The Norwegian version of the five factor narcissism inventory for vulnerable narcissism and the grandiose narcissism subscale of indifference: Psychometric properties of the long- and short-form versions.

In recent years, narcissism has been reconceptualized as a multi-dimensional feature of human psychology. The Five Factor Narcissism Inventory (FFNI) has been proposed as a measure for two distinguishable dimensions of narcissism: Vulnerable and Grandiose (Glover, Miller, Lynam, Crego & Widiger, 2012). To investigate the role that some of these factors may have in moderating responses to cues of social exclusion, implemented in a connected laboratory experiment, we translated the subscales for Vulnerable Narcissism and the Grandiose Narcissism subscale of Indifference from English into Norwegian and included them in an online survey that was used to recruit and pre-screen participants for the laboratory experiment. In this paper, we test the psychometric properties of these translated self-report measures, in what amounted to be a diverse sample of the Norwegian population. We perform reliability tests and confirmatory factor analysis on the long- and short-form versions of FFNI Vulnerable Narcissism and the Grandiose Narcissism subscale of Indifference. We further test the criterion validity of these measures by way of correlational analyses with other theoretically relevant measures. We conclude that the Norwegian short-form versions of FFNI Vulnerable Narcissism and Grandiose Narcissism subscale of Indifference exhibit good psychometric properties in our data and propose that the translated scales can now be used to explore these constructs in clinical and non-clinical populations in Norway, and can be easily adapted for use in other Scandinavian countries.

Investigating Reflexive Responses to Explicit and Implicit Forms of Social Exclusion Using Immersive Virtual Environment Technology.

Humans are strongly affected by social exclusion, a multifaceted and complex phenomenon of social life. However, individuals tend to respond differently depending on a multitude of individual and contextual factors. Firstly, with a view to increasing the ecological validity and experimental control of an exclusion manipulation in the laboratory setting, we made use of immersive virtual environment technology (IVET; an Oculus Rift Virtual Reality headset) to create a new exclusion paradigm. Secondly, given that a recent meta-analytic report on reflexive responses (i.e., affect and physiology) to manipulations of exclusion in the laboratory setting cites inconsistencies across findings (Blackhart et al., 2009), we focused on the form of exclusion manipulated to illustrate how this factor may help to explain the divergences in responses. We thus investigated how explicit and implicit forms of social exclusion may have a differential impact on self-reported affect, as well as on electrodermal and cardiovascular activity. Results from this laboratory study conducted with a varied sample of the local population made salient the affordances of IVET as a tool in exclusion research. They also helped to reconcile the conflicting findings in the literature relating to differences in the level of negative affect generated and shed light on physiological arousal in the wake of being excluded in different ways.

Infant Understanding of Different Forms of Social Exclusion.

In a series of eye-tracking studies, we investigated preverbal infants' understanding of social exclusion by analyzing their gaze behaviors as they were familiarized with animations depicting social acceptance and explicit or implicit social exclusion. In addition, we implemented preferential reaching and anticipatory looking paradigms to further assess understanding of outcomes. Across all experiments (n = 81), it was found that 7-9 month-old infants exhibited non-random visual scanning and gaze behaviors and responded systematically and above random chance in their choice of character and, to some extent, in their anticipation of the movement of a neutral character during a test trial. Together, the results suggest that not only do preverbal infants follow and understand third party social events, such as acceptance and exclusion, but that they also update their representations of particular characters as events unfold and evaluate characters on the basis of their actions, as well as the consequences of those actions.

Cardiac rehabilitation to improve health-related quality of life following trans-catheter aortic valve implantation: a randomised controlled feasibility study: RECOVER-TAVI Pilot, ORCA 4, For the Optimal Restoration of Cardiac Activity Group.

OBJECTIVES: Transcatheter aortic valve implantation (TAVI) is often undertaken in the oldest frailest cohort of patients undergoing cardiac interventions. We plan to investigate the potential benefit of cardiac rehabilitation (CR) in this vulnerable population. DESIGN: We undertook a pilot randomised trial of CR following TAVI to inform the feasibility and design of a future randomised clinical trial (RCT). PARTICIPANTS: We screened patients undergoing TAVI at a single institution between June 2016 and February 2017. INTERVENTIONS: Participants were randomised post-TAVI to standard of care (control group) or standard of care plus exercise-based CR (intervention group). OUTCOMES: We assessed recruitment and attrition rates, uptake of CR, and explored changes in 6-min walk test, Nottingham Activities of Daily Living, Fried and Edmonton Frailty scores and Hospital Anxiety and Depression Score, from baseline (30 days post TAVI) to 3 and 6 months post randomisation. We also undertook a parallel study to assess the use of the Kansas City Cardiomyopathy Questionnaire (KCCQ) in the post-TAVI population. RESULTS: Of 82 patients screened, 52 met the inclusion criteria and 27 were recruited (3 patients/month). In the intervention group, 10/13 (77%) completed the prescribed course of 6 sessions of CR (mean number of sessions attended 7.5, SD 4.25) over 6 weeks. At 6 months, all participants were retained for follow-up. There was apparent improvement in outcome scores at 3 and 6 months in control and CR groups. There were no recorded adverse events associated with the intervention of CR. The KCCQ was well accepted in 38 post-TAVI patients: mean summary score 72.6 (SD 22.6). CONCLUSIONS: We have demonstrated the feasibility of recruiting post-TAVI patients into a randomised trial of CR. We will use the findings of this pilot trial to design a fully powered multicentre RCT to inform the provision of CR and support guideline development to optimise health-related quality of life outcomes in this vulnerable population. Retrospectively registered 3rd October 2016 clinicaltrials.gov NCT02921880. TRIAL REGISTRATION: Clinicaltrials.Gov identifier NCT02921880.

In the Intimacy of My "Enactlon": Modeling Kohut's "Bipolar Self" as an Autopoietic System: A Dialectic Approach to Phenomenological Research in Contemporary Psychoanalytic Self Psychology.

This paper demonstrates that Kohut's definitional system of the "bipolar self" within psychoanalytic self psychology can be modeled as a biological autopoietic system, both in terms of its structure and dynamics, in a way that accounts for the phenomenological aspects of experiential living. Based on this finding, the author argues that a nonreductionist definitional system of this type is an integral component of any pragmatic methodology, such as Kohut's "empathic-introspective" method of treatment, which aims to enable the analyst, as observer, to gain access to the phenomenological world of the analysand within the analytic setting. The dialectic approach undertaken in this preliminary exploration of the "bipolar self" as an autopoietic system has proven fruitful in excavating some of the theoretical features of psychoanalytic self psychology, the weighted importance of which can now be reevaluated in contemporary practice.