Trauma‐Informed Care for Individuals with Serious Mental Illness: An Avenue for Community Psychology's Involvement in Community Mental Health

Individuals with serious mental illness are at particularly high risk for trauma; however, service environments with which they interact may not always be trauma‐informed. While community mental health and other human services settings are moving toward trauma‐informed care (TIC) service delivery, a variety of TIC frameworks exist without consensus regarding operationalization, thereby leading to challenges in implementation. TIC is principle‐driven and presents substantial overlap with community psychology values and competencies, including ecological frameworks, second‐order change, empowerment, and citizen participation. One way to address barriers to TIC implementation is to draw on the strengths of the field of community psychology. With a particular emphasis on the applicability of TIC to individuals with serious mental illness, this paper identifies key implementation issues and recommends future directions for community psychologists in clarifying the service framework, its adaptation to specific service contexts, and improving delivery through consultation and evaluation. Community psychologists may work with various disciplines involved in the TIC field to together promote a more conscious, actionable shift in service delivery.     

Compositionality and the Manifestation Challenge

I address the question whether Dummetts manifestation challenge to semantic realism can be disarmed by reflection on the compositionality of meaning. Building on work of Dummett and Wright, I develop in §§12 what I argue to be the most formidable version of the manifestation challenge. Along the way I review attempts by previous authors to deploy considerations about compositionality in realisms favour, and argue that they are unsuccessful. The formulation of the challenge I develop renders explicit something which I argue to be implicit in Dummetts and Wrights presentations: that the challenge depends on a contention about the constitution of speakers states of declarative sentence understanding: i.e., that many such states incorporate abilities to recognize whether the associated sentences truth conditions are satisfied. In §3 I argue that reflection on the compositionality of meaning reveals, first, that this contention must be rejected by the realist, and second, that it is unmotivated. This result does not settle the debate over the manifestation challenge, but it implies that the onus of argument does not currently rest with the realist.     

Children's narratives and well-being

Research with adults indicates that writing causal-explanatory and emotionally disclosing narratives of stressful experiences is related to psychological well-being. Limited research with children has shown mixed results, but developmental theory suggests that simple extrapolation from adult findings might be problematic. In this study, 9- to 13-year-old children engaged in three days of writing under emotional and non-emotional instructions, and completed measures of depression, anxiety, strengths and difficulties, and somatic symptoms both at baseline and 2 months following intervention. Narratives were coded using a developmentally appropriate, exhaustive coding system. Children in the emotional writing group wrote more about negative evaluations, problems, emotions, explanations and coping than children in the non-emotional writing group. However, those children who wrote more about negative evaluations, problems and explanations subsequently showed higher levels of anxiety, depression and difficulties. Due to limited narrative and emotional regulation skills, expressive writing may not benefit, and may even be detrimental for, some children.     

Limitations of distal effect anticipation when using tools

Modern technologies progressively create workplaces in which the execution of movements and the observation of their consequences are spatially separated. Challenging workplaces in which users act via technical equipment in a distant space include aviation, applied medical engineering and virtual reality. When using a tool, proprioceptive/tactile feedback from the moving hand (proximal action effect) and visual feedback from the moving effect point of the tool, such as the moving cursor on a display (the distal action effect) often do not correspond or are even in conflict. If proximal and distal feedback were equally important for controlling actions with tools, this discrepancy would be a constant source of interference. The human information processing system solves this problem by favoring the intended distal action effects while attenuating or ignoring proximal action effects. The study presents an overview of experiments aiming at the underlying motor and cognitive processes and the limitations of visual predominance in tool actions. The main findings are, that when transformations are in effect the awareness of one's own actions is quite low. This seems to be advantageous when using tools, as it allows for wide range of flexible sensorimotor adaptations and – may be more important – it evokes the feeling of being in control. Thus, the attenuation of perceiving one's own proximal action effects is an important precondition for using tools successfully. However, the ability to integrate discordant perception-action feedback has limits, especially, but not only, with complex transformations. When feature overlap between vision and proprioception is low, and when the existence of a transformation is obvious proximal action effects come to the fore and dominate action control in tool actions. In conclusion action–effect control plays an important role in understanding the constraints of the acquisition and application of tool transformations.     

