Research on the Impact of Military Trauma: Current Status and Future Directions

The wars in Afghanistan and Iraq have absorbed our attention both as citizens and professionals. A new generation of veterans may be at risk for life course disturbances implicated by exposure to war-zone stressors and adversities. I describe these new conflicts and use this as a backdrop to review the state of the field with respect to military trauma and posttraumatic stress disorder, early intervention, and risk and resilience research. Throughout, I offer recommendations for future research.     

The role of positive thinking in social perceptions of cancer outcomes

Pressure for ‘positive thinking’ (PT; i.e. focusing on positive thoughts/suppressing negative thoughts to ‘fight’ cancer) burdens cancer patients facing health deterioration. It was determined whether PT exposure enhanced effort, control and responsibility attributions assigned to an individual for his/her cancer trajectory. Within an online blog a hypothetical same-gender person describes a personal cancer experience. 482 participants were assigned to one of six experimental conditions in which we manipulated PT exposure (blogger learns about ‘power of PT’ but does not try it, blogger tries PT, control/no PT) and cancer outcome (successful/unsuccessful treatment). A 3?×?2?×?2 multivariate analysis of covariance (with personal cancer experience covariates) tested PT exposure?×?cancer outcome?×?gender effects on attributions for the blogger's cancer outcome. Results indicate that PT exposure enhanced effort and responsibility attributions assigned to individuals for their cancer outcomes and that responsibility attributions differed as a function of gender. Findings suggest that exposure to the idea of PT may lead to cancer patients being perceived as culpable if they do not recover from the disease.     

How Best to Treat Deployment-Related Guilt and Shame: Commentary on Smith,Duax, and Rauch (2013)

We comment on Smith, Duax, and Rauch’s (2013--this issue) explication of their approach to treating perpetration-related guilt and shame using prolonged exposure (PE) therapy, with the aim of promoting a discourse about the mechanisms, techniques, and assumptions that underlie the treatment of moral injury in veterans and service members. We first discuss the theoretical foundation underlying PE and consider the extent to which it accounts for the phenomenology of moral injury. We then examine the treatment strategies used in the PE approach and the mechanisms by which these techniques ameliorate perpetration-related guilt and shame. We also briefly highlight points of similarity and contrast between PE and adaptive disclosure, a brief cognitive behavioral intervention targeting combat-related moral injury and traumatic loss.     

Social inequality and the reduction of ideological dissonance on behalf of the system: evidence of enhanced system justification among the disadvantaged

According to system justification theory, people are motivated to preserve the belief that existing social arrangements are fair, legitimate, justifiable, and necessary. The strongest form of this hypothesis, which draws on the logic of cognitive dissonance theory, holds that people who are most disadvantaged by the status quo would have the greatest psychological need to reduce ideological dissonance and would therefore be most likely to support, defend, and justify existing social systems, authorities, and outcomes. Variations on this hypothesis were tested in five US national survey studies. We found that (a) low‐income respondents and African Americans were more likely than others to support limitations on the rights of citizens and media representatives to criticize the government; (b) low‐income Latinos were more likely to trust in US government officials and to believe that ‘the government is run for the benefit of all’ than were high‐income Latinos; (c) low‐income respondents were more likely than high‐income respondents to believe that large differences in pay are necessary to foster motivation and effort; (d) Southerners in the USA were more likely to endorse meritocratic belief systems than were Northerners and poor and Southern African Americans were more likely to subscribe to meritocratic ideologies than were African Americans who were more affluent and from the North; (e) low‐income respondents and African Americans were more likely than others to believe that economic inequality is legitimate and necessary; and (f) stronger endorsement of meritocratic ideology was associated with greater satisfaction with one's own economic situation. Taken together, these findings are consistent with the dissonance‐based argument that people who suffer the most from a given state of affairs are paradoxically the least likely to question, challenge, reject, or change it. Implications for theories of system justification, cognitive dissonance, and social change are also discussed. Copyright © 2002 John Wiley & Sons, Ltd.     

