A Developmental Approach to Prevention Research: Configural Antecedents of Early Parenthood

A developmental framework emphasizing the combined impact of correlated constraints within and without the individual was applied to a prospective longitudinal study of early parenthood. The purpose was to use a person-approach to the analysis of longitudinal data to clarify risk for early parenthood and to generate hypotheses about potentially useful intervention strategies. Respondents were 475 youth who were assessed annually from seventh grade through the end of high school and, again, at ages 20 and 24. The risk patterns associated with parenthood were the same for both sexes. Individuals with a middle-school configuration of low socioeconomic status, high aggression, low academic skills, low popularity, and prior grade failure were most likely to become parents by early adulthood. Risk for early parenthood increased substantially for respondents who dropped out of school early, regardless of their initial risk status.     

Clamped Corticosterone (B) Reveals the Effect of Endogenous B on Both Facilitated Responsivity to Acute Restraint and Metabolic Responses to Chronic Stress

To determine the effects of both corticosterone (B) and chronic stressors on acute ACTH responses to restraint, young male rats were exposed to streptozotocin-induced diabetes, cold (5-7 degreesC) or intracerebroventricular (icv) neuropeptide Y (NPY) for 5 d and then exposed to restraint within 2 h after lights on. Two groups of rats were studied: intact and adrenalectomized replaced with B pellets that maintained plasma B in the normal mean 24-h range of intact rats. In addition to ACTH and B responses to restraint on d 5, body weight, food intake, fat depots, glucose and other hormones were measured to determine the role of stress-induced elevations in B on energy balance. ACTH responses to restraint were normal in intact rats subjected to diabetes or cold. By contrast, there was no ACTH or B response to restraint in NPY-infused intact rats. All 3 groups of chronically stimulated adrenalectomized rats with clamped B had facilitated ACTH responses to restraint compared to their treatment controls. Overall food intake increased in all groups of stressed rats; however, augmented intake occurred only during the light in intact rats and equally in the light and dark in B-clamped rats. White adipose depot weights were decreased by both diabetes and cold and increased by NPY in intact rats; the decreases with cold and increases with NPY were both blunted and changes in fat stores were not significant in adrenalectomized, B-clamped rats. We conclude that: 1. diabetes- and cold-induced facilitation of restraint-induced afferent input to hypothalamic control of the hypothalamo-pituitary-adrenal (HPA) axis is opposed in intact rats by the elevated feedback signal of B secretion; 2. NPY does not induce facilitation of afferent stress pathways; 3. chronic stimulation of the HPA axis induces acute hyperresponsiveness of hypothalamic neurons to restraint provided that the afferent input of this acute stimulus is not prevented by B feedback; 4. stimulus-induced elevations in B secretion result in day-time feeding; 5. insensitivity of both caloric efficiency and white fat stores to chronic stress in adrenalectomized, B-clamped rats results from loss of normally variable B levels.     

Multidimensional Family Therapy HIV/STD Risk-Reduction Intervention: An Integrative Family-Based Model for Drug-Involved Juvenile Offenders

Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV risk behavior have rarely targeted these vulnerable young adolescents, and many approaches focus on individual-level change without attention to family or contextual influences. We describe a new, family-based HIV/STD prevention model that embeds HIV/STD focused multifamily groups within an adolescent drug abuse and delinquency evidence-based treatment, Multidimensional Family Therapy (MDFT). The approach has been evaluated in a multisite randomized clinical trial with juvenile justice involved youths in the National Institute on Drug Abuse Criminal Justice Drug Abuse Treatment Studies ( http://www.cjdats.org ). Preliminary baseline to 6-month outcomes are promising. We describe research on family risk and protective factors for adolescent problem behaviors, and offer a rationale for family-based approaches to reduce HIV/STD risk in this population. We describe the development and implementation of the Multidimensional Family Therapy HIV/STD risk-reduction intervention (MDFT-HIV/STD) in terms of using multifamily groups and their integration in standard MDFT and also offers a clinical vignette. The potential significance of this empirically based intervention development work is high; MDFT-HIV/STD is the first model to address largely unmet HIV/STD prevention and sexual health needs of substance abusing juvenile offenders within the context of a family-oriented evidence-based intervention.     

