The Relational Impact of Multiple Sclerosis: An Integrative Review of the Literature Using a Cognitive Analytic Framework

This integrative literature review uses cognitive analytic therapy (CAT) theory to examine the impact of a chronic illness, multiple sclerosis (MS), on relationships and mental health. Electronic searches were conducted in six medical and social science databases. Thirty-eight articles met inclusion criteria, and also satisfied quality criteria. Articles revealed that MS-related demands change care needs and alter relationships. Using a CAT framework, the MS literature was analysed, and five key patterns of relating to oneself and to others were identified. A diagrammatic formulation is proposed that interconnects these patterns with wellbeing and suggests potential “exits” to improve mental health, for example, assisting families to minimise overprotection. Application of CAT analysis to the literature clarifies relational processes that may affect mental health among individuals with MS, which hopefully will inform how services assist in reducing unhelpful patterns and improve coping. Further investigation of the identified patterns is needed.     

Marital Status,Home Environments,and Family Strain: Complex Effects on Preschool Children's School Readiness Skills

The current study examined the complex associations among marital status, home environments, and family strain (i.e. income, maternal depressive symptoms, social support, and parenting stress), as they predict preschool children's pre‐academic and social skills at 36 and 54 months. Findings from the NICHD Study of Early Child Care and Youth Development (N = 897) showed that the home learning environment, which was significantly lower among single‐parent families, worked as a mediator to explain the relationship between single‐parent families and children's pre‐academic skills at 36 and 54 months. Additionally, parenting stress, which was significantly higher among single‐parent families, worked as a mediator to explain the relationship between single status and the home learning environment. Finally, moderation analyses showed that family income is important for improving the home social environment, and the home social environment is strongly associated with children's social skills in single‐parent families, but not in cohabiting families. Copyright © 2016 John Wiley & Sons, Ltd.     

More than Just the Breadwinner: The Effects of Fathers' Parenting Stress on Children's Language and Cognitive Development

Despite numerous studies on parenting stress suggesting negative influences on parent–child interactions and children's development, the majority of these studies focus on mothers' parenting stress with little or no acknowledgement of fathers. Using data from the National Early Head Start Research and Evaluation Project, this study examined (i) the effects of fathers' parenting stress during toddlerhood on children's language and cognitive outcomes when children are 3 years old (ii) whether the effects of fathers' parenting stress on children's language and cognitive development vary by child gender? Results from mixed linear models showed fathers' parenting stress predicted children's lower cognitive scores, but there were no gender differences in the effects of fathers' parenting stress on children's cognitive outcomes. In the language domain, boys, not girls, were found to be more susceptible to the effects of fathers' parenting stress. These findings indicated that fathers, in addition to mothers, should be included in early parenting research and interventions. Copyright © 2016 John Wiley & Sons, Ltd.     

Gender‐Based Judgments of Traffic Violations: The Moderating Influence of Car Type1

This paper reports the findings of a study investigating interpretations of driver behavior during a traffic accident. Using authentic road‐accident reports including figurative depictions of the accident and a photograph of the car involved, participants were asked to make judgments of the driver's carelessness and aggression before and during the accident. Contextual factors were manipulated by altering the type of car driven (following Davies, 1999) and the sex of the driver. Results showed that car type influenced the allocation of cause of the accident, with drivers of a BMW being described as having acted more aggressively, and drivers of Smart Cars having been depicted as acting more carelessly, despite the actions of both drivers being held constant. In addition, the actions of the female driver were interpreted as more attributable to driver carelessness than driver aggression or external factors. Results are discussed with reference to car‐type stereotypes. Ways in which such biased interpretations could influence how drivers respond to other road users in real‐life situations are suggested.     

Effects of variation in teacher organization on classroom functioning

This study examined effects of variation in teacher organization on how time is spent in classrooms, focusing on time spent in transitions and instruction, including child skill by teacher organization interactions. Forty-four first-grade classrooms were observed three times over the school year. Timed narratives of each activity were recorded. “Orient-organize” referred to time teachers spent orienting students to classroom procedures or organizing the class for specific assignments, and included instructional clarity, where teachers described objectives of activities to students. Using hierarchical linear modeling, substantial variation across teachers in orient-organize was observed. Overall, classrooms spent less time in organization as the school year progressed. In addition, spending more time in organization was related to less time spent in transition. Students in classrooms that spent more time in organization in the fall also experienced greater amounts of time in child-managed activities in the spring. There was also an interaction between child vocabulary and amount of orient-organize in the winter. Students with lower vocabulary scores were more likely to be in classrooms that spent more time in spring child-managed activities if they continued to receive substantial amounts of orient-organize in the winter. The opposite was the case for students with high vocabulary skills.     