The PC tachistoscope has 32 pages

Page switching is the basis of the PC tachistoscope, and usual accounts of page switching on the PC refer to a maximum of 8 available pages. This article shows how to achieve up to 16 pages in 40-column text mode and up to 32 pages in low-resolution graphics mode using conventional page switching combined with the bit-plane layering technique described by Bokhorst (1995). A high level C program is presented to show how this is done. When 32 pages are in use, the images must be monochrome.     

Visual analysis of data in a multielement design

Ninety Board Certified Behavior Analysts (BCBAs) and 19 editorial board members evaluated hypothetical data presented in a multielement design. We manipulated the variability, trend, and mean shift of the data and asked the participants to determine if the data demonstrated experimental control. The results showed that variability, trend, and mean shift interacted to affect the participants’ ratings of experimental control. The level of agreement between participants was variable, but was generally lower than in previous research.     

The Munroe-Meyer Approach: Continuous Integration of Didactic Instruction,Research, and Clinical Practice

Increased demand for applied behavior analysis (ABA) services has increased the need for additional masters-level practitioners and doctoral-level academicians and clinical directors. Based on these needs, the University of Nebraska Medical Center’s (UNMC) Munroe-Meyer Institute has developed a PhD program. The academic structure at UNMC allowed us to create our PhD program in a relatively quick and efficient manner. Our PhD program has many unique features, including (a) close integration of didactic instruction with clinical and research training provided by leading experts in ABA in which students immediately apply concepts introduced in the classroom during coordinated clinical and research practica; (b) structured grant writing training in which students learn to write and submit an NIH-level grant; (c) financial support in the form of a stipend of $23,400 per year, free health benefits, and a full-tuition waiver for up to 12 credits per semester for UNMC courses (a benefits package worth approximately $50,000 per year for an out-of-state student); and (d) encouragement and financial support to present papers at local, regional, and national behavior analysis conferences.     

Predictors of Morale in U.S. Peacekeepers1

In this prospective study, we examined pre‐ and postmission predictors of morale in U.S. military peacekeepers deployed to Kosovo. After controlling for demographic and military characteristics, current general life stressors, unit cohesion, and reports of patriotism and nationalism were predictive of predeployment morale. We also found that positive military experiences, general overseas military stressors, and postdeployment unit cohesion were significant predictors of postdeployment morale after controlling for demographic and military characteristics and predeployment morale, cohesion, and patriotism/nationalism. The results suggest the need to broaden our understanding of the factors that may assist and motivate soldiers during demanding peacekeeping operations and the factors that may mitigate the impact of stressful demands and associated mission‐related strain.     

The role of cognitive factors in the pathogenesis of obsessive-compulsive symptoms: a prospective study

Cognitive models of obsessive-compulsive disorder (OCD) posit that specific kinds of dysfunctional beliefs (e.g., pertaining to responsibility and the significance of intrusive thoughts) underlie the development of this disorder. The present study was designed to prospectively evaluate whether dysfunctional beliefs thought to underlie OCD act as a specific vulnerability factor in the pathogenesis of obsessive-compulsive symptomatology. Eighty-five individuals were prospectively followed over a period of time thought to be associated with an increased onset of OCD symptoms -- childbirth and the postpartum. The majority of these new mothers and fathers experienced intrusive infant-related thoughts and performed neutralizing behaviors similar to, but less severe than, those observed in OCD. Scores on a measure of dysfunctional beliefs thought to underlie OCD predicted the development of obsessive-compulsive symptoms after controlling for pre-existing OCD symptoms, anxiety, and depression. Dysfunctional beliefs also predicted the severity of checking, washing, and obsessional OCD symptom dimensions, but not neutralizing, ordering, or hoarding symptom dimensions. These data provide evidence for specific dysfunctional beliefs as risk factors in the development of some types of OCD symptoms.