Community treatment for the seriously mentally ill: Is this community psychology?

Community treatment for seriously mentally ill individuals fits well into the philosophy of community psychology. Community psychologists have skills and experiences with other populations that represent assets in improving the ACT service model and producing richer and more useful research results for the future. Maybe we should ask ourselves why community psychologists have obviously avoided this intervention area and the population of seriously mentally ill individuals. Does this represent an adolescent reaction to the parent discipline — clinical psychology? Is the label “mentally ill” as stigmatizing to community psychologists as it is to the general population? Are these individuals written off as not worthy of or capable of benefiting from preventive interventions? Advocates for the seriously mentally ill are mounting a backlash against prevention services. We would be well advised at this time to become involved in community treatment and demonstrate that community psychology is forall vulnerable and at-risk population groups. If the truth of the matter is that “community psychology is not doing much of a job of empowering people” (Berkowitz, 1990), maybe the truth of the matter is also that we need to reach out to more disenfranchised populations with research to show that community psychologycan do the job of empowering some.     

What is a writing group? Dilemmas of the leader

A writing group can serve to reinforce literary and therapeutic goals. The model outlined here assumes a leader with literary and clinical training, including expertise in group dynamics. The group format is adapted to support exploration of the writer's main problem, the absence of the reader at the moment of writing. The group modifies the writer's "mythical" reader through member interactions with writer and writing. Giving and receiving feedback are central to the group process. The leader's dilemma in a bifocal form like this is to know when and how far to interpret group members' psychological issues. The best rule is to interpret "toward" the group (i.e., to bring up material that can be safely and readily processed there), but to be cautious about interpretation of patterns of early character formation.     

The dead donor rule: how much does the public care...and how much should we care?

In this brief commentary, we reflect on the recent study by Siminoff, Burant, and Youngner of public attitudes toward "brain death" and organ donation, focusing on the implications of their findings for the rules governing from whom organs can be obtained. Although the data suggest that many seem to view "brain death" as "as good as death" rather than "dead" (calling the dead donor rule into question), we find that the study most clearly demonstrates that understanding an individual's definition of death is neither a straightforward task nor a good predictor of views about donation. Reflecting on the implications for ongoing debates over the dead donor rule, we suggest that perhaps it is not a change in policy that is warranted, but rather a change in the priorities that have garnered such intense focus on this issue within the field of bioethics.     

Impact of an interactive anti-speeding threat appeal: how much threat is too much?

This study investigates the impact of an interactive television public-service announcement (PSA) containing an anti-speeding threat appeal on feelings of telepresence and behavioral intention. In a 2?×?2?×?2 between-subjects factorial design with 213 participants, the level of threat evoked by a traditional PSA, by the interactive part of the PSA (dedicated advertising location or DAL) and by the preceding program context are manipulated to be either low or high. The results support the assumptions of the Extended Parallel Processing Model with regard to the effect of the level of perceived threat and perceived efficacy in an interactive media environment, and the important role of telepresence as a processing variable. The results of the three-way interaction effect of threat evoked by the program, the PSA and the DAL on telepresence show that when the threat levels of the program and the PSA are both either low or high, exposure to the threatening information in the DAL does not generate a significantly higher feeling of telepresence. However, when a low-threat program is followed by a high-threat PSA, the threat level of the DAL has a positive effect on telepresence. The same trend is found with a high-threat program and a low-threat PSA, although the effect of the threat evoked by the DAL on telepresence is not significant at conventional levels. Finally, there is a positive effect of telepresence on the behavioral intention to reduce speeding, which is partly mediated by the viewer's perceived efficacy to follow the recommended behavior.     

A decade of research and services for homeless mentally ill persons. Where do we stand?

Over the past decade, researchers have documented the range of needs and devised new methods for increasing our understanding of the homeless severely mentally ill population. Clinicians have developed an appreciation of the difficulty and complexity of effectively treating this population, and policymakers have become increasingly aware of the barriers to developing services and housing. In this article, the progress-to-date in research, the evolution of new service approaches, and the development of federal, state, and local policies to meet the needs of homeless mentally ill individuals are assessed. The many challenges that remain are also considered.     

