The role of illness uncertainty on coping with fibromyalgia symptoms.

This study examined the role of illness uncertainty in pain coping among women with fibromyalgia (FM), a chronic pain condition of unknown origin. Fifty-one FM participants completed initial demographic and illness uncertainty questionnaires and underwent 10-12 weekly interviews regarding pain, coping difficulty, and coping efficacy. Main outcome measures included weekly levels of difficulty coping with FM symptoms and coping efficacy. Multilevel analyses indicated that pain elevations for those high in illness uncertainty predicted increases in coping difficulty. Furthermore, when participants had more difficulty coping, they reported lower levels of coping efficacy. Results were consistent with hypothesized effects. Illness uncertainty accompanied by episodic pain negatively influenced coping efficacy, an important resource in adaptation to FM.     

A measurement model of women's behavioral risk taking.

The current study was designed to gain a better understanding of the nature of the relationship between substance use and sexual risk taking within a community sample of women (N = 1,004). Using confirmatory factor analysis, the authors examined the factor structure of sexual risk behaviors and substance use to determine whether they are best conceptualized as domains underlying a single, higher order, risk-taking propensity. A 2 higher order factor model (sexual risk behavior and substance use) provided the best fit to the data, suggesting that these 2 general risk domains are correlated but independent factors. Sensation seeking had large general direct effects on the 2 risk domains and large indirect effects on the 4 first-order factors and the individual indicators. Negative affect had smaller, yet still significant, effects. Impulsivity and anxiety were unrelated to sexual health risk domains.     

Cardiovascular reactivity to psychological stress in aerobically trained versus untrained mild hypertensives and normotensives

Cardiovascular reactivity to video game and mental arithmetic stressors was compared among three groups of men: aerobically trained mild hypertensives, untrained mild hypertensives, and a comparison group of untrained normotensives. Relative to the untrained hypertensives, the trained hypertensives reacted to the video game with marginally smaller systolic blood pressure and diastolic blood pressure, but there were no significant differences between these groups in reactivity during the mental arithmetic task. Comparisons between each hypertensive group and the normotensive group showed that blood pressure (BP) reactivity of normotensives during the video game was generally similar to that of trained hypertensives but smaller than that of untrained hypertensives. These results indicate that aerobic training, which has been found to reduce resting BP in mild hypertensives, may also exert a favorable impact in reducing cardiovascular reactivity of hypertensives during some stressful situations.     

Introspection and perception

Sydney Shoemaker argues that introspection, unlike perception, provides no identification information about the self, and that knowledge of one's mental states should be conceived as arising in a direct and unmediated fashion from one's being in those states. I argue that while one does not identify aself as the subject of one's states, one does frequently identify and misidentify thestates, in ways analogous to the identification of objects in perception, and that in discourse about one's mental states the self plays the role of external reality in discourse about physical objects. Discourse about any sort of entity or property can be viewed as involving a domain or frame of reference which constrains what can be said about the entities; this view is related to Johnson-Laird's theory of mental models. On my approach evidence, including sensory evidence, may be involved in decisions about one's mental states. I conclude that while Shoemaker may well be right about different roles for sense impressions in introspection and perception, the exact differences and their significance remain to be established.     

Men and women in the clergy: Stresses,strains, and resources

This essay reports a program of research as the occupational and personal stress experienced by contemporary American clergy. Three studies are reported. In the first survey a group of largely Roman Catholic religious reported less stress than the general population. In a replication of this investigation on over 510 Protestant clergy this impression of less experienced stress and greater personal resources was confirmed. In the most recent study of clergy in Southern California, a mixed picture was observed. Although the impression of less overall stress was confirmed, great differences in layclery role expectations were observed.He is the coauthorof Clergy Malpractice: How to Care Carefully (Westminster Press, 1986) and is engaged in a variety of ministerial studies.Paper presented at the meeting of the International Council of Psychologists, Mexico City, September, 1984.