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Biomedical subjects

Mario Mikulincer

Publications and source records attributed to Mario Mikulincer.

At least 19 recordsLinked to original sources

When sex is more than just sex: attachment orientations, sexual experience, and relationship quality.

The authors explored the contribution of individual differences in attachment orientations to the experience of sexual intercourse and its association with relationship quality. In Study 1, 500 participants completed self-report scales of attachment orientations and sexual experience. The findings indicated that whereas attachment anxiety was associated with an ambivalent construal of sexual experience, attachment avoidance was associated with more aversive sexual feelings and cognitions. In Study 2, 41 couples reported on their attachment orientations and provided daily diary measures of sexual experiences and relationship interactions for a period of 42 days. Results showed that attachment anxiety amplified the effects of positive and negative sexual experiences on relationship interactions. In contrast, attachment avoidance inhibited the positive relational effect of having sex and the detrimental relational effects of negative sexual interactions. The authors discuss the possibility that attachment orientations are associated with different sex-related strategies and goals within romantic relationships.

Adolescent↗

Reactions to combat stress in Israeli veterans twenty years after the 1982 Lebanon war.

During the war or shortly thereafter, the most common manifestation of combat induced psychopathology is combat stress reaction (CSR). The long-term consequences of CSR have so far received little scientific attention. The aim of this study was to examine whether CSR is a marker for long-term PTSD and other psychiatric comorbidities. Two groups of veterans from the 1982 Lebanon war were assessed 20 years after the war: one comprised 286 CSR casualties and the other comprised 218 matched non-CSR soldiers. Participants were assessed for PTSD, psychiatric symptomatology, social functioning, physical health, and postwar life events. Twenty years after the war, veterans with antecedent CSR reported more PTSD, psychiatric symptomatology and distress, social dysfunction, and health problems than did non-CSR veterans. We conclude that CSR should be seen as a marker for long-term psychiatric distress and impairment. In addition, the implications of combat-related trauma are broad and varied, and go beyond the narrow scope of PTSD.

Aging, Premature↗

Trajectories of PTSD: a 20-year longitudinal study.

OBJECTIVE: This study assessed the psychopathological effects of combat in veterans with and without combat stress reaction. METHOD: Veterans (N=214) from the 1982 Lebanon War were assessed in a prospective longitudinal design: 131 suffered from combat stress reaction during the war, and 83 did not. They were evaluated 1, 2, 3, and 20 years after the war. RESULTS: Combat stress reaction is an important vulnerability marker. Veterans with combat stress reaction were 6.6 times more likely to endorse posttraumatic stress disorder (PTSD) at all four measurements, their PTSD was more severe, and they were at increased risk for exacerbation/reactivation. A qualitative analysis of the profile of PTSD symptoms revealed some time-related changes in the symptom configuration of veterans who did not suffer from combat stress reaction. In both groups, the course fluctuated; PTSD rates dropped 3 years postwar and rose again 17 years later; 23% of veterans without combat stress reaction reported delayed PTSD. CONCLUSIONS: These findings suggest that the detrimental effects of combat are deep and enduring and follow a complex course, especially in combat stress reaction casualties. The implications of aging and ongoing terror in impeding recovery from the psychological wounds of war are discussed.

Adolescent↗

Automatic activation of attachment-related goals.

When people encounter threats, their attachment systems are activated and they become motivated to seek protection and support through proximity to their attachment figures. Theoretically, therefore, mental representations of attachment figures should be associated with goals related to attaining proximity and safety. The present studies explore this idea by examining the effects of a person's chronic attachment style and exposure to a particular attachment figure's name on the automatic activation of attachment-related goals. Studies 1 and 2 examine effects of exposure to the name of a security-providing attachment figure on willingness to self-disclose and seek support (two behaviors related to gaining proximity). Study 3 examines how exposure to names of different relationship partners (with whom a participant has felt secure, anxious, or avoidant) affects the mental accessibility of attachment-related goal words. Taken together, the studies support the idea that mental representations of attachment figures are associated with attachment-related goals.

