Coping With Stress: A Workshop Framework

The work of the Open University's Coping With Crisis Research and Training Group¹ in running workshops on the theme of coping with stress² is described. A theoretical model of stress and coping is offered, and the structure within which the workshops take place is outlined. The framework described has developed over a period of four years, and is an account not of a finished product but of a continually evolving series of practices.     

Stress Prevention and Management: A Workshop Approach

This article presents a theoretical rationale for a workshop on stress prevention and management and describes the “Stress and the Classroom Teacher” workshop as an approach that has applicability in various counseling settings, including those outside the educational field. The goals of this workshop include reducing participants' sense of isolation, increasing their self-awareness of the causes and effects of distress, identifying job-related successes and strengths, and formulating a tenative plan and action steps to prevent or alleviate the distress: workshop activities are outlined. Several conclusions are drawn regarding the value and significance of this intervention mold.     

Neurobiology of social phobia

Social phobia is an anxiety disorder that is characterized by excessive fear and/or avoidance of situations in which an individual believes that he or she may be the subject of evaluation or scrutiny while interacting with other people or performing a specific task. This article reviews the available literature on the neurobiology underlying social phobia, including autonomic nervous system effects, neuroimaging findings, pharmacologic challenge studies, and neuroendocrine responsivity and function. Overall, such studies have found few consistently demonstrable differences in neurobiology between patients with social phobia and healthy controls, but further investigations are needed.     

The Men's Stress Workshop: A Gender-Sensitive Treatment for Depressed Men

Over 10% of men will meet lifetime criteria for major depressive disorder, yet men often are unwilling to enter treatment, and have more negative attitudes toward therapy than do depressed women. The Men's Stress Workshop was developed as a gender-sensitive group therapy protocol for men that explicitly addresses the role of masculine norms in the treatment of depressive symptoms. In this article we: (a) provide an overview of the model that serves as the conceptual foundation for the workshop; (b) outline the major treatment components and hypothesized change mechanisms for the workshop; and (c) describe the research design and treatment development. Case material is presented to illustrate the treatment content and format.     

A Perspective on the Neurobiology of Language

This paper provides a perspective on current issues and challenges in the investigation of the neurobiology of language. It is proposed that the speech/language deficits of aphasic patients reflect impairments in the processing components involved in accessing language. More specifically, it is hypothesized that many of these deficits result from changes in the activation level of word candidates in the lexicon. Because word recognition and lexical access processes are crucially involved in virtually all aspects of language processing, such an impairment has repercussions throughout the components of the linguistic grammar. It is suggested that the intersection of such language behaviors with the identification of underlying neural systems will define future research directions. Methodological and technological issues are discussed as they impact on current and future research.     

Neurobiology of Cocaine-Induced Organic Brain Impairment: Contributions from Functional Neuroimaging

The present review is directed at imparting the current knowledge regarding functional neuroimaging as a tool for enhancing the understanding of cerebrophysiologic and neurobehavioral consequences of stimulant abuse. Stimulants like cocaine are capable of inducing clinically significant neurocognitive impairment through direct action on the brain, and indirectly through other organs that influence cerebral physiology. Neurochemical dysregulation including profound effects on the serotonergic and dopaminergic systems have substantial physiological and neurobehavioral consequences. Brain hemorrhages, transient ischemic attacks, strokes, and seizures frequently follow cocaine use. The residual cerebropathologic consequences of cocaine are seen only in significant or pronounced brain events when structural neuroimaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) are employed. However, recent research with newer functional neuroimaging techniques such as single photon emission, positron emission tomography, and quantitative electroencephalography have revealed high rates of significant alteration in brain function among cocaine users, with negative structural imaging studies. These findings are often associated with impairment on neuropsychological evaluation, also in the absence of positive findings on CT and MRI. Both cerebral metabolic and hypoperfusion anomalies are seen, especially in anterior and temporal brain regions. Observed changes can persist for months, and for some patients, may represent a permanent change in brain functioning.     

The Remarkable Explanatory Power of Neurobiology

Abstract

NEUROBIOLOGY FOR CLINICAL SOCIAL WORK: THEORY AND PRACTICE, by Jeffrey S. Applegate and Janet R. Shapiro. New York: W.W. Norton, 2005, $29.95, 248 pp. Reviewed by Linda A. Chernus, MSW, LISW, BCD