Reducing emergency medical service use in patients with chronic psychotic disorders: results from the FAST intervention study

Patients with schizophrenia have disproportionately high rates of emergency medical service use, likely contributing to the high cost this illness places on society. The aim of this study was to examine the impact of a theory-based, behavioral intervention on immediate and long-term use of emergency medical services. Older patients with schizophrenia (n=240) were randomized to receive either a behavioral, skills-building intervention known as Functional Adaptation and Skills Training (FAST) or a time-equivalent attention-control condition (AC). Logistic regression analyses indicated that AC participants were nearly twice as likely to use emergency medical services in general (OR=2.54; p=0.02) and emergency psychiatric services in particular (OR=3.69; p=0.05) during the active intervention phase of the study. However, there were no differences between the interventions in terms of emergency service use during the long-term follow-up phase of the study (i.e., 6-18 months post-baseline). The FAST intervention appears efficacious for reducing the short-term risk of using emergency medical services. However, the long-term efficacy of the FAST intervention appears less clear. Future studies may want to provide more powerful maintenance sessions to encourage continued use of skills in patients' real-world settings.     

Peer relations among adolescents with female same-sex parents

This study examined associations among family type (same-sex vs. opposite-sex parents), adolescent gender, family and relationship variables, and the peer relations of adolescents. Participants included 44 adolescents parented by same-sex female couples and 44 adolescents parented by opposite-sex couples, matched on demographic characteristics and drawn from a national sample. On both self-reported and peer-reported measures of relations with peers, adolescents were functioning well, and the quality of their peer relations was not associated with family type. Regardless of family type, adolescents whose parents described closer relationships with them reported higher quality peer relations and more friends in school and were rated as more central in their friendship networks.     

Social problem solving and strategy use in young children

In the present study, the authors investigated what prosocial-assertive, passive, and coercive strategies 6-year-olds (N=257) would propose in response to stories about 2 socially challenging situations: displacing another child in a game and obtaining a toy from another child. The scenarios also varied the gender composition of the characters. Participants' verbalizations while acting out their responses using toy props fell into 13 categories of strategies. Teachers reported antisocial behavior and social competence of the participants. Girls and boys responded similarly in their general suggestions of prosocial or assertive strategies, but girls were more likely to offer prosocial strategies with other girls than with boys. Teacher-rated competence and antisocial behavior interacted in predicting coercive responses by girls but not by boys. The results demonstrate that prosocial and antisocial behaviors need to be considered in interaction to fully understand the nature of social competence.     

The Six-Sided Vision of Said Nursi: Towards a Spiritual Architecture of the Risale-i Nur

Bediüzzaman Said Nursi, the eponymous progenitor of the contemporary Nurculuk movement, was arguably the most influential, if woefully under-researched, Turkish Muslim thinker of the twentieth century. Nurculuk, a faith-based movement consisting of an estimated seven million followers worldwide, stands out from other contemporary Muslim religious and ideological groupings not only for its uncompromising focus on the renewal of individual rather than collective faith, but also for its eschewal of any kind of religiously legitimized violence or militancy for the sake of politico-ideological ends. This article is an attempt at an overview of Nursi's idiosyncratically irenic approach to the highly contentious issue of jihad, itself key to our understanding of the staunch apoliticism he espoused in later life.     

Threat in dreams: an adaptation?

Revonsuo's influential Threat Simulation Theory (TST) predicts that people exposed to survival threats will have more threat dreams, and evince enhanced responses to dream threats, compared to those living in relatively safe conditions. Participants in a high crime area (South Africa: n=208) differed significantly from participants in a low crime area (Wales, UK: n=116) in having greater recent exposure to a life-threatening event (chi([1,N=186])(2)=14.84, p<.00012). Contrary to TST's predictions, the SA participants reported significantly fewer threat dreams (chi([1,N=287])(2)=6.11, p<.0134), and did not differ from the Welsh participants in responses to dream threats (Fisher's Exact test, p=.2478). Overall, the incidence of threat in dreams was extremely low-less than 20% of dreams featured realistic survival threats. Escape from dream threats occurred in less than 2% of dreams. We conclude that this evidence contradicts key aspects of TST.     