Parenting young children with challenging behaviour

Previous research has established the link between harsh parenting and poor outcomes in children, although little attention has been paid to the concurrent protective factors which may exist. The relationship between parenting behaviours and childhood externalizing behaviours was investigated in a sample of 60 parents of young children (ages 2–5 years). Thirty families were selected for participation based on teacher‐reported externalizing behaviour in their young child which exceeded normal limits and matched with a sample of 30 parents of children without externalizing behaviour problems. Results found that parents of young children with externalizing behaviours tended to use more frequent verbal and corporal punishment with their young children, and reported more behaviour problems with their young children when compared with a control group. However, no significant differences were found between groups with respect to positive, nurturing behaviours, or utilizing appropriate developmental expectations. Implications for prevention are discussed. Copyright © 2005 John Wiley & Sons, Ltd.     

Perceived group variability and dispositional need for closure

Based on the closure motivation theory proposed by Kruglanski and Webster (1996), it was hypothesized that the extent of perceived variability of target group members would be related to dispositional need for closure. Israeli teachers (n = 160) judged their professors by means of two methods and answered the need for cognitive closure questionnaire (NFCS, Webster & Kruglanski, 1994). The findings show that need for closure is related to social judgment. The perception of participants high in need for closure was less differentiated and more extreme, in comparison to participants low in need for closure. Findings also yielded that measures of variability are method dependent.     

Pre‐frontal‐insular‐cerebellar modifications correlate with disgust feeling blunting after subthalamic stimulation: A positron emission tomography study in Parkinson's disease

Subthalamic nucleus (STN) deep brain stimulation (DBS) has recently advanced our understanding of the major role played by this basal ganglion in human emotion. Research indicates that STN DBS can induce modifications in all components of emotion, and neuroimaging studies have shown that the metabolic modifications correlated with these emotional disturbances following surgery are both task‐ and sensory input‐dependent. Nevertheless, to date, these modifications have not been confirmed for all emotional components, notably subjective emotional experience, or feelings. To identify the neural network underlying the modification of feelings following STN DBS, we assessed 16 patients with Parkinson's disease before and after surgery, using both subjective assessments of emotional experience and ¹⁸[F]fluorodeoxyglucose positron emission tomography (¹⁸FDG‐PET). The patients viewed six film excerpts intended to elicit happy, angry, fearful, sad, disgusted, and neutral feelings, and they self‐rated the intensity of these feelings. After DBS, there was a significant reduction in the intensity of the disgust feeling. Correlations were observed between decreased disgust experience and cerebral glucose metabolism (FDG uptake) in the bilateral pre‐frontal cortices (orbitofrontal, dorsolateral, and inferior frontal gyri), bilateral insula, and right cerebellum. We suggest that the STN contributes to the synchronization process underlying the emergence of feelings.     

Bill W. Goes to Hollywood: The Rise and Fall of Recovering Addiction Experts

Although historians of addiction have long debated whether an oral culture of "sharing" or "Big Book"-based reading practices are foundational to 12-step recovery culture, the role other types of media have played in the development of contemporary recovery discourse has remained largely unexplored. This essay compares the production, reception and formal elements of the films The Lost Weekend and Smash Up in relation to the popularization of the disease concept of alcoholism. Through an analysis of archival sources, addiction narratives, and nascent alcoholism research, this paper argues that, by emphasizing the importance of popular representations of alcoholics above scientific inquiry, early recovering "experts" successfully promulgated the disease concept of alcoholism, but the testimonials of later recovering alcoholics became relegated to the sphere of popular culture.     

The neural cell adhesion molecule-derived peptide FGL facilitates long-term plasticity in the dentate gyrus in vivo

The neural cell adhesion molecule (NCAM) is known to play a role in developmental and structural processes but also in synaptic plasticity and memory of the adult animal. Recently, FGL, a NCAM mimetic peptide that binds to the Fibroblast Growth Factor Receptor 1 (FGFR-1), has been shown to have a beneficial impact on normal memory functioning, as well as to rescue some pathological cognitive impairments. Whether its facilitating impact may be mediated through promoting neuronal plasticity is not known. The present study was therefore designed to test whether FGL modulates the induction and maintenance of synaptic plasticity in the dentate gyrus (DG) in vivo. For this, we first assessed the effect of the FGL peptide on synaptic functions at perforant path-dentate gyrus synapses in the anesthetized rat. FGL, or its control inactive peptide, was injected locally 60 min before applying high-frequency stimulation (HFS) to the medial perforant path. The results suggest that although FGL did not alter basal synaptic transmission, it facilitated both the induction and maintenance of LTP. Interestingly, FGL also modified the heterosynaptic plasticity observed at the neighboring lateral perforant path synapses. The second series of experiments, using FGL intracerebroventricular infusion in the awake animal, confirmed its facilitating effect on LTP for up to 24 h. Our data also suggest that FGL could alter neurogenesis associated with LTP. In sum, these results show for the first time that enhancing NCAM functions by mimicking its heterophilic interaction with FGFR facilitates hippocampal synaptic plasticity in the awake, freely moving animal.