Power,family therapy,and the systemic-organismic paradigm

How is the concept of power integrated into the systemic organismic paradigm? Power concepts, especially Kantor and Lehr's six dimensions of distance regulation mechanisms, are related to several models of family therapy. Power is found to be a part of the Gestalt formation process of Perls, a process of dynamic selfregulation. Each family therapy model is regarded as part of an integrating process. A theory of conflict strategy and of integration strategy in therapy is developed. The article is intended to promote comparison and exploratory discussion around different models of family therapy.     

Sustained efficacy of dialectical behaviour therapy for borderline personality disorder

Dialectical Behaviour Therapy (DBT) is considered one of the most promising treatments for borderline personality disorder (BPD). Recently, we reported significantly positive effects of 12 months DBT on parasuicidal behaviour and impulsivity in a mixed group of female BPD patients with and without substance abuse. Fifty-eight women with BPD were randomly assigned to either 52 weeks of DBT or treatment as usual (TAU). Follow-up assessment took place at 78 weeks, i.e., 6 months after discontinuation of DBT. Participants were clinical referrals from addiction treatment and psychiatric services. Outcome measures included parasuicidal behaviour, impulsivity and substance abuse. Six months after treatment discontinuation, the benefits of DBT over TAU in terms of lower levels of parasuicidal and impulsive behaviours, and in alcohol use, sustained. No differences between the treatment conditions were found for drug abuse. In conclusion, DBT seems to have a sustained effect on some of the core symptoms of BPD and on alcohol problems in a mixed population of female borderline patients with and without substance abuse problems.     

How Should a Speech Recognizer Work?

Although researchers studying human speech recognition (HSR) and automatic speech recognition (ASR) share a common interest in how information processing systems (human or machine) recognize spoken language, there is little communication between the two disciplines. We suggest that this lack of communication follows largely from the fact that research in these related fields has focused on the mechanics of how speech can be recognized. In Marr's (1982) terms, emphasis has been on the algorithmic and implementational levels rather than on the computational level. In this article, we provide a computational-level analysis of the task of speech recognition, which reveals the close parallels between research concerned with HSR and ASR. We illustrate this relation by presenting a new computational model of human spoken-word recognition, built using techniques from the field of ASR that, in contrast to current existing models of HSR, recognizes words from real speech input.     

Gender differences in cardiovascular and hypothalamic-pituitary-adrenal axis responses to psychological stress in healthy older adult men and women

Gender differences in the neuroendocrine and cardiovascular response to psychological stress may contribute to the gender differences in the prevalence of diseases associated with hypothalamic-pituitary-adrenal (HPA) axis reactivity such as cardiovascular disease (CVD), diabetes and hypertension. We measured plasma ACTH, cortisol, heart rate (HR), and blood pressure (BP) responses in 8 men and 8 women (55-75 years) exposed to the Matt Stress Reactivity Protocol (MSRP), a psychological challenge. The MSRP elicited significant increases in HR, systolic-, and diastolic BP, ACTH and cortisol (all p<0.01). Men had significantly greater cortisol and diastolic BP responses compared to women (p<0.05). Additionally, a positive correlation between the ACTH and cortisol responses was only found in the males (r=0.71, p<0.05). There were no group differences in HR, systolic BP, or ACTH responses. We conclude, that among older adults, men respond to psychological stress with greater increases in cortisol, compared to women. This greater activation of the HPA axis could translate into an elevated risk for CVD, diabetes and hypertension and may be related to the higher prevalence of these diseases in males. Gender differences in brain structures and/or cognitive processes may be responsible for these sexually dimorphic stress responses.     

Interaction between emotions and somatic complaints in children who did or did not seek medical care

This study aimed to investigate how emotional functioning can be linked to health problems in children. Three groups were compared: (1) a clinical group, consisting of children with abdominal pain, attending an out-patient clinic; (2) a group from the general population who had high scores on a self-report somatic complaint list; and (3) a group from the general population who reported no or few somatic complaints. It was shown that groups 1 and 2 experienced negative moods and negative emotions with a higher frequency and/or intensity, and had a lower feeling of competence than group 3. They were also more likely to act upon physical complaints in emotionally stressful situations than group 3, although all groups made use of emotion-focused strategies. It is suggested that it is not an impaired capacity to identify emotions (an important feature of alexithymia), but an inability to differentiate between, and cope with, negative emotions that might be an important factor in children's health problems. Suggestions for future research are made.     

