Primary psychological intervention with families of earthquake survivors in armenia

Abstract

We studied the impact of the December 1988 earthquake on children and their families in Armenia, USSR. Important cultural characteristics affected symptom presentation and treatment strategies. In this paper we discuss the impact of Armenian culture, particularly the way children reflect the status of their parents, on treatment interventions.     

Group intervention for widowed survivors of suicide.

This study evaluates the effects of two group interventions, the Bereavement Group Postvention (BGP) and the Social Group Postvention (SGP), on the bereavement outcomes in widowed survivors of suicide. The goals were to determine if the group interventions would significantly decrease levels of depression, psychological distress, and grief, as well as significantly increase the level of social adjustment among widowed survivors of suicide. Sixty widowed survivors of suicide were randomized to either the BGP or SGP intervention for 1-1/2 hour weekly sessions over an 8-week period. Study participants were recruited through various media and community referrals and initiated telephone contact with the study investigators. Statistically significant changes were found on all measures when the SGP and the BGP were combined for analyses on posttreatment assessments at 3 to 5 days after completion of the group intervention, and 6 months and 12 months after the intervention. Participants experienced a significant reduction in overall depression, psychological distress, and grief, as well as an increase in social adjustment. Further research with tighter controls of confounding variables as well as the inclusion of a no-treatment control group is indicated.     

Assessing the link between stalking and domestic violence

Stalking may be defined as repeated following, communicating, and contacting a person in a threatening manner that causes the person to fear, on a reasonable basis, for his or her safety. Stalking is a recent legal construct, and social scientific research on stalking is in an early stage. Given that the most common victim of stalking is an ex-intimate partner, there may be an association between stalking and domestic violence. This paper evaluates this potential link. Specifically, the literature on stalking is reviewed by means of comparing it to existing literature on typologies of domestically violent persons. It is proposed that most stalkers who target ex-intimate partners are characterologically similar to a type of batterer labeled “borderline/cyclical.” Both domestic stalkers and borderline/cyclical batterers possess traits of Cluster B personality disorders. These traits include emotional volatility, attachment dysfunction, primitive defenses, weak ego strength, jealousy, anger, substance abuse, and early childhood trauma. Further, both groups have been observed to react with rage to perceived or actual rejection or abandonment. It is suggested that applying what is known about borderline/cyclical batterers to stalkers may aid in the investigation of this phenomenon. Implications for research are discussed.     

Same-gender stalking in Sweden and Australia

This study examined the phenomenon of same-gender stalking and sought to identify differences between same- and opposite-gender stalking cases. Ninety-four same-gender and 160 opposite-gender stalking cases from Sweden and Australia were compared on demographic, offense, clinical, and behavioral characteristics. The groups were largely similar, differing mainly in the nature of the prior relationship between stalker and victim and the stalker's motivation. The most notable distinction was the significantly greater prevalence of ex-intimate partner stalkers in the opposite-gender group (65%) versus the same-gender group (32%), leading to the exclusion of ex-intimates from the subsequent analysis to remove this potentially confounding variable. Amongst non-ex-intimates, same-gender stalkers were significantly more likely to be female and to stalk out of a sense of resentment and grievance. The results showed that the gender of the victim and perpetrator was less important to the course and conduct of a stalking episode than were the stalker's motivation and the nature of the prior relationship to the victim.     

College students' Facebook stalking of ex-partners

There are abundant anecdotes and warnings of inappropriate behaviors on social networking sites, particularly about Facebook. The purpose of the present study was to examine whether individuals obsessively monitor or harass their ex-partners on Facebook (related to general "Facebook stalking") and, if so, whether those individuals would also engage in cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking. A total of 411 valid participants answered questions about the ways they communicated with their ex-romantic partners using Facebook, resulting in three factors: Covert Provocation, Public Harassment, and Venting. Each category of Facebook harassment was related to perpetration of COP and ORI. Additionally, participants who engaged in COP were almost six times more likely to also perpetrate ORI. If participants admitted to engaging in some types of stalking behaviors, they did so online, offline, and on Facebook. Implications for social networking site usage and stalking laws are discussed. There is a kernel of truth to the popular term "Facebook stalking."     

Temperament and typology

This paper takes a cue from Harvard neuroscientists Jerome Kagan and Nancy Snidman's (2004) comment that Jung's work on typology has remarkable relevance to their research on neurobiological correlates of temperament and develops the links between the theorists separated by almost a century. The paper begins with a brief review of temperament traits in personality psychology. Kagan and Snidman's 11‐year longitudinal study is then analysed and correlated with Jung's psychological attitude types of introversion and extraversion, demonstrating that Jung's close empirical observations of human nature fit explicitly with objective measurements of neurobiological sensitivity thresholds and their expression in temperament. Emerging research on neurobiologically sensitive adults and children from Aron (1997, 2004, 2011) and differential susceptibility theory (DST) is presented as extrapolating the same links between temperament and physiological sensitivity found in Jung's introversion and Kagan and Snidman's high‐reactive type. The paper concludes with a consideration of the subjective psyche as a necessary aspect to understanding the self and human consciousness as whole.     

