Help-Seeking from Clergy and Spiritual Counselors Among Veterans with Depression and PTSD in Primary Care

Little is known about the prevalence or predictors of seeking help for depression and PTSD from spiritual counselors and clergy. We describe openness to and actual help-seeking from spiritual counselors among primary care patients with depression. We screened consecutive VA primary care patients for depression; 761 Veterans with probable major depression participated in telephone surveys (at baseline, 7 months, and 18 months). Participants were asked about (1) openness to seeking help for emotional problems from spiritual counselors/clergy and (2) actual contact with spiritual counselors/clergy in the past 6 months. At baseline, almost half of the participants, 359 (47.2 %), endorsed being “very” or “somewhat likely” to seek help for emotional problems from spiritual counselors; 498 (65.4 %) were open to a primary care provider, 486 (63.9 %) to a psychiatrist, and 409 (66.5 %) to another type of mental health provider. Ninety-one participants (12 %) reported actual spiritual counselor/clergy consultation. Ninety-five (10.3 %) participants reported that their VA providers had recently asked them about spiritual support; the majority of these found this discussion helpful. Participants with current PTSD symptoms, and those with a mental health visit in the past 6 months, were more likely to report openness to and actual help-seeking from clergy. Veterans with depression and PTSD are amenable to receiving help from spiritual counselors/clergy and other providers. Integration of spiritual counselors/clergy into care teams may be helpful to Veterans with PTSD. Training of such providers to address PTSD specifically may also be desirable.     

Reaching Out: Improving the Continuity of Care of Community Mental Health Services Through a Weekly Climbing Group

This mixed-method study examined the impact of a novel activity group on engagement in care. Thirty-two participants were recruited from National Health Service (NHS) community mental health services in three inner-London boroughs. Participants undertook eight weekly sessions of supervised climbing. There was a significant quantitative improvement in the domain “individual progress” (Z = 2.12, p = 0.03). Qualitative data indicated a wide range of benefits. The study identified both direct and indirect benefits to continuity of care. The study validates the use of a climbing activity group to engage and benefit community mental health service users.     

The Mutually Constitutive Relationship between Place and Identity: The Role of Place‐Identity in Discourse on Asylum Seekers and Refugees

Recent discursive research has shown that constructions of place may function to regulate social relations and reinforce particular notions of belonging. However, extant discursive research on place‐identity has so far neglected the mutually constitutive relationships between constructions of place and identity in legitimising people's presence. To address this gap, this study, undertaken in Scotland, applies the notion of place‐identity to the discursive analysis of interviews with asylum seekers and refugees, people who work in organisations that support asylum seekers and refugees and locals who live in areas where asylum seekers and refugees tend to be housed. The analysis suggests that constructions of asylum seekers’ and refugees’ countries of origin as dangerous, and the host society as relatively problem‐free, function to constitute their identities as legitimate and to justify their presence in the host society. Moreover, constructions of place may work to portray refugees and asylum seekers as benefiting the local community and as belonging more than certain other locals. In contrast, constructing the host society as ‘full’ functions to oppose their presence through portraying them as not being able to belong. This demonstrates the mutually constitutive roles of place and identity in legitimising or resisting people's movement and belonging. Copyright © 2013 John Wiley & Sons, Ltd.     

Structural-functional correlations between hippocampal volume and cortico-limbic emotional responses in depressed children

Although hippocampal atrophy and altered functional brain responses to emotional stimuli have been found in major depressive disorder (MDD), the relationship between the two is not yet well understood. The present study focused on children with and without a history of preschool onset MDD (PO-MDD) and directly examined the relations between hippocampal volume and functional brain activation to affect-eliciting stimuli. Children completed annual diagnostic assessments starting at preschool. When children were school-aged, high-resolution structural MRI and task-related functional MRI data were acquired from N = 64 nonmedicated children. During fMRI, subjects were shown emotional faces. Results from the total sample indicated that smaller bilateral hippocampal volumes were associated with greater cortico-limbic (e.g., amygdala, hippocampus, dorsolateral prefrontal cortex) activation to sad or negative faces versus neutral faces. Left hippocampal volume was negatively associated with the cortico-limbic activation in both the PO-MDD and healthy children. Right hippocampal volume was negatively correlated with amygdala responses in the PO-MDD group, but not in the healthy comparison group. These findings suggest that there may be important interrelationships between reduced hippocampal volume and hyperactivation of brain responses in children, both those with and those without a history of PO-MDD.     

