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The impact of denial and repressive style on information gain and rehabilitation outcomes in myocardial infarction patients.

The impact of denial, repressive style, and social desirability on information gained during hospitalization and their effects on recovery were studied in 30 patients with documented myocardial infarction (MI). Using three scores of cardiac knowledge as dependent variables, three significant findings emerged: 1) patients who denied more gained less information about heart anatomy and physiology; 2) patients who scored high on social desirability gained less information about symptoms indicating heart problems and activities appropriate for recovery; and 3) patients who were repressors gained less information about heart disease risk factors. Twenty-four of the 30 patients completed a survey of functioning 6 months after discharge. Dividing patients into four groups representing a match or mismatch between repressive style and information level, it was found that 1) repressors with high risk factor information reported more complications and poorer psychomedical functioning, and 2) sensitizers with low risk factor information reported poorer social functioning.

Adult

Motivational variables and the sensitization and habituation of aggression in the convict cichlid (Cichlasoma nigrofasciatum).

Four experiments using territorial Convict Cichlids investigated motivational factors involved in the incremental and decremental processes associated with aggression resulting from exposure to conspecifics intruded into the territory. The first three experiments varied some single aspect of the experimental situation (temperature, distance from the nest or size of the intruder). The fourth experiment combined those factors which resulted in faster habituation (small intruder, far from the nest, in cool water) and compared the response to factors which resulted in slower habituation or an increase in response rate (large intruder, close to the nest in warm water). While a combination of higher intensity stimuli did result in slower habituation than the combination of lower intensity stimuli, response rate was not a simple algebraic summation of the factors. Results are discussed in relation to multi-factor theory of habituation and the nature of "drive".

Aggression

Measuring the effectiveness of treatment for the aggressive adolescent sexual offender.

This paper has described a cognitive-behavioral outpatient treatment program for adolescent sexual offenders. The multicomponent treatment program consists of verbal satiation, cognitive restructuring, covert sensitization, social skills training, anger control training, sex education, and relapse prevention sessions. Data has been presented on 24 adolescents who completed treatment. Results indicated that adolescents involved with male victims significantly decreased deviant sexual arousal pre- and posttreatment, as measured by penile plethysmography. For those adolescents who molested female victims, a decrease in deviant arousal was also evidenced, although it was not statistically significant.

Adolescent

Neuroticism and dreaming sleep: a case for interactionism in personality research.

The value of a trait approach to sleep and dreaming characteristics is evaluated by reviewing recent research on differential patterns and interactions manifest by high and low neuroticism subjects. Differential patterning of dream content and REM sleep characteristics under positive and negative presleep conditions suggest a qualitative difference in experience and behavior, and a quantitative difference in "importance" attributable to the dreaming sleep process. It is hypothesized that, under "normal" conditions, low neuroticism individuals make more exclusive use of the dreaming period, while under "artificial" conditions, they demonstrate a greater motivation to compensate for restricted REM by intensification of the REM process (shortened REM onset latencies, greater REM rebound, intensified dream experiences). Finally, it is suggested that theories of dreaming sleep should recognize the importance of traits, as well as situational factors to the psychology of dreaming sleep.

Affect

Trait anxiety and coping style as predictors of pre-operative anxiety.

A situationally specific measure of trait anxiety based on the Endler model was a better predictor of pre-operative state anxiety than the STAI trait anxiety scale in 54 patients undergoing colonoscopy. Lower self-reported pre-operative anxiety was found for (a) repressors, who report low trait anxiety and high defensiveness on the Marlowe-Crown scale, than for (b) truly low anxious patients, who report low trait anxiety and low defensiveness.

Adaptation, Psychological

Arousal response predictions derived from ego psychology.

The purpose of this study was to examine the prediction from ego psychology that excessive stress leads to either a struggling or distancing response. Male subjects, preselected on the R-S scale, were exposed to an explicit pornographic movie in the presence of a female confederate. Skin conductance levels, self-report data, and a work association test with double entendre words were the dependent measures. The results indicated that subjects struggle rather than distance themselves when confronted with apparently stressful stimuli.

Adaptation, Psychological

Repressive coping style and anxiety in stressful dental surgery.

