Challenge and threat states: Cardiovascular,affective, and cognitive responses to a sports-related speech task

This study examined the relationship among cardiovascular responses indicative of challenge and threat states, self-efficacy, perceived control, and emotions before an upcoming competition. Using a repeated-measures design, 48 collegiate athletes talked about an upcoming competition (sport-specific speech task) and the topic of friendship (control speech task), whilst cardiovascular responses (heart rate, preejection period, cardiac output, and total peripheral resistance) were collected and self-report measures of self-efficacy, perceived control, and emotions completed. Findings showed that participants with a physiological threat response reported higher levels of self-efficacy and excitement. Further, none of the other emotions or the cognitive appraisals of challenge and threat predicted cardiovascular patterns indicative of either a challenge or threat state. Thus, cardiovascular responses and self-report measures of self-efficacy, perceived control, and emotions did not correlate in the manner predicted by the theory of challenge and threat states in athletes. This finding may reflect methodological aspects, or that perhaps highly efficacious individuals believe they can perform well and so the task itself is more threatening because failure would indicate under-performance.     

Extending the Concurrent Validity of the Self-Injurious Thoughts and Behaviors Interview to Inpatient Adolescents

The Self-Injurious Thoughts and Behaviors Interview (SITBI) was created to address limitations in existing suicide assessments and its validity was evaluated in the original publication. However, this work has not yet been extended to inpatient adolescents, a population in which suicide assessment is crucial. Moreover, information on the psychometric properties of the SITBI has not been provided by other groups beyond the developers of the SITBI. The aim of this study was to examine the concurrent validity of the suicide ideation, attempt, plan, and gesture modules of the SITBI with inpatient adolescents (N?=?106, 64.8 % female, M _age ?=?14.63), as an extension to previous validation efforts using this measure. Concurrent validity was examined with established interview-based and self-report measures of suicide ideation and suicide intent. The SITBI demonstrated adequate agreement with other measures, suggesting adequate validity for the suicide ideation, attempt, plan, and gesture modules in a sample of inpatient adolescents.     

Neurodynamics inside therapeutic interaction: a case study with simultaneous EEG recording / La neurodinámica en el contexto de la interacción terapéutica: un estudio de caso con una grabación simultánea de EEG

Recent research on processes of psychotherapy has focused on the study of patient-therapist regulation. Evidence concerning verbal and nonverbal coordination as predictors of therapeutic alliance and outcome in psychotherapy has been cumulating. These, along with others results in the field of social neuroscience, suggest that behavioural coordination may have neurophysiological correlates, which play a role in the regulatory process in psychotherapy. Here we introduce an observational paradigm and analytic method to assess the joint neurodynamic activity of patient and therapist. Additionally we report results from ongoing psychotherapy sessions. Our work highlights the involvement of brain activity in the psychotherapeutic process and provides novel insights on how psychotherapy works, in order to further the understanding of the embodied characteristic of the therapeutic interaction.     

Group Activities to Promote Early Rehabilitation in an Acute Psychiatric Ward: A Relationship-Based Approach Focusing on Movies

Our Psychiatry Institute has a long-standing tradition of providing training in the importance of relational and emotional skills and helping relationships. Here we describe techniques that are routinely used on our psychiatric ward (Maggiore della Carità Hospital, Novara, Italy) to promote early rehabilitation of acute psychiatric inpatients. We focus on the Cinema group, which is typical of our approach to informal, therapeutic group activity. Targeting social and relational issues as adjunct to treatment as usual is useful in acute settings and can begin at an early stage of hospitalization. Our intervention is designed to improve patients’ coping strategies, relational and communication skills, and overall quality of life.     

Women’s ‘Ethical’ Pornographic Spectatorship

‘Ethics’ has assumed prominence in the neoliberal iteration of responsibilized and self-governing individuals. Spectatorship—what we view and how we view it—has been conceptualized under this frame as a disciplinary practice where concerns of ethics and ethical conduct come to the fore. This paper seeks to connect pornographic spectatorship with the neoliberal project of responsibilized and ethical self-regulation and decision-making, in order to commence the conversation surrounding how women not only watch pornography, but how normative gender boundaries constrain how women talk about their spectatorship and how they make decisions of what to watch. Based on in-depth focus group and individual interviews of 26 women on their experiences of using pornography, this paper explores the sorts of ‘ethical’—and fundamentally gendered—spectatorial decision-making these women engaged in vis-à-vis their use of pornographic materials.     

