Short-Term Assessment of Risk and Treatability (START): The case for a new structured professional judgment scheme

The Short-Term Assessment of Risk and Treatability (START) is a new structured professional judgment scheme intended to inform multiple risk domains relevant to everyday psychiatric clinical practice (e.g. risk to others, suicide, self-harm, self-neglect, substance abuse, unauthorized leave, and victimization). The article describes the processes involved in establishing an interdisciplinary approach to risk assessment and management. The authors present a review of the rationale for START, including the value of dynamic variables, the importance of strengths, and the extent to which clinicians must be attentive to multiple risk domains, reflecting theoretical and scientific evidence of the overlap among risks. Using the development, validation, and implementation of START as an example, the authors describe the processes by which other researchers, clinicians, and administrators could adapt existing assessment schemes or create new ones to bridge some remaining gaps in the risk assessment and management continuum.     

The big, the bad, and the boozed-up: Weight moderates the effect of alcohol on aggression

Most people avoid the “big, drunk guy” in bars because they do not want to get assaulted. Is this stereotype supported by empirical evidence? Unfortunately, no scientific work has investigated this topic. Based on the recalibrational theory of anger and embodied cognition theory, we predicted that heavier men would behave the most aggressively when intoxicated. In two independent experiments (Ns = 553 and 327, respectively), participants consumed either alcohol or placebo beverages and then completed an aggression task in which they could administer painful electric shocks to a fictitious opponent. Both experiments showed that weight interacted with alcohol and gender to predict the highest amount of aggression among intoxicated heavy men. The results suggest that an embodied cognition approach is useful in understanding intoxicated aggression. Apparently there is a kernel of truth in the stereotype of the “big, drunk, aggressive guy.”     

When planning is not enough: Fighting unhealthy snacking habits by mental contrasting with implementation intentions (MCII)

In two experiments a self‐regulatory strategy combining mental contrasting with the formation of implementation intentions (MCII) was tested for its effectiveness in diminishing unhealthy snacking habits. Study 1 (N = 51) showed that participants in the MCII condition consumed fewer unhealthy snacks than participants in a control condition who thought about and listed healthy options for snacks. In Study 2 (N = 59) MCII was more effective than mental contrasting or formulating implementation intentions alone and mental contrasting was found to increase perceived clarity about critical cues for unhealthy snacking. Together, these findings suggest that MCII is an effective strategy for fighting habits and that one of the underlying processes making MCII superior to implementation intentions alone may be that mental contrasting produces clarity about the critical cues for the unwanted habitual behavior. Copyright © 2010 John Wiley & Sons, Ltd.     

Implementation Quality and Positive Experiences in After-School Programs

Data collected during an evaluation of a multi-site trial of an enhanced after-school program were used to relate quality of program implementation to student experiences after school. The enhanced after-school program incorporated a drug use and violence prevention component that was shown to be effective in previous research. Building on Durlak and Dupre’s (Am J Community Psychol 41:327–350, 2008) dimensions of implementation, we assessed the level of dosage, quality of management and climate, participant responsiveness, and staffing quality achieved at the five program sites. We evaluated how these characteristics co-varied with self-reported positive experiences after-school. The study illustrates how multiple dimensions of program implementation can be measured, and shows that some but not all dimensions of implementation are related to the quality of student after-school experiences. Measures of quality of management and climate, participant responsiveness, and staffing stability were most clearly associated with youth experiences. The importance of measuring multiple dimensions of program implementation in intervention research is discussed.     

Assessing At‐Risk Youth Using the Reynolds Adolescent Adjustment Screening Inventory With a Latino Population

Factor analyses were conducted on scores from the Reynolds Adolescent Adjustment Screening Inventory (RAASI; Reynolds, 2001 ) representing at‐risk Latino youth. The 4‐factor model of the RAASI did not exhibit a good fit. However, evidence of generalizability for Latino youth was noted.     

Putting the “IRT” in “Dirty”: Item response theory analyses of the Dark Triad Dirty Dozen—An efficient measure of narcissism,psychopathy, and Machiavellianism

The Dark Triad Dirty Dozen is a new, concise personality inventory designed to measure individual differences in narcissism, psychopathy, and Machiavellianism in sub-clinical populations. To date, the psychometric work on this measure has used classical test theory to assess its validity, reliability, and structure. In two independent samples (N = 1014), we provide the first analyses of this measure using item response theory. In both samples, the Dark Triad Dirty Dozen efficiently recovered information and showed some evidence of differential scale functioning by sex, with a lower endorsement threshold for men compared to women. Results shed new light on the measurement of these “dark” personality traits.     

Posttraumatic Stress in Women with Breast Cancer and Their Daughters

Using the PTSD Reaction Index, posttraumatic stress was assessed in 133 women with breast cancer and 64 of their daughters. Twenty-one percent of patients and 13% of daughters reported symptoms consistent with PTSD. PTSD in these patients without bone marrow transplants may be higher than reported in other samples, and the prevalence of PTSD symptoms in the daughters appear comparable to women with breast cancer. For patients, cancer stage at diagnosis was positively associated with posttraumatic stress severity. Mothers experiencing PTSD symptoms were significantly more likely to have daughters experiencing PTSD symptoms. Intergenerational patterns in reaction to breast cancer are discussed.     

Expecting More in Relationships – Implications of Relational Entitlement

Abstract

Sense of relational entitlement refers to what individuals’ believe they “should” expect from their romantic partner. When expectations are both unrealistic and not met by one’s partner, there is a potential for adverse consequences. Researchers surveyed 195 female participants between the ages 18-60. The study examined the influence of one’s sense of relational entitlement with varying conflict strategies. The findings revealed that extreme forms of one’s sense of relational entitlement was associated with conflict strategies like verbal aggression, and control & domination. Thus, one’s sense of relational entitlement appears to play a significant role in how individuals handle conflict.