Affect integration as a predictor of change: affect consciousness and treatment response in open-ended psychotherapy.

The present study investigated the relationship between baseline levels of affect integration and the magnitude of change during and after open-ended psychotherapy. Affect integration reflects the capacity for accessing and utilizing the adaptive properties of affects for personal adjustment, along with the more general capability of tolerating and regulating affective activation. It is thus a capacity with relevance for the postulated mechanisms of change in various treatment modalities. Overall, the results indicated that patients with more severe problems in affect integration had larger improvements in symptoms, interpersonal and personality problems in open-ended treatment than those with less severe problems. This was also the case when examining the predictive effects of the integration of specific affects on changes in interpersonal relatedness. It was indicated that increasing problems with the integration of discrete affects were associated with distinct patterns of change in different interpersonal problem domains.

High dose brachytherapy as monotherapy for intermediate risk prostate cancer.

PURPOSE: We evaluated our retrospective, single institution experience with high dose rate brachytherapy as monotherapy for intermediate risk prostate cancer. MATERIALS AND METHODS: Our cohort included 284 patients with intermediate risk prostate cancer, defined as clinical stage T2b/T2c, Gleason score 7 and/or prostate specific antigen 10 to 20 ng/ml, and 1-year minimum followup. Treatment was 2 high dose rate brachytherapy sessions at 3 fractions of 6.5 Gy each for a mean of 19 days. Prostate specific antigen failure was defined as nadir +2 ng/ml. RESULTS: Mean followup was 35.1 months (median 31.9). Actuarial 5-year cause specific survival and clinical local control were 100%, distant-metastasis-free survival 98.8% and biochemical disease-free survival 94.4%. Clinical stage predicted biochemical disease-free survival. For stage T2a or less 5-year biochemical disease-free survival was 95.1% vs 100% for stage T2b and 77.4% for T2c (p = 0.012). Percent positive biopsy cores and prostate specific antigen nadir were also predictive. International Prostate Symptom Score results remained stable and potency was maintained in 82.6% of patients at 2 years. Pads were used for the first time after brachytherapy in 22 patients (7.7%), mostly for grade 1 incontinence (occasionally or less per week). Excluding patients with prior transurethral prostatectomy, stroke or tremor 2.5% used pads for the first time after treatment. No patient had urethral stricture. Radiation Therapy Oncology Group grade 1 rectal toxicity developed in 12 patients (4.2%) but not beyond grade 1. CONCLUSIONS: High dose rate brachytherapy as monotherapy is safe and effective for patients with intermediate risk prostate cancer. We recommend caution for percent positive biopsy cores exceeding 75% or clinical stage T2c. Excluding such patients the 5-year biochemical disease-free survival rate was 97.5%.

Affect integration and reflective function: clarification of central conceptual issues.

The importance of affect regulation, modulation or integration for higher-order reflection and adequate functioning is increasingly emphasized across different therapeutic approaches and theories of change. These processes are probably central to any psychotherapeutic endeavor, whether explicitly conceptualized or not, and in recent years a number of therapeutic approaches have been developed that explicitly target them as a primary area of change. However, there still is important lack of clarity in the field regarding the understanding and operationalization of affect integration, particularly when it comes to specifying underlying mechanisms, the significance of different affect states, and the establishment of operational criteria for measurement. The conceptual relationship between affect integration and reflective function thus remains ambiguous. The present article addresses these topics, indicating ways in which a more complex and exhaustive understanding of integration of affect, cognition and behavior can be attained.

Assessment of affect integration: validation of the affect consciousness construct.

Affect integration, or the capacity to utilize the motivational and signal properties of affect for personal adjustment, is assumed to be an important aspect of psychological health and functioning. Affect integration has been operationalized through the affect consciousness (AC) construct as degrees of awareness, tolerance, nonverbal expression, and conceptual expression of nine discrete affects. A semistructured Affect Consciousness Interview (ACI) and separate Affect Consciousness Scales (ACSs) have been developed to specifically assess these aspects of affect integration. This study explored the construct validity of AC in a Norwegian clinical sample including estimates of reliability and assessment of structure by factor analyses. External validity issues were addressed by examining the relationships between scores on the ACSs and self-rated symptom- and interpersonal problem measures as well as independent, observer-based ratings of personality disorder criteria and the Global Assessment of Functioning (GAF) scale from the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994).

Interpersonal problems among 988 Norwegian psychiatric outpatients. A study of pretreatment self-reports.

