When Treatment is Traumatic: An Empirical Review of Interventions for Pediatric Medical Traumatic Stress

Pediatric medical traumatic stress (PMTS) is common among injured/ill children and is associated with elevated distress, treatment non‐adherence, and poor health outcomes. As survivorship of life‐threatening pediatric injury and illness continues to increase alongside rapid medical advancements, rates of PMTS and negative sequelae are expected to grow; however, research on prevention and treatment of PMTS is limited. The current study sought to systematically review the literature using a developmental framework to highlight research gaps. Sixteen peer‐reviewed studies were identified via a systematic literature search. Consistent with best practices for treatment of childhood trauma, caregiver involvement and CBT principles served as the foundation for most interventions. All studies reported improvements in PMTS; however, among the most methodologically rigorous, few found statistically superior reductions in PMTS between intervention and control groups. While many studies focused on a specific developmental stage and discussed developmental considerations, others took a “one‐size‐fits” approach. Interventions that demonstrated the most promising findings were online, self‐guided, or time‐limited. Future research would benefit from expanding diversity of participants, continuing to evaluate novel delivery methods, and integrating developmental considerations along with trauma‐informed care (TIC) approaches, given their useful framework for understanding child traumatic stress responses and avenues for prevention and treatment.     

Reducing Alcohol‐Related Consequences Among High School Seniors: Efficacy of a Brief,Web‐Based Intervention

The authors examined the efficacy of a brief, web‐based personalized feedback intervention on reducing alcohol‐related consequences among high school seniors (N = 105) using a group‐randomized controlled design. Results of repeated measures mixed‐models analyses indicated significant intervention effects over time for alcohol‐related consequences at 30‐day and 6‐month follow‐up assessments. Drinking risk status moderated intervention effects such that results were only significant for high‐risk drinkers (i.e., students reporting initiation of heavy episodic drinking at baseline).     

Madness strikes back

This commentary is concerned with the involvement of mental health service users in research. It will argue that research carried out by service users is one way of giving voice to a previously silenced group—the mad. It is one way in which ‘Madness Strikes Back’. The main theoretical model to be used is that of the early Foucault. I will not be concerned with what has become known as ‘Foucauldian discourse analysis’ since nowhere in Foucault's writing is there reference to conversation or talk. I will, however, be concerned with power as mental health service users are amongst the most disempowered of groups in all societies. I will also be concerned with Foucault's claim that, since the Enlightenment, madness has been positioned as the antithesis of reason, as ‘unreason’. This distinction can be argued to persist in the field of research. Copyright © 2008 John Wiley & Sons, Ltd.     

The effect of a red background on location backward masking by structure

It has been established that diffuse red light partially suppresses the magnocellular (M) visual pathway. Previous research reported that metacontrast masking is reduced (improved accuracy) with a red background, consistent with a reduction in M pathway response from the mask. In contrast, a recent study used location backward masking by noise and found that accuracy decreased with a red background--theoretically due to suppression of the M pathway's initial localization of the target. The present study provides the first report examining the effect of red light on performance in a location backward masking by structure task. Results revealed a main effect of a red (as opposed to a green) background on reducing masking (improved accuracy) with a medium effect size (eta2 = .23). This effect was strongest at the 47- and 60-msec stimulus onset asynchronies. Results suggest that red light primarily decreases interference from the mask in location backward masking by structure.     

A Comparison of Assessment Center Practices in Organizations in German‐speaking Regions and the United States

The development, execution, and evaluation of ACs in 281 German, Swiss, and Austrian organizations are examined for compliance with professional guidelines and consideration of moderator variables of validity, and the results are compared with those reported for U.S. companies ( Spychalski et al., 1997 ). The authors show that some recommendations (e.g., systematic testing of reliability and validity) have not received sufficient attention in either the German‐speaking or U.S. sample and that compliance with guidelines (e.g., the application of information policy to assessees) varies across the countries studied. The most important cross‐national differences in the development, execution, and evaluation of ACs are explained as results of ideologically rooted reservations, insufficient professionalization in some aspects of intraorganizational AC use, as well as specific aspects of the Labor‐Management Act and similar legislation in German‐speaking regions. These factors are linked with a cultural difference—institutionalized collectivism, which is greater in German‐speaking regions than in the United Sates.     

The effects of a target–stimulus reminder on performance in a novel object recognition task

The effects of original training-stimulus pre-test reminders were examined in a novel object recognition (NOR) task. NOR is a task that examines memory for complex stimuli, and is driven by the rats’ tendency to spend significantly more time exploring novel objects over those previously experienced. In this task, a delay is imposed between a training experience during which the animal is allowed to investigate a set of identical objects, and a later test exposure where the animal encounters one of the original objects and a novel object with which it has had no previous experience. Experiment 1 demonstrated that performance at 24 h is significantly worse than at an immediate delay (1 min). In the second experiment, it was demonstrated that neither a 10-s nor a 30-s reminder treatment, in the absence of training, resulted in a level of preference for novelty, a measure of memory for the original object, that was significantly greater than chance. Experiment 3 illustrated significant performance effects of a 30-s training stimulus reminder administered 15 min prior to test with a 24-h retention interval. The final experiment illustrated that the additional 30-s of object exposure is effective in enhancing performance only if it occurs shortly prior to test. Animals receiving the additional 30-s immediately following training did not experience such beneficial effects. It was concluded, based upon these results, that pre-test training-stimulus reminders in this task produce effects similar to those seen in more traditional tasks of learning and memory.     

Work and Family Balance Among Dual-Earner Working-Class Mexican-Americans: Implications for Therapists

The ability to balance work and family demands can affect marital satisfaction, family cohesion, and job satisfaction. While most research in this area has utilized middle-class Anglo-American samples, the present investigation examined dual-earner, working-class Mexican- Americans. Positive relationships were found between work-family balance and satisfaction with marriage, family life and jobs with gender and acculturation showing moderating effects on some variables. Family therapists should be cognizant of the impact of work- family demands on marriage and family functioning even when working class minority families do not offer these issues as presenting problems.