Sensori-motor spatial training of number magnitude representation

An adequately developed spatial representation of number magnitude is associated with children's general arithmetic achievement. Therefore, a new spatial-numerical training program for kindergarten children was developed in which presentation and response were associated with a congruent spatial numerical representation. In particular, children responded by a full-body spatial movement on a digital dance mat in a magnitude comparison task. This spatial-numerical training was more effective than a non-spatial control training in enhancing children's performance on a number line estimation task and a subtest of a standardized mathematical achievement battery (TEDI-MATH). A mediation analysis suggested that these improvements were driven by an improvement of children's mental number line representation and not only by unspecific factors such as attention or motivation. These results suggest a benefit of spatial numerical associations. Rather than being a merely associated covariate, they work as an independently manipulated variable which is functional for numerical development.     

Negative post-event processing and decreased self-appraisals of performance following social stress in childhood social anxiety: an experimental study

Cognitive models of social phobia (SP) assume that following social evaluative stress, individuals with SP engage into dysfunctional post-event processing (PEP), a detailed negative review of the past event. While previous research has already shown, that children with high levels of social fears suffer from more frequent negative PEP, it remains unclear how stable PEP is across time in this age group and whether it leads to degraded self-appraisals of performance. Therefore in the present study we exposed a group of high (HSA) and low socially anxious children (LSA; both n = 20), aged 10–12 years, to a social evaluative situation and assessed negative and positive PEP as well as self-rated performance at 2.5 h and one week after the task. Our results revealed that HSA children reported more negative PEP than LSA children, independent of levels of depression. Moreover, negative PEP was related to measures of social anxiety and performance ratings within the tasks. Only the performance ratings in HSA children worsened over the course of the following week and were related to more negative PEP. Thus, these results speak for the high clinical relevance dysfunctional PEP may have for the maintenance of social fears already in childhood.     

Imagery of errors in typing

Using a typing task we investigated whether insufficient imagination of errors and error corrections is related to duration differences between execution and imagination. In Experiment 1 spontaneous error imagination was investigated, whereas in Experiment 2 participants were specifically instructed to imagine errors. Further, in Experiment 2 we manipulated correction instructions (whether or not to correct errors) and controlled for visual feedback in executed typing (letters appearing on the screen or not). Participants executed and imagined typing proverbs of different lengths. Errors and error corrections explained a significant amount of variance of execution minus imagination differences in Experiment 1, and in Experiment 2 when participants were instructed to correct errors, but not when participants were instructed not to correct errors. In Experiment 2 participants corrected and reported more errors with than without visual feedback. However, the relation between execution − imagination duration differences and errors and error corrections was unaffected by visual feedback. The types of errors reported less often in imagination than in execution were related to processes in typing execution. We conclude that errors and error corrections are not spontaneously imagined during motor imagery, and that even when attention is drawn to their occurrence only some are imagined. This may be due to forward models not predicting all aspects of an action, imprecise forward models, or a neglect of monitoring error signals during motor imagery.     

The value of value: Further excursions on the meaning and role of customer value

Grounded on fundamental marketing principles, the concept of customer value has been revisited and refined by academicians and practitioners for the last 30 years. However, research devoted to achieving a consistent theoretical and conceptual development of value‐related concepts has proceeded apace without ever reaching full closure. The present essay seeks reasons behind remaining deficiencies in value‐related research and offers a review intended to move our understanding of customer value toward what promises to become a more enlightened future. The topic of value is approached by theoretical analysis and conceptual development. First, “the challenge” of value research is presented: the researcher faces a topic that is central to the marketing discipline but that suffers from various conceptual and methodological difficulties. Second, among the literature on value from the last three decades, two main research areas are selected: the conceptual delimitation and the methodological links between quality, satisfaction, and value. Third, as a conclusion, we identify several streams of research that promise to expand future knowledge in the area of customer value. Several tables and figures that provide a systematic and structured review of value‐related knowledge support this inventory of the state‐of‐the‐art in value research. Even the most patient theoretical development of value‐related concepts tends to resist full conceptual closure. The breadth of customer value and its richness for marketing implications encourage novel and refreshing approaches. Copyright © 2011 John Wiley & Sons, Ltd.     

A global workspace model for phenomenal and access consciousness

Both the global workspace theory and Block’s distinction between phenomenal and access consciousness, are central in the current debates about consciousness and the neural correlates of consciousness. In this article, a unifying global workspace model for phenomenal and access consciousness is proposed. In the model, recurrent neural interactions take place in distinct yet interacting access and phenomenal brain loops. The effectiveness of feedback signaling onto sensory cortical maps is emphasized for the neural correlates of phenomenal consciousness. Two forms of top-down attention, attention for perception and attention for access, play differential roles for phenomenal and access consciousness. The model is implemented in a neural network form, with the simulation of single and multiple visual object processing, and of the attentional blink.