Shooting the messenger won’t change the news

Malcolm-Smith, Solms, Turnbull and Tredoux [Malcolm-Smith, S., Solms, M., Turnbull, O., & Tredoux, C. (2008). Threat in dreams: An adaptation? Consciousness and Cognition, 17, 1281–1291.] conducted a rigorous study that sampled two populations differentially exposed to threat in real life, and found that critical predictions from the Threat Simulation Theory of dreams [Revonsuo, A. (2000a). The reinterpretation of dreams: An evolutionary hypothesis of the function of dreaming. Behavioral and Brain Sciences, 23, 877-901.; Revonsuo, A. (2000b). Did ancestral humans dream for their lives? Behavioral and Brain Sciences, 23, 1063–1082.] were not supported. Specifically, we found no evidence of increased realistic threats to physical survival or enhanced threat avoidance in the dreams of those from the exposed population. Revonsuo and Valli’s [Revonsuo, A., & Valli, K. (2008). How to test the threat simulation theory. Consciousness and Cognition, 17, 1292-1296.] commentary on our study argues that the methods we used are so flawed as to render the results meaningless. In this response article, we address the criticisms raised in their commentary.     

Camera perspective bias in videotaped confessions: evidence that visual attention is a mediator

Several experiments have demonstrated a camera perspective bias in evaluations of videotaped confessions: videotapes with the camera focused on the suspect lead to judgments of greater voluntariness than alternative presentation formats. The present research investigated potential mediators of this bias. Using eye tracking to measure visual attention, Experiment 1 replicated the bias and revealed that changes in camera perspective are accompanied by corresponding changes in duration of fixation on the suspect and interrogator. A path analysis indicated that visual attention partially mediated the bias, with at least one additional factor independently contributing to it. A proposed second factor was changes in available visual content that naturally coincide with alterations in camera perspective. Experiment 2 directly manipulated observers' focus and thus more conclusively established visual attention as one mediator of the camera perspective bias. Together the two experiments provide plausible evidence that differences in visual content may also mediate the bias.     

Processing variant forms in spoken word recognition: the role of variant frequency

Recognition of a spoken word phonological variant--schwa vowel deletion (e.g., corporate --> corp'rate)--was investigated in vowel detection (absent/present) and syllable number judgment (two or three syllables) tasks. Variant frequency corpus analyses (Patterson, LoCasto, & Connine, 2003) were used to select words with either high or low schwa vowel deletion rates. Speech continua were created for each word in which schwa vowel length was manipulated (unambiguous schwa-present and schwa-absent endpoints, along with intermediate ambiguous tokens). Matched control nonwords were created with identical schwa vowel continua and surrounding segments. The low-deletion-rate words showed more three-syllable judgments than did the high-deletion-rate words. Matched control nonwords did not differ as a function of deletion rate. Experiments 2 and 3 showed a lexical decision reaction time advantage for more frequent surface forms, as compared with infrequent ones, for schwa-deleted (Experiment 2) and schwa-present (Experiment 3) stimuli. The results are discussed in terms of representations of variant forms of words based on variant frequency.     

Impaired re-weighting of sensory feedback for maintenance of postural control in children with developmental coordination disorder

To further the understanding of postural control impairments seen in children with developmental coordination disorder (DCD) and the effect of these impairments on motor performance in these children, 30 children with and without DCD (mean age=9 years, 7 months +/- 1 year, 10 months) were administered the Movement Assessment Battery for Children (M-ABC), Wechsler Abbreviated Scale of Intelligence and the Sensory Organization Test. Analyses of covariance revealed that children with DCD had greater difficulty maintaining postural control when visual and somatosensory feedback were compromised in sensory conflict environments (p=.031). Group differences in postural control were independent of age. Additionally, no correlation was seen between motor performance on the M-ABC and postural control measures for the Sensory Organization Test. Our results demonstrate that impaired ability to utilize vestibular feedback while re-weighting somatosensory and visual feedback for orientation may be responsible, in part, for the postural control impairments observed in some children with DCD.