OBJECTIVE: No studies, to our knowledge, have examined what specific kinds of interpersonal problems characterize a general psychiatric outpatient population. Do they differ from the normal population in any specific way, apart from the expected "more of everything"? The aim of this study was to map and categorize a large psychiatric outpatient sample with regard to self-reported interpersonal problems. METHOD: First-admission psychiatric patients completed the 64-item version of the Inventory of Interpersonal Problems (Horowitz et al, Inventory of Interpersonal Problems Manual. San Antonio, TX: The Psychological Corporation 2000) before treatment. Scores were compared with Norwegian reference data. Profile characteristics of 8 subgroups (octant groups), corresponding to 8 different forms of predominant interpersonal problem, were calculated according to the structural summary method (Gurtman and Balakrishnan, Circular measurement redux: the analysis and interpretation of interpersonal circle profiles. Clin Psychol Sci Pract. 1998;5[3]:344-360). RESULTS: The clinical sample had considerably more interpersonal problems than the normal reference sample. Among the 8 octant groups with different predominant interpersonal problems, the 3 most prevalent in the sample, characterized by a low degree of assertiveness (low agency), were also the most distressed with regard to interpersonal problems. CONCLUSIONS: Psychiatric outpatients seem to have the most severe interpersonal problems along the agency dimension; that is, they have problems being assertive. Patients within different octant groups of the 64-item version of the Inventory of Interpersonal Problems system, corresponding to different kinds of specific, predominant interpersonal problems, have characteristic ways of relating to others, which ought to be identified and addressed in therapy.

"Sarados" e "gostosas" entre alguns outros: aspectos da educação de corpos masculinos e femininos em academias de ginástica e musculação / "Sarados" and "Gostosas" among some Others: aspects of masculine and feminine body education in fitness centres / "Sarados" y "Gostosas" entre algunos otros: aspectos de la educación de los cuerpos masculinos y femeninos en gimnasios

Este estudo apresenta resultados de uma pesquisa desenvolvida durante seis meses em duas academias de ginástica e musculação localizadas em Florianópolis. As investigações ­ norteadas pelo fenômeno contemporâneo do culto do corpo ­ mostram que a corrida ascética pela forma física idealizada envolve a louvação/desprezo de certas regiões corporais, além de fronteiras simbólicas e materiais que influenciam homens e mulheres na escolha de diferentes práticas. Assim, liga-se ao gênero a geografia destes espaços e as diferenças nas hierarquias pautadas na imagem corporal. Os resultados apontam para a fluidez das relações humanas e fazem pensar em um possível eclipse do sujeito

This paper presents results of a six months research in two fitness centers in Florianópolis. The approaches ­ orientated by the contemporary phenomenon of the cult of body ­ show up that the ascetic racing to the idealized body involves a praise/contempt of certain body segments and symbolic and materials borders that influence men and women in their choosing of different practices. The gender question is closely linked with the geographic spaces and the different hierarchies of corporal image. The results suggest the fluidity of human relations and carry the reflection to the possibility of subject vanishing

El trabajo presenta resultados de una pesquisa desarrollada durante seis meses en dos gimnasios localizados en Florianópolis. Las investigaciones ­ orientadas por el fenómeno contemporáneo pelo fenómeno del culto al cuerpo ­ apuntan que la carrera ascética por la condición física idealizada supone la exaltación y el desprecio por ciertas regiones corporales, además de fronteras simbólicas y materiales que influencian hombres y mujeres al escogieren diferentes prácticas. Está conectada a la cuestión de género la geografía de estos espacios y las diferencias en las jerarquías pautadas en la imagen corporal. Los resultados sugieren una fluidez en las relaciones humanas e hacen pensar en un posible eclipse del sujeto

The 2002 Denali fault earthquake, Alaska: a large magnitude, slip-partitioned event.

The MW (moment magnitude) 7.9 Denali fault earthquake on 3 November 2002 was associated with 340 kilometers of surface rupture and was the largest strike-slip earthquake in North America in almost 150 years. It illuminates earthquake mechanics and hazards of large strike-slip faults. It began with thrusting on the previously unrecognized Susitna Glacier fault, continued with right-slip on the Denali fault, then took a right step and continued with right-slip on the Totschunda fault. There is good correlation between geologically observed and geophysically inferred moment release. The earthquake produced unusually strong distal effects in the rupture propagation direction, including triggered seismicity.