Patient and Partner Quality of Life and Psychosocial Adjustment Following Radical Prostatectomy

We prospectively examined differences in quality of life and psychosocial adjustment in 80 prostate cancer patients and their partners (n = 65) beginning before radical prostatectomy and proceeding across the first year postsurgery. Both members of the couple experienced significant changes associated with the patient's cancer, however their experiences differed in some regards. Patients experienced reprieve from emotional distress and negative affect immediately following surgery despite worsened physical functioning. Partner quality of life and psychosocial adjustment scores were generally more constant from presurgery to postsurgery, with improvements noted 1 year later. For both patients and partners, cancer-specific stress symptoms declined progressively over the year. We also obtained partial support for the effectiveness of a single-session communication intervention on patient social/family wellbeing and partner general stress. Findings have implications for patient and partner adjustment following radical prostatectomy, and attest to the importance of incorporating partner evaluations into psychosocial oncology research.     

Post-traumatic Stress Disorder among child perpetrators and victims of violence from the Northern Uganda civil war: Findings from the WAYS study

War experiences are known risk factors for post-traumatic stress disorder (PTSD) and other poor psychosocial outcomes. This study aimed to assess the extent to which perpetrating violence (operationalised as intentional and unintentional killing or mutilation) and being a victim of violence (operationalised as being a victim of violence, e. g., witnessing violence, injuries, torture) predict PTSD and other psychosocial outcomes independently in war-affected youth of Northern Uganda. Data on war experiences, PTSD, psychosocial problems, and socio-demographic characteristics were collected from the youth formerly abducted by the Ugandan Lord’s Resistance Army (LRA) at baseline (mean age = 22.39 years; SD = 10.47) and at follow-up (mean age = 23.52 years; SD = 9.28) using self-report questionnaires. On average, the participants spent 3.13 years in captivity (SD = 2.99) and were abducted at 14.14 years of age (SD = 4.21). Regression models were fitted to predict PTSD and psychosocial outcomes from perpetrating violence controlling for being a victim of violence and demographic characteristics. Thirty-seven percent (n = 168) reported killing or being responsible for killing while in rebel captivity. After adjusting for being a victim of violence, perpetrating violence remained a statistically significant predictor of PTSD and poor psychosocial outcomes such as depression, anxiety, somatic complaints, psychotic symptoms, and conduct problems. Among war-affected youth returning from LRA captivity, perpetrating violence may just be as toxic a risk factor for PTSD and other psychosocial outcomes as being a victim of violence. Mental health workers should consider both the effects of being a victim of violence and perpetrating violence in treatment planning.     

Rigorous results,cross-model justification,and the transfer of empirical warrant: the case of many-body models in physics

This paper argues that a successful philosophical analysis of models and simulations must accommodate an account of mathematically rigorous results. Such rigorous results may be thought of as genuinely model-specific contributions, which can neither be deduced from fundamental theory nor inferred from empirical data. Rigorous results provide new indirect ways of assessing the success of models and simulations and are crucial to understanding the connections between different models. This is most obvious in cases where rigorous results map different models on to one another. Not only does this put constraints on the extent to which performance in specific empirical contexts may be regarded as the main touchstone of success in scientific modelling, it also allows for the transfer of warrant across different models. Mathematically rigorous results can thus come to be seen as not only strengthening the cohesion between scientific strategies of modelling and simulation, but also as offering new ways of indirect confirmation.     

Parent training for young Norwegian children with ODD and CD problems: Predictors and mediators of treatment outcome

Participants were 121 children, aged 4–8 years referred for conduct problems, and their mothers. A parent training intervention was implemented in two outpatient clinics in Norway. Treatment responders were defined as children scoring below a cut-off on the Eyberg Child Behavior Inventory, a score below an optimal cut-off for children in day-care and school as reported by teachers, in addition to a 30% reduction or greater in observed negative parenting. Self-reported parenting practices were explored as potential mediators. The results of logistic regression analyses showed that high levels of maternal stress, clinical levels of ADHD, and being a girl predicted a poorer outcome in conduct problems at home, while pretreatment clinical levels of ADHD predicted a poorer outcome as perceived by the teachers. Harsh and inconsistent parental disciplining emerged as significant partial mediators of changes in conduct problems, highlighting the importance of altering parenting practices to modify young children's conduct problems.     

Generativity Versus Stagnation: An Elaboration of Erikson's Adult Stage of Human Development

Erik Erikson's theory of human development posits 8 stages of life. This paper gives special attention to the adult stage of generativity vs. stagnation. A review of recent research provides new concepts that can be added to Erikson's chart of development in the form of 7 psychosocial conflicts that give breadth to the central crisis of generativity vs. stagnation. They are inclusivity vs. exclusivity, pride vs. embarrassment, responsibility vs. ambivalence, career productivity vs. inadequacy, parenthood vs. self-absorption, being needed vs. alienation, and honesty vs. denial. Each conflict is connected to one of Erikson's other stages of development. Given this framework, case studies of leaders could provide further knowledge about generativity as the intersection of society and the human life cycle.     

When less is more: An exploration of psychoanalytically oriented hospital‐based treatment for severe personality disorder4

This paper discusses the main findings of a prospective study based at the Cassel Hospital, a centre dedicated to the psychoanalytically informed residential treatment of severe personality disorders. The results‐showing that significantly greater improvements on a number of outcome indicators were found in patients exposed to the psychoanalytically informed treatment programmes compared to a general psychiatric approach based on management and pharmacotherapy alone‐underscores the importance and the centrality of the psychoanalytic input in the treatment of severe personality disorders. However, the results of the study also suggested that some features of long‐term hospital treatment might carry the risk of iatrogenic and anti‐therapeutic effects for a sub‐group of patients with severe borderline core pathology. The authors present the clinical and psychodynamic implications of the study results based on an understanding of the internal and interpersonal mode of functioning of borderline patients.     

From psychosocial equilibrium to catastrophic breakdown: Cyprus 1955–1974

The recent history of Cyprus presents an example of a society in which a centuries-long peaceful coexistence of diverse populations gave way to violence and murderous hate, with devastating end results. This paper tries to understand and describe the process by which Cypriot society slid from a position of psychosocial equilibrium and integration towards one of disintegration, fragmentation and catastrophic breakdown. This paper draws from work by social anthropologists, sociologists, historians and others, and from my own personal experience. To these I applied insights afforded by psychoanalysis to identify and explore the psychic processes and states of mind that characterized a psychosocial disintegrative process. I came to see external political events and internal psychological processes as inseparably intertwined and dynamically interdependent, each emanating from and catalysing the other. The factual details of the process described are of course unique in their local specificity, but the psychic phenomena that characterized it are not: at both the individual and group levels they are replicated in other societies undergoing similar processes of self-destruction.     

A Life Span Developmental Perspective on Psychosocial Development in Midlife

Research in life span development suggests that middle adulthood is a time of stability, discovery, and psychosocial growth. This review applies the life span developmental perspective to advance counselors’ understanding of psychosocial development during middle adulthood, specifically, midlife adults’ sense of self, perceptions of aging, developmental tasks, and contexts.