Dual diagnosis: Clinical issues in the treatment of substance abuse,and affective,personality, and psychotic disorders

Co-morbidity of alcohol and substance with the spectrum of other psychiatric diagnoses is examined with specific emphasis on diagnostic indicators for anxiety and mood disorders. Diagnostic issues for the chemically dependent person are examined with the context of borderline personality disorder, schizophrenia and other psychiatric disorders. Clinical research related to the dually-diagnosed patient is explored     

Promoting Resilience in At-Risk Children

Intervening effectively with youths at risk from early deprivation, family dysfunction, poverty, abuse, and other factors is a major concern for educational and social service policymakers. Current research suggests that a majority of at-risk youths do not experience drastic outcomes, but many exhibit protective factors that buffer them from negative consequences. Longitudinal studies from Hawaii, the continental United States, and Great Britain have identified several personality, familial, and environmental variables that promote resiliency in youths at risk. This article discusses these variables and provides counselors with an assessment technique and strategies to promote a salutogenesis perspective.     

Influence of the initial projection of the centre of gravity on posturo-kinetic coordination in humans. Application from a horizontal quadrupedal stance during voluntary limb raising

The purpose of the study is to investigate the influence of initial projection of the centre of gravity (CG) on the spatial and temporal organization of the dynamic phenomena accompanying a voluntary movement in humans. From a horizontal quadrupedal stance, ten normal subjects were instructed to raise the right forelimb towards a support target in self paced velocity conditions. Three experimental conditions were tested for which the initial CG projection was either within (C1), at the limits of (C2) or outside the supporting triangle (C3). The results showed that vertical force variations on the four supports always preceded the first vertical displacement of the right wrist (onset of the movement). From C1 to C3, the duration of these anticipatory dynamic phenomena increased enabling an adjustment of the CG position such that equilibrium constraints were fulfilled. For all conditions, the acceleration peak of the CG occurred prior to the onset of movement and from C1 to C3, its magnitude increased in a single direction of the horizontal plane. For each condition, the load transfer was directed to the left forelimb and the right hindlimb (diagonal strategy) and reached a maximal value at the time of lift-off. With respect to this moment, the onset of the movement occurred increasingly early from C1 to C3. These results suggest that contribution of peripheral cues to postural control is more important, when the requirements of horizontal CG displacement increase.     

The Assessment of Limb Apraxia: An Investigation of Task Effects and Their Cause

To test the effects of variations in the structure of tasks used to assess limb apraxia, eight tasks—differing in their modes of elicitation (tactile, verbal, visual, imitation) and/or types of movement elicited (transitive, intransitive, meaningless)—were administered to 25 carefully selected subjects with idiomotor limb apraxia. When standardized scores (based on the performance of 10 nonneurologically impaired control subjects) were used to measure the differences between tasks, no clinically significant task effects were found. Additional investigation was made of two causal hypotheses regarding the processes underlying limb apractic performance. The results of factor analyses and a search for double dissociations among individual subjects were consistent with the (severity) hypothesis that differences in task performances (raw scores) reflect degrees of task difficulty; and they failed to support the (disconnection) hypothesis that posits separate and independent neural/mental processes underlying task performances.     

Characteristics and consequences of help-giving practices in contrasting human services programs

Relationships between human services program models and help-giving practices, and between both program models and help-giving practices and help-seeker control appraisals were examined in a study of 107 low socioeconomic background families. Three kinds of human services agencies were included in the study, each of which differed in terms of their implicit and explicit assumptions about the families they served and the roles professionals and families played as part of helping relationships. Results support the hypotheses that (a) a program philosophy that was family centered would be associated with more empowering help-giving practices compared to more professionally centered philosophies and (b) a family-centered program philosophy and empowering help-giving practices would be related to an enhanced sense of personal control over needed supports and resources from a target help-giver.     

Is fluency free-operant response-response chaining?

This article briefly reviews behavioral fluency and its 10 products. Fluency development requires three of the four free-operant freedoms: the freedom to present stimuli at the learner's rhythm, the freedom to form the response, and the freedom to speed at the learner's maximum frequency. The article closes with several suggestions that fluent performing is really operant response-response (R-R) chaining, and recommends further controlled laboratory research on free-operant R-R chaining.     

Psychopathic personality traits and temporal perspective: A test of the short time horizon hypothesis

A number of authors have proposed that psychopathic individuals possess an abnormally constricted time horizon (i.e., foreshortened sense of the future). This hypothesis was tested among 101 undergraduates, who were administered a battery of (1) self-report indices of psychopathic personality traits, antisocial behavior, and normal-range personality traits; (2) self-report indices of time perspective; (3) projective tests of time perspective; and (4) laboratory tasks assessing time estimation and capacity for foresight and impulse control. Measures of psychopathy/antisocial behavior tended to be negatively correlated with several self-report indices assessing preoccupation with the future and with a projective task assessing the frequency of thoughts concerning future events, although only one of the correlations with this latter task was significant. In most cases these correlations were not attributable to the variance shared by measures of psychopathy/antisocial behavior and measures of (low) anxiety-proneness, although several correlations decreased substantially after levels of harmavoidance were controlled. In contrast, measures of psychopathy/antisocial behavior were negligibly correlated with laboratory tasks. These results provide mixed support for the short time horizon hypothesis and suggest that further attention to the role of method factors in investigations of future time perspective is warranted.