Temporal shifts in eye gaze and facial expressions independently contribute to the perceived attractiveness of unfamiliar faces

ABSTRACT

We investigated whether attractiveness ratings of expressive faces would be affected by gaze shifts towards or away from the observer. In all experiments, effects of facial expression were found, with higher attractiveness ratings to positive over negative expressions, irrespective of effects of gaze-shifts. In the first experiment faces with gaze shifts away from the observer were preferred. However, when the dynamics of the gaze shift was disrupted, by adding an intermediate delay, the effect of direction of gaze shift disappeared. By manipulating the relative duration of each gaze direction during a gaze shift we found higher attractiveness ratings to faces with a longer duration of direct gaze, particularly in the initial exposure to a face. Our findings suggest that although the temporal dynamics of eye gaze and facial expressions influence the aesthetic evaluation of faces, these cues appear to act independently rather than in an integrated manner for social perception.     

Training children to approach or avoid novel animals: Effects on self-reported attitudes and fear beliefs and information-seeking behaviors

We examined the effects of training to approach or avoid novel animals on fear-related responses in children. Ninety-nine primary school children (9–12 years old) were instructed to repeatedly move a manikin toward or away from pictures of novel animals. The training produced more positive self-reported attitudes for the animal that was repeatedly approached and more negative attitudes for the animal that was repeatedly avoided. After the training, children reported more fear of the avoided animal than of the approached animal. Interestingly, children showed a training-congruent confirmation bias effect on an information-seeking task. That is, they displayed a tendency to seek more positive information about the approached animal, whereas they were inclined to search for more negative information about the avoided animal. No significant training effects were observed on implicit attitudes. The finding that a simple approach-avoidance training influences children’s fear-related responses and leads to biased information-seeking behaviors lends support to general theories of fear acquisition in children as well as to models that try to explain the intergenerational transmission of anxiety.     

Effects of concurrent load on feature- and rule-based generalization in human contingency learning

The effect of concurrent load on generalization performance in human contingency learning was examined in 2 experiments that employed the combined positive and negative patterning procedure of Shanks and Darby (1998). In Experiment 1, we tested 32 undergraduates and found that participants who were trained and tested under full attention showed generalization consistent with the application of an opposites rule (i.e., single cues signal the opposite outcome to their compound), whereas participants trained and tested under a concurrent cognitive load showed generalization consistent with surface similarity. In Experiment 2, we replicated the effect with 148 undergraduates and provided evidence that it was the presence of concurrent load during training, rather than during testing, that was critical. Implications for associative, inferential, and dual-process accounts of human learning are discussed.     

How Do U.S. Students Perceive Trans Persons?

This study explored undergraduate students’ interpersonal responses, namely general feelings toward and desire for further social interaction with trans persons in a helping context. Secondarily, this study explored the relationship between participants’ intrinsic empathy, interpersonal curiosity and interest in further interaction. Two hundred fifty-one undergraduates at a moderate sized university in the southeastern United States served as participants. In order to assess baseline levels of empathy and curiosity, participants in session 1 completed the Interpersonal Reactivity Scale (Davis 1983) and the Interpersonal Curiosity Scale (Litman and Pezzo 2007). One week later, during session 2, the same students assumed the role of a peer counselor and read 1 of 4 (male, female, male-to-female, female-to-male) randomly assigned versions of an intake form completed by a fictitious peer client. Each version was identical, with the exception of the gender identity of the peer client. Participants completed various measures of affect and interest in further interaction. Male participants reported less willingness to interact with, and the strongest negative feelings toward the FTM peer client. Men reported highest willingness to interact with the MTF client and showed the lowest negative reactions towards the MTF client. Female participants’ scores on willingness to interact and on negative reactions were similar across all four intake form versions. Contrary to expectations, baseline levels of empathy and curiosity did not impact responses to gender expression. Further investigation is needed to elucidate the factors associated with anti-transgender prejudice particularly in the context of helping relationships.