The family empowerment program: an interdisciplinary approach to working with multi-stressed urban families

The family empowerment program (FEP) is a multi-systemic family therapy program that partners multi-stressed families with an interdisciplinary resource team while remaining attached to a "traditional" mental health clinic. The rationale for this model is that far too often, families presenting at community mental health centers struggle with multiple psychosocial forces, for example problems with housing, domestic violence, child care, entitlements, racism, substance abuse, and foster care, as well as chronic medical and psychiatric illnesses, that exacerbate symptoms and impact traditional service delivery and access to effective treatment. Thus, families often experience fragmented care and are involved with multiple systems with contradictory and competing agendas. As a result, services frequently fail to harness the family's inherent strengths. The FEP partners the family with a unified team that includes representatives from Entitlements Services, Family Support and Parent Advocacy, and Clinical Staff from the agency's Outpatient Mental Health Clinic practicing from a strength-based family therapy perspective. The goal of the FEP is to support the family in achieving their goals. This is accomplished through co-construction of a service plan that addresses the family's needs in an efficient and coherent manner-emphasizing family strengths and competencies and supporting family self-sufficiency.     

Identifying Beliefs and Cognitions Underpinning Commuters' Travel Mode Choices

Interventions to reduce car use have shown limited success, in part due to limitations in models of transport choices. The theory of planned behavior (TPB) has provided a useful predictive model of car use but the specific beliefs that underpin TPB‐specified cognitions are less well understood. In this study, 229 university employees responded to a questionnaire and then reported their commuting choices 1 week later. Intention and perceived behavioral control (PBC) predicted car use (R² = .79). Intention was predicted by attitude, subjective norm, PBC, and moral norm (R² = .56). Beliefs could not be differentiated into attitudinal and PBC constructs, but seven beliefs predicted TPB cognitions. A similar model was tested for public transport use. The results identify key targets for future interventions.     

Dispositional Attachment Orientations,Contextual Variations in Attachment Security,and Compassion Fatigue Among Volunteers Working With Traumatized Individuals

In the present article, we report a series of studies examining the links between attachment orientations and compassion fatigue among volunteers working with traumatized individuals. Participants were volunteers in several trauma‐related organizations, ranging in age from 18 to 69 years. In Study 1 (N = 148), we examined associations between self‐reports of attachment insecurities and compassion fatigue. In Study 2 (N = 54), we used a diary design to assess attachment‐related differences in emotional reactions to actual helping encounters over a 2‐month period. In Study 3 (N = 108), we examined the effects of the experimental enhancement of attachment security (security priming) on reactions to a hypothetical helping encounter. As expected, attachment insecurities, either anxiety or avoidance, were associated with heightened compassion fatigue. Moreover, security priming reduced compassion fatigue in response to a hypothetical helping encounter. These findings underscore the relevance of attachment theory for understanding and preventing compassion fatigue.     

Construct validity of the posttraumatic stress disorder checklist in cancer survivors: analyses based on two samples

The measurement of posttraumatic stress disorder (PTSD) is critically important for the identification and treatment of this disorder. The PTSD Checklist (PCL; F. W. Weathers and J. Ford, 1996) is a self-report measure that is increasingly used. In this study, the authors investigated the factorial validity of the PCL with data from 236 cancer survivors who received a bone marrow or stem cell transplantation. The authors examined the fit of these data with the clinical model of 3 symptom clusters for PTSD, as proposed in the Diagnostic and Statistical Manual of Mental Disorders, and alternative models tested in prior research. By using confirmatory factor analysis the authors found that a 4-first-order-factor model of PTSD provided the best fit. The relations of PTSD symptoms with sociodemographic and medical variables were also explored.     

Test-retest reliability and construct validity of Contour Drawing Rating Scale scores in a sample of early adolescent girls

Test–retest and construct validity of Contour Drawing Rating Scale (CDRS) scores were examined in 1056 Grades 7 and 8 girls. Questionnaires were completed four times, including retests at 2, 6 and 14 weeks. Test–retest reliability for current size, ideal size and current–ideal discrepancy mostly exceeded 0.70 (0.65–0.87, for the full sample, with higher rs for shorter retest periods). Ideal and current size ratings increased slightly over time. High correlations between perceived current figure and measured body mass index; moderate rs between current–ideal discrepancy and body dissatisfaction and restrained eating; and very low or no significant correlations with social desirability supported construct validity in this group. The study supported the use of the CDRS in early adolescent girls.     

