The Meaning of Coping for Psychiatric Patients.

Contemporary psychiatric theory holds that a precipitant of major mental illness is the inability of some vulnerable individuals to cope with the difficulties of everyday life. Such mentally ill people are characterized as having deficient, dysfunctional, or absent coping skills. Recently, researchers have exerted considerable effort to distinguish between productive and nonproductive coping. In this article, we argue that not only are such conceptualizations reliant on reductive, circular logic, but they also miss the essentially rational, local, and individual nature of coping in psychiatric patients' lives. We used semistructured interviews and thematic analyses of psychiatric patients' descriptions of their coping. Patients reported that professional intervention reduced their ability to cope, that they distrusted the mental health system and its professionals, that coping mechanisms were misinterpreted, that situational crises modulated coping, and that sometimes coping was just "not coping." We argue for a more respectful, nuanced understanding of coping among mental health professionals.

Emotional intimacy power predicts different sexual experiences for men and women.

Those who are more emotionally invested in relationships have less power than their partners. Furthermore, less powerful individuals may attempt to equalize power imbalances by offering rewards to their partner and using sex and condom use as exchange resources. Australian young adults reported their condom use and pressured sex experiences in both romantic (n = 708) and casual (n = 118) relationships. Results showed that greater power (lower relative emotional investment) predicted more condom use among those wanting to use condoms. In casual relationships, an interaction with gender showed that women in particular used condoms more when they had more power. Power also interacted with gender for pressured sex and, unexpectedly, men who had more power experienced more pressured sex. The possibility that condom use and pressured sex have different meanings for men and women is explored.

Dialectical Behaviour Therapy for the Treatment of Emotion Dysregulation and Trauma Symptoms in Self-Injurious and Suicidal Adolescent Females: A Pilot Programme within a Community-Based Child and Adolescent Mental Health Service.

Background. The literature suggests a link between childhood trauma and maladaptive emotion regulation strategies, including nonsuicidal self-injury (NSSI) and suicidality. We assessed the impact of a pilot dialectical behaviour therapy (DBT) programme on reducing trauma-related symptoms and improving emotional regulation, suicidality, and NSSI in adolescents. Methods. Six adolescents attending a community mental health service received 26 weeks of DBT, together with a parent. Independent assessors collected measures on each participant at baseline, posttreatment, and three-month followup. We implemented further improvements over past research with the use of adolescent-specific outcome measures as well as independent assessment of treatment integrity, noted as problematic in previous studies, using videotapes. Results. Firstly, adolescents reported a decrease in trauma-based symptoms, suicidality, and NSSI following participation in the DBT programme that was maintained at the three-month followup. Secondly, adolescents also reported improved emotion regulation immediately following treatment, and this was maintained, albeit more moderately, three months later. Given the burgeoning demand on mental health services, it is notable that five of the six adolescents were discharged from the service following the DBT intervention. Conclusions. The results of this pilot programme suggest that DBT has the potential to improve the symptoms of this at-risk population.

Community beliefs about childhood obesity: its causes, consequences and potential solutions.

BACKGROUND: The objective of this study was to explore community beliefs about the causes, consequences and potential solutions of childhood obesity. METHODS: A convenience sample of 434 adults (41.2 +/- 13.3 years; 61% parents) in New South Wales, Australia, was surveyed using a newly developed childhood obesity scale. RESULTS: Five causal (emotional eating; eating habits and food knowledge; environmental dysfunction; abundance of contemporary lifestyle; cost of contemporary lifestyle), four consequences (known consequences of obesity; behavioural consequences; social consequences; less-known physical consequences) and three potential solutions factors (parental actions; professional assistance; limiting behaviours) were identified. Parents did not differ from non-parents across the 12 factors nor were there any differences based on the level of education. There were, however, gender differences across two causal factors (emotional eating and abundance of contemporary lifestyle) and two consequences factors (behavioural consequences and social consequences), with females endorsing all four factors more strongly than males. CONCLUSIONS: The results of this study suggest that this sample was aware of the complex nature of childhood obesity in terms of its causes, consequences and a range of potential solutions, but they endorsed more family rather than community-based interventions.