Elevated state-anxiety prior to oral surgery is common and is associated with increased post-operative pain. This paper presents a psychological model of predicting elevated anxiety prior to dental surgery. Elevated anxiety and intraoperative stress can be predicted by measuring trait-anxiety. However, prediction may be improved by using a situationally specific measure of trait-anxiety, and by taking the patient's coping style into account. Thirty-nine patients undergoing wisdom-tooth extraction took part in the study. The Corah Dental Anxiety Scale was a better predictor of pre-operative anxiety than the STAI trait-anxiety scale. Coping style was measured by means of the Marlowe-Crowne Social Desirability Scale in conjunction with scores on trait-anxiety to define three coping style groups: sensitizers (high-anxious), truly low-anxious, and repressors who verbally deny anxiety. Two oral surgeons rated patient intra-operative state on 100 mm visual analogue scales. These ratings indicate that 'repressors' exhibit significantly more stress responses than the truly low-anxious group, in spite of similar (low) trait-anxiety scores. It is concluded that a situationally specific measure of trait-anxiety is the most appropriate predictor of differential state-anxiety elevations prior to oral surgery. Repressive coping style may be a confounding factor, in terms of predicting elevated anxiety, since some people verbally deny being anxious but express it behaviourally.

Adolescent

The relationship between individual differences in defensive style and concept formation.

The relationship between defensive style and concept formation with aggressive and neutral stimuli was investigated. Very strong relationships were found between the use of avoidant and repressive defenses and the number of errors made in acquiring and utilizing an aggressive concept. This relationship was not found for the neutral concept. The results suggest the importance of directing attention to the relevant stimulus dimension in efficient concept formation. Insofar as defensive style involves a particular way of deploying attention (e.g. avoidance of a particular content) and insofar as the affective nature of the stimulus material lends itself to the elicitation of defensive reactions, individual differences in defensive style can serve as a robust predictor of efficiency of concept formation.

Adolescent

Influence of alexithymic characteristics on physiological and subjective stress responses in normal individuals.

Individual differences in response to stress have been linked to the development of stress-related disorders through the presence of a dissociation between physiological and subjective stress responses. It has been suggested that the presence of alexithymic characteristics may constitute a new source of individual response differences and thereby contribute to the development of a stress-related disorder. However, it is also possible that the presence of alexithymic characteristics is simply a new name for a preexisting construct. The present study examined subjective and physiological stress response patterns in normal individuals with high or low presence of alexithymic characteristics, and the relationship between alexithymia and potentially equivalent constructs. The results revealed that the presence of alexithymic characteristics is independent of repression, trait anxiety, and social desirability. As well, high alexithymics appear to manifest high levels of sympathetic activity, and a dissociation between subjective and physiological stress responses. These results are discussed in terms of the potential contribution of alexithymic characteristics to the development of stress-related disorders.

Adult

Simple, effective treatment of agoraphobia.

For effective treatment of agoraphobia both patient and therapist must understand the mechanisms of sensitization and self-desensitization. Rather than aiming to adapt to difficult situations, to achieve desensitization by suggestions, or to avoid panic, the agoraphobe must learn to pass through panic and to rid oneself of drug dependency. This method of self-desensitization will, as a rule, achieve results quickly and does not necessarily depend upon finding the cause of the original sensitization.

Adaptation, Psychological

Personality correlates of positive identity and relationship involvement in gay men.

Six personality variables (social anxiety, trait anxiety, locus of control, sensitization, depression, and self concept) were correlated with variables relevant to a positive gay identity (degree of communication about sexual preference and degree of comfort being gay) and to relationship involvement (being in a gay relationship, number of months in a gay relationship, and living with a partner) in a volunteer, nonclinical sample of 51 gay males. Men who informed others of their sexual preference were low on trait anxiety, sensitization, and depression and high on self concept. Men comfortable with their gay identity were low on social anxiety, sensitization, and depression and high on self concept. Men involved in long-term relationships were low in trait anxiety, had an internal locus of control, and were low in depression. Men living with a partner had a higher self concept than men not living with a partner. Results are discussed in terms of previous studies of gay male relationships.

Adult