Local communities responding to ecological challenges—A psycho‐social approach to the Natura 2000 Network

The institutionalization of biodiversity conservation through legal instruments has led to mixed reactions at both the individual and community levels, with conflict and resistance co‐existing with support. The overall purpose of this paper is to describe how rural communities living in areas included in the Natura 2000 Network of protected sites, where local practices of land use are regulated by new legal directives, receive biodiversity conservation goals. Previous studies suggest that this reception is strongly shaped by place identification, but their contradictory results demand further clarification. This study examines the role of psycho‐social variables identified by previous studies as potentially relevant moderators of identification: (a) Vested interest in natural resources, (b) evaluation of the designation process of protected areas and (c) institutional trust. It further extends previous research by analysing the support given to contextually relevant ecological practices. Results reveal a positive link between place identification and attitudes in the high vested interest condition and show that support for conservation practices is better predicted in the high vested interest and low trust conditions. The discussion focuses on the relevance of analysing contextually relevant psycho‐social moderators when attempting to understand how local communities' relation with biodiversity conservation is affected by legislative innovation. Copyright © 2009 John Wiley & Sons, Ltd.     

Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment

Mental health systems need scalable solutions that can reduce the efficacy–effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers’ fidelity to evidence-based treatment models and children’s and caregivers’ engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma-focused cognitive-behavioral therapy (TF-CBT). We piloted its use in four community mental health service organizations using a blocked randomized controlled trial to examine the feasibility of implementing tablet-facilitated TF-CBT versus standard TF-CBT with 13 providers and 27 families. Provider fidelity and child engagement in treatment were observationally measured via session audio recording. Parent and child perceptions of the tablet application were assessed using structured interviews and mixed-method analyses. Providers actively and appropriately used tablet TF-CBT to facilitate treatment activities. Providers and families expressed high satisfaction with its use, demonstrating acceptability of this approach. Youth and caregivers in both conditions reported high alliance with their providers. Overall, we found that tablet-facilitated treatment is accepted by providers and families and may be integrated into mental health treatment with minimal training. Further study is needed to examine the extent to which technology-based applications may enhance the reach, quality, and clinical outcomes of mental health treatment delivered to children and families.     

Quality home visits: Activities to promote meaningful interactions

Examination of and support for specific practices that promote high-quality home visiting are essential as family support programs continue to expand across the country. The current study used direct observation of 91 home visits across 41 home visitors to examine relations among interaction partners, content of the interactions, the home-visitors’ activities, and quality of home-visitors’ practices and family-members’ engagement within programs funded by the Maternal, Infant, and Early Childhood Home Visiting program. More time spent in triadic interactions focused on child-related content, as measured by the Home Visit Rating Scale-Revised, was related to higher quality of family engagement in home visits, as measured with the Home Visit Observation Rating Scales. Time spent in adult-focused interactions and administrative tasks, however, was related to lower quality of home-visiting practices and family engagement. Implications for research and practice are discussed.     

Infant mental health home visiting in the context of an infant—toddler court team: Changes in parental responsiveness and reflective functioning

This article describes an infant–toddler court team in Michigan, the community-based participatory research approach to the implementation evaluation, and the resulting changes in parenting. Like other court teams, Michigan's Baby Court is led by a science-informed jurist, and all service providers are knowledgeable about the developmental needs of young children and engage in collaborative communication throughout the case. Relationship-based treatment in the form of infant mental health home-visiting was provided to families. Sixteen parents participated in pre- and posttest evaluation visits to assess changes in parents’ reflective functioning and interactions with their child. Findings suggest improvements in parents’ responsiveness, positive affect, and reflective functioning, with moderate effects. Higher risk parents demonstrated significant changes in reflective functioning, as compared to those at lower risk. These findings add to and support the limited literature on the effectiveness of infant–toddler court teams, which include relationship-based and trauma-informed services.