An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes.     

Rescuing Rawls’s Institutionalism and Incentives Inequality

Res Publica - G. A. Cohen argues that Rawls’s difference principle is incompatible with his endorsement of incentives inequality—higher pay for certain professions is just when that pay...     

Stress and inflammation among older adults: The moderating role of religiosity

Chronic stress weakens the immune system and leads to heightened bodily inflammation, which in turn is linked with serious health conditions. This study examined whether religiosity moderates the relationship between stress and inflammation (measured by C-reactive Protein (CRP)). A sample of 4,734 community-dwelling older adults was drawn from the 2006 wave of the Health and Retirement Study. Logistic regression was used to analyze the relationship between chronic stress (8-item index), inflammation (high CRP level), and religiosity (organizational, nonorganizational, and intrinsic), controlling for other factors. Higher levels of stress were significantly associated with high inflammation/CRP (p = .039). Further, intrinsic religiosity acted as a moderator of this relationship (p = .024), such that the relationship between stress and inflammation is lessened for persons with higher levels of intrinsic religiosity. Higher intrinsic religiosity attenuated the effects of stress on inflammation, suggesting that individuals with stronger religious commitment/motivation may better cope with stress.     

Creating and Elaborating the Cultural Third: A Doers-Doing with Perspective on Psychoanalytic Supervision

The American Journal of Psychoanalysis - Although recognized as highly crucial to supervision practice (e.g., Tummala-Narra, 2004), culture has been addressed minimally in the psychoanalytic...     

Religious ecology,floaters, and crime: the links between social capital,institutionally disengaged youth,and homicide

We consider two distinct research streams in macro-criminology. The first is how religious ecology, articulated as bridging and bonding capital, is linked to the rates of violence. The second concerns how institutionally disconnected youth, known as “floaters,” are highly vulnerable to violence because they fall outside their community’s umbrella of social control. Using county-level data on religious ecology, institutional engagement, and violence, we connect the two ideas with the following theoretical story line. When a community’s religious ecology is characterized by more bonding capital (versus bridging capital), such places provided fewer institutional entry points for crime-prone youth, thus increasing the proportion of floaters in the area. Because these floaters lack institutional social control, we should observe higher rates of violence as a result. Our analysis offers a social control mechanism by which social capital influences the rates of violence at the macro-level. We discuss the implications of our findings.     

Deleuze and Guattari's Absent Analysis of Patriarchy

Feminist philosophy has offered mixed opinions on the collaborative projects of Gilles Deleuze and Félix Guattari. But although there has been much discussion of the political expediency of what Deleuze and Guattari do say about sexual difference, this article will outline what is absent from Anti‐Oedipus and A Thousand Plateaus (the two volumes comprising Capitalism and Schizophrenia). Specifically, I will argue that though Deleuze and Guattari offer a historical account of a range of power structures—most notably capitalism, but also despotism, fascism, and authoritarianism—they give no such account of the development of patriarchy. Secondarily, this article will argue that Deleuze and Guattari's analysis of contemporary power relations could be improved by adding an accompanying analysis of the institution of patriarchy. After offering a detailed account of the technical vocabulary used by Deleuze and Guattari for the analysis of political institutions, I will argue that what their work requires is an account of how patriarchy is historically produced by an “abstract machine” of masculinity. This article will finish with some suggestions for the way that such an account could be given via an analysis of the abstract machine of phallusization.     

Background music stints creativity: Evidence from compound remote associate tasks

Background music has been claimed to enhance people's creativity. In three experiments, we investigated the impact of background music on performance of Compound Remote Associate Tasks (CRATs), which are widely thought to tap creativity. Background music with foreign (unfamiliar) lyrics (Experiment 1), instrumental music without lyrics (Experiment 2), and music with familiar lyrics (Experiment 3) all significantly impaired CRAT performance in comparison with quiet background conditions. Furthermore, Experiment 3 demonstrated that background music impaired CRAT performance regardless of whether the music induced a positive mood or whether participants typically studied in the presence of music. The findings challenge the view that background music enhances creativity and are discussed in terms of an auditory distraction account (interference‐by‐process) and the processing disfluency account.     

Best Practices in the Multidisciplinary Assessment of Emotional Disturbances: A Primer for Counselors

Emotional and behavioral difficulties often interfere with children's acquisition of academic, career, and social skills. Counselors assume an important role in the mandated multidisciplinary evaluation of children with emotional disturbance (ED), but the field lacks a standard battery of assessment procedures for working with children who have ED. The authors review the current issues related to students with ED, describe instruments and procedures used to assess ED, and discuss the counselor's role in the assessment process.     

A stronger latent‐variable methodology to actual–ideal discrepancy

We introduce a latent actual–ideal discrepancy (LAID) approach based on structural equation models (SEMs) with multiple indicators and empirically weighted variables. In Study 1, we demonstrate with simulated data, the superiority of a weighted approach to discrepancy in comparison to a classic unweighted one. In Study 2, we evaluate the effects of actual and ideal appearance on physical self‐concept and self‐esteem. Actual appearance contributes positively to physical self‐concept and self‐esteem, whereas ideal appearance contributes negatively. In support of multidimensional perspective, actual‐ and ideal‐appearance effects on self‐esteem are substantially—but not completely—mediated by physical self‐concept. Whereas this pattern of results generalises across gender and age, multiple‐group invariance tests show that the effect of actual appearance on physical self‐concept is larger for women than for men. Copyright © 2008 John Wiley & Sons, Ltd.