Adolescent↗

Attachment-style differences in the ability to suppress negative thoughts: exploring the neural correlates.

Beginning in infancy, people can be characterized in terms of two dimensions of attachment insecurity: attachment anxiety (i.e., fear of rejection and abandonment) and attachment avoidance (distancing oneself from close others, shunning dependency; Bowlby, J., 1969/1982. Attachment and loss: Vol. 1. Attachment, 2nd ed., Basic Books, New York). The capacity for emotion regulation varies with attachment style, such that attachment-anxious individuals become highly emotional when threatened with social rejection or relationship loss, whereas avoidant individuals tend to distance themselves or disengage from emotional situations. In the present study, 20 women participated in an fMRI experiment in which they thought about--and were asked to stop thinking about--various relationship scenarios. When they thought about negative ones (conflict, breakup, death of partner), their level of attachment anxiety was positively correlated with activation in emotion-related areas of the brain (e.g., the anterior temporal pole, implicated in sadness) and inversely correlated with activation in a region associated with emotion regulation (orbitofrontal cortex). This suggests that anxious people react more strongly than non-anxious people to thoughts of loss while under-recruiting brain regions normally used to down-regulate negative emotions. Participants high on avoidance failed to show as much deactivation as less avoidant participants in two brain regions (subcallosal cingulate cortex; lateral prefrontal cortex). This suggests that the avoidant peoples' suppression was less complete or less efficient, in line with results from previous behavioral experiments. These are among the first findings to identify some of the neural processes underlying adult attachment orientations and emotion regulation.

Adult↗

Attachment, caregiving, and altruism: boosting attachment security increases compassion and helping.

Recent studies based on J. Bowlby's (1969/1982) attachment theory reveal that both dispositional and experimentally enhanced attachment security facilitate cognitive openness and empathy, strengthen self-transcendent values, and foster tolerance of out-group members. Moreover, dispositional attachment security is associated with volunteering to help others in everyday life and to unselfish motives for volunteering. The present article reports 5 experiments, replicated in 2 countries (Israel and the United States), testing the hypothesis that increases in security (accomplished through both implicit and explicit priming techniques) foster compassion and altruistic behavior. The hypothesized effects were consistently obtained, and various alternative explanations were explored and ruled out. Dispositional attachment-related anxiety and avoidance adversely influenced compassion, personal distress, and altruistic behavior in theoretically predictable ways. As expected, attachment security provides a foundation for care-oriented feelings and caregiving behaviors, whereas various forms of insecurity suppress or interfere with compassionate caregiving.

Adolescent↗

Frontline treatment of combat stress reaction: a 20-year longitudinal evaluation study.

OBJECTIVE: The purpose of the study was to evaluate the long-term (20-year) effectiveness of frontline treatment provided to combat stress reaction casualties. METHOD: A longitudinal quasi-experimental design was employed. Participants were combat stress reaction casualties of the 1982 Lebanon War who received frontline treatment (N=79), comparable combat stress reaction casualties who did not receive frontline treatment (N=156), and matched soldiers who did not experience combat stress reaction (N=194). Subjects were asked which of the frontline treatment principles (proximity, immediacy, expectancy) were applied in their treatment, whether or not they returned to their unit after frontline treatment, and if so, whether they returned before or after they felt completely recovered. Outcome assessments included measures of posttraumatic and psychiatric symptoms and of social functioning. RESULTS: Twenty years after the war, traumatized soldiers who received frontline treatment had lower rates of posttraumatic and psychiatric symptoms, experienced less loneliness, and reported better social functioning than similarly traumatized soldiers who did not receive frontline treatment. In addition, a cumulative effect of application of frontline treatment principles was documented: the more principles applied, the stronger the effect on psychiatric outcomes. CONCLUSIONS: Frontline treatment is associated with improved outcomes even two decades after its application. This treatment may also be effective for nonmilitary precursors of posttraumatic stress disorder.

Adaptation, Psychological↗

Attachment style, excessive reassurance seeking, relationship processes, and depression.

