Enacting the Demand/Withdrawal Pattern and Physical Well-Being

The frequency and focus of conflict varies during relational development, however, disagreements occur during every phase. One maladaptive communication pattern that has received considerable attention is the demand/withdrawal sequence – a pattern that generally involves one individual demanding that his or her partner change, and that partner then responding by withdrawing from the interaction. This chapter reviews research that examines how the demand/withdrawal sequence is related to measures of emotional provocation, physiological arousal, and physical health. We first explicate the features of the pattern and theories that have guided previous research. Then we examine research that investigated how the pattern is related to emotional, physiological, and health-related outcomes. We conclude with a discussion of future research directions.

Syphilis

Syphilis results from infection with the spirochaete Treponema pallidum subsp. pallidum, for which humans are the only known natural host. In adults it is transmitted primarily by sexual contact. The organism gains entry into the body through small breaks in the skin or the intact mucosal surfaces of the genitals, mouth, or anus, and is able to invade and survive in a wide variety of tissues. Since the availability of penicillin, syphilis has become primarily (>90%) a disease of less affluent countries or of minority subpopulations in more affluent countries with poor access to healthcare. It is also a disease of people with rapid rates of partner change (e.g. men who have sex with men and commercial sex workers).

Sexual fantasies: review of major scientific studies

This publication aims at analyzing major classic and current research on sexual fantasies. A new perspective on this phenomenon that understands sexual fantasies as an integral part of a human’s sexual life, that includes various mental visions and impressions which are perceived by a person as sexual and evoke arousal, is introduced. Main perceptions regarding their development patterns, including a psychoanalytic framework, development of fantasies as a result of learning, a correlation between the frequency of sexual fantasies and sex hormones levels are presented. It was established that sexual fantasies constitute a part of cognitive processes that take a direct part in a cycle of a sexual reaction formation. New functions of sexual fantasies were outlined; they include reinforcement of sexual arousal, stress reduction, escape from reality, forecasting, self-esteem boost and others. Key contextual aspects, such as fantasies of a romantic nature, sexual experimenting fantasies, fantasies with a concept of submission or dominance, sadomasochist fantasies, voyeurism, promiscuity, group sex themed fantasies or ideas of a permanent partner change, are revealed. The difference between a female and a male type of fantasizing is also described. Main problems associated with sexual fantasizing are revealed: the presence of obsessive fantasies, deviant fantasies, peculiarities of fantasizing among persons with traumatic experience, a specific correlation between nature of sexual fantasies and personal features. Fundamental psychotherapeutic methods of dealing with sexual fantasies are briefly examined: aversion psychotherapy, positive reinforcement of the desired experience, eye movement desensitization and reprocessing, psychoanalytic interpretation of a content of fantasies, emotion extraction method.

ULRICH MODEL ON PRACTICES OF HUMAN RESOURCE STRATEGIC ROLES

This study examines the practice of Human Resource Strategic Roles Model of Ulrich at PT. Inco Indonesia, which have been divided into Four-Role Model. The various roles that are examined in this study are the strategic partner, change agent, administrative expert and employee champion. All of this roles will be analyzed by using the coefficient Pearson Correlation to test the information about relationship between roles. Through the cross sectional study among 43 data were collected from professional of human resource department, finding showed that in case of roles practice of HRM Strategic PT. Inco roles of strategic partner, change agent, administrative expert and employee champion are significantly related to each other. Furthermore, it is found that strategic partner and administrative expert has a strongest relational against the other relationships human resource roles.

