Complex Collective Trauma Following a Terror Attack in a Small Community: A Systemic Analysis of Community Voices and Psychosocial Interventions

In this ethnographic study, data were collected four months, one year, and three years following a terror attack on civilians in a small Israeli community. The data included protocols of meetings of the intervention team, informal and formal interviews, and follow-up telephone interviews with local leaders and psychosocial professionals who worked with individuals, families, and groups in the community. Content analysis of field notes and interviews led to the elaboration of the theoretical construct “complex collective trauma.” The analysis of the community voices and psychosocial interventions indicated the importance of action-oriented, meaning-making community projects and memorials, screening and government-funded short-term trauma therapy, mapping interlocking circles of vulnerability, and an integrated clinical-community model coordinated long-term (one year) by an outside professional.     

Immediate Movement History Influences Reach-to-Grasp Action Selection in Children and Adults

The authors review studies of mentally simulated movements. In automatic or cyclical movements, actual and motor imagery (MI) durations are similar. When athletes simulate only dynamic phases of movement or perform MI just before competing, however, environmental and time constraints lead to an underestimation of actual duration. Conversely, complex attention-demanding movements take longer to image. Finally, participants can modify the speed of MI voluntarily when they receive specific instructions. To complete the available data, the authors compared imagined and actual durations in tennis and gymnastics. Results showed systematic and disproportionate overestimation of actual duration. The authors found a relationship between complex motor skills and MI duration. They discuss the factors leading to over- and underestimation and the hypotheses that could be tested.     

Gender Group Differences in Coping with Chronic Terror: The Israeli Scene

Gender group differences in terror–stress, cognitive appraisals, ways of coping with terror, and stress reactions were explored in a sample of Israeli adults following prolonged exposure to political violence. Data were gathered at the height of the Al-Aqsa Intifada uprising (May/July 2002) from a sample of 707 adult participants (60% women and 40% men) residing in Haifa and northern Israel. Israeli women reported that they were more distressed by political violence than the men did, and they also appraised the crisis situation as more threatening and less manageable. Women reported using more problem-focused as well as emotion-focused coping than men did; both men and women used a mixture of coping strategies. Compared to men, women reported that they experienced more somatic symptoms and more frequent posttraumatic stress symptoms than men did. Negative affectivity was found to mediate gender differences in appraisals, coping, and outcomes. Overall, the nexus of relations among key variables was found to be highly similar for men and women. These data suggest that women may be more reactive to chronic political violence situations than men are. The data are discussed and explicated in the context of stress and coping theory and prior research on political violence and community disasters.     

Israeli Adolescents' help-seeking behaviours in relation to terrorist attacks: the perceptions of students, school counsellors and teachers

Exposure to terror seriously threatens the well-being of children and adolescents. School mental health professionals cope simultaneously with the counselling needs of their clients and with their own fears and doubts. This report is based on two studies. The first study was concerned with the perceptions of Israeli adolescents of the place of terrorist attacks in their lives. It also examined adolescents' help-seeking attitudes and behaviours in relation to terrorist attacks. The second study investigated Israeli school counsellors' and teachers' perceptions of their own roles and professional attitudes in relation to terror. A better understanding of the effects of terrorism on adolescents as well as potentially effective approaches to coping with its individual and organisational outcomes are proposed.     

An Exercise in Psychological Growth*

The author presents a case report followed by a self- assessment exercise which was generated spontaneously in collaboration with the patient herself during the treatment process. The lists of questions, designed to provoke thought and stimulate maturation, were found to be quite helpful especially in making important life decisions. It is proposed as a learning tool and template for use by those confronting similar issues. Lois Gerby, MA, is a psychologist and family therapist in private practice, 32 Hapalmach St., Suite 32/7, Jerusalem, Israel 92542 (jack.friedman@mail.mcgill.ca). *Translation by Yacov Friedman and Haim Sherrf.     

目标词效价对思维压制即刻激活效应的影响

思维压制指的是个体有意识、有目的地将某一目标思维从意识中移除的心理过程。压制某目标思维会产生矛盾效应,即试图压制反而会激活被压制目标。本研究采用思维压制的即刻测量(online measure)范式,通过两个实验对压制是否会产生即刻激活效应(immediate enhancement effect)以及目标词效价如何影响该效应进行了检验。结果发现:压制负性词时出现了即刻激活效应,而压制正性词时并未出现上述效应。由此推论,被压制目标词的威胁性,可能是影响即刻激活效应是否出现的一个因素。     

恐惧管理对道德五基准及道德判断的影响

本研究探讨恐惧管理理论对道德五种基本准则以及道德判断的影响。85名被试随机分配到实验组与控制组。全部被试首先完成道德五基准问卷。实验组被试接受死亡凸显提示后观看短片并完成一系列道德两难问题的判断;控制组接受一般负性事件提示。研究结果显示,相对于控制组而言,实验组被试倾向于作出直觉而非理性判断,并且死亡凸显对道德直觉判断的影响受到厌恶情绪的中介作用。同时,当故事情节发生转换时,实验组被试倾向于作出与原有道德直觉规范相一致的道德判断。本研究从恐惧管理理论出发,为道德判断的情理之争提供了启示。     

