Family‐Based HIV and Sexually Transmitted Infection Risk Reduction for Drug‐Involved Young Offenders: 42‐Month Outcomes

This study tested a family‐based human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention approach integrated within an empirically supported treatment for drug‐involved young offenders, Multidimensional Family Therapy (MDFT). A randomized, controlled, two‐site community‐based trial was conducted with 154 youth and their parents. Drug‐involved adolescents were recruited in detention, randomly assigned to either MDFT or Enhanced Services as Usual (ESAU), and assessed at intake, 3, 6, 9, 18, 24, 36, and 42‐month follow‐ups. Youth in both conditions received structured HIV/STI prevention in detention and those in MDFT also received family‐based HIV/STI prevention as part of ongoing treatment following detention release. Youth in both conditions and sites significantly reduced rates of unprotected sex acts and STI incidence from intake to 9 months. They remained below baseline levels of STI incidence (10%) over the 42‐month follow‐up period. At Site A, adolescents who were sexually active at intake and received MDFT showed greater reduction in overall frequency of sexual acts and number of unprotected sexual acts than youth in ESAU between intake and 9‐month follow‐ups. These intervention differences were evident through the 42‐month follow‐up. Intervention effects were not found for STI incidence or unprotected sex acts at Site B. Intensive group‐based and family intervention in detention and following release may reduce sexual risk among substance‐involved young offenders, and a family‐based approach may enhance effects among those at highest risk. Site differences in intervention effects, study limitations, clinical implications, and future research directions are discussed.     

Using PPT to correct for inconsistency in a speeded task

Two experiments employed Potential Performance Theory (PPT) to correct for inconsistency in a speeded task. In Experiment 1, a search task was employed whereby participants searched for a target letter among distracters. In Experiment 2, the search task was more complex and naturalistic-participants searched for enemy weapons in aerial photographs. Not surprisingly, the results revealed that longer search times led to greater accuracy. However, this improvement was due only in part to improved search strategies. Much, if not most, of the improvement was due to increased consistency. The authors demonstrate and discuss some of the advantages to be gained by considering a speeded task within the context of a clear and mathematically precise theory (PPT).     

Comments concerning Iverach, et al., Screening for personality disorders among adults seeking speech treatment for stuttering [J. Fluency Disorders 34 (2009) 173-186

Iverach, Jones, O’Brian, Block, Lincoln, and Harrison (2009) indicate the high co-occurrence of one or more Personality Disorders (PD) for adults who stutter. The findings of Iverach et al. argue against many years of research and the experiences of skilled clinicians who have considered the relationship between stuttering and anxiety/negative affectivity. The results of Iverach et al. are questioned based on several methodological issues.Educational objectives: 1. To explain why the unusually high occurrence of personality disorders (PD) for individuals who stutter found by Iverach et al. (2009) may be questionable based on methodological approach. 2. To explain the heightened levels of anxiety experienced by many individuals who stutter as a natural and reasonable response to a chronic and serious problem such as stuttering. 3. To debate the potential for the inaccurate diagnosis of Axis II Personality Disorders to unnecessarily stigmatize individuals who stutter.     

It is irrelevant,but it matters: Using confluence theory to predict the influence of beliefs on evaluations,attitudes, and intentions

The present research is based on the notion of confluence—that associated mental elements have a tendency to become more consistent with each other over time, even if some of them are logically irrelevant to the issue at hand. This idea was applied to a voting paradigm where participants were exposed to varying numbers of valenced beliefs about a candidate. Two experiments tested the idea that although valenced beliefs influence attributions and voting intentions, there is an additional process whereby evaluations of irrelevant beliefs also are influenced. Not surprisingly, as more positive or negative beliefs were presented, voting intentions became more positive or more negative, respectively. More dramatically, however, positive or negative evaluations of irrelevant beliefs became more extreme in the direction of the presented items as more of them were presented. An additional experiment tested alternative mechanisms. Copyright © 2012 John Wiley & Sons, Ltd.     

Varieties of Resilience in MIDUS

Population‐based studies of health typically focus on psychosocial contributors to illness and disease. We examine findings from a national longitudinal study of American adults, known as MIDUS (Midlife in the U.S.) to examine the role of psychosocial factors in promoting resilience, defined as the maintenance, recovery, or improvement in health following challenge. Classic studies of resilience are briefly noted, followed by a look at three categories of resilience in MIDUS. The first pertains to having good health and well‐being in the face of low socioeconomic standing. The second pertains to maintaining good health and well‐being despite the challenges that accompany aging. The third pertains to resilience in the face of targeted life challenges such as abuse in childhood, loss of spouse in adulthood, or having cancer. Across each area, we summarize evidence of positive health, and where possible, highlight protective influences that account for such salubrious outcomes. We conclude with opportunities for future research in MIDUS such as examining cultural and genetic influences on resilience as well as utilizing laboratory challenge data to illuminate underlying mechanisms.