The authors examined the association between excessive reassurance seeking (ERS) in couple relationships and depression, hypothesizing that this association can be explained by attachment anxiety. In Study 1, 72 couples completed questionnaires about ERS, depression, attachment style, and relationship quality. In Study 2, 61 couples completed the same measures in addition to completing daily diary assessments for 14 days. In both studies, ERS was related to depression, but only because of its association with attachment anxiety. The association between attachment anxiety and depression was not mediated by either partner's relationship quality, even though partners noticed each other's ERS. Instead, relationship quality was related primarily to avoidant attachment. These findings were replicated at a daily level of analysis, where interesting details of the underlying processes were revealed. At least in young unmarried couples, depression is associated with attachment anxiety--and one of its facets, ERS--mostly for intrapsychic reasons.

Adolescent↗

Rorschach correlates of self-reported attachment dimensions: dynamic manifestations of hyperactivating and deactivating strategies.

We examined associations between self-reported attachment anxiety and avoidance and responses to the Rorschach test. Seventy-two, nonpatient Israeli adults participated in a 2-session study. In the first session, they completed a self-report scale tapping the dimensions of attachment anxiety and attachment avoidance. In the second session, they completed the Rorschach test. The Rorschach was administered and coded according to Exner's (2001) Comprehensive System scoring. We found that self-reports of attachment anxiety were associated with Rorschach scores thought to indicate difficulties in regulating and controlling emotions and self-perceptions of being relatively helpless and unworthy. Self-reports of attachment avoidance were associated with Rorschach scores thought to reflect lack of acknowledgment of need states and maintenance of a grandiose self. We discuss the findings in terms of implicit psychodynamic processes inherent in attachment-system functioning.

Expressed Emotion↗

The multidimensional driving style inventory--scale construct and validation.

Two studies were conducted in order to develop a multidimensional instrument of driving style. In Study 1, we developed a self-report scale assessing four broad domains of driving style-the multidimensional driving style inventory (MDSI). A factor analysis revealed eight main factors, each one representing a specific driving style--dissociative, anxious, risky, angry, high-velocity, distress reduction, patient, and careful. In addition, significant associations were found between the eight factors, on the one hand, and gender, age, driving history, and personality measures of self-esteem, need for control, impulsive sensation seeking, and extraversion, on the other. In Study 2, further associations were found between the eight driving style factors and measures of trait anxiety and neuroticism. The discussion focused on the validity and utility of a multidimensional conceptualization of driving style.

Adult↗

Attachment-related strategies during thought suppression: ironic rebounds and vulnerable self-representations.

The authors conducted 2 studies of attachment-related variations in thought suppression. Participants were asked, or not asked, to suppress thoughts about a relationship breakup and then to perform a Stroop task under high or low cognitive load. The dependent variables were the rebound, of previously suppressed separation-related thoughts (Study 1) and the accessibility of self-traits (Study 2). Under low cognitive load, avoidant individuals did not show any rebound of separation-related thoughts and activated positive self-representations. Under high cognitive load, avoidant participants failed to suppress thoughts of separation and were more likely to activate negative self-representations. Attachment anxiety was associated with high activation of negative self-representations and unremitting separation-related thoughts. The results are discussed in terms of the hidden vulnerabilities of avoidant individuals.

Adult↗

Attachment style and the regulation of negative affect: exploring individual differences in mood congruency effects on memory and judgment.

Three studies examined the role that attachment style plays in moderating the effects of induced negative affect on memory and judgment. Israeli undergraduates completed an attachment style scale and were exposed to a negative or neutral affect induction. In Study 1, incidental recall of negative and positive information was assessed; in Study 2, the attribution of negative and positive relational events was studied; and in Study 3, findings of Study 1 were replicated using a different affect induction procedure. Whereas securely attached persons reacted to induced negative affect with an affect-incongruent pattern of cognitions (better recall of positive information, more unstable/specific attribution of negative event), anxiously attached persons reacted with an affect-congruent pattern (worse recall of positive information, more stable/global attribution of negative event). Persons scoring high on attachment avoidance showed no significant cognitive effect of negative affect. The discussion emphasizes the role that attachment strategies play in the affect-cognition link.

