Effect of a total smoking ban in a maximum security psychiatric hospital

An archival study was performed in a maximum security forensic hospital to evaluate the effects of a total ban on smoking and all tobacco products. One hundred and forty patients were characterized as nonsmokers or light, moderate or heavy smokers. Patient records for the four weeks prior to the ban were compared with their records for the four weeks subsequent to the ban. Numbers of sick calls, total disruptive behaviors and verbal aggression declined markedly and significantly following the ban in those patients previously classified as moderate or heavy smokers. Weight increased significantly, but almost equally regardless of previous smoking status. Patients, and eventually staff, tolerated the smoking ban without significant negative effects. Patients relied very little on treatment modalities to alleviate nicotine withdrawal. Pre-ban apprehension by staff and patients dissipated with time after the smoking ban started.     

Adolescents’ reactions to the world trade center destruction: A study of political trauma in metropolitan New York

This study examined the emotional response of 110 adolescents living in the New York metropolitan area one month and five months after the destruction of the World Trade Center (WTC) by terrorists. The purpose of the study was to assess emerging hypotheses in political psychology that suggest that there are differential emotional responses to a national trauma that recede in predictable directions. The results followed predictions and indicate that adolescents experienced a higher level of emotions related to the Crisis and Bereavement dimension than affect associated with Vulnerability and that the emotional response decreased during the four-month follow-up period. There was no effect on emotional response from the biological sex or political orientation of the respondents, which is inconsistent with other studies in the literature. The absence of a political orientation effect is explained in terms of the lack of a domestic ideological difference in response to the terrorist attack.     

The Traumatized Patient’s Word and Temperament as Elements of Successful Psychotherapeutic Treatment

I will review the case presentation by Ron Bodansky of two treatments of a primitively organized patient who endured childhood trauma. Drawing on the material, as well as work by Fairbairn and Verhaeghe, I offer two proposals to help explain why some deeply traumatized patients improve in psychotherapy. First, inborn temperament may be more important than the nature of the trauma or the specifics of the treatment itself. Second, the mitigating effect of the treatment may be found in the nature of the relationship between the therapist and patient. By abandoning assumptions regarding the patient’s prognosis, and by providing sustained attention to, and committed interest in, the patient’s stated experiences, all within a specifically therapeutic boundary, patients may develop the language and representation capacities needed to live beyond trauma, and thus be taken at their word.     

Differentiation Between School Attendance Problems: Why and How?

School attendance problems (SAPs) are heterogeneous with respect to etiology and presentation. The long history of conceptualizing SAPs has led to a vast array of terms and definitions as well as different perspectives on the most helpful approach to classification. For educators, practitioners, researchers, and policymakers, this presents a challenge in understanding, assessing, and intervening with SAPs. This paper outlines evolution in the conceptualization of SAPs, focusing on two contemporary approaches to differentiating between them. One approach draws on the longstanding differentiation between SAP types labeled school refusal, truancy, and school withdrawal. A fourth type of SAP, labeled school exclusion, is also considered. The other approach focuses on the function of absenteeism, measured via the School Refusal Assessment Scale (SRAS). Anecdotal and scientific support for the SAP typology is presented, along with the benefits and shortcomings of the SRAS approach to differentiation. The paper offers suggestions for how to differentiate between SAPs and introduces the SNACK, a brief screening measure that permits differentiation by SAP type.     

THE MAGIC OF PLAY: LOW‐INCOME MOTHERS’ AND FATHERS’ PLAYFULNESS AND CHILDREN'S EMOTION REGULATION AND VOCABULARY SKILLS

Using data from a diverse sample of low‐income families who participated in the Early Head Start Research Evaluation Project (n = 73), we explored the association between mothers’ and fathers’ playfulness with toddlers, toddler's affect during play, and children's language and emotion regulation at prekindergarten. There were two main findings. First, fathers’ playfulness in toddlerhood was associated with children's vocabulary skills in prekindergarten whereas mothers’ playfulness was related to children's emotion regulation. Cross‐parental effects were found only for mothers. The association between mothers’ playfulness and children's vocabulary and emotion regulation was strengthened when fathers engaged in more pretend play and when children were affectively positive during the play. These findings show that playfulness is an important source of variation in the vocabulary and emotion regulation of children growing up in low‐income families. They also point to domain‐specific ways that mothers and fathers promote children's regulatory and vocabulary skills, and highlight the importance of children's positive engagement in play.     