Event-related potentials indicate that reality monitoring differs from external source monitoring

This experiment investigated differences in event-related potentials (ERPs) observed in 2 types of source monitoring decisions. Participants discriminated between self-generated, heard, and new words (reality monitoring) in one condition; in another they discriminated between words heard in a male or female voice and new items (external source monitoring). The data support the source monitoring framework, which argues that reality monitoring discriminations differ from external source monitoring discriminations. Analysis revealed better overall source accuracy during reality monitoring than during external source monitoring. In the external source monitoring task, an early old-new ERP difference was observed at parietal electrodes followed by frontal old-new effect that persisted longer, replicating previous ERP results. However, early ERP amplitude differences between sources were observed at parietal electrode sites during reality monitoring, suggesting that self-generated items activate more differentiated information during remembering. Furthermore, there were no frontal old-new ERP differences during reality monitoring, suggesting that different decision processes are used in these types of source monitoring decisions.     

Identity management strategies in Northern Ireland

Social identity theory suggests that individuals and groups use different identity management strategies to cope with threatened identities. In October 1998, the authors developed 5 identity management strategy scales for use in the changing political context of Northern Ireland and investigated the relationship of perceptions of stability and legitimacy, as well as in-group identification, to those strategies. Participants were 209 students of the University of Ulster and the Belfast Institute. The results supported the factor structure of the identity management strategy scales. Perceptions of stability and legitimacy and in-group identification were, however, correlated with some strategies only. That finding may indicate that some identity management strategies are related to psychological constructs not covered by social identity theory.     

What is Postnormal When There is no Normal? A Postdichotomous View of the Histories of the Past,Present, and Future

In this paper, I discuss the concept of ‘postnormal times’ and argue that the term postnormal is misrepresentative where applied to describe a state beyond so-called ‘normal’ times. Such normality is characterized by, i) progress towards social, economic and political equilibrium, and ii) future betterment for all. I posit that these conditions represent, at best, misplaced optimism and, at worst, a deliberate veil of untruths. I also argue that the foundation of thinking on normalcy, based on the classical free market economics of Adam Smith, was flawed from the outset. I propose that what are termed postnormal times actually represent an extreme set of long-term ‘normal times’. Importantly, I propose that human responses to a situation of extreme normalcy will be different from responses to the novel and truly postnormal. Action, or lack thereof, to address extreme normalcy requires a different mindset and starting point to that for addressing a new or post-normalcy. As such, I call for fundamental change to economic and political priorities and for a focus on social needs and values in the very near future. Finally, I posit that, whether we live in postnormal, ‘hyper-normal’, abnormal or ‘new normal’ times, we must accept that, for most of humanity and for the planet on which we live, these are not good times, and we must strive to bring about urgent and radical change.     

Deliberate self-harm and sexual abuse in adolescence

Helping a young person to render repeated self-injury redundant as a solution to problems connected with having been sexually abused requires a containing context which both supports autonomic healing in the patient and provides an experiential model for the restoration of relationship with adults as a safe (non-abusive) activity. In this paper a case study is presented and some treatment issues for individual psychotherapeutic work are addressed. These include ensuring that the power balance between patient and therapist is acknowledged by emphasizing the patient's self-determination, recognizing patterns of re-enactment within sessions, and addressing here-and-now behaviour and its link with the original trauma. This paper also examines the changing function of self-injurious behaviour and how it can be perceived as addictive after the establishment of a proper alliance between patient and therapist. the circular logic involved in avoiding identification with the abuse-perpetrator by way of self-injury is explored. the therapeutic relationship as an alternative to this is discussed.