Barriers and Bridges to Intimacy and Mutuality: A Critical Review of Sexual Advice Found in Self-Help Bestsellers

Sexuality in a committed relationship is based ideally on both intimacy and mutuality. Gender socialization may limit women's and men's capacities in these two important areas of sexual relationships. This article describes the results of a content analysis of nine best-selling popular press books on the New York Times Bestseller List between 1988 and 1998 according to their advice related to sexual intimacy and mutuality. Books were analyzed to determine the degree to which they built barriers or bridges to the development of intimacy and mutuality. Results indicate that while most authors offered advice that built bridges to intimacy, several built barriers to the development of mutuality. Implications for therapists are discussed.     

Individual and contextual predictors of involvement in twelve-step self-help groups after substance abuse treatment

Drawing on ecological and narrative theories of self-help groups, this study tests a multilevel model predicting self-help group involvement among male veterans who received inpatient substance abuse treatment. Following K. Maton (1993), the study moves beyond the individual-level of analysis to encompass variables in the treatment and post-treatment social ecology. Surveys administered to patients (N = 3,018) and treatment staff (N = 329) assessed these predictor domains and self-help group involvement 1 year after discharge. A hierarchical linear model fit to the data indicates that greater involvement in 12-step groups after discharge is predicted by the compatibility between personal and treatment belief systems. The implications of these findings for efforts to facilitate transitions between inpatient professional treatment and community-based self-help groups are discussed.     

Randomized Effectiveness Trial of an Internet,Pure Self-Help,Cognitive Behavioral Intervention for Depressive Symptoms in Young Adults

This study evaluated an Internet-delivered, cognitive behavioral skills training program versus a treatment-as-usual (TAU) control condition targeting depression symptoms in young adults aged 18 to 24 years. Potential participants were mailed a recruitment brochure; if interested, they accessed the study website to complete an online consent and baseline assessment. Intervention participants could access the website at their own pace and at any time. Reminder postcards were mailed periodically to encourage return use of the intervention. The pure self-help intervention was delivered without contact with a live therapist. The primary depression outcome measure was the Patient Health Questionnaire, administered at 0, 5, 10, 16, and 32 weeks after enrollment. A small but significant between-group effect was found from Week 0 to Week 32 for the entire sample (N = 160, d = .20, 95% confidence interval [CI] 0.00–0.50), with a moderate effect among women (n = 128, d .42, 95%C1 = 0.09–0.77). Greater depression reduction was associated with two measures of lower website usage, total minutes, and total number of page hits. Although intervention effects were modest, they were observed against a background of substantial TAU depression pharmacotherapy and psychosocial services. Highly disseminable, low-cost, and self-help interventions such as this have the potential to deliver a significant public health benefit.     

Competitive Memory Training (COMET) for OCD: A Self-treatment Approach to Obsessions

Competitive Memory Training (COMET) is a cognitive intervention that aims to change the maladaptive cognitive-emotional networks underlying obsessive-compulsive disorder (OCD). COMET has not been previously tried as a self-help intervention. The present study tested the preliminary feasibility, acceptability, and effectiveness of COMET for OCD implemented as a self-help intervention. Sixty-five participants with OCD recruited through online OCD self-help fora completed an online baseline assessment including measures of OCD symptoms, self-esteem, and depression. Participants were randomly assigned to either COMET or a wait-list control group. All participants were approached 4 weeks later to complete an online post-assessment. There was no evidence for a greater decline of OCD symptoms or depression under COMET. When analyses were limited to only those participants who reported reading the entire manual at least once, self-esteem was higher at post-assessment in the COMET group. Although 78.1% of patients in the COMET group rated it as appropriate for self-administration, only 56.5% performed COMET exercises regularly and 26.4% read the entire manual at least once. The feasibility and effectiveness of COMET as a self-help internet intervention for OCD was not supported in this study. Further work is needed to better understand if modifications to our implementation of COMET may yield improved outcomes.     

Robert Persons’s Resolution(1582) and the issue of textual piracy in Protestant editions of Catholic devotional literature

Abstract

Despite current attention to continuing crypto-Catholics in England during the sixteenth and seventeenth centuries, less attention has been paid to the extent to which Catholic culture may have affected the Protestant mainstream. This study demonstrates the general neglect of this subject, and examines the role played, then and now, by the attack of Robert Persons SJ on Edmund Bunny, a Church of England minister, for publishing a Protestant adaptation of Persons’s work. This study argues that Bunny had a more serious intent than the ‘piracy’ he is widely credited with, and that his editorial practices resembled those employed by Roman Catholics, including Persons himself. While more serious cases of textual piracy have been largely overlooked, conventional condemnation of Bunny’s edition has done little more than contribute to a general misunderstanding of (and a paucity of interest in) the reception of Catholic literature in whatever format by Protestants.     

How is Philosophy Possible? Blanchot on Secrecy,Ambiguity and the Care for Death

Abstract

I examine the contribution that the first part of Maurice Blancot’s recit Death Sentence makes to his understanding of the relationship between philosophy and literature. I use a reading of the Kantian, transcendental account of literature in “How is Literature Possible” as the starting point for an analysis of the way in which Blanchot uses secrets in describing J.’s death in Death Sentence, linking secrecy up with the imaginary, ambiguity and dissimulation. The purpose for this refinement is to challenge the philosophical tradition’s self‐understanding, particularly as exhibited in Hegel. This challenge is seen by reading the account of grief in the first part of Death Sentence as a parody of Hegel’s interpretation of Antigone.     

Causal attributions for heart disease: A systematic review

Abstract

The aims of this systematic literature review are to describe the pattern of attributions made for the causes of heart disease, and to determine how this pattern varies with the method by which attributions are elicited, and the respondent group.

A search yielded 47 papers and reports, containing 54 datasets. Lifestyle factors and chronic stress were the most common causes cited across all datasets. Attributions to stressors and fate or luck were more likely to be reported in studies that used interval rating scales than in studies that used dichotomous ratings. Cardiac patients were more likely to mention stressors and fate or luck as causes of heart disease; non-patients rated being overweight and hypertensive as more important

The differences observed between the responses of patients and non-patients may be due to actor - observer differences, or to a methodological difference: patients are often asked to report their own experiences whereas non-patients are asked about the general case.     

Event segmentation and seven types of narrative discontinuity in popular movies

Using a sample of 24 movies I investigate narrative shifts in location, characters, and time frame that do and do not align with viewer segmentations of events (scenes and subscenes) in popular movies. Taken independently these dimensions create eight categories, seven of change and one of nonchange. Data show that the more dimensions that are changed the more viewers agree on their segmentations, although the nonadditive variations across the seven change types are large and systematic. Dissolves aid segmentation but over the last 70 years they have been used less and less by filmmakers, except for two infrequent shift types. Locations and characters are strongly yoked, jointly accounting for most narrative shifts. There are also interactions of shift types over the 70-year span and across genres, as well as differences that affect the scale of the establishing shot in a new scene. In addition, several aspects of the narratives of individual movies affect the distributions of shift types. Together these results suggest that there are at least four different signatures of narrative shifts to be found in popular movies — general patterns across time, patterns of historical change, genre-specific patterns, and film-specific patterns.