Family psychoeducation as an evidence-based practice

Family psychoeducation programs have emerged as a strongly supported evidence-based practice in the treatment of schizophrenia and bipolar disorder. Over 30 randomized clinical trials demonstrated that psychoeducation programs reduce relapse, improve symptomatic recovery, and enhance psychosocial and family outcomes. Recent work supports family psychoeducation strategies for other disorders, including major depression, obsessive-compulsive disorder, and borderline personality disorder. This review summarizes the research evidence supporting prominent models of family psychoeducation. Professional and peer-led family education programs are also reviewed and differentiated from family psychoeducation. Directions for future research studies to enhance the evidence base and inform treatment recommendations are proposed. Finally, strategies for implementation of family psychoeducation in routine clinical practice are discussed.     

Dynamic effects of the Ebbinghaus illusion in grasping: support for a planning/control model of action

A distinction between planning and control can be used to explain the effects of context-induced illusions on actions. The present study tested the effects of the Ebbinghaus illusion on the planning and control of the grip aperture in grasping a disk. In two experiments, the illusion had an effect on grip aperture that decreased as the hand approached the target, whether or not visual feedback was available. These results are taken as evidence in favor of a planning/control model, in which planning is susceptible to context-induced illusions, whereas control is not. It is argued that many dissociations between perception and action may better be explained as dissociations between perception and on-line control.     

A journey toward womanhood: effects of an Afrocentric approach to pregnancy prevention among African-American adolescent females

A Journey Toward Womanhood is an Afrocentric pregnancy prevention program for adolescent females developed by Sisterhood Agenda in Durham, North Carolina. In the present study, 33 past participants in the program were compared with 32 nonparticipants. Results suggested that the program had a positive impact, delaying the initiation of sexual intercourse, increasing contraceptive use among those who were having intercourse, and reducing the incidence of teen pregnancy.     

A procedure to teach self-control to children with attention deficit hyperactivity disorder

This study examined the use of a progressive delay procedure combined with verbal mediation to teach self-control to children with attention deficit disorder. Results showed that when participants were initially given the choice between an immediate smaller reinforcer and a larger delayed reinforcer, all participants chose the smaller reinforcer. When slight delays to obtain a larger reinforcer were instated in conjunction with intervening verbal activity, all participants demonstrated self-control regardless of the content of the verbal activity.     

Musical instrument naming impairments: the crucial exception to the living/nonliving dichotomy in category-specific agnosia

In category-specific agnosia (CSA) patients typically have more trouble naming animals, fruits, and vegetables than tools, furniture, and articles of clothing. A crucial exception to this living vs nonliving rule involves the category of musical instruments. Patients with problems naming living objects often repeatedly fail to name musical instruments. In CSA it is crucial to equate living and nonliving object lists on object name frequency, complexity, and familiarity. The present study shows, however, that even the most rigorously controlled object lists can lead to erroneous conclusions if nonliving stimuli contain an overrepresentation of musical instruments. Naming capabilities of a herpes encephalitis patient were assessed using matched lists of living and nonliving objects and showed no indication of category-specific deficits. When exemplars were separated into biological objects, musical instruments and man-made artifacts, strong category-specificity emerged: artifact naming was flawless whereas musical instrument and biological object naming were both severely impaired. It is concluded that CSA is a veridical phenomenon but that our understanding of CSA is limited by adhering to the spurious living/nonliving distinction.     

The effect of accent evaluation and evidence on a suspect's perceived guilt and criminality

The authors investigated the effect of accent evaluation, evidence, and crime type on participants' perceptions of guilt and criminality. British student raters (n = 199) listened to a tape-recorded exchange between a male criminal suspect and a male policeman. The authors manipulated this exchange to produce a 2 (accent type: English regional or standard) x 2 (evidence type: strong or weak) x 2 (crime type: blue collar or white collar) factorial design. Dependent measures consisted of participants' ratings of the suspect's guilt and criminality. Contrary to previous research, accent did not significantly influence attributions of guilt either as a main effect or in interaction with the contextual variables. However, independent of evidence presented and crime type, the regional-accented suspect was evaluated as more typically criminal and more likely to be reaccused of a crime than the standard-accented suspect.     

