Associations of somatic symptom attribution in Turkish patients with major depression
There are differences across ethno-cultural groups in the degree of somatization among patients with major depressive disorder (MDD). Studies showed that the attribution style of somatic symptoms is an important predictor of health outcome in depressed patients. Aims: The aims of this study were to investigate associations of psychologizing, normalizing and somatizing attribution styles as measured by the Symptom Interpretation Questionnaire (SIQ) in Turkish patients with MDD. Methods: Ninety patients who were diagnosed with a major depressive episode using a semi-structured interview were administered the SIQ to assess attribution styles, each of which was regressed on age, gender, educational level, depressive symptom severity, tendency for somatosensory amplification, current somatic symptoms and alexithymia. Results: Scores on somatizing, psychologizing and normalizing attribution …
The article examines the plethora of ideas regarding norms and deviations in late imperial Russia. Adapting criminal anthropology to the imperial situation, doctors and scientists examined the “natural-born criminal” as a collective category and created a comparative scale of imperial human diversity that allowed them to stigmatize entire groups. In the period between revolutions, the discourse on criminality underwent a semiotic shift from the signifier to the signified, conditioning a new image of the “internal savage,” one that was, however, hybrid and unstable. The following generation of psychiatrists was tasked with overcoming this duality, but this was only achieved in the early Soviet period, when the concept of the “natural-born criminal” was replaced by that of the “counterrevolutionary” and acquired an unambiguous, purely sociological sense.
This paper analyzes opportunities of application of the self-determination theory to the compliant behavior and describes the process of development and validation scale for measuring compliance-related causality orientations in the normative sample. Experts’ appraisals demonstrated that in clinical settings controlled causality orientation could be divided into two subscales: controlled by doctors and controlled by others subscales. Empirical data (N=246 students) supports internal consistency (Cronbach's alpha .76-.79), test-retest reliability and factor validity of the scale. All the subscales correlate with general controlled orientation subscale as well as relevant subscales of General Causality Orientation Scale. Controlled by doctors and impersonal causality orientations were negatively related to health-related quality of life. Compliance-Related Causality Orientations Scale correlated with retrospective appraisals of last episode of somatic illness (subjective interference with other domains, fear of future complications, fear of more severe illness, subjective ability to follow chosen treatment. Although testing prospective validity of the scale is a challenge for future research, the scale could be useful to study motivational factors of compliant behavior both in the normative and clinical samples.
Conversion disorder is defined by one or more physical symptoms that are not under voluntary control and are not thought to be caused by neurological or medical conditions. The key feature of this disorder is thus the incongruence between presented symptomology and medical conceptualizations of organic diseases. The most commonly observed conversion symptoms include blindness, psychogenic non-epileptic seizures, paralyses, unresponsiveness, anesthesia, aphonia, and abnormal gait. There is no unified model for conversion disorder and its conceptualization relies on psychological, social, and biological factors. The onset of the symptoms is sudden, and is often preceded by either psychological or physical trauma. The diagnosis of conversion disorder is often problematic. Since the presenting symptoms of this psychiatric disorder are neurological, a full diagnosis often requires collaboration between a psychiatrist and a neurologist. Once the diagnosis has been made several treatment options may be considered. While there are no specific pharmacological or psychological treatments for conversion disorder, case reports suggest that a multidisciplinary approach in rehabilitation settings with an emphasis on maximizing physical function appear to be most beneficial.
The distractive effects on attentional task performance in different paradigms are analyzed in this paper. I demonstrate how distractors may negatively affect (interference effect), positively (redundancy effect) or neutrally (null effect). Distractor effects described in literature are classified in accordance with their hypothetical source. The general rule of the theory is also introduced. It contains the formal prediction of the particular distractor effect, based on entropy and redundancy measures from the mathematical theory of communication (Shannon, 1948). Single- vs dual-process frameworks are considered for hypothetical mechanisms which underpin the distractor effects. Distractor profiles (DPs) are also introduced for the formalization and simple visualization of experimental data concerning the distractor effects. Typical shapes of DPs and their interpretations are discussed with examples from three frequently cited experiments. Finally, the paper introduces hierarchical hypothesis that states the level-fashion modulating interrelations between distractor effects of different classes.
The general aim of this thesis is to explore the gendered and classed nature of social work and social welfare in Russia to show how social policy can be a part of and reinforce marginalisation. The overall research question is in what ways class and gender are constructed in Russian social work practice and welfare rhetoric through Soviet legacies and contemporary challenges? In addition, which actors contribute to the constitution of social work values and how this value system affects the agency of the clients? This study focuses on contradictory ideologies that are shaped in discursive formations of social policy, social work training and practice. It is a qualitative study, containing fi ve papers looking at this issue from three different perspectives: policy and institutions, culture and discourse, actors and identity. The data collection was arranged as a purposive–iterative process. The empirical material consists of qualitative interviews with social work practitioners, administrators and clients, participant observations in social services and analysis of documents of various kinds.
This article describes the expierence of studying factors influencing the social well-being of educational migrants as mesured by means of a psychological well-being scale (A. Perrudet-Badoux, G.A. Mendelsohn, J.Chiche, 1988) previously adapted for Russian by M.V. Sokolova. A statistical analysis of the scale's reliability is performed. Trends in dynamics of subjective well-being are indentified on the basis the correlations analysis between the condbtbions of adaptation and its success rate, and potential mechanisms for developing subjective well-being among student migrants living in student hostels are described. Particular attention is paid to commuting as a factor of adaptation.
In the internal medicine wide spectrum the gastroenterology is one of the chapters, less enlightened by the scientific evidence. It does not mean that the practice of the grasntroenterology may ot be improved by the systematic use of the approaches of the evidence based medicine