Intentional infection with the AIDS virus as a means of suicide

This brief paper describes a case study in which a woman attempted to commit suicide by deliberately trying to become infected with HIV. A psychodynamic perspective is developed. A ‘death wish’ of this kind should be taken into consideration in evaluating health education and in the management of some suicidal people.     

Modeling variability of force during isometric contractions of the quadriceps femoris

The authors modeled variability of force during continuous isometric contractions of the quadriceps femoris. Twenty adults (aged 25 +/- 6 years old) performed isometric leg extensions. Target forces were 11 percentages of maximum voluntary contraction (%MVC), ranging from 2 to 95%, and 5 absolute levels, from 25 to 225 N. The authors used standard deviation of absolute force, coefficient of variation, and signal-to-noise ratio as measures of variability. The results suggested a nonlinear relationship between variability and level of force, which could best be expressed as %MVC and not as absolute force. Variability for continuous isometric contractions was described best by a sigmoidal logistic function. The sigmoidal pattern of variability as a function of %MVC is consistent with physiological mechanisms.     

Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design

Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient?Cprovider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, with staff burnout examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (r = ?.636, p < .01) and physician depersonalization (r = ?.541, p < .01). Mixed-effects multilevel models indicated that 34.4% of total variation in patients?? satisfaction occurred at the physician level, after adjustment for patients?? characteristics. Moreover, physician emotional exhaustion and depersonalization remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high-depersonalization had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low-depersonalization, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction.     

Self-talk and Competitive Sport Performance

The purpose of the present study was to test the effectiveness of a 10-week self-talk intervention on competitive performance in young swimmers. Participants were 41 swimmers (M age 14.59, SD = 1.58 years), whose performance was recorded on 2 competitive occasions with a 10-week interval. In-between the 2 competitions, participants in the intervention group followed a self-talk training program. The results showed that the intervention group had greater performance improvements than the control group, thus, supporting the effectiveness of the program in enhancing sport performance in a competitive environment. The findings provide directions for the development of effective self-talk interventions.     

Force Control Is Greater in the Upper Compared With the Lower Extremity

The authors investigated whether force control is similar between the upper and lower limbs and between contractions that involve 1 or 2 joints. Six volunteers (27.5 ± 11.2 years of age) attempted to produce consistent discrete rapid force responses of 30, 60, and 90 N by using 6 different body postures, 3 with the upper and 3 with the lower limb. One of the postures for each limb involved 2 joints. The standard deviation of peak force and impulse (aggregate of the force-time curve) was significantly greater (?25%) for the lower limb than for the upper limb (p < .01). Contractions that involved 1 or 2 joints within a limb had similar variability. Therefore, the upper limb might have better control of force than the lower limb because of its extensive use in fine motor tasks in daily activities.     

Positive and negative affect and well-being in cardiac patients and their spouses: the mediating role of illness representations

Objective: The aim of this study was to examine whether illness representations of control and consequences mediate the relation of cardiac patients’ affect to well-being. A further aim was to examine this indirect relationship at a dyadic level (i.e. patient and spouse). Design and main outcome measures: One hundred and four patients with a cardiovascular disease and their spouses participated in the study. Positive and negative affect was assessed at baseline; illness representations were assessed 2 months later, and physical and psychological well-being 4 months later. Results: Illness representations generally mediated the impact of patients’ and spouses’ affect on well-being, while several actor and partner effects were found. However, it was only positive affect that was indirectly related to well-being, while the representations of personal and treatment control chiefly acted as mediators. The effects were stronger for patients than spouses, as well as for physical well-being. Conclusion: The results underline the strong connection between illness-related self-regulation and the overall person/environment interaction as depicted by affect. They also indicate the need to integrate theories on adaptation to illness, with models describing adaptation of couples to stressful conditions, and specific theories about the role of emotion in adaptation to illness.     

The relation of illness representations to the 'end-stage' appraisal of outcomes through health status, and the moderating role of optimism

The aim of this study was to examine an important pathway suggested by the common sense model (CSM): the relation of illness representations to the 'end-stage' appraisal of outcomes through health status. A further aim was to examine the moderating role of optimism in this relationship. One hundred and six chronic cardiac patients completed questionnaires about illness representations and dispositional optimism at baseline, and health status and illness-related helplessness (as an indicator of the 'end-stage' appraisal of outcomes) at a follow-up interview, 6 months later. Indirect (mediation) as well as conditional indirect (moderated mediation) effects were examined using bootstrapped models. According to the results, the effect of illness representations on helplessness was mediated by at least one of the health measures used. Also, most of these indirect relations were conditional on the values of optimism. That is, optimism moderated the 'illness representations-health status-"end-stage" appraisal of outcomes' relationship, as the mediating effects were absent at higher levels of optimism. These findings can provide us with a more comprehensive picture of adaptation to illness, as well as of the ways the illness-related information is being processed by patients. Thus, they have significant implications for theory, research and practice.     

Environmental Ethics and Linkola＇s Ecofascism： An Ethics Beyond Humanism

Ecofascism as a tradition in Environmental Ethics seems to burgeoning with potential. The roots of Ecofascism can be traced back to the German Romantic School, to the Wagnerian narration of the Nibelungen saga, to the works of Fichte and Herder and, finally, to the so-called volkisch movement. Those who take pride in describing themselves as ecofascists grosso modo tend to prioritize the moral value of the ecosphere, while, at the same time, they almost entirely devalue species and individuals. Additionally, these ecofascists are eager to reject democracy, the idea of progress in its entirety, as well as industrialization and urbanization. They also seem to be hostile towards individual autonomy and free will. In this short essay I will present and discuss Kaarlo Pentti Linkola＇s approach to environmental ethics, one that could be well described as the epitome of Ecofascism. I will argue that his arguments are neither sound nor documented, and I will conclude that Linkola＇s overall approach is, in my view, contrary to the purpose as well as to the very essence of morality.