Response monitoring, the error-related negativity, and differences in social behavior in autism

Children with autism not only display social impairments but also significant individual differences in social development. Understanding the source of these differences, as well as the nature of social impairments, is important for improved diagnosis and treatments for these children. Current theory and research suggests that individual differences in response monitoring, a specific function of the anterior cingulate cortex (ACC), may contribute to social-emotional and social-cognitive impairments and individual differences in autism. To examine this hypothesis, we used a modified flanker task to assess an ERP index of response monitoring, the error-related negativity (ERN), in a sample of higher function children with autism (HFA) and an IQ-matched control sample. The results revealed a significant Diagnostic group by Verbal IQ interaction on ERN amplitude indicating that the most verbally capable HFA children displayed significantly larger ERN amplitudes than did the control children. Within the HFA sample, greater ERN amplitude was also related to parent reports of fewer symptoms of social interaction impairments, fewer internalizing problems, but more externalizing problems, although these associations were reduced to nonsignificance when medication status was controlled. The latter results complement previous observations from imaging studies of a significant association between ACC activity and social symptoms and impairments in autism. The implications of these results for future research on brain-behavior relations, as well as treatment related research with children with autism are discussed.     

The metaphysics of quantity

A formal theory of quantity T _Q is presented which is realist, Platonist, and syntactically second-order (while logically elementary), in contrast with the existing formal theories of quantity developed within the theory of measurement, which are empiricist, nominalist, and syntactically first-order (while logically non-elementary). T _Q is shown to be formally and empirically adequate as a theory of quantity, and is argued to be scientifically superior to the existing first-order theories of quantity in that it does not depend upon empirically unsupported assumptions concerning existence of physical objects (e.g. that any two actual objects have an actual sum). The theory T _Q supports and illustrates a form of naturalistic Platonism, for which claims concerning the existence and properties of universals form part of natural science, and the distinction between accidental generalizations and laws of nature has a basis in the second-order structure of the world.     

The psychiatric nurse as group psychotherapist

An overview of current dimensions of group psychotherapy practice by psychiatric-mental health nurses is presented. The relationship between graduate education and the characteristics of the nurses' current practice is demonstrated. The psychiatric-mental health nurse's involvement in the general health care arena with nonpsychiatric populations is highlighted. Future trends for the practice of group by nurses is explicated and projected. In addition, implications for the education and practice of other group practitioners is drawn.Marianne DiMinno, R.N., M.S.N., assisted in the development of the survey questionnaire.     

Race Relations on Prime Time Television Reconsidered: Patterns of Continuity and Change

This study was designed to assess the changes that have occurred in the portrayals of black people and cross-racial relationships in prime-time television broadcasting during the past decade. By replicating the content analysis procedures used by Weigel, Loomis, and Soja (1980), this investigation provided a consistent basis for comparing two similar samples of television content drawn, respectively, from 1978 and 1989. Results of this comparison indicated that, although black appearances and cross-racial interactions were no more frequent in the 1989 sample of product commercials, the black presence in prime-time programming had increased substantially. As compared to 1978, the proportion of time that one or more black characters were on the screen more than doubled, while the frequency of cross-racial interactions more than tripled in the 1989 sample. Nevertheless, ratings of qualitative dimensions of these cross-racial interactions suggested that relationships between blacks and whites on television continued to be portrayed as cooperative but emotionally detached, particularly when the relationships occurred outside of the work place.     

Effectiveness of research guidelines in prevention of scientific misconduct

In response to a series of allegations of scientific misconduct in the 1980’s, a number of scientific societies, national agencies, and academic institutions, including Harvard Medical School, devised guidelines to increase awareness of optimal scientific practices and to attempt to prevent as many episodes of misconduct as possible. The chief argument for adopting guidelines is to promote good science. There is no evidence that well-crafted guidelines have had any detrimental effect on creativity since they focus on design of research studies, documentation of research findings, assignment of credit through authorship, data management and supervision of trainees, not on the origin and evolution of ideas. This paper addresses a spectrum of causes of scientific misconduct or unacceptable scientific behavior and couples these with estimates of the potential for prevention if guidelines for scientific investigation are adopted. The conclusion is that clear and understandable guidelines should help to reduce the chance that flawed research will escape from our institutions. However, they cannot be relied upon alone to prevent all instances of scientific misconduct and should be regarded rather as one means of bolstering the integrity of the entire scientific enterprise.