Pregnancy-specific stress, prenatal health behaviors, and birth outcomes

OBJECTIVE: Stress in pregnancy predicts earlier birth and lower birth weight. The authors investigated whether pregnancy-specific stress contributes uniquely to birth outcomes compared with general stress, and whether prenatal health behaviors explain this association. DESIGN: Three structured prenatal interviews (N = 279) assessing state anxiety, perceived stress, life events, pregnancy-specific stress, and health behaviors. MAIN OUTCOME MEASURES: Gestational age at delivery, birth weight, preterm delivery (<37 weeks), and low birth weight (<2,500 g). RESULTS: A latent pregnancy-specific stress factor predicted birth outcomes better than latent factors representing state anxiety, perceived stress, or life event stress, and than a latent factor constructed from all stress measures. Controlling for obstetric risk, pregnancy-specific stress was associated with smoking, caffeine consumption, and unhealthy eating, and inversely associated with healthy eating, vitamin use, exercise, and gestational age at delivery. Cigarette smoking predicted lower birth weight. Clinically-defined birth outcomes were predicted by cigarette smoking and pregnancy-specific stress. CONCLUSION: Pregnancy-specific stress contributed directly to preterm delivery and indirectly to low birth weight through its association with smoking. Pregnancy-specific stress may be a more powerful contributor to birth outcomes than general stress.     

Retrieval processes that produce interference in modified forced-choice recognition tests

Recognition can suffer if the retrieval cues activate more than one trace (e.g., for Flower A and Flower A′). We found evidence for two retrieval processes by examining interference effects in forcedchoice tests (e.g., Did you see Flower A or Flower A″?). Experiment 1 provided evidence of a problem in discriminating between temporally and contextually similar traces that were formed in the study phase. A competitor (Flower A′) interfered more if it was shown in the study phase rather than in the test phase. Experiments 2 and 3 found evidence for a blocking process in recognizing pairs of words (child—apple). A competitor interfered more if it was recent, shown at test rather than at study. This pattern occurred regardless of whether the competitor was similar to the target (child—orange) or dissimilar to it (child—truck). The importance of a particular retrieval process may depend on an item’s representation as well as on the retrieval cues.     

Brain Oxidative Damage Following Acute Immobilization and Mild Emotional Stress

We studied the role of free radicals on brain oxidative damage in rats after acute immobilization stress (restraint) and mild emotional stress (handling). To investigate brain oxidative damage, CuZn and Mn dependent superoxide dismutase (CuZn SOD, Mn SOD) activities, lipid peroxidation (TBARs), Na ⁺ K ⁺ ATPase activity, protein carbonyl (PrC), and reduced and oxidized glutathione (GSH, GSSG) levels were measured in the cerebral cortex (CTX), hippocampus (HIP), and striatum (ST) of the animals after the two different stress stimuli. Because stress produces abnormalities in the hypothalamic-pituitary-adrenal axis, the intensity of the two stress conditions were measured by plasmatic corticosteroid (COR) levels: particularly, COR levels doubled in handled rats and increased 15-fold in restrained animals. The SOD activities increased in CTX and decreased in HIP of the handled rats, while in ST a significant decrease in handled animals but an increase in restrained animals occurred. TBARs, GSH, and GSSG levels remained unchanged, while an index of glutathione redox decreased significantly in ST of handled animals and in CTX of restrained ones. Na ⁺ K ⁺ ATPase activity increased significantly in the HIP and ST of both groups of stressed rats. The stress induced a remarkable increase in PrC levels in all studied cerebral areas. These findings provide evidence to support the idea that stress produces oxidants but that the oxidative damage in stress differs in cerebral areas and could contribute to the degenerative mechanism of aging.     