Posttraumatic Stress Disorder in Children and Adolescents: A Review and Analysis

Only recently has the mental health community recognized the applicability of diagnostic criteria for posttraumatic stress disorder (PTSD) in children and adolescents, including a consideration of specific age-related features. This paper provides a current review of the literature on PTSD pertaining to children and adolescents. Following a discussion of issues on diagnostic criteria and assessment of this affective disorder in this population, there is an overview of the existing literature on prevalence, comorbidity, risk factors, parental and family factors, and issues of gender and age of onset. The remainder of the paper focuses on the range of traumatic stressors in children and adolescents that can result in PTSD, including natural or human disasters, war and violence, chronic or life-threatening medical conditions, community violence and the witnessing of traumatic events, and physical and/or sexual abuse and other forms of interpersonal violence. Throughout the paper, there is an emphasis on the importance of considering developmental factors. Finally, implications of the existing literature for future areas of research are addressed.     

Psychological Consequences of Pregnancy Loss and Infant Death in a Sample of Bereaved Parents

This study aimed to explore a broad range of psychological reactions to trauma in a sample of bereaved parents in order to assess whether the traumatic framework is adequate for describing the entire range of emotional reactions to infant death. A sample of bereaved parents (N = 455) who lost their child through perinatal or postnatal loss were compared to a control group of parents (N = 110) who gave birth to a healthy child. Multivariate regression analysis clearly demonstrated that bereaved parents scored significantly higher on the Depression, Anxiety, Dissociation, Sleep Disturbances, Somatization, Interpersonal Sensitivity, and Aggression subscales of the Trauma Symptom Checklist. Consistent with previous studies, the results showed that for up to 5 years postloss bereaved parents expressed elevated levels of trauma-specific and psychological outcomes, in particular interpersonal sensitivity and aggression.     

自主创新的心理实质

如果不局限于哲学反映论来认识心理的实质可以看到,心理是人在不断适应与促进环境和自身发展变化的过程中人脑对现实的主观反映与创新。人的心理表现为适应心理、反映心理和创新心理三者的相互作用与协调统一。创新心理的实质是人脑为适应现实的发展变化,以反映心理为基础而进行的新颖、独特的认知结构的重组与外化。自主创新本质上属于积极适应创新。     

The Impact of Addictive Behaviors on Adolescents Psychological Well-Being: The Mediating Effect of Perceived Peer Support

Abstract

Studies exploring excessive Internet use and gambling are rapidly expanding concerns regarding its impact on mental health, especially in young people due to the increased prevalence of Internet and gambling addictions. Research suggests that perceived peer support plays a significant role in adolescents’ psychological well-being. However, no empirical study has dealt with the mediating effect of perceived peer support on the relationship between Internet and gambling addictions and psychological well-being. Thus, the present study aimed to examine whether perceived peer support mediates the relation between Internet and gambling addictions and psychological well-being of adolescents. A sample of 347 Iranian adolescents aged 14 to 18 (Mean age 16.14, 50.4% male) who were studying in Kuala Lumpur, Malaysia participated in this study. Subjective Vitality Scale (SVS), Compulsive Internet Use Scale (CIUS), Six-item Social Support Questionnaire (SSQ6), and The South Oaks Gambling Screen (SOGS) were used to collect data. Mediation analyses showed a significant indirect effect of compulsive Internet use and problem gambling on psychological well-being through perceived peer support. The total effects of compulsive Internet use and problem gambling on psychological well-being were negative. This study implies the significance of strengthening the knowledge about the impact of peer relationships among adolescents.     

唇腭裂患儿常见的心理行为问题及对策

唇腭裂是最常见的口腔颌面部先天性发育畸形。手术修复早已在世界各个国家普遍展开,但患者在形态功能以及心理行为等各方面存在的问题不是单一的学科可以解决的。随着医学模式的转变,以及行为医学和发展心理学等学科的进展,患者在临床治疗工作中的心理和行为问题越来越受到重视。本文将对常见的心理行为问题及其相关对策进行探讨。     

心理应激对青少年运动员T淋巴细胞亚群及IgG、IgA、IgM的影响

目的揭示心理应激对不同性别、训练年限以及不同焦虑特质的青少年射击运动员免疫功能的影响。方法用特质一状态焦虑量表(STAI)测定运动员的状态及特质焦虑;用比浊法测定免疫球蛋白G、A、M的含量;用免疫组化法测定T淋巴细胞亚群的数量。结果①心理应激后IgM的含量显示性别差异,女运动员的IgM浓度高于男运动员。②心理应激后表现为训练年限少的运动员TCD4^ 细胞数量明显少于训练年限长的运动员。③心理应激后表现为高低状态焦虑组运动员IgA含量差异,高焦虑组IgA浓度明显低于低焦虑组．心理应激后高低特质焦虑组之间没有表现出显著性差异。结论男运动员、训练年限少及高状态焦虑青少年运动员心理应激后免疫抑制现象更严重,这是HPA轴及HPG轴等共同作用的结果。     