Transitive gesture production in apraxia: visual and nonvisual sensory contributions

The production of transitive limb gestures is optimized when the appropriate tool can be physically manipulated. Little research has addressed the independent contributions of visual and nonvisual sources of sensory information to this phenomenon. In this study, 12 control, 37 LHD, and 50 RHD stroke patients performed transitive limb gestures to pantomime (to verbal command with the object visible) and object manipulation. Performance was more accurate in the object manipulation condition, suggesting that haptic and kinesthetic cues are important for transitive gesture production. Various patterns of performance were observed in the stroke groups, indicating that selective damage to the haptic/kinesthetic processing system is possible and common following unilateral stroke.     

Can regenerated inner‐city areas remain sites of public‐place sociability? Psycho‐social processes predicting public sociability in a changing neighbourhood

The processes of urban regeneration of long‐disinvested inner‐city neighbourhoods today happening in many European cities sometimes dramatically transform residents' traditional uses of their public places. Focusing on a neighbourhood renowned for its traditional public place sociability – Mouraria, in Lisbon – this study explored the psychosocial processes that may shape the maintenance of that sociability in the face of increasing social diversification and small‐scale gentrification brought about by a mixed/bottom‐up regeneration plan. A questionnaire survey (n = 201) with two types of residents (“traditional residents” and “new gentrifiers”) indicated that: (a) both types report using Mouraria's public places for socializing, although traditional residents do so to a greater degree; (b) perceived cultural continuity of the neighbourhood is positively related to public place sociability for both groups; and (c) this relationship is mediated by both place identification and place knowledge; but (d) it is not moderated by type of resident. By implication, we argue that regenerated inner‐city neighbourhoods may remain as places of lively public sociability and companionship if residents are able to forge and/or retain a sense of identification with, and intimate knowledge of, the neighbourhood, and view it as maintaining continuity with the past.     

Adrenal Insufficiency in Young Children: a Mixed Methods Study of Parents’ Experiences

Research into adrenal insufficiency (AI) and congenital adrenal hyperplasia (CAH) in children has focused largely on clinical consequences for patients; and until recently, the wider experience of the condition from the perspective of other family members has been neglected. In a mixed methods study, we captured the experiences of parents of young children affected by AI/CAH, including their views on the psychosocial impact of living with and managing the condition. Semi-structured interviews were carried out in the UK and an online survey was developed, translated and disseminated through support groups (UK and the Netherlands) and outpatient endocrinology clinics (Germany). Challenges associated with diagnosis, treatment, support and the future were identified. For UK parents, the diagnosis period was characterised by a lack of awareness amongst healthcare professionals and occurrences of adrenal crisis. Parents reported burden, anxiety and disruption associated with the intensive treatment regimen. Parents adjusted and gained confidence over time yet found delegating responsibility for medication difficult and worried about the future for their child. Access to psychological support and contact with other families was reported as highly beneficial. The findings of the study provide critical context for future studies and for informing how parents and families can be better supported. Prenatal genetic counselling for parents who already have an affected child will include an explanation of recurrence risk but should also focus on providing information and reassurance about diagnostic testing and care for their newborn.     

Assessment of the Readability of Genetic Counseling Patient Letters

Patient letters are a powerful tool that genetic counselors use to communicate with their patients. Patient letters are often sent to provide information on a new diagnosis, reiterate test results, and to serve as a permanent record of the visit. Patient letters, however, are only helpful if the patients can understand them. More than 50 % of the US population reads below a 9th grade reading level and over one-third of the population has low health literacy skills. In this study we evaluate the readability of genetic counseling patient letters by assessing reading level, image use, and terminology use. One hundred forty-nine genetic counselors participated in the survey and of these, 79 submitted a sample patient letter. Analyses of the letters revealed a mean reading level of 10.93. On average, 6 genetic terms were included in each letter, and only 25 % of these terms were defined. Analyses of survey responses revealed over 75 % of the genetic counselors did not include images in their patient letters. These results indicate there is room for improvement in order to make genetic counseling patient letters more accessible to the general population.