Transitioning Between Systems of Care: Missed Opportunities for Engaging Adults with Serious Mental Illness and Criminal Justice Involvement

Individuals with serious mental illness are overrepresented in the criminal justice system and face difficulties accessing mental health services both during incarceration and upon re‐entry into the community. This study examines how such individuals describe their experiences receiving care both during and after their time in custody and explores the perspectives of mental health service providers who treat this population upon re‐entry. Semi‐structured interviews were conducted with 43 individuals identified as having a history of serious mental illness and criminal justice involvement, as well as with 25 providers who have worked with this population. Clients noted the stress of transitioning to criminal justice settings, the uneven availability of services within jail and prison, and the significant challenges faced upon re‐entry. Providers reported barriers to working with this population, including minimal coordination with the criminal justice system and challenging behaviors and attitudes on the part of both clients and providers. Findings identify potential target areas for improved care coordination as well as for additional provider education regarding the unique needs of this population. Copyright © 2013 John Wiley & Sons, Ltd.     

The mercy of anxiety: A relational-psychoanalytic study of Dialogues des Carmélites

This article discusses the complex relationship between anxiety and religion in identity formation by analysing an intense, contemporary opera, the Dialogues des Carmélites by the French composer Francis Poulenc. The theoretical framework for our discussion was adopted from what is currently called relational psychoanalysis - and more specifically, from the theories of Erik H. Erikson, Ernest G. Schachtel and Donald W. Winnicott. We will try to demonstrate that existential anxiety forms part of the process of developing a (religious) identity, and need not necessarily be a sign of weakness or pathology. Nonetheless, feelings of anxiety may be paralysing in a cultural climate such as ours, which stresses the values of freedom and autonomy. A relational psychoanalytic reading of the opera leads to a re-evaluation of these values, showing that (religious) identity development is an intrinsically relational process. The attitude of receptivity (which is connected to the theological theme of grace) plays an important role in this respect. On completing our analysis, we concluded that relational psychoanalysis complements the existential view on identity and anxiety. We also advocate more attention for the theme of receptivity in the psychology of religion.     

The Valuable Allies

The primary reason for a counselor's existence is to foster, through understanding and acceptance, the development of individuals. When the individuals are adolescents the task is trying, because most adults have difficulty identifying with the “real irks” of the adolescent's existence. The personal, educational, and historical reasons for this difficulty are examined. A suggestion, originally made by Freud, is reiterated to help the counselor explore the worlds of youth. The important point is that, for those who would truly know adolescents, psychology and literature ought to be fellow disciplines. The psychologist discovered the adolescent, but it is the novelist who defines him. A bibliography of “proper information” (fictional sources) is included.     

Collateral Reports and Cross-Informant Agreement about Adult Psychopathology in 14 Societies

To advance international mental health assessment, instruments that have been internationally validated are needed. To this end, we analyzed ratings from 14 societies on the Adult Behavior Checklist (ABCL), a collateral-report form parallel to the Adult Self-Report (ASR; Achenbach and Rescorla 2003) for ages 18 to 59. Both the ABCL and the ASR assess problems, personal strengths, and adaptive functioning. For a sample of 8322 see note below collaterals, we found strong consistency across societies regarding which ABCL problem items tended to obtain relatively low, medium, or high ratings. Most societal effect sizes (ESs) for problem scale scores were small to medium (< 13.9 %), but the ES for the ABCL Personal Strengths scale was 25 %. For most of the same participants (N = 8,302), we analyzed cross-informant agreement between self-reports on the ASR and collateral reports on the ABCL. Cross-informant correlations for problem scale scores averaged .47, with considerable societal variation. Problem score means were higher on the ASR than the ABCL in every society, but the size of the difference varied across societies. Mean item ratings on the ABCL and ASR were highly correlated within every society (mean r = .92), but within-dyad item rating agreement varied widely in every society (mean r = .39). In all societies, non-corroboration of self-reported deviance and of collateral-reported deviance was common. Overall findings indicated considerable similarity but also some important differences in collateral-reported problems and adaptive functioning across 14 societies.     

Learning to utilize information presented over two sensory channels

In three separate experiments, Ss were provided with auditory, visual, or simultaneous auditory and visual information in a classification task. Difficulty of classification was manipulated by varying the stimulus exposure duration. Consistent bisensory facilitation effects were noted for later trials, with interference evident on earlier trials. Exposure duration influenced rate and not amount of learning, with bisensory performance being most affected by duration. A transfer paradigm was used in Experiment III, and little if any transfer was noted between unisensory and bisensory stimulus conditions. It was concluded that Ss were extracting the most salient bisensory stimulus components from the auditory and visual modes of information into a unidimensional information configuration.