Identification and Follow-Up by Primary Care Doctors of Children with PTSD After Terrorist Attacks

Abstract

Many children and adolescents were among the victims of the suicide bomb attacks in Israel since March, 2000. While the number with emotional and behavioral symptoms was expected to be high, very few children who developed terrorism-related posttraumatic stress disorder (PTSD) were actually referred to mental health professionals for assessment or treatment. Prolonged exposure to terrorism lowers even further the number of children who remain in treatment. This article discusses reasons and presents a training program for primary care providers (pediatricians, family doctors) in identifying PTSD in child victims, and for mobilizing them to carry out long-term follow-up of these children.     

留守儿童心理健康状况影响因素分析及对策思考

留守儿童是一个需要予以高度重视的群体,其心理健康问题检出率较高,心理健康状况令人堪忧;其心理问题是学校、社会、父母、监护人与留守儿童自身等多种因素交互作用的产物;通过多元互动,即加强社区、学校、父母、监护人与留守儿童的互动,可促进留守儿童心理健康发展。     

Variations in Psychological Profile Among Children with Recurrent Abdominal Pain

This study was designed to determine whether distinct subgroups of children with recurrent abdominal pain (RAP) could be identified based on patterns of psychological functioning. Two hundred and eighty-three children (ages 8–17 years), and a primary caretaker, completed the Behavior Assessment System for Children (BASC) during the initial evaluation of RAP at a pediatric gastroenterology clinic. Cluster analysis of BASC scores supported a 3-cluster solution, with fair agreement observed between parents and children on cluster assignment. Approximately half of the sample identified no significant psychological problems. A small percentage (13%) evidenced intense and broad-based psychological problems, while the remainder (35–45%) indicated relative elevations in anxiety only. Cluster membership did not vary systematically by age, gender, race, or functional gastrointestinal disorder diagnosis. Distinct psychological profiles appear to exist for children with RAP. Targeting treatments to these profiles may improve the effectiveness and efficiency with which health professionals address pediatric abdominal pain. This study was supported in part by a grant from the Hall Family Foundation. Portions of this work were presented at the annual convention of the American Psychological Association in July 2004 (Honolulu, HI) and at Digestive Diseases Week in May 2004 (New Orleans, LA).     

Traumatic Brain Injury in School-Age Children Academic and Social Outcome

School-aged children with a traumatic brain injury (TBI) require extraordinary effort and energy from individuals in their school, home, and community. The purpose of this study was to examine the academic, behavioral, and social outcomes of a cohort of children and adolescents following TBI. A comprehensive assessment of cognitive functioning, achievement, and adaptive behavior was administered to 43 school-aged children 2 years after their TBI. Premorbid functioning for each participant was obtained from state-mandated test scores assessed prior to the TBI. The predictive utility of premorbid functioning, TBI severity, and age at injury were examined. Findings revealed that premorbid functions were significant predictors of reading and spelling achievement and adaptive functioning. Severity of injury was predictive of adaptive functioning. Implications of findings include program development, reintegration into school, and educating parents and teachers.     

心理学研究工具与心理学的发展

本文在考察心理学发展与研究工具的关系基础上,总结了心理学研究工具的定义和分类,并重点探索了心理学研究工具在心理学发展过程中的作用。并指出在未来心理学研究中新的研究工具和方法将起到越来越重要的作用。     

Psychological Adjustment,Coping, and Emotion Regulation as Predictors of Posttraumatic Growth

Abstract

The present study examined factors contributing to reported benefits of traumatic experiences or posttraumatic growth (PTG) in a college sample. Specifically, we examined dimensions typically associated with trauma recovery (i.e., psychological functioning, coping, emotion regulation) and features of the trauma (i.e., number and recency of traumatic events, average, and maximal distress). Participants (N= 193) completed standardized questionnaires measuring these constructs. Results indicated that active coping and subjective well-being independently contributed to PTG, but social desirability and symptom distress were independent of growth. These results were consistent with study expectations. Although not specifically predicted, maximal trauma distress also uniquely predicted PTG. Contrary to expectations, effective emotion regulation did not contribute to PTG.     

REBT Used with Children and Adolescents who have Emotional and Behavioral Disorders in Educational Settings: A Review of the Literature

This article discusses the need for a comprehensive intervention strategy for students who experience difficulty managing self-defeating emotions and behaviors in educational settings. The review of the literature identifies related research and describes how the application of Rational Emotive Behavior Therapy (REBT), as a comprehensive educational intervention, has been implemented with children and adolescents who have been identified as having emotional disturbance in various educational settings.