Co-occurring mental health and substance use problems in offenders: implications for risk assessment

We undertook a secondary data analysis to study issues relevant to co-occurring mental health and substance disorder in a combined sample of offenders (N = 3,197). Using the Personality Assessment Inventory, we compared the frequency of depressive, traumatic stress, and personality disorder symptom elevations across offenders with and without substance problems, identified the extent to which co-occurring problems were accompanied by risk factors for suicide and aggression, and tested for gender differences. Offenders with substance problems were more likely than others to have increased mental health problems and risk factors for suicide or aggression. Women with substance problems, compared with men, had higher depression, traumatic stress, and borderline features, in addition to lower antisocial features. The frequency with which suicide and aggression risk factors were associated with mental health problems was generally similar across men and women. Measurement issues relevant to co-occurring disorder and risk assessment are discussed.     

Psycho-physiological impact on women with chronic fatigue syndrome in the context of their couple relationship

The quality of dyadic adjustment is likely to play an important role in patients' relational problems and may also be associated with the clinical presentation of chronic fatigue syndrome (CFS) symptoms. The objective of this study was (1) to determine whether CFS patients and their partners have similar perceptions of their dyadic adjustment and (2) to evaluate whether the influence of dyadic satisfaction in women with CFS, as well as common psychological parameters such as anxiety, may correlate with physiological responses at rest and/or when performing very low intensity exercise. Forty females with CFS and their partners completed the Dyadic Adjustment Scale, the State-Trait Anxiety Inventory, and the Hospital Anxiety and Depression scale. The cardiovascular adaptation of patients was evaluated during resting conditions and on a precalibrated cycle ergometer while performing very low intensity exercise. Patients and partners had similar perceptions of their marital relationship. Both at rest and during very low workload, various physiological parameters in the patient group showed statistical correlations with certain psychological parameters. Several psychological variables, such as anxiety and dyadic adjustment, were associated with the cardioventilatory response monitored at rest and during very low intensity exercise. Further studies are needed to determine the nature of this association.     

Depression in Inner City African American Youth: A Phenomenological Study

Depression can at times be under-identified, and misdiagnosed, especially in youth from under-represented ethnic and racial groups who live in urban environments. This study employed a qualitative phenomenological methodology to examine the subjective experience of depression among clinically diagnosed inner city African American adolescents, aged 13–17 years. Five super-ordinate themes emerged from the study analysis including, (a) the depth of depression, (b) life events and experiences as “root base”, (c) the emotional sense of self, (d) the survival self, and (e) the healing self. Findings also demonstrated the essence of the lived experience of being depressed as including both externalizing and internalizing strategies for coping. The adolescents described depression as a part of life and did not describe suicide as a solution, suggesting the need to consider that these constructs may lead to a more informed understanding and identification of depression among African American youths. Methodological limitations and recommendations for future research are addressed.     

The Role of Mental Rigidity and Alcohol Consumption Interaction on Intimate Partner Violence: A Spanish Study

Intimate partner violence (IPV) has often been linked to alcohol consumption. Alcohol abuse affects cognitive processing through its effects on the prefrontal cortex, generating influence in mental rigidity (MR). This study analyzes the influence of MR as a predisposing factor to violence. The sample consisted of 136 men with a history of IPV. Participants with high MR had lower empathy and perception of the severity of IPV, and higher alcohol consumption and hostile sexism than participants with lower MR. These results should be considered in the development of prevention and intervention programs with the goal of increasing their effectiveness.     

Assessment and treatment of foot-shoe fetish displayed by a man with autism

Results of a functional analysis indicated that a man diagnosed with autism engaged in bizarre sexual behavior in the presence of women wearing sandals. Several treatments proved to be ineffective or impractical. By contrast, a response-interruption/time-out procedure quickly eliminated the problem behavior in multiple settings.     

