Developing an Occupation-Centred Framework for Trauma Intervention

Abstract

Experiencing work-related trauma can negatively impact coping abilities and daily life participation. Occupational therapists (OTs) often provide health services to workers who have experienced trauma, including military members, veterans, and public safety personnel. The Occupational Therapy Trauma Intervention Framework (OTTIF) is a novel clinical reasoning framework that matches a client’s level of readiness to engage with a spectrum of evidence-based OT approaches. Using surveys at two time points, evaluation of therapist experiences of using the OTTIF elicited positive feedback that suggests the OTTIF provides a useful occupation-centred framework for evidence-informed occupational therapy practice with clients who have experienced trauma.     

Vocabulary and automatic attention: The relation between novel words and gaze dynamics in noun generalization

Words direct visual attention in infants, children, and adults, presumably by activating representations of referents that then direct attention to matching stimuli in the visual scene. Novel, unknown, words have also been shown to direct attention, likely via the activation of more general representations of naming events. To examine the critical issue of how novel words and visual attention interact to support word learning we coded frame-by-frame the gaze of 17- to 31-month-old children (n = 66, 38 females) while generalizing novel nouns. We replicate prior findings of more attention to shape when generalizing novel nouns, and a relation to vocabulary development. However, we also find that following a naming event, children who produce fewer nouns take longer to look at the objects they eventually select and make more transitions between objects before making a generalization decision. Children who produce more nouns look to the objects they eventually select more quickly following the naming event and make fewer looking transitions. We discuss these findings in the context of prior proposals regarding children's few-shot category learning, and a developmental cascade of multiple perceptual, cognitive, and word-learning processes that may operate in cases of both typical development and language delay.

Research Highlights

• Examined how novel words guide visual attention by coding frame-by-frame where children look when asked to generalize novel names.
• Gaze patterns differed with vocabulary size: children with smaller vocabularies attended to generalization targets more slowly and did more comparison than those with larger vocabularies.
• Demonstrates a relationship between vocabulary size and attention to object properties during naming.
• This work has implications for looking-based tests of early cognition, and our understanding of children's few-shot category learning.

     

A Trauma-Informed Call to Action: Culturally-Informed,Multidisciplinary Theoretical and Applied Approaches to Prevention and Healing

ABSTRACT

The prevalence of trauma and its negative impact on humankind has created a burgeoning awareness of the need for systems that are trauma-informed across the lifespan. A collaborative project with the National Partnership to End Interpersonal Violence (NPEIV) sought out research as a call-to-action to mitigate the impact of trauma. The following is an introduction to a special double-issue focused on theoretical and applied approaches to using trauma-informed care in multi-disciplinary, mental and physical health, criminal justice, school-based, and community settings. Consideration is given to essential issues such as resilience, self-care, and cultural awareness.     

A Mild Panic? Media Accounts of Kratom

ABSTRACT

Historically, the news media has been a primary participant in the construction of moral panics surrounding various drugs and their users. The current study utilizes the moral panic framework to depict how the media represents a drug new to the Western world: kratom. Kratom, a traditional plant-based substance from South Asia, came in to the public’s view when the DEA announced its intent to emergency schedule the substance, citing a threat to public health. We use content analysis to explore how kratom and kratom use is depicted in a sample of news media articles gathered from an online source. Broadly, we find that the news media seems to report more information about the substance and less hyperbole than is typical of media reports on drugs in the past.     

A Study of the Use and Interpretation of Standardized Suicide Risk Assessment: Measures within a Psychiatrically Hospitalized Correctional Population

The reliability, validity, and utility of the Adult Suicidal Ideation Questionnaire (ASIQ), Beck Hopelessness Scale (BHS), Beck Scale for Suicide Ideation (BSS), and Reasons for Attempting Suicide Questionnaire (RASQ) with correctional mental health populations was evaluated. Evidence was found indicating good to excellent reliability for all measures. Each of the measures significantly differentiated multiple attempters from single attempters and nonattempters, providing evidence of convergent and divergent validity. Logistic regression and receiver operating characteristic analyses revealed strong associations between multiple attempts and the ASIQ, BSS, and RASQ, but not the BHS. Implications for suicide risk assessment processes in correctional settings are discussed.     

Psychiatric and Self‐Injury Profiles of Adolescent Suicide Attempters versus Adolescents Engaged in Nonsuicidal Self‐Injury

To better delineate the unique correlates of self‐injurious behaviors (SIB), psychiatric profiles of mutually exclusive groups of adolescents who made a suicide attempt (SA) versus those engaged in nonsuicidal self‐injury (NSSI) were examined. Contrary to hypotheses, the NSSI group endorsed earlier onsets of SIB and suicidal ideation (SI), as well as higher rates of depression and anxiety compared with their SA counterparts. Future work is warranted to understand the role of SI, including duration of SI and anxiety in the development of NSSI, and to identify risk and resiliency factors useful in predicting an adolescent's SIB status.     

PREDICTORS AND EFFECTS OF SELF-OBJECTIFICATION IN LESBIANS

The majority of research on self-objectification has focused on heterosexual women's experiences. This study sought to examine experiences of self-objectification in lesbian women. A path model was developed to examine the relationships between participants' feminist self-identification, levels of internalized heterosexism, objectified body consciousness, and the clinically relevant variables of negative eating attitudes and depression. As has been found with heterosexual women, body surveillance led to shame, which led to negative clinical outcomes. A direct path was also found between levels of surveillance and negative eating attitudes, consistent with previous research on self-objectification among lesbians. Feminist self-identification was not significantly related to the other variables, in contrast to previous research with heterosexual women. Internalized heterosexism was related to negative clinical outcomes, both indirectly through objectification variables and directly to depressive symptomatology. These results provide evidence that self-objectification and internalized heterosexism have negative impacts on the mental health of lesbian women.