Factors Influencing Men's Interest in Gene Testing for Prostate Cancer Susceptibility

Interest in genetic testing for inherited cancer susceptibility is high in the general population. Women at risk for BRCA1 and BRCA2 mutations represent the best-studied population undergoing genetic testing for cancer susceptibility. However, it is unclear whether factors influencing interest in genetic testing in women are directly applicable to men. We designed a study to examine factors associated with men's interest in genetic testing to identify prostate cancer susceptibility. Our sample consisted of 267 men present in waiting rooms of a urology clinic in an urban area. We examined whether the concept of monitoring could be used to predict the interest of men in a genetic test for prostate cancer susceptibility. Our results indicated that monitoring trait was positively associated with interest in genetic testing in these men, but principally for patients rather than nonpatients. Moreover we found that monitoring was associated with over estimation of risk in those men with prostate cancer. Other factors found to influence interest in genetic testing included recommendation by a doctor, family history of prostate cancer, and cost. This study indicated that interest in genetic testing and estimation of risk is influenced by a complex interaction between both psychological factors (monitoring) and nonbehavioral factors (such as patient status, cost, and doctor recommendation).     

Fonagy and Freud. Psychological versus psychic reality

Peter Fonagy and Mary Target present their Playing with reality theory as a developmental theory centred on the concept of psychic reality. This paper compares Fonagy and Target's use of the concept of psychic reality with Freud's original concept. It is argued that the concept of psychic reality has been redefined from delineating a psychic reality stemming from the unconscious to denoting a kind of conscious or preconscious psychological reality characterized by an experience of equality between the internal and the external worlds. The theoretical discussion is illustrated by being applied to eating disorder pathology, which by Fonagy and colleagues is described as associated with thought processes characterized by psychic reality.     

The cognitive regulation of emotions: The role of success versus failure experience and coping dispositions

Attention deployment and generating specific types of cognitions are central cognitive mechanisms of emotion regulation. Two groups of hypotheses make contradicting predictions about the emotion-cognition relationship. The moodcongruency hypothesis expects the emergence of mood-congruent cognitions (i.e., negative mood leads to negative and positive mood to positive cognitions). Similarly, a substantial body of research suggests that negative mood induces selffocus, whereas positive mood elicits an external focus of attention. The moodrepair hypothesis, on the other hand, assumes that persons in a negative mood state summon thoughts incongruent with that state and divert attention away from the self. However, the temporal sequence of cognitions assessed as well as coping dispositions, such as vigilance and cognitive avoidance, may moderate these relationships. Positive and negative emotional states were elicited by exposing the participants to the experience of success or failure in a demanding cognitive task. Cognitions that were present after emotion induction were assessed by means of a thought-listing procedure. For the total sample, results clearly confirmed the moodcongruency hypothesis. Thought order was a critical factor only for changes in self-focus. Thought valence (positive, neutral, negative) as well as self-focus were substantially influenced by coping dispositions.     

Mindfulness and negative affectivity in real time: a within-person process model

ABSTRACT

To extend our understanding of the proximal etiology of personality pathology, this study examined the dynamic, in-the-moment relations between mindfulness and negative affectivity (NA; emotional lability, anxiousness, separation insecurity) as defined by the alternative model for personality disorders. We tested predictions based upon the Monitor and Acceptance Theory that when people monitored their attention judgmentally, their state NA would be higher than usual; by contrast, when they monitored their attention nonjudgmentally, their state NA would be lower than usual. Sixty-five undergraduates participated in an experience sampling study wherein they completed five reports per day for eight days about their states of mindfulness and NA. Multi-level models revealed an interaction wherein participants exhibited more state NA when they monitored their attention judgmentally than when they monitored their attention nonjudgmentally. Analyses of simple slopes revealed that participants exhibited more state NA than usual when they monitored their attention judgmentally. These findings emerged for only one of two attention monitoring processes, however: monitoring relations between thoughts, emotions, and behaviours, but not monitoring sensory stimuli. Analyses including non-reactivity instead of nonjudgment replicated these findings. Implications for theory, research, and treatment are discussed.     

“The primary process”: The vicissitude of a concept

Abstract

During the first twenty years that Freud spent creating his theory, he assumed that most of the functions responsible for creating mental-thought structures were organized according to two different forms or principles of thought. He called these forms “primary process” and “secondary process”. The “secondary process” is identified with rational thinking and the ego, and it is easy to follow the changes that this concept underwent in the works of Freud that followed. The concept of “primary process”, on the other hand, disappeared from his later works with no explanation. This article traces the changes that the “primary process” underwent in Freud's thinking and examines the connection between his analytical technique and his research method. A close study of the changes that the “primary process” underwent reveals that Freud's developmental thought process included concepts whose directional changes may be termed “regressive”.     

