Depressive personality vulnerability in chronic physical pain: Centrality of sociotropy

2018 ◽  
Vol 86 (6) ◽  
pp. 907-918
Author(s):  
Golan Shahar ◽  
Sheera F. Lerman ◽  
Maayan Topaz ◽  
Silviu Brill ◽  
Hadar Shalev ◽  
...  
2019 ◽  
Vol 5 ◽  
pp. 36-63
Author(s):  
Rolf Van Geel ◽  
Tilly Houtmans ◽  
Hans Tenten

Within a hybrid framework of attachment and depression theory, we investigated whether introjective and anaclitic vulnerabilities can be detected in a person’s self-narrative as elicited with the Self-Confrontation Method (SCM). One hundred participants held a thorough self-investigation with one of five trainees, in which every person formulated ‘valuations’ (i.e., short sentences about personally relevant concerns) and, subsequently, rated to what degree certain feelings were evoked by every separate text. We extracted several measures from these idiographic data, including scales representing the prominence of certain themes according to the SCM typology (e.g., ‘unfulfilled longing and loss’, ‘anger and opposition’, and ‘powerlessness and isolation’). By analyzing the correlational patterns of the aggregated SCM-based measures and the questionnaire-based measures about attachment orientation and depressive personality vulnerability, we uncovered meaningful relationships. The results of a canonical correlational analysis indicated that an intensified sense of ‘powerlessness and isolation’ is a sign of a general psychopathological vulnerability (related to depression), ‘anger and opposition’ is associated with introjective features (distrust in others and need for control), and ‘unfulfilled longing and loss’ is associated with anaclitic features (pleasing and dependency). In an exploratory qualitative study, we used a cluster-based classification into attachment groups for the exhaustive screening of the content of negative valuations of (a selection of) insecurely attached persons (n = 15). This hermeneutic approach disclosed characteristic themes for each of the preoccupied, dismissive-avoidant and fearful-avoidant attachment styles which are discussed in great detail.


Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 413-421 ◽  
Author(s):  
Megan L. Rogers ◽  
Thomas E. Joiner

Abstract. Background: Acute suicidal affective disturbance (ASAD) has been proposed as a suicide-specific entity that confers risk for imminent suicidal behavior. Preliminary evidence suggests that ASAD is associated with suicidal behavior beyond a number of factors; however, no study to date has examined potential moderating variables.  Aims: The present study tested the hypotheses that physical pain persistence would moderate the relationship between ASAD and (1) lifetime suicide attempts and (2) attempt lethality. Method: Students ( N = 167) with a history of suicidality completed self-report measures assessing the lifetime worst-point ASAD episode and the presence of a lifetime suicide attempt, a clinical interview about attempt lethality, and a physical pain tolerance task. Results: Physical pain persistence was a significant moderator of the association between ASAD and lifetime suicide attempts ( B = 0.00001, SE = 0.000004, p = .032), such that the relationship between ASAD and suicide attempts strengthened at increasing levels of pain persistence. The interaction between ASAD and pain persistence in relation to attempt lethality was nonsignificant ( B = 0.000004, SE = 0.00001, p = .765). Limitations: This study included a cross-sectional/retrospective analysis of worst-point ASAD symptoms, current physical pain perception, and lifetime suicide attempts. Conclusion: ASAD may confer risk for suicidal behavior most strongly at higher levels of pain persistence, whereas ASAD and pain perception do not influence attempt lethality.


2007 ◽  
Author(s):  
Rebecca M. Pasillas ◽  
Mark Stalnaker ◽  
Jason Deviva ◽  
Andrew Santanello ◽  
Melissa Decker ◽  
...  

Author(s):  
Paolo Riva ◽  
James H. Wirth ◽  
Kipling D. Williams

Author(s):  
Bridget Heal

Chapter 5 focuses on one particular type of Lutheran devotional image: the crucifix. It examines transformations in Lutheran Passion piety from the early Reformation to the era of Paul Gerhardt (1607–76), using this to illustrate the increasing significance accorded to images. Luther himself had condemned the excesses of late-medieval Passion piety, with its emphasis on compassion for Christ and the Virgin Mary, on physical pain and on tears. From the later sixteenth century onwards, however, Lutheran sermons, devotional literature, prayers and poetry described Christ’s suffering in increasingly graphic terms. Alongside this, late-medieval images of the Passion were restored and new images were produced. Drawing on case studies from the Erzgebirge, a prosperous mining region in southern Saxony, and Upper Lusatia, the chapter investigates the ways in which images of the Passion were used in Lutheran communities during the seventeenth century.


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