VA Puget Sound Telemental Health Service to rural veterans: a growing program

The VA Puget Sound Health Care System Telemental Health program connects veterans with psychologists, psychiatrists, and social workers via live clinical video teleconferencing. Providers deliver care to veterans in rural Veteran Affairs medical centers, community-based outpatient clinics and residences, and thus, increase access to specialty mental health care for rural and medically underserved veteran communities.     

Illness perception ratings of high-risk newborns by mothers and clinicians: Relationship to illness severity and maternal stress

Objective: Patients' views of illness are often thought to differ from those of medical staff, although this is rarely assessed. This study examined the correspondence between mothers' and clinicians' perceptions of the same high-risk newborns, as well as with an objective measure of illness severity. We also investigated how mothers' perceptions were related to reported stress. Methods: Mothers of 99 high-risk infants admitted to either a neonatal intensive care or neonatal high dependency unit, which offers specialized but not intensive care, completed illness perception ratings of their baby's condition as well as perceived stress 3 to 5 days following admission. At the same time, a standardized measure of neonatal illness severity was calculated and the baby's primary neonatologist completed illness perceptions ratings. Results: Unlike clinician ratings, mothers' illness perceptions were not significantly correlated with illness severity. Mothers generally rated babies in both units as sicker and having a more serious illness than did neonatologists. Whereas clinicians, compared with mothers, rated babies in intensive care as having an illness that would affect their life more and last for a longer time. Mothers rated medical treatment to be significantly more helpful than did clinicians, particularly for babies admitted to the high dependency unit. Mothers' stress was significantly associated with illness perceptions but unrelated to illness severity. Conclusions: Significant differences exist in the perceptions of illness severity, helpfulness of treatment, and the long-term effects of the baby's illness between parents and clinicians and this may lead to misunderstandings and misinterpretations in communication. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Children's evaluation of the certainty of another person's inductive inferences and guesses

In three studies, 5–10-year-old children and an adult comparison group judged another's certainty in making inductive inferences and guesses. Participants observed a puppet make strong inductions, weak inductions, and guesses. Participants either had no information about the correctness of the puppet's conclusion, knew that the puppet was correct, or knew that the puppet was incorrect. Children of all ages (but not adults) rated the puppet as more certain about statements the child knew to be correct than statements the child knew to be incorrect. When assessing another's certainty, children have difficulty inhibiting their own knowledge and focusing on the other's perspective. Children were more likely to differentiate between inductions and guesses when the puppet made an Incorrect Statement, but even the oldest children did not differentiate consistently. The distinction between induction and guessing appears to be only acquired gradually but is important as a contributor to more advanced forms of reasoning and epistemological understanding.     

Grasping with the eyes: The role of elongation in visual recognition of manipulable objects

Processing within the dorsal visual stream subserves object-directed action, whereas visual object recognition is mediated by the ventral visual stream. Recent findings suggest that the computations performed by the dorsal stream can nevertheless influence object recognition. Little is known, however, about the type of dorsal stream information that is available to assist in object recognition. Here, we present a series of experiments that explored different psychophysical manipulations known to bias the processing of a stimulus toward the dorsal visual stream in order to isolate its contribution to object recognition. We show that elongated-shaped stimuli, regardless of their semantic category and familiarity, when processed by the dorsal stream, elicit visuomotor grasp-related information that affects how we categorize manipulable objects. Elongated stimuli may reduce ambiguity during grasp preparation by providing a coarse cue to hand shaping and orientation that is sufficient to support action planning. We propose that this dorsal-stream-based analysis of elongation along a principal axis is the basis for how the dorsal visual object processing stream can affect categorization of manipulable objects.     

The Assessment and Diagnosis of Attention Deficit Hyperactivity Disorder in Adult Forensic Psychiatric Outpatients

The primary purpose of the present study was to examine the validity of commonly utilized ADHD rating scales within an adult forensic population. Participants were 120 patients assessed for dysfunctional anger and impulsive aggression at a hospital-based clinic. Two psychiatrists made independent diagnoses about the presence or absence of ADHD among individuals presenting with symptoms consistent with this disorder. Following the diagnoses, participants were assessed with multiple ADHD measures, including measures based on self-report, observer-report, or a computerized neuropsychological measure (IVA + Plus). With the exception of the IVA + Plus, the ADHD measures significantly differentiated individuals diagnosed with ADHD from individuals who were not so diagnosed. These measures also demonstrated good diagnostic utility via test specific parameters (sensitivity, specificity, positive predictive power, and negative predictive power). A sub-set of measures demonstrated particularly good classification accuracy, with high sensitivity (91 %) and good specificity (81 %). Implications of these findings for the effective assessment and diagnosis of ADHD in adult outpatient psychiatric settings are discussed.     

Tragedy and the art of questioning in depth psychotherapy

Abstract

This essay examines how the art of questioning is central to depth psychotherapy. Conceiving of depth psychotherapy as a tragic art suggests the kind of inquiry unique to psychotherapy is that oriented to pathos. To explicate the art of pathic inquiry, this essay draws upon Nietzsche's depiction of Greek tragedy as structured by the relations between the artistic deities Apollo and Dionysus. As a tragic art, the structure of pathic questioning is formed by the principles these gods embody: reason and passion. Their intertwining within a psychotherapeutic discourse stimulates a liberative self‐knowledge, exemplified here by the differing approaches of Eugene Gendlin and James Hillman.     

Changing an unfavorable employer reputation: the roles of recruitment message‐type and familiarity with employer

An unfavorable employer reputation can impair an organization's ability to recruit job seekers. The present research used a 4 week longitudinal experimental design to investigate whether recruitment messages can positively change an existing unfavorable employer reputation. Two hundred and twenty‐two job seekers rated their perceptions of an organization before and after being randomly assigned to receive a series of high‐ or low‐information recruitment messages. As expected, job seekers receiving high‐information messages changed their perceptions more than job seekers who were exposed to low‐information messages. In addition, job seekers' initial familiarity with the employer was negatively related to change in their perceptions of employer reputation. Finally, there was some evidence that job seekers' familiarity with the employer influenced the impact of different recruitment messages. Implications for research and practice are discussed.