When Knowing Becomes Remembering: Individual Differences in Susceptibility to Suggestion

In two experiments, the authors explored factors that might influence a person's tendency to make source-monitoring errors about autobiographical memories. In the first experiment, undergraduates retrieved a memory from childhood (a) that was known about but not remembered, (b) that was remembered, or (c) for which they were unsure of their memory's source. After writing down the memory, experimental groups listened to a guided visualization tape and answered questions about the event—interventions designed to help them focus on details of their memory. Controls also retrieved and wrote down a memory; however, instead of visualizing the memory, they were instructed to conduct a visual search task. Results indicated that guided visualization led participants to rate known memories closer to remembered events. A second experiment examined individual difference variables that might be related to this know-to-remember shift. Results indicated that extraversion, external locus of control, a memory that conveyed fear, and overall affective content predicted this rating. The applicability of these findings to the psychotherapy process is discussed.     

Event-based prospective remembering in a virtual world

Most laboratory-based prospective memory (PM) paradigms pose problems that are very different from those encountered in the real world. Several PM studies have reported conflicting results when comparing laboratory- with naturalistic-based studies (e.g., Bailey, Henry, Rendell, Phillips, & Kliegel, 2010 Bailey, P. E., Henry, J. D., Rendell, P. G., Phillips, L. H. and Kliegel, M. 2010. Dismantling the “age-prospective memory paradox”: The classic laboratory paradigm simulated in a naturalistic setting. Quarterly Journal of Experimental Psychology, 63: 646–652. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). One key contrast is that for the former, how and when the PM cue is encountered typically is determined by the experimenter, whereas in the latter case, cue availability is determined by participant actions. However, participant-driven access to the cue has not been examined in laboratory studies focused on healthy young adults, and its relationship with planned intentions is poorly understood. Here we report a study of PM performance in a controlled, laboratory setting, but with participant-driven actions leading to the availability of the PM cue. This uses a novel PM methodology based upon analysis of participant movements as they attempted a series of errands in a large virtual building on the computer screen. A PM failure was identified as a situation in which a participant entered and exited the “cue” area outside an errand related room without performing the required errand whilst still successfully remembering that errand post test. Additional individual difference measures assessed retrospective and working memory capacity, planning ability and PM. Multiple regression analysis showed that the independent measures of verbal working memory span, planning ability, and PM were significant predictors of PM failure. Correlational analyses with measures of planning suggest that sticking with an original plan (good or bad) is related to better overall PM performance.     

Seeing photos makes us read between the lines: The influence of photos on memory for inferences

Three studies examined how photos accompanying stories could contribute to people drawing inferences about outcomes from the stories and subsequently claiming that they had read what had actually only been inferred. Subjects read short stories designed to induce inferences about their conclusions (e.g., “Sabrina dropped the delicate vase” invites the inference that the vase broke) accompanied by a photo depicting the likely conclusion (the broken vase), a photo depicting a detail of the story but not the conclusion (the vase before it was dropped), or no photo. Results showed that seeing photographs consistent with inferred conclusions led people to falsely claim that they read those conclusions. Photo-boosted inferences were held with high confidence and were robust over time. Falsely recalled inferences were sometimes accompanied by false claims to have seen a photo depicting the inferred events when another photo or no photo had actually be seen. These findings support the source monitoring framework's prediction that people can mistakenly attribute their internally generated inferences about what occurred to externally derived sources when they have photographic “evidence” consistent with the inferred conclusions.     

The Virtual Kitchen Challenge: preliminary data from a novel virtual reality test of mild difficulties in everyday functioning

ABSTRACT

Background: Efficient, objective measures of mild functional difficulties are lacking. Preliminary data from a novel, non-immersive virtual reality, performance-based task (Virtual Kitchen Challenge; VKC) were obtained to address this gap.

Methods: 14 older and 21 younger adults completed cognitive tests and two everyday tasks (breakfast, lunch) in the VKC with virtual objects and a touch-screen and in the Real Kitchen with real objects (order counterbalanced). Automated performance measures were obtained from the VKC program and human coders scored VKC and Real Kitchen videos for errors.

Results: Older adults made more errors than younger adults on the VKC and Real Kitchen, with similar error patterns across measures. VKC automated measures were significantly related to measures from human coders, performance on the Real Kitchen, and cognitive test scores.

Conclusion: The VKC is a valid and highly efficient performance-based measure of subtle functional difficulties with great potential for future clinical and research applications.