Cognitive and linguistic skills in Swedish children with cochlear implants - measures of accuracy and latency as indicators of development

The purpose of the present study was to examine working memory (WM) capacity, lexical access and phonological skills in 19 children with cochlear implants (CI) (5;7-13;4 years of age) attending grades 0-2, 4, 5 and 6 and to compare their performance with 56 children with normal hearing. Their performance was also studied in relation to demographic factors. The findings indicate that children with CI had visuospatial WM capacities equivalent to the comparison group. They had lower performance levels on most of the other cognitive tests. Significant differences between the groups were not found in all grades and a number of children with CI performed within 1 SD of the mean of their respective grade-matched comparison group on most of the cognitive measures. The differences between the groups were particularly prominent in tasks of phonological WM. The results are discussed with respect to the effects of cochlear implants on cognitive development.     

Motivations for Civic Participation Among Diverse Youth: More Similarities than Differences

Participating in civic life is an important developmental task of adolescence and a central tenet of democracy. What motivates diverse youth in the United States to become involved in civic life? Using a mixed-method and person-centered approach, the authors (1) identified subgroups of participants based on their motivations for political and nonpolitical volunteering and (2) explored differences in civic motivations by ethnic and immigration backgrounds among Asian and Latino adolescents. Using latent class analysis, the authors identified four classes of motivation for political (n = 414) and nonpolitical volunteer (n = 1,066) activities: helping identity, instrumental, personal issue, and weak motivation. Overall, first- and second-generation Latino and Asian youth and nonimmigrants showed more similarities than differences in civic motivations. Survey and interview data revealed that youth from immigrant backgrounds were more motivated to volunteer by instrumental reasons compared to nonimmigrants. Qualitative analyses also revealed that immigrant youth from Mexican backgrounds were mobilized around issues of immigration reform whereas youth from Asian backgrounds were concerned with issues in their local communities.     

Hippocampal injections of amyloid beta-peptide 1-40 impair subsequent one-trial/day reward learning

The injection of amyloid beta-peptide (Abeta) into rat CNS has been reported to induce cellular neuropathology. The present study investigated whether multiple intrahippocampal injections of Abeta 1-40 would impair one-trial/day reward learning 14 days later. Twenty-four male Sprague-Dawley rats, 3-4 months old, were injected with either Abeta 1-40 or distilled water into seven hippocampal sites bilaterally. Ten rats received 3 nmol Abeta 1-40 in 2 microl of distilled water per injection site, while 14 rats received distilled water alone. Following a 9-day recovery period, rats were gradually food deprived to 82% of their initial body weight. Fourteen days after the intrahippocampal injection, all rats received an initial training trial and three subsequent daily retention trials. Rats receiving Abeta 1-40 were significantly impaired on the second retention trial in terms of accuracy (number of unbaited alleys entered) and on the second and third retention trials in terms of speed (reciprocal of latency to reward). Histological analysis showed that Abeta 1-40 injections produced significant neuronal loss and gliosis. Abeta 1-40 immunoreactivity persisted locally at the injection site and in macrophages 2 weeks following the hippocampal injections. These effects appear to be sequence-specific; rats receiving Abeta 1-42 with a scrambled peptide sequence did not differ significantly from rats receiving distilled water alone in retention of the learning task or degree of histological damage.     

Interpersonal psychotherapy for eating disorders with co-morbid depression: A pilot study

Objective: Patients with eating disorders (ED) often suffer from co-morbid depression, which may complicate the ED treatment. Previous studies have found that ED interventions seem to have limited capacity to reduce depressive symptoms. Several studies of interpersonal psychotherapy (IPT), have found that when patients have been treated for depression, co-morbid symptoms have diminished. As depression and EDs are commonly co-occurring conditions, this pilot study aimed to examine the effect of an IPT treatment for these conditions, with the focus on the depressive symptoms.

Method: In this multi-centre study, 16 patients with EDs and co-occurring major depression received 16 weeks of depression-focused IPT.

Results: Significant improvements with substantial effect sizes were found for both depression (d = 1.48) and ED (d = .93). Symptom reduction in the two syndromes were strongly correlated (r = .625, p = .004). Patients with a restrictive ED did not improve on either depression or ED symptoms.

Conclusion: These findings point to the usefulness of IPT for concurrent depression and ED with a bingeing/purging symptomatology. Working with negative affect and problem-solving related to current interpersonal problems may alleviate general psychological distress among these patients.