Prolonged Exposure Therapy for a Vietnam Veteran With PTSD and Early-Stage Dementia

Although prolonged exposure therapy (PE) is considered an evidence-based treatment for PTSD, there has been little published about the use of this treatment for older adults with comorbid early-stage dementia. As the number of older adults in the United States continues to grow, so will their unique mental health needs. The present article describes the successful coordination of care and application of PE in the assessment and treatment of a Vietnam veteran with comorbid PTSD and early-stage dementia. Measures related to the patient's cognitive and psychological functioning were obtained before, during, and after treatment. PE was associated with significant declines in PTSD and depression symptoms. Moreover, the patient's cognitive functioning was made clearer in the absence of severe psychiatric symptoms. Factors contributing to the patient's positive response are discussed.     

Toward a Critical Race Psychology

Critical Race Theory (CRT) emerged as an identity‐conscious intervention within critical legal studies and has subsequently developed an interdisciplinary presence. We draw upon CRT perspectives to articulate five core ideas for a Critical Race Psychology (CRP). CRT perspectives (1) approach racism as a systemic force embedded in everyday society (rather than a problem of individual bias); (2) illuminate how ideologies of neoliberal individualism (e.g., merit, choice) often reflect and reproduce racial domination; (3) identify interest convergence as the typical source of broad‐based support for reparative action; (4) emphasize possessive investment in privileged identities and identity‐infused realities that reproduce racial domination; and (5) propose practices of counter‐storytelling to reveal and contest identity‐infused bases of everyday society. In summary, we propose a CRP that consider race not as one domain (among many) for psychological investigation but instead as a conceptual lens through which to analyze all of psychological science.     

Ethnic Differences in Grade Trajectories During the Transition to Junior High

The transition from elementary to junior high school is difficult for some children, as indicated by a drop in grades in the new school setting from the beginning to end of the year. Finer-grain analysis of grade trajectories in the first year of junior high may reflect important differences among groups. In the present study, variables predicting linear and quadratic grade trajectories over the seventh grade were examined using a structural equation model (SEM, AMOS-4) and curve estimation procedures. Participants were 214 boys and 259 girls entering junior high (52% Anglo, 36% Hispanics, primarily of Mexican descent, and 12% Blacks). Three trajectory patterns were observed: “sliders,” students who showed a fairly steady grade decline over the year (characteristic of Anglos), “steadies,” students who varied little over the year (characteristic of Blacks), and “rebounders,” students whose grades dropped to a minimum in the fourth 6-week period, then showed limited recovery (characteristic of Hispanics). In the SEM, a lower intercept (representing the average of sixth grade grades) was associated with minority ethnic/racial status (Hispanic or Black), using more emotional discharge to cope, having a lower percentage of adults in the support network, poorer family functioning, and greater depression. Being Black was associated with a positive path coefficient to the linear slope of the grade trajectory, while a negative path coefficient was associated with using more emotional discharge in coping. The quadratic element (drop in grades with some recovery) was more pronounced for Hispanic participants, less pronounced for Black participants, and more pronounced when poorer family functioning was reported. Curve estimation procedures confirmed these ethnic/racial group differences. Reasons for such differences and their implications for schools and families are discussed.     

Losing Control: The effects of educational restructuring on waking and dream life

This paper focuses on the restructuring of the educational system in England over the last 14 years. It proposes that frequent changes to the system have resulted in negative emotions for many teachers which in turn have implications for the children's well-being. One of the negative feelings reported by teachers in subjective studies of their working experiences is a loss of control of the content and methodology of their work. This feeling re-emerges in school-related anxiety dreams, the content of which was studied in a sample of 10 teachers and four headteachers. The article raises issues for managers, suggesting that they need to ensure that the spiritual and emotional lives of the teachers are safeguarded in order to protect those of the children.     

MORAL DECISIONS ABOUT HUMAN GERM-LINE MODIFICATION

Technologies for human germ-line modification may soon enable humanity to create new types of human beings. Decisions about use of this power entail an unprecedented combination of difficulties: the stakes are immense, the unknowns are daunting, and moral principles are called into question. Evolved morality is not a sure basis for these decisions, both because of its inherent imperfections and because genetic engineering could eventually change humans’ innate cognitive mechanisms. Nevertheless, consensus is needed on moral values relevant to germ-line modification. These values could be based on characteristics of human beings that would remain constant regardless of revised genomes.     

II—Richard Cross

ABSTRACT Scotus's belief that any created substance can depend on the divine essence and/or divine persons as a subject requires him to abandon the plausible Aristotelian principle that there is no merely relational change. I argue that Scotus's various counterexamples to the principle can be rebutted. For reasons related to those that arise in Scotus's failed attempt to refute the principle, the principle also entails that properties cannot be universals.