Assessment of long-term psychosocial sequelae among POW survivors of the Korean Conflict

Psychological and psychiatric assessments were performed among 20 prisoner-of-war (POW) Korean-Conflict survivors. Results revealed extraordinary biological and psychological abuse with weight losses exceeding 35% of preservice weights and long-term cognitive, emotional, and behavioral sequelae. The full range of posttraumatic stress disorder symptoms was seen in 90% to 100% of the cases with high prevalence of co-morbidity, specifically mood (75%), other anxiety (45%), and alcohol abuse (20%) disorders. Documented by clinical investigators at POW release and now more than 30 years later, symptoms of apprehensiveness, confusion, detachment, and depression reflect the persistence of psychiatric morbidity over time.     

The development and validation of the guidelines for stalking assessment and management

International research has established that stalking is a prevalent problem with serious and often life-threatening consequences for victims. Stalking is also a unique form of violence due to its nature and diversity, making it difficult for criminal justice and health professionals to establish which perpetrators and victims have the greatest need for services and protection. Risk assessment is one way to address these problems but few tools exist. This article describes the development of the Guidelines for Stalking Assessment and Management (SAM), the first risk assessment instrument designed specifically for the stalking situation. Preliminary data are presented, indicating that the SAM has promise for use by professionals working with stalkers and their victims. Results indicated that interrater reliabilities for the SAM risk factors and total scores range from fair to good, and the structural reliability of the SAM is sound. Moreover, the SAM showed good concurrent validity when compared with two other measures of violence propensity: the Psychopathy Checklist Screening Version (PCL:SV) and the Violence Risk Appraisal Guide (VRAG). Limitations of the study are discussed, especially those related to the difficulties inherent in file-based research, and suggestions for future research are offered.     

A pilot study of an intervention for breast cancer survivors and their spouses

Recent studies have shown that interventions that increase breast cancer patients' communication with family members lead to reduced patient distress. In this article, we report on a treatment development and pilot study of an intervention for couples coping with breast cancer. In phase 1 of this study, 10 couples participated in two focus groups that generated ideas and themes for the intervention. In phase 2, we developed and pilot tested our intervention with 48 couples: 12 in a 2-session format, 21 in a 1-session format, and 15 in a non-experimental control group. Our response rate shows that breast cancer patients and spouses were willing to participate and that treatment providers were willing to refer patients and their spouses. The 2-session format showed the most promise for producing positive change in mental health functioning and cancer-related stress.     

Advancing career counseling and employment support for survivors: an intervention evaluation

The purpose of this research was to conduct a replication-based and extension study examining the effectiveness of a 5-week career group counseling intervention, Advancing Career Counseling and Employment Support for Survivors (ACCESS; Chronister, 2008). The present study was conducted in a markedly different geographic region within a larger community as compared with the original investigation conducted by Chronister and McWhirter (2006). Women survivors of intimate partner violence (N = 73) participated in ACCESS, with career-search self-efficacy, perceived career barriers, perceived career supports, anxiety, and depression assessed at preintervention, postintervention, and 8-week follow-up. Women survivors demonstrated significant improvements in career-search self-efficacy and perceived career barriers at postintervention. Moreover, these same improvements were maintained at the 8-week follow-up assessment with the addition of significant improvements in perceived future financial supports, anxiety, and depression compared with preintervention scores. This work replicates the initial findings regarding the effectiveness of ACCESS with respect to career-search self-efficacy (Chronister & McWhirter, 2006) as well as extends the initial research to include improvements in perceived career barriers and perceived career supports. Moreover, the present study extends the work to include the mental health outcomes of anxiety and depression; results demonstrated improvements in these areas at 8-week follow-up. This investigation begins to fill a critical need for evaluated career-focused interventions for the underserved population of women survivors of intimate partner violence.     

