Parental Attitudes,Beliefs, and Responses to Childhood Obsessive Compulsive Disorder: The Parental Attitudes and Behaviors Scale

ABSTRACT

This paper documents preliminary examination of the factor structure and psychometric properties of the Parental Attitudes and Behaviors Scale (PABS), an OCD-specific measure of parental attitudes, beliefs, and behavioral strategies related to childhood OCD. Employing a sample of 123 youth (mean age = 11.7; 59% male, 79% Caucasian) diagnosed with OCD in an outpatient child anxiety clinic, we used exploratory factor analysis to produce a 3-factor solution representing the following domains of parental responses to childhood OCD: accommodation, empowerment, and hostility/blame. These scales demonstrated adequate internal consistency and concurrent validity, providing preliminary evidence for the psychometric integrity of the PABS.     

Quality-of-life after penile prosthesis placed at radical prostatectomy

Abstract

The clinical and psychosocial effects of immediate penile prosthesis implantation at the time of radical prostatectomy (RP) were investigated in 97 consecutive patients and 68 partners. Prosthesis recipients reported more frequent sexual contact, fewer marital problems and slightly fewer sexual functioning problems than the RP-alone patients. There were no group differences on any sociodemographic characteristics, on disease recurrence, on physical and psychosocial functioning, or on reported depression. Patients who chose the prosthesis did, however, evidence less of a link between depression and functional limitations and between depression and marital problems. They also had lower levels of agreement with their partners in reporting their own depression, as compared to the patients who opted for RP surgery alone. We conclude that the penile prosthesis was associated with an increased frequency of sexual contact, a reduction in reported marital problems, and stylistic differences between the two patient groups in dealing with affect.     

Prayerful silence and creative response in twenty-first-century monasticism

Many of today's monks and nuns are active composers: some have entered their communities as highly trained musicians, while others find themselves drawn to musical expression after profession. But how does such a creative musical response relate to the monastic atmosphere of hesychia (prayerful silence), and does this response differ in secular experiences of a prayerful silence? This paper provides an ethnographic account of the relationship between hesychia and creative response among twenty-first-century monastic musicians in the Western tradition, comparing these responses with those from secular Christian composers and from composers in the Quaker tradition for whom silence is, as for monastics, an integral component of worship; the issues are then explored in the context of methodological constructs for discursive meditation and contemplative prayer, and of conceptual notions of silence. This paper argues that essential differences between monastic and secular experiences of silence are significant regulators of creative response to hesychia.     

Unconscious Responses to Threatening Pictures: Interactive Effect of Trait Anxiety and Social Desirability on Skin Conductance Responses

The purpose of the present study was to examine the role of trait anxiety and social desirability on skin conductance responses (SCRs) following exposure to masked and unmasked pictures in a non‐clinical sample. The most prominent results were found with regard to masked pictures (i.e. subliminal). Higher levels of social desirability were associated with a decrease in SCRs to masked threat pictures (relative to neutral), whereas elevated levels of trait anxiety were associated with an increase in SCRs. This latter effect, however, was mainly seen among participants who simultaneously scored low on social desirability. These results were discussed in terms of trait anxiety (combined with lower social desirability scores) being associated with (i) enhanced autonomic responses to threatening information most evident at a pre‐attentive level, that (ii) may potentially be a vulnerability marker for anxiety disturbances.     

The cortisol awakening response in caregivers of schizophrenic offspring shows sensitivity to patient status

Abstract

Taking care of offspring during a prolonged period of time is probably one of the most stressful life experiences for parents. The present study compares the cortisol awakening response (CAR) in 38 long-term caregivers (mothers and fathers of schizophrenic relatives) with a control group of 32 non-caregivers. Factors such as general stress, caregiver burden, patient severity, and institutionalization were studied. Although a blunted CAR was observed in caregivers in comparison with controls, this difference was not significant. Among caregivers, the absence of institutionalization for the patient is associated with a lack of CAR in caregivers in comparison with caregivers of institutionally supported patients. General stress, caregiver burden, and patient severity themselves did not favor significant changes in CAR. CAR shows greater sensitivity to institutional support than patient severity and perceived stress. Further research is needed to explain the impact of these factors on health and the psychological factors involved.     

Individual response differences in spider phobia: Comparing phobic and non-phobic women of different reactivity levels

Abstract

In contrast to previous stress research, studies concerning phobic disorders have never systematically investigated individual response differences between phobic participants integrating numerous different response measures. The aim of this article is to clarify the existence of significant individual response differences in psychophysiological responses (e.g., heart rate, skin conductance responses (SCR), corrugator, cortisol), subjective ratings (e.g., valence, arousal), and avoidance behavior in 46 spider phobic and 44 non-phobic women when exposed to 20 phobic and 20 neutral pictures. Previous studies that did not attend to individual response differences showed that, during phobic stimulation, phobic individuals have increased psychophysiological responses (heart rate, SCR, and corrugator responses), more negative valence rating, and more subjective arousal than non-phobic individuals. These results were confirmed by our data. With regard to individual response uniqueness, 1/3–2/3 of spider-phobic women with low responsiveness in heart rate, cortisol, and avoidance behavior were indistinguishable from non-phobic women during phobic stimulation. With SCR, corrugator EMG, and subjective ratings, no individual response uniqueness was found. Based on the findings, exposure therapy might be improved by tailoring interventions to individuals with a therapeutic focus on those psychophysiological measures that show the highest individual responsivity.     

Volunteers in Disaster Response

Abstract

Terrorism directed against the United States abroad and at home during the 1990s, in conjunction with the ongoing terrorist threat and use of weapons of mass destruction, and mass casualty disasters demanded a reexamination of national security and disaster response. Strategies to confront current threats and meet population needs include increasing collaboration and cooperation among federal, state, and county agencies and voluntary organizations. The American Red Cross has implemented training to familiarize participants with terrorist threats and the characteristics of chemical, biological, radiological, nuclear, and explosive weapons and has introduced technological changes to speed up service delivery at disasters.     

Rape: A Trauma of Paralyzing Dehumanization

This study examines the pathogenic role of rape-induced peritraumatic dehumanization, and subsequent humiliation and “freezing.” A theoretical causal model linking these rape-related peritraumatic responses to symptoms is tested while considering the ways in which rape differs from other types of nonsexual trauma in relation to this particular model. Two hundred and fifty-five participants completed self-report questionnaires. Structural path analyses identified dehumanization and humiliation as highly prevalent and almost invariably predictive of a freeze response in rape; and, in turn, of elevated self-blame and post-traumatic stress disorder in its wake while concurrently showing a poor fit for this model in respect to other traumas. In addition, multivariate analysis of variance results indicated that peritraumatic, as well as post-traumatic distress, was considerably more severe among rape survivors as compared to controls.     

Fostering innovation in functionally diverse teams: The two faces of transformational leadership

Empirical research on the effects of functional diversity on team innovation has yielded largely inconsistent results, showing positive, negative, as well as nonsignificant effects. For capitalizing on the positive potential inherent in functionally diverse teams, opening the black box between cross-functionality and team innovation by analysing mediating and moderating processes thus seems to be highly relevant. In this article, task and relationship conflicts are introduced as mediators of functional diversity and team innovation. Within this framework, transformational leadership is discussed as a moderator. It will become apparent that the role of transformational leadership in fostering the innovativeness of cross-functional teams is rather ambiguous. The discussed mediators and the moderator transformational leadership are integrated into a comprehensive framework and propositions for future research are derived.