Surface and Latent Meanings in Male's Suicide Notes: A Two-Legged Qualitative Study.

This study aims to investigate the phenomenon of suicide, which is a global health problem, by utilizing suicide notes. Our main concern in this article is to understand why a person leaves suicide notes before committing suicide; indeed, this question may shed light on particular personal characteristics of the note-leavers. 12 documents containing suicide notes, belonging to Turkish males, were obtained from Prosecutor office. By using an inductive and interpretative method, firstly, we conducted a semantic level analysis; and subsequently, we deeply analyzed the data by conducting latent level analyses from a Lacanian point of view. At the end of this cumulative process, we labelled the latent themes as 'ambivalence of emotions', 'issues associated with separation' and 'issues associated with the Law'. Within the scope of those findings, a diagnostic discussion was provided. This discussion designated a picture of narcissism in addition to a psychotic structure, specifically paranoia.

The Experience of Disgust in Women Exposed to Domestic Violence in Turkey.

In trauma, fear as a basic emotion that evokes avoidance after exposure to a traumatic event is important for posttraumatic process. Another emotion causing avoidance is disgust. Despite the fact that disgust also plays an important role in trauma, there is limited information about how it is experienced during and after exposure to the traumatic event. In this study, the aim was to understand how women experience disgust during and after domestic violence, as a prolonged and repeated traumatic experience, and how they try to cope with disgust evoking situations in this process. For this aim, qualitative methodology was used. With purposive sampling, six women exposed to domestic violence including physical, verbal and sexual abuse were interviewed. With each woman, approximately seven semi-structured interviews were completed. Forty-one interviews were audio recorded and transcribed. Data was analyzed by Interpretative Phenomenological Analysis. At the end of the analysis, three superordinate themes, namely, experience of perpetrator-directed disgust with gustatory expressions of moral disgust and association of disgust in domestic abuse to daily life experiences; experience of self-disgust with two themes of internalization of assault without awareness and contamination by sexual abuse; coping with disgust in domestic violence with four subthemes, namely, avoidance from perpetrator, reidentification of the perpetrator with substitutive identity, alienation from self, reidentification of self with new relationships were constructed. Results showed that disgust is experienced in a repressed way as a result of the aversive nature of traumatic experience. The results were evaluated in psychological, social and cultural contexts. Their implications for understanding disgust in domestic violence were discussed.

Shame Experiences Underlying Depression of Adult Turkish Women.

Shame is a major component of many mental health problems and affects symptoms, coping styles, remission, and therapeutic ruptures. There are few qualitative studies aimed at understanding shame and its role for patients diagnosed with depression. In this research, we explored the origins of shame, and the coping strategies that patients diagnosed with depression employ to cope with shame. This qualitative research aimed at an in-depth analysis of shame experiences of adult women who had been diagnosed with depression and treated with cognitive behavioral psychotherapy in a Women Health Center in Turkey. Purposive sampling yielded nine high shame prone adult women who were married and had children. Four semi-structured interviews were conducted with each of the nine participants, and 36 semi-structured interviews were analyzed by Interpretative Phenomenological Analysis. According to the results of the analysis, four themes emerged. These were "substitution of rage for the feeling of shame and unworthiness," "perfection struggle to overcompensate the belief of being inadequate," "feeling shame for their own body and sexual acts," and "need for individuation." The results were interpreted by considering the social context and culture of Turkey, and the clinical implications were discussed.

Sibship size and personality.

In a study of 330 Turkish undergraduate students, only children scored higher on measures of hopelessness and suicidality and seemed more concerned with interpersonal relationships.

Suicidality, problem-solving skills, attachment style, and hopelessness in Turkish students.

Among 180 Turkish university students, the probability of suicide was strongly predicted by both hopelessness and deficiencies in problem solving. In addition, for women, unhealthy attachment styles (preoccupied and dismissing) also predicted suicidality. The clinical implications of these findings are that psychotherapists should focus on helping suicidal adolescents improve their problem solving skills and decreasing their hopelessness and, for women, assisting them to develop healthier relationship styles.

A brief research note: helplessness, hopelessness, and haplessness as predictors of suicidal ideation: a cross-cultural study.

Scales to measure helplessness and hopelessness were found to have good reliability and were significantly correlated with suicidal ideation in both Turkish and American respondents.

Hopelessness and suicidality in Turkish and American respondents.

In samples of both Turkish and American students, the correlates of suicidal ideation were found to be similar, with depression, hopelessness, and attitudes toward the ownership of life predicting the level of suicidal ideation in both samples. Results using a Western measure of religiosity, however, were different in the two cultures, indicating the need for measures of religiosity specifically tailored for Turkish culture.

Psychometric properties of the Hamilton Depression Rating Scale and other physician-rated psychiatric scales for the assessment of depression in ESRD patients undergoing hemodialysis in Turkey.

This study aimed to examine the reliability and validity of clinician-rated psychiatric scales for end-stage renal disease (ESRD) patients undergoing hemodialysis (HD) treatment in Turkey. For this, the Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Global Assessment of Functioning (GAF) Scale, Clinical Global Impression (CGI) Scale, and Mini Mental State Exam (MMSE) were administered to 45 ESRD outpatients undergoing HD treatment. Regarding the reliability of HDRS and HARS, internal consistency and split-half reliability analyses revealed acceptable coefficients. The test - retest reliability coefficients were also examined for all measures after a period of a month, and despite this relatively long time interval, test - retest reliability coefficients were above .60 for all measures. Concerning the validity studies, all these scales revealed suitable convergent, discriminant, and criterion validity outcomes. A cut-off point of 10 for HDRS is suggested for the identification of depression in this population. In general, the findings of this study indicate that HDRS, HARS, CGI, GAF, and MMSE are reliable and valid instruments that can be used among ESRD patients undergoing HD.

Psychometric properties of the reassurance-seeking scale in a Turkish sample.

This study examined the psychometric properties of the Reassurance-Seeking Scale in a sample of 102 Turkish undergraduate students. High internal consistency reliability was found for the Reassurance-Seeking Scale (alpha=.86). Factor analysis of the scale identified a single component that accounted for 71% of the total variance. The scale was significantly positively correlated with the Beck Depression Inventory and Beck Anxiety Inventory and had a significantly negative correlation with the Rosenberg Self-esteem Scale. Partial correlations of Reassurance-seeking with Depression scores as controlled by Anxiety scores and with Anxiety scores as controlled by Depression scores indicated that Reassurance-seeking scores maintained association with Depression but not with Anxiety. All these findings were in line with expectations.

The cognitive, emotional, and social impacts of the September 11 attacks: group differences in memory for the reception context and the determinants of flashbulb memory.

The authors examined group differences in memories for hearing the news of and reactions to the September 11 attacks in 2001. They measured memory for reception context (immediate memory for the circumstances in which people first heard the news) and 11 predictors of the consistency of memory for reception context over time (flashbulb memory). Shortly after 9/11, a questionnaire was distributed to 3,665 participants in 9 countries. U.S. vs. non-U.S. respondents showed large differences in self-rated importance of the news and in memory for event-related facts. The groups showed moderate differences in background knowledge and emotional-feeling states. Within non-U.S. groups, there were large differences for emotional-feeling states and moderate differences for personal rehearsal, background knowledge, and attitudes toward the United States. The authors discuss the implications of those findings for the study of group differences in memory and for the formation of flashbulb memories.