Chasing vs. stalking: interrupting the perception of animacy

Visual experience involves not only physical features such as color and shape, but also higher-level properties such as animacy and goal-directedness. Perceiving animacy is an inherently dynamic experience, in part because agents' goal-directed behavior may be frequently in flux-unlike many of their physical properties. How does the visual system maintain and update representations of agents' animate and goal-directed behavior over time and motion? The present study explored this question in the context of a particularly salient form of perceived animacy: chasing, in which one shape (the "wolf") pursues another shape (the "sheep"). Here the participants themselves controlled the movement of the sheep, and the perception of chasing was assessed in terms of their ability to avoid being caught by the wolf-which looked identical to many moving distractors, and so could be identified only by its motion. The wolf's pursuit was frequently interrupted by periods in which it was static, jiggling in place, or moving randomly (amidst distractors that behaved similarly). Only the latter condition greatly impaired the detection of chasing-and only when the random motion was grouped into temporally extended chunks. These results reveal (1) how the detection of chasing is determined by the character and temporal grouping (rather than just the brute amount) of "pursuit" over time; and (2) how these temporal dynamics can lead the visual system to either construct or actively reject interpretations of chasing.     

Written exposure as an intervention for PTSD: A randomized clinical trial with motor vehicle accident survivors

The present study examined the efficacy of a brief, written exposure therapy (WET) for posttraumatic stress disorder (PTSD). Participants were 46 adults with a current primary diagnosis of motor vehicle accident-related PTSD. Participants were randomly assigned to either WET or a waitlist (WL) condition. Independent assessments took place at baseline and 6-, 18-, and 30-weeks post baseline (WL condition not assessed at 30 weeks). Participants assigned to WET showed significant reductions in PTSD symptom severity at 6- and 18-week post-baseline, relative to WL participants, with large between-group effect sizes. In addition, significantly fewer WET participants met diagnostic criteria for PTSD at both the 6- and 18-week post-baseline assessments, relative to WL participants. Treatment gains were maintained for the WET participants at the 30-week post baseline assessment. Notably, only 9% of participants dropped out of WET and the WET participants reported a high degree of satisfaction with the treatment. These findings suggest that a brief, written exposure treatment may efficaciously treat PTSD. Future research should examine whether WET is efficacious with other PTSD samples, as well as compare the efficacy of WET with that of evidence-based treatments for PTSD.     

Picture interpretation and Jungian typology

This study examined a Jungian picture interpretation schema, which utilizes a specific quadrant method. This proposed schema, which is used in training at the C. G. Jung Institute in Zürich, attaches significance to specific areas of a drawing. The upper left of a drawing is associated with the father; the lower left with the unconscious; the lower right with the mother; and the upper right with the future. Three questions served as the foci of this study: Is the schema valid? Do certain types within Jung's personality theory respond better than others to the schema? Does the schema work best when it elicits a strong affective response from the person who created the picture? Subjects took one of two tests: a space domain test, or a colour associative test. The results revealed only two significant effects: a positive association (in the space domain test) between unconscious material with the unconscious quadrant and a negative association (in the colour associative test) of mother material with the mother quadrant. These results suggest that the Jungian quadrant schema used to interpret drawings is invalid and of minimal practical utility. Other methods of picture interpretation are discussed as well as suggestions for future research that would be helpful to this field.     

Explaining color term typology with an evolutionary model

An expression-induction model was used to simulate the evolution of basic color terms to test Berlin and Kay's (1969) hypothesis that the typological patterns observed in basic color term systems are produced by a process of cultural evolution under the influence of biases resulting from the special properties of universal focal colors. Ten agents were simulated, each of which could learn color term denotations by generalizing from examples using Bayesian inference, and for which universal focal red, yellow, green, and blue were especially salient, but unevenly spaced in the perceptual color space. Conversations between these agents, in which agents would learn from one another, were simulated over several generations, and the languages emerging at the end of each simulation were investigated. The proportion of color terms of each type correlated closely with the equivalent frequencies found in the World Color Survey, and most of the emergent languages could be placed on one of the evolutionary trajectories proposed by Kay and Maffi (1999). The simulation therefore demonstrates how typological patterns can emerge as a result of learning biases acting over a period of time.     

Working with incest survivors

The purpose of this paper is to convey more widely the existence of this kind of specialist group in the NHS. We also wish to show some of the advantages and disadvantages in setting up such a group to other professionals who may be considering the possibility of starting an incest-survivors group. The paper describes the group which ran at the Psychiatric Day Hospital at the Whittington Hospital for forty weeks: how we adopted the group structure; some of the problems we faced; and some of the emotional issues generated in therapists and patients. Conclusions are drawn about the usefulness of such a group.     

Infants and their families at risk: Assessment and intervention

One of the basic premises of child-rearing and intervention models is that infant behavior is part of a communication system with the caregiving environment. However, infants vary in the messages that they convey to the caregiving environment, and parents vary in their ability to interpret their infants' signals and provide appropriate caregiving. This paper examines some of the tension that may exist between infant communication and appropriate caregiving. We examine research findings from several different populations of at-risk infants and their mothers in which infant signals and parental responses are variously effective in providing clues for appropriate caregiving. Some kinds of fits or matches between infant characteristics and maternal characteristics may be better than others for optimal infant development. The implications for intervention are also discussed.