Types and correlates of blood/injury-related vasovagal syncope

This study investigated by interview, the initial syncopal episode of 103 blood/injury-related vasovagal fainters in order to examine two competing hypotheses concerning their origins. Graham (Circulation, 23, 901-906, 1961) postulated that the faint resulted when sympathetic nervous system (SNS) activity ceased on termination of a threat, leaving parasympathetic nervous system (PNS) activation unopposed. Engel [Fainting (2nd edn), 1962; Annals of Internal Medicine, 89, 901-906, 1978] proposed that when in the face of threat with SNS activation, escape is blocked, the PNS becomes activated as the conservation-withdrawal response, leading to syncope. We found cases clearly conforming to each of these formulations as well as some with characteristics of both, and some who fainted in response to blood or injury but with no perception of threat. The Graham and Engel types did not differ in terms of fear or avoidance of blood, injury, or medically-related situations nor did they differ in the frequency with which their parents reported blood/injury-related syncopal episodes. It is proposed that both may be activated by a common psychological mechanism involving cessation of a defensive posture. In contrast, the non-threat fainters showed significantly less medically-related avoidance and had a greater percentage (94%) of parents with positive faint histories.     

BELIEF AND DELUSION: THEIR COMMON ORIGIN BUT DIFFERENT COURSE OF DEVELOPMENT

Abstract. Comparing the experiences of mystics and victims of delusion we find very similar states of conditions: an experience of abnormal significance, pseudohallucinations, the sense of mission, the suspension of time, extremes of mood, and the sudden and passive appearance. Only the subsequent course of life of those having the experiences makes it possible to distinguish between belief and delusion. The criteria are simple: we find hope and doubt only in relation to mystical experience whereas in delusion we find a paralyzed belief; human freedom increases in belief but is lost in delusion; and belief allows the interaction between the person and society while the person who is deluded has no effectiveness in society.     

There is more to anger coping than "in" or "out"

There is growing dissatisfaction with a dichotomized "anger-in" versus "anger-out" view of anger coping. Three studies using student and community adultsamples revealed a broader understanding of the nature of anger coping styles and led to the development of the new Behavioral Anger Response Questionnaire (BARQ). The BARQ is empirically derived and factorially validated and has good psychometrics. Results suggest that dichotomizing anger responses as "in" versus "out" is too coarse and that a 6-factor model may be more appropriate. The 6 factors identified here are Direct Anger-Out, Assertion, Support-Seeking, Diffusion, Avoidance, and Rumination. Women reported use of a wider range of anger coping styles, especially more social support-seeking and more use of anger diffusion strategies than men.     

Productive syntax abilities in Huntington's and Parkinson's diseases

This study examined syntactic changes in the spoken discourse of patients with Huntington's (HD) or Parkinson's disease (PD) and explored possible relationships between their syntactic changes and concomitant cognitive and motoric symptoms. Patient and control groups participated in a conversational discourse activity and completed a battery of standardized speech and cognitive tests. The HD group used shorter and fewer grammatically complete utterances than their healthy, age-matched peers, whereas there were no significant syntactic differences between PD patients and their healthy, age-matched peers or between PD and HD patients. Productive syntax abilities in HD and PD were meaningfully related to both neuropsychological and motor speech changes. These findings indicate that patients with subcortical disease, at least those with HD, may present with language production deficits and that these deficits are most likely the product of not only motor speech limitations (i.e., dysarthria) but also underlying cognitive impairments.     

An Examination of the Effectiveness of Dialectical Behavior Therapy Skills Groups

This study implemented a multiple‐phase, contrast, single‐case research design to examine the effectiveness of the 4 core dialectical behavior therapy skills group modules in reducing emotion dysregulation. Three participants completed four 6‐week skills modules over 9 months. Examination of calculated estimates of treatment effect indicated that 2 out of the 3 participants experienced meaningful changes in their degree of emotion dysregulation over the course of treatment. Implications for counseling practice are discussed.     

Does Anxiety Improve Voters' Decision Making?

Affective Intelligence (AI) theory proposes to answer a fundamental question about democracy: how it succeeds even though most citizens pay little attention to politics. AI contends that, when circumstances generate sufficient anxiety, citizens make informed and thoughtful political decisions. In Ladd and Lenz (2008 ), we showed that two simpler depictions of anxiety's role can explain the vote interactions that apparently support AI. Here, we again replicate Marcus, Neuman and MacKuen's (2000 )'s voting model, which they contend supports AI, and again show that it is vulnerable to these alternative explanations, regardless of how candidate choice is measured. We also briefly review the broader literature and discuss Brader's (2005, 2006 ) important experimental results. Although the literature undoubtedly supports other aspects of AI, few studies directly test AI's voting claims, which were the focus of our reassessment. In our view, the only study that does so while ruling out the two alternatives is our analysis of the 1980 ANES Major Panel ( Ladd & Lenz, 2008 ), which finds no support for AI, but ample support for the alternatives. None of the responses to Ladd and Lenz (2008 ) addresses these findings. Overall, evidence that anxiety helps solve the problem of voter competence remains sparse and vulnerable to alternative explanations.     

The Marriage Contract

This article is intended to serve as an introduction to the concept of the marriage contract, which has proved to be a useful clinical tool for clarification and treatment of troubled marriages. Transactional as well as intrapsychic factors are important aspects of marital dynamics. The contract concept employs both these behavioral parameters and facilitates therapeutic intervention at both levels.     

Relational‐Cultural Theory: Fostering the Growth of a Paradigm Through Empirical Research

This study identified empirical literature supporting relational‐cultural theory (RCT) for explaining experiences of individuals, assessing theoretical constructs, and providing an effective treatment option. A systematic review of available literature revealed that (a) RCT was a useful framework for understanding client experiences, (b) there is considerable support for the psychometric validation of RCT constructs, and (c) support for RCT interventions is currently limited. Limitations of studies reviewed, recommendations for future research, and implications for counselors are provided.