ROC and z-ROC analysis in recognition memory: continuous, threshold, and asymmetric models

In this research, we applied the operating characteristic of the receiver (ROC) to evaluate item-recognition memory by means of open class words (CA) and closed class words (CC). The purpose was to evaluate memory processes and models, according to the type of stimuli used: words in Spanish, classified according to grammar characteristics. To register the data, a rating scale was applied to obtain the appropriate response levels. Statistically significant differences between the processing of both types of words were obtained. We evaluated models of threshold, continuous, and unequal variance. As a result, we could contribute to the resolution of the present controversy about the models adapted to evaluate the memory of item recognition. Lastly, the differentiation and integration of the models from an empirical point of view is discussed.     

Personality differences between alcohol abusers and matched controls: Relation to frontal symptoms and subtypes of addicts

Epidemiological studies usually show a link between personality disorders and addictions. Dimensional models of personality, such as that of Cloninger, are able to diagnose and discriminate between transient dysfunctional behavior styles and relatively more stable traits. Certain brain areas have been proposed, as trait locations, based on their activation. This paper explores differences in personality traits among a sample of alcohol abusers (N= 95) and a control group of non-clinical population (N= 95), matched in sociodemographic variables, using the TCI-R-67 and the FrSBe-Sp. It is hypothesized that such differences are associated with frontal symptomatology. The existence of different subgroups of addicts based on certain combinations of traits is also analyzed. Results showed significant differences in two temperament traits (Novelty Seeking and Harm Avoidance) and a characterial trait (Self-Direction). We also found a correlation with a large effect size between these traits and frontal symptomatology. Cluster analysis classified the participants into several subtypes with different combinations of traits that matched diverse frontal symptomatology. Possible neurobiological explanations of these differences and their importance in the clinical practice are discussed.     

Cardiovascular health in women: the role of anger and its expression

The relationships between anger expression (in, out, and control) and cardiovascular health (emotional distress, cardiovascular symptoms reported, and preventive health behaviors) were analyzed in 327 women (range 17-60 years). The same criteria (N= 218), as well as blood pressure (BP) registered in medical checkups (N= 90) were recorded one year later. Four groups according to anger-in and anger-control scores, going from the most hostile (high anger-in and low anger-control) to the least hostile (low anger-in and high anger-control) were considered. The results indicated that the most hostile group, with the least adaptive anger expression, presented worst cardiovascular health than the other three groups, at both temporal moments. Furthermore, the presence of women with pathological BP levels was higher in the groups of high anger-in. These data ratify the role of anger expression, especially its repression (anger-in) and the lack of adequate canalization or control in women's cardiovascular health from a prospective design. Appropriate management of anger feelings and the practice of preventive health behaviors can protect women from cardiovascular problems.     

The Ecology of Teachers’ Experiences with Violence and Lack of Administrative Support

Teacher‐directed violence is a common, yet understudied, phenomenon. Perpetrators of violence against teachers include not just students, but also administrators, parents, and colleagues. Administrators are key stakeholders when it comes to shaping school climate and safety that can reduce or increase the negative impact of violence against teachers. In this study, 237 teachers’ qualitative responses from a larger sample of 2,431 anonymous, online survey responses were examined to better understand their experiences with incidents of violence and how administrators played a role in these experiences. Results reveal that lack of administrator support negatively impacts teachers at multiple levels, including teachers’ feelings (individual); challenges associated with addressing issues related to students, parents, and other perpetrators (interpersonal); and school systems and policies (organizational). This study highlights the importance of administrative support and illustrates how administrators’ actions and inactions can have ripple effects at each level of the school microcosm. Implications for research, practice, and policy are discussed.     

But I'm No Bigot: How Prejudiced White Americans Maintain Unprejudiced Self‐Images

Four experiments investigate a modern paradox: White Americans harbor racial prejudice, but view themselves as unprejudiced. We hypothesized that social representations of prejudice available in American culture lead many Whites to conclude that they are relatively unprejudiced. In Experiment 1, participants primed with the bigot stereotype viewed themselves as less prejudiced. In Experiments 2 and 3, participants exposed to media representations of racists viewed themselves as less prejudiced. In Experiment 4, participants sought exposure to media representations of prejudice after a threat to their unprejudiced self‐image. These experiments suggest that representations of prejudice in American culture lead prejudiced individuals to view themselves as unprejudiced, and the effect of these representations on people's unprejudiced self‐images can be passive or intentional.