“You’ve Changed”: Low Self-Concept Clarity Predicts Lack of Support for Partner Change

People often pursue self-change, and having a romantic partner who supports these changes increases relationship satisfaction. However, most existing research focuses only on the experience of the person who is changing. What predicts whether people support their partner’s change? People with low self-concept clarity resist self-change, so we hypothesized that they would be unsupportive of their partner’s changes. People with low self-concept clarity did not support their partner’s change (Study 1a), because they thought they would have to change, too (Study 1b). Low self-concept clarity predicted failing to support a partner’s change, but not vice versa (Studies 2 and 3), and only for larger changes (Study 3). Not supporting a partner’s change predicted decreases in relationship quality for both members of the couple (Studies 2 and 3). This research underscores the role of partners in self-change, suggesting that failing to support a partner’s change may stem from self-concept confusion.

Your responses guide me: Decreased attachment anxiety through an online relationship-building paradigm

This study aims to improve self-reported attachment anxiety and avoidance through an online relationship-building paradigm. Seventy-seven undergraduate participants completed an online attachment-focused paradigm in which they developed a relationship with a virtual partner, and fifty participants successfully completed a second laboratory-based phase of the study. During the online phase, all participants completed the Experiences in Close Relationships―Revised questionnaire (ECR-R), the experimental group engaged in an interactive relationship-formation story with a virtual partner designed to enhance secure attachment, and control participants engaged in the program without guidance. Participants then visited the laboratory, were asked to recall the online interaction, and again completed the ECR-R. Overall, participants exhibited a significant decrease in their attachment anxiety, but not avoidance; however, change in attachment security did not differ based on study group. Change in the experimental condition was attributed to the secure focus of the guided interaction with the virtual partner. Change in the control condition, on the other hand, was attributed to general relationship practice and behavioral principles of operant conditioning. These results provide preliminary evidence for the effect of a virtual practice relationship on attitudes towards real-life attachments to significant others.

Risk of recurrent preterm birth among women according to change in partner

There is well-established literature indicating change in partner as a risk for preeclampsia, yet the research on the risk of preterm birth after a change in partners has been sparse and inconsistent. Using a population of California live born singletons, we aimed to determine the risk of preterm birth after a change in partner between the first and second pregnancies. The risk of preterm and early term delivery in the second pregnancy was calculated for mothers who did or did not change partners between births with the referent group as women who delivered both pregnancies at term and did not change partners. Adjusted odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Relative to women who delivered at 39 weeks or later in the second pregnancy and did not change partners, preterm birth risks were somewhat lower for women who changed partners between the first and second pregnancies compared to those women who did not change partners. For example, 10.6% of women who did not change partners and delivered their second pregnancy before 34 weeks also delivered their first pregnancy before 34 weeks, while 8.5% of women who changed partners delivered before 34 weeks. Findings suggest partner change may alter the risk of preterm birth.

Human papillomavirus vaccination in men who have sex with men – what will be required by 2020 for the same dramatic changes seen in heterosexuals

This paper addresses the issue of whether men who have sex with men (MSM) will share the spectacular reductions in human papillomavirus (HPV) infection and its associated neoplasia that we are currently witnessing in heterosexuals. The reproductive rate for HPV infection in heterosexuals is not well established, but 70% vaccination coverage in women has resulted in a fall of more than 90% in genital warts and HPV types 16/18 in young women and 80% fall in young men indicating that the critical vaccination threshold has been exceeded for this group. Published data on the three elements of the reproductive rate for HPV infection (i.e. transmission probability per sexual partnership, rate of partner change and duration of infectiousness) suggest they are higher in MSM than heterosexuals. This indicates that the reproductive rate for HPV will be higher in MSM and hence the critical vaccination threshold will also be higher. But while vaccinating 70% of girls protect 70% of sexual partnerships in heterosexuals, vaccinating 70% of boys protect more than 70% of partnerships in MSM. Only 9% (30% by 30%) of sexual partnerships in MSM are not protected with 70% coverage. Therefore vaccinating 70% of boys will protect 91% of sexual partnerships in MSM. However the efficacy of the HPV vaccine is much lower when sexually active MSM are vaccinated rather than boys. We argue that if MSM are to have the same benefit from the HPV vaccine that heterosexuals had, boys and not adult MSM will need to be vaccinated.