An embodied perspective on judgements of written reflective practice for professional development in Higher Education

This paper gives an embodied perspective on the use of judgements of reflective practice and reflective writing for professional development in Higher Education. Programmes for professional development in Higher Education and recognition processes for academics have become prevalent in the UK and internationally. These programmes and processes often assume, implicitly or explicitly, development or evidencing as a ‘reflective practitioner’ through pieces of reflective writing which is then judged against competencies or attainments. However, this focus on reflective practice and reflective writing is not always critical, and does not examine the different theoretical and practical interpretations of what it means to reflect, or the impact of assessing such reflections. Taking an embodied stance allows a new view into a contested area that is more habitually connected with cognitive rather than corporeal processes.     

Statistically modelling the relationships between Type D personality and social support,health behaviors and symptom severity in chronic illness groups

Objective: The study aimed to develop a predictive model of how Type D personality influences health behaviours, social support and symptom severity and assess its generalisability to a range of chronic illnesses.

Design: Participants were classified as either healthy (n = 182) or having a chronic illness (n = 207). Participants completed an online survey measuring Type D and a range of health-related variables. Chronic illness participants were classified as having either a functional somatic syndrome (i.e. chronic fatigue syndrome or fibromyalgia), where the underlying pathological processes were unclear, or illnesses such as type 2 diabetes, osteoarthritis or rheumatoid arthritis, where the causes are well understood.

Main Outcome Measures: Outcome measures were health behaviours, social support and both physical and psychological symptoms.

Results: The rate of Type D was higher in chronic illness participants (53%) than in healthy controls (39%). Negative affectivity (NA) and social inhibition (SI) both correlated with outcome measures, although NA was generally the stronger predictor. Using NA and SI as independent subscales led to superior prediction of health outcomes than using categorical or continuous representations.

Conclusion: Findings suggest that the relationship between Type D and health outcomes may generalise across different chronic illnesses.     

Cognitive Neuroscience, Temporal Ordering, and the Human Spirit

Understanding purpose and intent requires attention to our experience of time. Cognitive neuroscientific research into the functional and neural substrates of higher cognitive functions have direct bearing on the experience of temporal ordering. Consciousness, located within the short span of working memory, is made cognitively possible and evolutionarily valuable by biological constraints in time. These constraints, including our longevity, make thought about more extended events both possible and useful. Such cognitive processes, rooted in the neurophysiology of cortical function, are a sine qua non for the construction of meaning, relationship, morality, and purposes that may extend beyond our mortality. Research in the cognitive neurosciences is overviewed, and implications are discussed for questions of mortality, design and intention, the reconstruction of meaning, and the experience of eternity.     

Meeting the advocacy needs of people who have been abused by health and social care practitioners

The Prevention of Professional Abuse Network (POPAN) is the first national organization within the UK to address the problem of the abuse of clients and patients by health and social care providers. POPAN has a small staff group of eight people and a larger network of advisers, supporters and allies; its activities include campaigning, training, consultancy, and the provision of information, advice and advocacy. Jennie Williams is a clinical psychologist and trustee of POPAN, she has supported the development of the organization since the early 1990s; Jo Nash was the main person involved in the development and provision of the advocacy service between September 1997 to January 2000. This is the edited version of a taped and transcribed interview that took place in 1999. Jo Nash is uniquely placed to provide information of significance to anyone using or providing health and social care services. Her work as an advocate has given her a very particular insight into the challenges faced by those seeking redress for professional abuse, and she has first hand experience of providing advocacy to people who are vulnerable and reluctant to trust anyone offering help. In this interview Jo Nash directs attention to the considerable limitations in current complaints systems, practices and procedures, and offers comment on the implications for change. Her work with POPAN provides continual reminders of the importance of prevention, and she identifies a number of ways in which action can be taken to prevent health and social care practitioners abusing their patients and clients. Copyright © 2001 John Wiley & Sons, Ltd.     

Cyberbullying victimization and somatic complaints: A prospective examination of cognitive emotion regulation strategies as mediators

Background/Objective: The main purpose of this study was to examine the relationships among cybervictimization, maladaptive cognitive emotion regulation strategies and somatic complaints in a 4-month follow-up study. Method: A total of 1,024 high school students (456 male and 568 female, M (SD) = 13.69 years (1.3 years), range 12–18 years, voluntarily participated in this study. Measures of cybervictimization and cognitive strategies were obtained at Time 1. Four months later (Time 2), measures of somatic complaints were obtained. Results: Multiple mediation analyses were conducted to determine the mediating roles of maladaptive strategies in the link between cybervictimization and somatic complaints. As expected, path-analytic results showed that cybervictimization predicted somatic symptoms. Furthermore, some maladaptive regulation strategies, namely self-blame and rumination, partially mediated the link between cybervictimization and somatic symptoms evaluated 4-months later. Conclusions: The findings are discussed in terms of the role that maladaptive cognitive emotion regulation strategies might play with regards to physical health in cyberbullying episodes. In general, these findings have important implications for developing an understanding about the affective determinants of somatic health problem initiation and maintenance after a victimization and for developing intervention programs specifically for cybervictimized adolescents.     