Living with endometriosis: the perspective of male partners.

OBJECTIVE: The purpose of this qualitative study was to explore the experiences of partners of women with endometriosis. METHODS: Sixteen male partners completed questionnaires pertaining to the impact of endometriosis. Three male partners participated in additional semistructured interviews. RESULTS: Thematic analysis of combined questionnaire and interview data revealed several common emotional themes relating to living with endometriosis. These strong emotions included low mood, anxiety, and powerlessness and contributed to a grief-like process much like that experienced by their female partners, with some also reporting acceptance and relationship growth. The clinical significance of these findings for systemically effective management of endometriosis will be discussed.

Men's voices: postnatal depression from the perspective of male partners.

Postnatal depression (PND) is a serious and debilitating condition that is recognized as being disruptive to women's lives at a time when they are already under stress adapting to the demands that a new baby creates. What has not always been fully acknowledged is that PND is linked with elevated levels of depression in male partners. In this article, the authors report on men's experiences of PND and of participation in a 6-week group treatment program specifically designed for male partners. The men experienced their partners' PND as overwhelming, isolating, stigmatizing, and frustrating. Coping with PND was assisted by participation in the men's group. Men reported lowered levels of depression and stress, and higher levels of social support, as a result of their participation. The men valued highly the opportunity to share experiences with peers, to hear strategies for engaging in their relationship, and to gain factual information.

The eyes have it: a perceptual investigation of eyespots.

Previous work with non-human species has shown that eyespots function as sign stimuli for defensive behaviour. But it is unknown to what extent eyespots are a dominant feature of objects for human perceptual responses. We examined whether young children perceive eyespots as a dominant object feature. One hundred and nineteen children from the first, second, and third grades were presented with small manikins, called "Joopes" that varied in the number, type, and arrangement of facial features. Four kinds of Joope heads were used: single element (eyes, mouth, or beak only), monovalent (spatially concordant eyes and mouth, or eyes and beak), ambivalent (asymmetrical eyes and beak, or eyes and mouth), and cyclopean (single eye with orthogonal beak). Two task groups (Peepers and Gobs) 'helped' the Joopes to either 'see' their food or 'eat' it, by placing food in one of 24 feeding dishes. Results indicated that responses made to the ambivalent Joopes differed, with greater 'drift' shown by the 'eating' group towards the 'seeing' responses than by the 'seeing' group towards the 'eating' responses. The dominant role of eyespots was thus confirmed for children in the second and third grades, but response inconsistencies in the youngest group suggested difficulties in handling incongruent stimuli. The implications of these results for understanding basic perceptual processes are discussed.

Are average and symmetric faces attractive to infants? Discrimination and looking preferences.

Young infants prefer to look at faces that adults find attractive, suggesting a biological basis for some face preferences. However, the basis for infant preferences is not known. Adults find average and symmetric faces attractive. We examined whether 5-8-month-old infants discriminate between different levels of averageness and symmetry in faces, and whether they prefer to look at faces with higher levels of these traits. Each infant saw 24 pairs of female faces. Each pair consisted of two versions of the same face differing either in averageness (12 pairs) or symmetry (12 pairs). Data from the mothers confirmed that adults preferred the more average and more symmetric versions in each pair. The infants were sensitive to differences in both averageness and symmetry, but showed no looking preference for the more average or more symmetric versions. On the contrary, longest looks were significantly longer for the less average versions, and both longest looks and first looks were marginally longer for the less symmetric versions. Mean looking times were also longer for the less average and less symmetric versions, but those differences were not significant. We suggest that the infant looking behaviour may reflect a novelty preference rather than an aesthetic preference.