ATTRIBUTIONAL DIFFERENCES IN THE LIFE SATISFACTIONS OF THE ELDERLY: A CROSS-CULTURAL COMPARISON OF ASIAN AND UNITED STATES SUBJECTS*

A cross-cultural examination of the attributions for the life satisfactions of the elderly was conducted by using a sample of 80 Asian-Indian and 80 United States retired citizens. It was hypothesized that factors of hard work, luck, family ties, religious faith, travel and recreation, personal abilities, money, social status, service to others and friendships would account for differences in the attributions for life-satisfactions of the two cultural groups. Results showed that more Asian than United States subjects reported satisfaction with life. Consistent with predictions, the attributions of the Asian group showed religious faith, service to others, family ties and luck as being very important factors contributing to life satisfaction. By contrast, more United States subjects reported that hard work, personal abilities, travel and recreation, and social status had significantly influenced their life satisfactions. Findings were interpreted in terms of cultural and socio-psychological variables which influence the attributions for life satisfactions.     

A Multimodal Study of Childhood Trauma and Distress Tolerance in Young Adulthood

Individuals with a history of childhood trauma experience deficits in emotion regulation. However, few studies have investigated childhood trauma and both perceived (i.e., self-report) and behavioral measures of distress tolerance. The current study evaluated associations between childhood trauma (i.e., physical abuse, sexual abuse, and witnessing family violence) and measures of perceived (Distress Tolerance Scale) and behavioral distress tolerance (i.e., Paced Auditory Serial Addition Test, breath-holding). Participants were 320 undergraduate students with a history of interpersonal trauma (e.g., sexual/physical assault). Structural equation modeling was used to evaluate associations between frequency of childhood trauma type and distress tolerance. Greater childhood physical abuse was associated with higher perceived distress tolerance. Greater levels of witnessing family violence were associated with lower behavioral distress tolerance on the breath-holding task. No significant effects were found for Paced Auditory Serial Addition Test performance. Associations between childhood trauma and emotion regulation likely are complex and warrant further study.     

Development of the Diabetes Self-Care Efficacy Scale

The present study elaborates the conceptualization and process of development of a scale for assessing diabetes self-care efficacy (DSCE) in patients of diabetes, type 1 and type 2. Health maintenance in chronic illness as diabetes is dependent on performing several key self-care behaviours. The present study discusses two parts—Part I elaborates the qualitative exploration of the research construct through semi-structured interview of diabetic patients. It included 25 diabetic patients, Type-I (n?=?5) and Type-II (n?=?20). Part II discusses the quantitative research methods. The sample consisted of 233 diabetic patients, Type-1 (n?=?39) and Type-2 (n?=?194), who were randomly selected from diabetes and endocrine outpatient department (OPD) of a hospital in, Kolkata, India. Following an exploratory approach employing Principal Component Analysis (PCA), three components were yielded that accounted for approximately 60% of explained variance. Cronbach’s alpha was established at 0.89 indicating satisfactory internal reliability. The components were identified as component 1, “Beliefs about physical exercise regimen” (BPE), component 2, “Beliefs about food and insulin administration and medication recommendations” (FMR) and component 3, “Beliefs about learning and following from others” (LFO). To test the obtained factor structure of the proposed DSCE scale, a confirmatory analysis was performed to help validate the 3-factor, 15-item DSCE scale. The scale is first one of its kind to be proposed and developed in an Indian diabetes context and can prove useful in other settings. Study findings have implications for use in hospital setup and for development of intervention programs in dealing with diabetes patient population.     

Technical Knowledge,Prosocial Knowledge,and Clinical Performance of Indian Medical Students

We cross‐culturally replicated and extended findings reported by Kell, Motowidlo, Martin, Stotts, and Moreno that technical knowledge and prosocial knowledge have independent effects on performance. In a sample of 196 Indian medical students, we found that prosocial knowledge explains variance in students' clinical performance beyond the variance explained by technical knowledge and technical knowledge explains variance in clinical performance beyond the variance explained by prosocial knowledge. Contrary to findings that American medical students' prosocial inclinations, as reflected in measures of empathy, seem to decline over the course of their medical training (e.g., Hojat, Vergare, Maxwell, Brainard, Herrine, and Isenberg), we found that Indian medical students' prosocial knowledge steadily increased from their third to fifth years of medical study.     

How is the therapeutic relationship talked into being?

A review of the place of the therapeutic relationship within systemic approaches to therapy is provided. This serves to contextualize the findings of a research study that subjects therapy sessions to a discursive analysis. The purpose of the analysis is to learn more about the therapeutic relationship through an examination of what actually takes place in sessions. Moments in therapy where therapeutic engagement is stronger and moments when it is weaker are identified and analysed. The discursive contours of a robust therapeutic relationship are highlighted. A theoretical account of the constituents of a stronger therapeutic relationship is constructed from this analysis.

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Neural modeling and imaging of the cortical interactions underlying syllable production

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We should screen for major depression

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