Agonistic interpersonal striving: social-cognitive mechanism of cardiovascular risk in youth?

The social competence model (SCM) of cardiovascular disease (CVD) risk identifies combinations of goal-oriented strivings, expressive behaviors, and social skill deficits that contribute to persisting interpersonal difficulties and chronic health-damaging stress in youth. SCM hypotheses were tested on 187 Black and White adolescents who completed the Social Competence Interview (SCI) and later underwent ambulatory blood pressure (ABP) monitoring. Cluster analyses of stress narratives assessed via SCI identified 3 predicted stress profiles: agonistic (interpersonally focused), transcendent (self-development focused), and avoidant. Group comparisons using social, hemodynamic, and ABP data supported the SCM hypothesis that youths who exhibit the agonistic striving profile display diminished social competence, negative social impact, and heightened cardiovascular responding during a stress interview, and elevated ABP during normal social interactions, thus suggesting higher risk of CVD.     

Discovering how urban poverty and violence affect health: development and validation of a Neighborhood Stress Index.

Health problems of the urban poor have been attributed to psychosocial effects of environmental stress. Testing such models requires an ability to measure neighborhood characteristics that make life stressful. The City Stress Inventory (CSI) uses self-report to assess perceived neighborhood disorder and exposure to violence. Data from an interracial sample of urban adolescents show the CSI to be internally consistent, stable, and correlated with census indices of social disadvantage. Validity for stress research is indicated by correlations with trait depression, anger, hostility, self-esteem, and mood changes during a debate with an unfamiliar peer. The CSI can be completed by persons with an 8th-grade education.     

The emerging relationship of psychology and the Internet: proposed guidelines for conducting Internet intervention research

The Internet is rapidly developing into an important medium of communication in modern society, and both psychological research and therapeutic interventions are being increasingly conducted using this new communication medium. As therapeutic interventions using the Internet are becoming more prevalent, it is becoming increasingly important to conduct research on psychotherapeutic Internet interventions to assist in the development of an appropriate standard of practice regarding interventions using this new medium. In this article, we examine the Internet and the current psychological uses which are being initiated using this medium. Ethical concerns related to the psychological use of the Internet are discussed, and guidelines are proposed for the conduct of Internet intervention research.     

Long Term Outcomes to Family Caregiver Empowerment

The Vanderbilt Caregiver Empowerment Project evaluated a training program designed to enhance empowerment of caregiver and their subsequent involvement in the mental health treatment of their children. The intervention utilized a multi-component parent training curriculum that was designed to enhance: (a) knowledge of the service system; (b) skills needed to interact with the mental health system; and (c) the caregiver' s mental health services self-efficacy designed to improve caregivers beliefs in their ability to collaborate with service providers. The resulting increased empowerment was hypothesized to increase caretaker involvement, which should affect service use and ultimately the mental health status of the child. A randomized design was used to test the effectiveness of this model with caregivers of children receiving mental health services. The results one-year after the training replicated the intermediate outcomes of the project conducted 3-months after the training. The initial training continued to significantly influence the parent's knowledge and mental health services self-efficacy. However, the intervention had no effect on caregiver involvement in treatment, service use or the mental health status of the children.     

Long-term effects of intensive treatment for a client with both a cluttering and stuttering disorder

This study presents data on the effects of an intensive smooth speech treatment program for stuttering on the speech and psychological status of a man, aged 21 years who stuttered and who was also diagnosed as a clutterer (S 29). Stuttering was mild to moderate (7% syllables stuttered) (%SS) and consisted mostly of rapid repetitions with an occasional block. The client had stuttered since the age of 5 years. Initial rate could not be determined with accuracy due to its irregularity and speed, but was estimated to be between 260 to 300 syllables per minute (SPM). Speech was also characterized by irregular quick bursts that were often unintelligible. There was no evidence of abnormal psychological traits. However, a higher than normal level of negative communication attitudes was evidenced. An intensive 3-week smooth speech program designed to reduce and control stuttering was initiated. It was believed the training, which involved rate control, would control the cluttering symptoms as well. After successful completion of the program, stuttering was greatly reduced, and the gains were maintained after 10 months. Speech rate was reduced to normal levels and was also maintained at the 10-month follow-up. Negative attitudes to communication, furthermore, were greatly reduced both in the short- and long-term. Consequently the cluttering symptoms after treatment were minimal. This case study suggests that an intensive treatment for stuttering, which contains rate control, can also be a successful treatment for cluttering, at least for those who also stutter.     

Temporal necessity; Hard facts/soft facts

Conclusion In conclusion, then, the notion of temporal necessity is certainly queer and perhaps a misnomer. It really has little to do with temporality per se and everything to do with counterfactual openness or closedness. We have seen that the future is as unalterable as the past, but that this purely logical truth is not antithetical to freedom or contingency. Moreover, we have found certain past facts are counterfactually open in that were future events or actualities to be other than they will be, these past facts would have been different as a consequence. God's beliefs about the future are such past facts. Moreover, the effects of actions which God would have taken had He believed differently are also such past facts. Oddly enough, then, virtually any past fact is potentially counterfactually open, and the only necessity that remains is purely de facto. We, of course, do not in general know which events of the past depend counterfactually on present actions, and those cases we do know about seem rather trivial. Our intuitions of the necessity, unalterability, and unpreventability of the past as opposed to the future stem from the impossibility of backward causation, which is precluded by the dynamic nature of time and becoming. But the counterfactual dependence of God's beliefs on future events or actualities is not a case of backward causation: rather future-tense propositions are true in virtue of what will happen, given a view of truth as correspondence, and God simply has the essential property of knowing all and only true propositions. With regard to the future, virtually all facts are counterfactually open, and therefore future-tense propositions are not temporally necessary. Propositions thus move from being temporally contingent to being temporally necessary when all the opportunities to affect things counterfactually have slipped by. Hence, the mere fact that an event is past is no indication that it is counterfactually closed. This is especially evident in the case of God's foreknowledge. If we say that God foreknows that I shall do x and therefore I cannot refrain from doing x, lest I change God's past foreknowledge, we are being deceived by a modality which has nothing to do with my power or freedom. All that is impossible is the conjunction of God's foreknowledge that p and of ~ p; but this modality in sensu composito has no bearing on my ability to act such that ~ p would be true and God would have foreknown differently. Temporal necessity, then, turns out to be only obliquely temporal and modally weak, certainly no threat to freedom or divine foreknowledge.