What is chaos and how is it relevant for philosophy of mind?

This paper argues, in agreement with Neuringer, Beggs and others, that if we wish to scientifically characterise human choice, we have to work with a probabilistic or chaos-derived model. This has a number of implications for philosophy of mind. Firstly, it is in theory possible to describe human behaviour with some form of law-like equation; it is just a matter of figuring out what equation best captures the states of our central nervous system. Secondly, it means that our choices are not random but are chaotic: deterministic, but just hard to predict due to internal complexity. According to the current research, our actions are most likely caused by ‘precipitated avalanches’ of neural activity, which are difficult to predict due to chaos.     

Maintenance of weight loss after obesity treatment: is continuous support necessary?

OBJECTIVE: This study examined outcome differences of 109 obese subjects, who participated in a 10-week cognitive-behavioral inpatient treatment followed by either a weight maintenance program or a follow-up period without professional support. METHODS: Self-rated weight loss, eating behaviors, and general psychopathology were assessed several months before treatment, when subjects were admitted, at discharge, and at the 6-, 12-, and 18-month follow-ups. Structured interviews for mental disorders and eating pathology were conducted additionally. RESULTS: The mean weight of the sample at baseline was 127 kg. Weight loss of the total sample amounted to 8.0 kg (6.3%) and was completely maintained during the follow-up period. Significant reductions of eating and general psychopathology were observed at the 18-month follow-up. The outcome in the maintenance condition did not significantly differ from the outcome in the control condition. CONCLUSIONS: Weight regain after obesity treatment is not inevitable, but continuous patient-therapist contacts do not distinctly improve treatment effects.     

What kind of knowledge is necessary for the interpretation of language?

An investigation into what kind of knowledge is necessary for interpretation is an important research project for the two fields of the theory of meaning and epistemology, through which they are combined. By examining the two basic requirements for a theory on the interpretation of language drafted by Donald Davidson, this paper analyzes several kinds of knowledge which are necessary for interpretation. The goal is to explore the knowledge of radical interpretation and the distinctions and connections between this knowledge and radical translation and Convention-T, thus revealing its characteristics and possibility to interpretation.     

Cultural variations on optimistic and pessimistic bias for self versus a sibling: is there evidence for self-enhancement in the west and for self-criticism in the east when the referent group is specified?

A culturally relevant framework was used to examine variations on optimistic and pessimistic bias in Westerners and Easterners. Study 1 showed that 136 European Americans compared with 159 Japanese were more likely to predict typical positive events to occur to self than to a sibling. The opposite pattern emerged in the prediction of typical negative events. Study 2 replicated these findings on the basis of predictions for atypical events in 175 European Americans and 130 Japanese. Across both studies, within-groups analyses indicated that European Americans held an optimistic bias in the prediction of positive and negative events, whereas Japanese held a pessimistic bias for negative events. These findings are taken to offer support for presumed cultural differences in self-enhancement and self-criticism between Westerners and Easterners, respectively.     

How popular is the Personality Assessment Inventory in practice and training?

A review of recent survey data indicates that the Personality Assessment Inventory ranks among the most frequently used objective personality tests in practice and clinical training.     

Constructive or cruel? Positive or patronizing? Reactions to expressions of positive and negative stereotypes of the mentally ill

Previous research has shown that people respond with greater sensitivity to negative stereotypical comments about a group that are made from someone outside the group in question than from someone who belongs to the group. In this paper, we investigated if the same effect occurs in response to comments made about stigmatized groups. Specifically, we examined how people react to comments made about the mentally ill. The conditions under which people accept or reject stereotypes of the mentally ill may shed light on the conditions necessary for effective anti-discrimination campaigns. In the current study, participants responded to positive or negative stereotypes of the mentally ill voiced by either someone who has, or has not, suffered from a mental illness. Participants were more sensitive, agreed less, and evaluated the speaker less favourably when comments came from the out-group rather than the in-group source. The effects were strongest for negative comments, however contrary to previous research participants also responded less favourably to positive comments from the out-group source. These reactions were mediated by the perceived constructiveness of the speaker's motives. Implications for the effectiveness of anti-discrimination campaigns are discussed.