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Intimacy, power, and psychological well-being in medical students.

Numerous reports suggest that medical school has adverse psychological effects on medical students, although not all students are affected equally. The authors examined the effects of two social motives, the need for power and the need for intimacy, on measures of well-being and distress obtained throughout the undergraduate years. Medical students high in both power and intimacy motivation were more depressed, neurotic, fatalistic, and self-doubting than were their classmates. These effects began at the end of year 1, peaked in year 2, and disappeared by the end of clerkships. High intimacy-low power students had the highest levels of well-being. These effects were equally true in men and women and both support and render more precise prior role conflict explanations.

Adult↗

Alexithymia and physiological reactivity to emotion-provoking visual scenes.

Alexithymia, a syndrome that involves a marked inability to name feelings, has been linked to psychosomatic illness. This study addressed the question of whether alexithymic tendencies are related to heightened levels of autonomic response to extrinsic cues. Alexithymia was assessed with the Toronto Alexithymia Scale and by the emotional content of stories written to five TAT-like printed pictures. Seventy-two college students were exposed to a series of emotion-provoking slides while their heart rates and electrodermal responses were recorded. Results indicated a trend for alexithymic tendencies to be associated with less heart rate increase and fewer electrodermal responses while viewing the slides. Alexithymia was also associated with a small but significant elevation in baseline heart rate. These findings are discussed as part of a pattern of results which calls into question the hypothesis that alexithymia is related to illness because it produces hyperarousal to situational stressors; it is suggested that future research on the relationship between alexithymia and health status should be broadened to explore health-maintenance behaviors and other possible mechanisms.

Adult↗

Defense mechanisms and psychological adjustment in childhood.

The association between maturity of defense use and psychological functioning was assessed in a group of 95 elementary school children. Defense mechanisms were measured using a valid and reliable storytelling task, and psychological adjustment was assessed through a combination of parent and self-report questionnaires. Correlational analyses indicated that children who relied on the developmentally immature defense of denial reported higher levels of self-rated social anxiety and depression and received higher ratings of parent-reported internalizing and externalizing behavior problems. However, children who made use of the developmentally mature defense of identification exhibited higher scores on perceived competence in social, academic, conduct, athletic, and global domains. Significantly, there was no relationship between children's use of denial and their level of perceived competence or between children's use of identification and their degree of maladjustment.

Adaptation, Psychological↗