The Visibility and Invisibility of Arab Americans and Implications for Psychological Treatment: A Comment on Cho

The following is a commentary on “Ethical Considerations for Psychologists Providing Treatment for Arab Americans” (Cho, this issue). Cho (this issue) brings to light important issues on providing ethical treatment with the Arab American community. However, there is currently no formal mechanism to identify the number of Americans of Arab descent, thus impacting the ability of researchers to study psychological treatment with Arab Americans. In addition, many Arab Americans are refugees with exposure to trauma, highlighting the need for understanding the role of culture in trauma when working with this community. Implications of these issues pertinent to the Arab American community and the need for psychologists to act in advocacy roles are discussed.     

Continuing Medical Education: A Cross Sectional Study on a Developing Country’s Perspective

To determine the attitude of general practitioners towards continuing medical education (CME) and reasons motivating or hindering them from attending CME procedures, we conducted a cross-sectional survey from November 2013 to April 2014 in Karachi. Three hundred general practitioners who possessed a medical license for practice in Pakistan filled a pre-designed questionnaire consisting of questions pertaining to attitudes towards CME. Data was entered and analyzed using SPSS v16.0. 70.3% (n = 211) of the participants were males. Mean age was 47.75 ± 9.47 years. Only 67.33% knew about CME and only 52% had attended a CME session. Reasons for attending CME procedures reported were: need for updating knowledge, skills and competencies (67.30%), opportunity to meet colleagues (18.58%) and presenting scientific papers (8.97%). Mean Likert score was 1.67 (±0.667) for those who thought CME is worthwhile and 1.44 (±0.686) for those who consider their clinical duties as the major hurdle in attending CME procedures. Most common cause for not attending CME was lack of knowledge (32.66%) followed by time constraint (24%). Most physicians were not sufficiently informed about the potential benefits of CME and had never attended a CME session. Most common reason for attending CME procedures reported was need for updating knowledge, skills and competencies while reasons hindering physicians from attending CME were lack of knowledge and time constraint.     

Toward an evolutionary basis for resilience to drug addiction

According to Müller & Schumann (M&S), people would have evolved adaptations for learning to use psychoactive plants and drugs as instruments that reveal particularly advantageous in modern urban environments. Here I "instrumentalize" this framework to propose an evolutionary basis for the existence of a biological resilience to drug addiction in people.     

Self-esteem among college students from four Arab countries

This study had three objectives: (a) to compare undergraduates from four Arab countries on self-esteem, (b) to explore the sex-related differences in self-esteem in these four Arab countries, and (c) to examine the association of self-esteem with both per-capita income and unemployment rate. Four samples of 2,643 students were recruited from Egypt (n = 576), Kuwait (n = 674), Lebanon (n = 826), and Oman (n = 567). They responded to the Arabic version of the Rosenberg Self-Esteem Scale. Kuwaiti and Omani men had a significantly higher mean score on self-esteem than did Egyptian and Lebanese men. Egyptian women scored significantly lower than the Omani women, but the effect size was small. Regarding the sex-related differences in self-esteem, Kuwaiti men had a significantly higher mean score than did their female peers, but the effect size was small, whereas there were no significant sex differences in the other samples. The sex-related difference in self-esteem is a controversial result and it may not be replicable in different countries. It was suggested that self-esteem is associated with high per-capita income and low unemployment rate.     

A Pilot Study of Electrocortical Activity in Dysfunctional Anger: Decreased Frontocortical Activation,Impaired Attention Control,and Diminished Behavioral Inhibition

Dysfunctional anger, though not a primary clinical diagnosis per se, does present clinically as a pathological mood for which treatment is sought. Few studies have probed the neurocortical correlates of dysfunctional anger or assessed if cognitive processes, such as attention, are altered in dysfunctional anger. Though dysfunctional and high trait anger appears to be associated with biased processing of anger‐eliciting information, few studies have examined if dysfunctional anger modulates attention more generally. This is a notable gap as volitional attention control is associated with effective emotive regulation, which is impaired in dysfunctional anger and in associated acts of aggression. In this pilot study, we examined performance and electroencephalographic (EEG) profiles during a 12‐min continuous performance task (CPT) of sustained attention in 15 adults with dysfunctional anger (Anger group) and 14 controls (control group). The Anger group had fewer hits at the end of the CPT, which correlated with decreased frontocortical activation, suggesting decreased engagement of frontal circuits when attention is taxed. The Anger group had more false alarms overall indicating impaired response inhibition. Increased right cortical activation during the initial portion of CPT existed in the Anger group, perhaps reflecting greater engagement of frontal circuits (i.e. effort) during initial stages of the task compared to controls. Finally, increased overall beta₁ power, suggesting increased cortical activation, was noted in the Anger group. These EEG patterns suggest a hypervigilant state in dysfunctional anger, which may interfere with effective attention control and decrease inhibition. Such impairments likely extend beyond the laboratory setting, and may associate with aggressive acts in real life. Aggr. Behav. 38:469‐480, 2012. © 2012 Wiley Periodicals, Inc.