Towards an understanding of the psychodynamic processes of the body

Abstract

Counselling clients frequently mention bodily symptoms, yet, within the therapy world, the body largely remains off-limits. This, in some part, is undoubtedly due to the prevailing issues around the touch taboo. However, the symptoms emanating from the body may well have profound psychodynamic meaning. This paper sets out to describe a psychodynamic perspective for how these symptoms may arise. Notions such as libido and preverbal theories, along with primal defence mechanisms, are used to show how the body becomes involved in unconscious processes. A case study is presented as illustrative of some of the psychodynamic concepts that may be implicated. It is argued that bodywork may help in providing a preverbal supportive environment from which a therapeutic alliance may develop, thus allowing for a verbalization of unconscious conflict.     

Fear of fear,trait anxiety and aerobic fitness in relation to state anxiety during adrenalin provocation

Abstract

Psychological explanations of both spontaneous and experimentally induced panic anxiety stress the role of fear of fear, especially fear of bodily symptoms of arousal. Fear of fear is conceptually different from trait anxiety but may be associated with repeated experience of arousal symptoms in fearful situations, while frequent physical exercise may lead to habituation to these symptoms. To test this hypothesis, 44 healthy male volunteers, classified as having high or low trait anxiety and high or low aerobic fitness, underwent a single-dose adrenalin infusion (80 nanogram/kilogram bodyweight/minute). In both groups, during the experiment a significant rise in state anxiety was found; compared to the group with low trait anxiety, subjects with high trait anxiety reported higher levels of state anxiety, which could be attributed to differences in aerobic fitness. In the high-anxious group, subjects showed a greater decrease in state anxiety during the recovery phase. State anxiety during adrenalin was strongly associated with fear of bodily symptoms only in the high-anxious group. Correlations between trait anxiety and somatic anxiety were not significant; state anxiety scores tended to correlate negatively with physical fitness. It is concluded that these results lend support to a fear of fear-model of panic anxiety.     

Associations between heart rate,perceived heart rate,and anxiety during acute psychological stress

ABSTRACT

Background: Acute psychological stress elicits increases in heart rate (HR) and anxiety. Theories propose associations between HR, perceived HR, and anxiety during stress. However, anxiety is often measured as a unidimensional construct which limits a comprehensive understanding of these relationships.

Objectives: This research explored whether HR reactivity or perceived HR change was more closely associated with cognitive and somatic anxiety during acute psychological stress.

Design: Two laboratory-based studies were conducted.

Methods: In a single laboratory session, healthy male (N?=?71; study 1) and female (N?=?70; study 2) university students completed three laboratory psychological stress tasks (counterbalanced), each with a preceding baseline. Heart rate, perceived HR change, and cognitive and somatic anxiety intensity and interpretation of anxiety symptoms were assessed immediately following each task. Data were aggregated across tasks.

Results: Actual HR change was unrelated to anxiety intensity, but was associated with more debilitative interpretations of anxiety (study 2). Perceptions of HR change were consistently associated with greater intensity of cognitive (study 1) and somatic (study 1 and 2) anxiety.

Conclusions: Perceived HR rather than actual HR is more closely associated with anxiety intensity during psychological stress. The findings have implications for stress management and the clinical treatment of anxiety symptoms.     

The clustering of health-related occupational stressors among contemporary wage-earners

In this study, it is investigated whether a typology can be imposed upon a sample of wage-earners, based on their exposure to a broad number of occupational stressors: quantitative, emotional, and physical demands, repetitive movements, atypical schedules, low job control, relationships with superiors, job insecurity, and bullying behaviour. Also associations between this typology and measures of emotional problems (EP) and musculoskeletal complaints (MC) are tested. Logistic regression and a latent class cluster analysis are performed on a representative sample of 10,074 Flemish (Belgian) employees. Five clusters are revealed: “low stress”, “high stress”, “manual-passive”, “human contact”, and “high demand”. These clusters are showing a clear socioeconomic distribution and distinct associations with EP and MC—with the “high stress cluster” being the most problematic. Health-damaging occupational stress clusters are prevalent at both higher and lower socioeconomic positions. This is suggesting a complex relationship between occupational stressors and socioeconomic health variations.