Inside bilingualism: Language background modulates selective attention to a talker's mouth

Previous findings indicate that bilingual Catalan/Spanish‐learning infants attend more to the highly salient audiovisual redundancy cues normally available in a talker's mouth than do monolingual infants. Presumably, greater attention to such cues renders the challenge of learning two languages easier. Spanish and Catalan are, however, rhythmically and phonologically close languages. This raises the possibility that bilinguals only rely on redundant audiovisual cues when their languages are close. To test this possibility, we exposed 15‐month‐old and 4‐ to 6‐year‐old close‐language bilinguals (Spanish/Catalan) and distant‐language bilinguals (Spanish/”other”) to videos of a talker uttering Spanish or Catalan (native) and English (non‐native) monologues and recorded eye‐gaze to the talker's eyes and mouth. At both ages, the close‐language bilinguals attended more to the talker's mouth than the distant‐language bilinguals. This indicates that language proximity modulates selective attention to a talker's mouth during early childhood and suggests that reliance on the greater salience of audiovisual speech cues depends on the difficulty of the speech‐processing task.     

Do First- and Second-Generation Migrants Stay Longer in Social Assistance Than Natives in Belgium?

In many European countries, migrants are overrepresented in social assistance. In Belgium, at least 70% of social assistance beneficiaries are first- or second-generation migrants, as natives are often eligible for a social insurance benefit. Lower exit rates among migrants relative to natives could raise concern about the labour market inclusion of beneficiaries, as well as the financial sustainability and solidarity basis of the welfare state. This paper analyses whether migrants remain longer in social assistance than natives and whether migrants vary in their timing of exit by migration-history characteristics. We use longitudinal data from the social assistance administration linked to other administrative sources, including detailed information about migration histories of migrants. Using event history analysis, we track the exits from social assistance for 22,620 beneficiaries in the period June 2005–December 2009. We find that migrants have substantially longer median durations than natives. Controlling for socio-demographic characteristics, benefit and work histories, we find that most migrant groups have (slightly) lower exit rates than natives. Asylum seekers stay substantially longer in social assistance whereas migrants with longer durations of residence have shorter benefit periods than recent migrants. Second-generation migrants do not stay longer in social assistance than natives.     

Durability,Negative Impact,and Neuropsychological Predictors of Tic Suppression in Children with Chronic Tic Disorder

Chronic tic disorders are characterized by involuntary motor and vocal tics, which are influenced by contextual factors. Recent research has shown that (a) children can suppress tics for brief periods of time, (b) suppression is enhanced when programmed reinforcement is provided for tic-free intervals, and (c) short periods of suppression do not result in a paradoxical "rebound" in tic frequency when active suppression has ceased. The current study extended existing research in three important ways. First, we examined whether tic suppression ability decreased as suppression duration increased from 5 to 25 to 40 min. Second, we examined post-suppression tic frequency to test whether longer periods of suppression were more likely to be associated with a rebound effect. Finally, we explored neuropsychological predictors of tic suppression. Thirteen children with Tourette syndrome or a chronic tic disorder completed the study. Results showed that (a) tic suppression was sustained for all of the suppression durations, (b) rebound effects were not observed following any of the suppression durations, and (c) ability to suppress was correlated with omission, but not commission errors on a continuous performance task. Implications of these findings are discussed.     

Dimensionality of subscales for emotional support in the Bosch Support Measure for survivors of domestic abuse

Items from the Emotional Support Subscale of the Bosch Support Measure were administered in a small survey of 56 formerly abused rural women in the midwestern USA. Maximum likelihood factor analyses were performed on a total of 21 items. A 5-factor solution appeared to produce the best results, but only 3 factors suggested viable subscales with Cronbach alphas greater than .80. Informal support networks in the rural areas studied here appeared to provide survivors of domestic violence with general emotional support to a greater extent than guidance on accessing professional resources and help.