The Use of Psychoeducation for a Patient with Hepatitis C and Psychiatric Illness in Preparation for Antiviral Therapy: A Case Report and Discussion

The standard of care treatment for chronic hepatitis C viral infection (HCV) is a combination of pegylated interferon alfa and ribavirin for 24-48?weeks according to the virus genotype. This therapy is known to have multiple neuropsychiatric side effects. A major concern when evaluating a patient for HCV treatment with a known history of a psychiatric disorder is the risk that the patient's psychiatric disorder will flare or become unmanageable. The possibility of precipitating depression, confusion, mania, psychosis, hallucinations, or suicidal ideation or attempt is frequently an obstacle to treatment. We present the case of a 50?year-old man with HCV and an extensive psychiatric history involving alcoholism, depression, and suicidality who participated in a psychoeducation group to help prepare him for treatment with pegylated interferon alfa/ribavirin therapy. Though the patient derived much benefit from the psychoeducation group, by the time of evaluation for HCV treatment two months after the group ended he had relapsed back into a depressive episode with suicidal thoughts. His acute psychiatric status made him unacceptable for pegylated interferon alfa/ribavirin therapy. Psychoeducation groups show promise for helping patients with chronic medical illness to be ready for and endure intensive medical treatment that has substantial psychiatric side effects. The challenge is to help patients overcome barriers to treatment, particularly psychosocial problems, because available treatments are increasingly effective.     

Daily patterns of communication and contact between Italian early adolescents and their friends

The goal of the present study was to explore patterns of communication between adolescents and their friends across both "online" and "in-person" contexts. The participants were adolescents (n?=?727) aged 11-16 years attending middle schools in urban and rural areas of Italy. Participants completed daily logs of their in-person and online contacts with friends for 20 consecutive school days. Girls reported more total contacts with their friends than did boys as well as friendships that were closer and more intimate. However, boys indicated more contact than girls via electronic communication and online. Contacts with peers in general were less frequent among the older participants, perhaps because of increasing academic demands. Participants who complemented in-person contact with friends with electronic contact were less lonely than their counterparts who were less versatile in accessing different modalities of making contact with friends.     

Long-term effects of prior cocaine exposure on Morris water maze performance

Cocaine addiction is associated with long-term cognitive alterations including deficits on tests of declarative/spatial learning and memory. To determine the extent to which cocaine exposure plays a causative role in these deficits, adult male Long-Evans rats were given daily injections of cocaine (30 mg/kg/day x 14 days) or saline vehicle. Three months later, rats were trained for 6 sessions on a Morris water maze protocol adapted from Gallagher, Burwell, and Burchinal [Gallagher, M., Burwell, R., & Burchinal, M. (1993). Severity of spatial learning impairment in aging: development of a learning index for performance in the Morris water maze. Behavioral Neuroscience, 107, 618-626]. Rats given prior cocaine exposure performed similarly to controls on training trials, but searched farther from the platform location on probe trials interpolated throughout the training sessions and showed increased thigmotaxis. The results demonstrate that a regimen of cocaine exposure can impair Morris water maze performance as long as 3 months after exposure. Although the impairments were not consistent with major deficits in spatial learning and memory, they may have resulted from cocaine-induced increases in stress responsiveness and/or anxiety. Increased stress and anxiety would be expected to increase thigmotaxis as well as cause impairments in searching for the platform location, possibly through actions on ventral striatal dopamine signaling.     

RATIONAL EMOTIVE BEHAVIOR THERAPY AFTER ELLIS: PREDICTIONS FOR THE FUTURE

The 9 members of the Institute for Rational-Emotive Therapy’s International Training Standards and Review Committee (of which Albert Ellis is currently one) predict the status of Rational Emotive Behavior Therapy (REBT) after the death of Albert Ellis, its progenitor. Most respondents addressed whether REBT will exist in its own right or be subsumed under the broad umbrella of Cognitive Behavior Therapy. Reprinted from Journal of Mental Health Counseling, 17, 413–427, 1995. AMHCA. Reprinted with permission. No further reproduction authorized without written permission from the American Mental Health Counselors Association. Stephen G. Weinrach was a professor of counseling and human relations at Villanova University, Villanova, Pennsylvania. He died in 2004. The authors expressed their appreciation to Martin Gerstein and Allen Ivey for their generous contributions to a draft version of this article. Colleen Deeter provided valuable editorial assistance in the preparation and coordination of this project.     

The Other Side of Injustice: When Unfair Procedures Increase Group-Serving Behavior

ABSTRACT— Greater group identification and higher levels of procedural justice typically work together to encourage group members to engage in group-serving cooperative behavior. However, when people who already identify with a group receive information indicating that the group is procedurally unjust, their motivation to engage in group-serving behavior may increase. This article reports two studies in which college students' identification with their university was measured and information about the procedural justice of the university was manipulated. Study 1 used an explicit measure of group identification and a deliberative measure of group-serving behavior. Study 2 used an implicit measure of group identification and both deliberative and spontaneous measures of group-serving behavior. The findings of both studies support the hypothesis that among people who are highly identified with a group, learning about the group's injustice leads to short-term increases in group-serving behavior.     

Residents’ reactions to environmental stressors in Kathmandu: A Comparison of the inner city versus the outskirts

Residents of eight different locations in Kathmandu, four in the inner city and four on the outskirts, were interviewed about environmental stressors, mental distress, and physical symptoms. There were significant gender and location differences on all three measures. Compared to men, women reported more mental distress and more physical symptoms, but fewer environmental stressors. Compared to residents of the inner city, residents of the outskirts reported more mental distress, more physical symptoms, and fewer environmental stressors. Environmental stressors were linked to mental distress among residents in the outskirts but were not linked to mental distress among residents in the inner city. Results suggested that residents’ belief in perceived control of their lives by God partially explained this effect.