Adult↗

Attachment theory and group processes: the association between attachment style and group-related representations, goals, memories, and functioning.

Four studies examined attachment-style differences in group-related cognitions and behaviors. In Studies 1-2, participants completed scales on group-related cognitions and emotions. In Studies 3-4, participants were divided into small groups, and their performance in group tasks as well as the cohesion of their group were assessed. Both attachment anxiety and avoidance in close relationships were associated with negative group-related cognitions and emotions. Anxiety was also related to the pursuit of closeness goals and impaired instrumental performance in group tasks. Avoidance was related to the pursuit of distance goals and deficits in socioemotional and instrumental performance. Group cohesion significantly moderated the effects of attachment anxiety. The discussion emphasizes the relevance of attachment theory within group contexts.

Adult↗

The existential function of close relationships: introducing death into the science of love.

Originally, terror management theory proposed two psychological mechanisms in dealing with the terror of death awareness-cultural worldview validation and self-esteem enhancement. In this article, we would like to promote the idea of close relationships as an additional death-anxiety buffering mechanism and review a growing body of empirical data that support this contention. Based on a comprehensive analysis of the sociocultural and personal functions of close relationships, we formulate two basic hypotheses that have received empirical support in a series of experimental studies. First, death reminders heighten the motivation to form and maintain close relationships. Second, the maintenance of close relationships provides a symbolic shield against the terror of death, whereas the breaking of close relationships results in an upsurge of death awareness. In addition, we present empirical evidence supporting the possibility that close relationships function as a related yet separate mechanism from the self-esteem and cultural worldview defenses.

Adaptation, Psychological↗

Mental pain: a multidimensional operationalization and definition.

An operationalization of mental pain is presented in three studies. The first study describes the operationalization of mental pain and the factor structure of the items produced by a content analysis of self-reports yielding a scale with nine factors: the experience of irreversibility, loss of control, narcissistic wounds, emotional flooding, freezing, estrangement, confusion, social distancing, and emptiness. Study 2 tested the relationship between mental pain and depression and anxiety in a normal population. Study 3 focused on the relationship between mental pain and coping. Mental pain is conceptualized as a perception of negative changes in the self and its functions that are accompanied by negative feelings. It is suggested that it can be meaningfully applied to the study of different mental states, life conditions, and transitions in life.

Adolescent↗

Mental pain and its relationship to suicidality and life meaning.

Shneidman (1996) proposed that intense mental pain is related to suicide. Relatedly, Frankl (1963) argued that the loss of life's meaning is related to intense mental pain. The first goal of this research was to test Shneidman's proposition by comparing the mental pain of suicidal and nonsuicidal individuals. Meaning in life and optimism are the polar opposites of suicidality and hopelessness, and the examination of these variables in relation to mental pain was undertaken to provide a test of Frankl's proposition. In two studies, a relationship between a newly developed measure of mental pain--the Orbach & Mikulincer Mental Pain Scale, 2002 (OMMP; see also Orbach, Mikulincer, Sirota & Gilboa-Schechtman, 2002)--and suicidal behavior and life meaning were examined. Results confirmed both propositions. Implications for the study of mental pain and suicide are discussed.

Adult↗

Gender differences in the willingness to engage in risky behavior: a terror management perspective.

Two studies examined the effects of mortality salience inductions on men and women's willingness to engage in risk-taking behaviors. In Study 1, a sample of American college students (N= 101) were exposed to either a mortality salient or a control condition and then rated their willingness to engage in a variety of risk-taking activities. In Study 2, a sample of Israeli high-school students (N = 106) completed a self-esteem measure, were exposed to either a mortality salient or control condition, and then rated their willingness to use various psychoactive substances that were offered in three different hypothetical scenarios. In both studies, findings indicated that mortality salience led to higher willingness to engage in risky behaviors in men but not in women. Study 2 also revealed that self-esteem moderated the effect of mortality salience on the willingness to use psychoactive substances but only when they were offered by a friend. The discussion offers a terror management perspective of risk-taking behaviors.

Attitude to Death↗