to the RMA are also discussed, but argued to be beside the point