Democratizing Creativity: How Arts/Philosophy Can Contribute to the Question of Arts Bias

This article critically deconstructs the 21st-century economization and massification of creativity. It extends the discussion of arts bias and the associated ideas that artistic creativity is institutionalized, elitist, and an obstruction to more profitable applications of creativity. A tension is thus highlighted between the historically prevalent domain of art, and newer domains which focus on everyday, functional, organizational and the dark sides of creativity. The aim is to open up a genuine debate about the place of art in modern creativity discourse, and to examine the problematic theme of democratization in creativity as it relates to cultural, economic and industrial issues. A new framework for conceiving creativity in hermeneutics is also suggested, with a view to cohesively and logically balancing the artistic with other domains, and eliminating some of the current problems that render creativity less than it has been regarded in generations past.     

Advanced training in child psychology: Key elements in offering a Doctor of Psychology (DPsych) programme in South Africa

The aim of this article is to propose some benchmarks for a Doctor of Psychology (DPsych) in advanced training in Child Psychology in South Africa, and to highlight key elements in offering such a programme. In doing so, we use as case illustration an existing DPsych programme currently being offered at the University of the Free State, South Africa. We consider advanced child psychology training to registered psychologists in the clinical, counselling and educational categories. The DPsych option encompasses clinical practice, research, training, selection, and student outcomes in the context of theory as well as evidence-based practices. A wider adoption of a DPsych, focusing on child psychology, would add value to the integration of the best available research and clinical expertise in child mental health care in South Africa.     

CIT in small municipalities: Officer‐level outcomes

Research on the Crisis Intervention Team (CIT) as a method to deal with mental illness in policing encounters has primarily focused on officers from large urban areas. The current study examined officer‐level outcomes in a non‐urban geographical setting using a pre/post‐CIT training design. The sample included 46 police officers from seven departments that would be considered rural and 13 that would be classified as suburban. Officers completed scales to gauge change in mental illness attitudes at the beginning and end of their one‐week CIT training. CIT training resulted in reductions in stigmatic attitudes with seven large effect sizes (ranging from η² = .24 to .59) across the two measures. The findings from this research are a direct response to the call for greater diversity in the size of police settings in the CIT literature and serve to expand the empirical base for CIT in relation to officer‐level outcomes.     

Autobiographical Narratives of Oldest-Old Persons: What Matters at That Age?

This study adopts the Valuation theory and the Self-Confrontation Method to explore the autobiographic narrative in oldest old persons, considering a temporal perspective (past, present, future). The sample comprises three men and two women (84-95 years old). The findings suggest that the narrative of oldest-old persons emerges structured in a way that their narration of the past focus on outside connections (proximity with others; success achieved); their narration of the present centers on attaining a life philosophy and proximity with others and their narration of the future concentrates on self-enhancement (maintaining autonomy vs. experiencing powerlessness and lack of involvement).     

A simple intervention for stereotypical engagement with an augmentative alternative communicative device

Although electronic devices may enhance the effectiveness of some behavioral interventions for children with autism spectrum disorders, such devices may also give rise to problem behavior such as repetitious button pressing (i.e., object stereotypy). Results of this study showed that a child with autism spectrum disorder only displayed high levels of object stereotypy on an iPad? when presses generated auditory output. Subsequently, results showed that when the participant used the iPad? without auditory output, his stereotypical behavior decreased and his manding for various items simultaneously increased.     

The Primacy of Discourse in the Study of Gender in Family Therapy

Family therapists and scholars increasingly adopt poststructural and postmodern conceptions of social reality, challenging the notion of stable, universal dynamics within family members and families and favoring a view of reality as produced through social interaction. In the study of gender and diversity, many envision differences as social constructed rather than as “residing” in people or groups. There is a growing interest in discourse or people's everyday use of language and how it may reflect and advance interests of dominant groups in a society. Despite this shift from structures to discourse, therapists struggle to locate the dynamics of power in concrete actions and interactions. By leaving undisturbed the social processes through which gendered and other subjectivities and relations of power are produced, therapists may inadvertently become complicit in the very dynamics of power they seek to undermine. In this article, we argue that discourse analysis can help family therapy scholars and practitioners clarify the link between language and power. We present published examples of discourse analytic studies of gender and sexism and examine the relevance of these ideas for family therapy practice and research.