Assessment and Treatment of Combat-Related PTSD in Returning War Veterans

Over the past 9 years approximately 2 million U.S. military personnel have deployed in support of Operation Iraqi Freedom in Iraq and Operation Enduring Freedom in and around Afghanistan. It has been estimated that 5–17% of service members returning from these deployments are at significant risk for combat-related posttraumatic stress disorder (PTSD). Many of these returning war veterans will seek medical and mental health care in academic health centers. This paper reviews the unique stressors that are related to the development of combat-related PTSD. It also reviews evidence-based approaches to the assessment and treatment of PTSD, research needed to evaluate treatments for combat-related PTSD, and opportunities and challenges for clinical psychologists working in academic health centers.     

Anchor effects in decision making can be reduced by the interaction between goal monitoring and the level of the decision maker’s executive functions

Models of decision making postulate that interactions between contextual conditions and characteristics of the decision maker determine decision-making performance. We tested this assumption by using a possible positive contextual influence (goals) and a possible negative contextual influence (anchor) in a risky decision-making task (Game of Dice Task, GDT). In this task, making advantageous choices is well known to be closely related to a specific decision maker variable: the individual level of executive functions. One hundred subjects played the GDT in one of four conditions: with self-set goal for final balance (n?=?25), with presentation of an anchor (a fictitious Top 10 list, showing high gains of other participants; n?=?25), with anchor and goal definition (n?=?25), and with neither anchor nor goal setting (n?=?25). Subjects in the conditions with anchor made more risky decisions irrespective of the negative feedback, but this anchor effect was influenced by goal monitoring and moderated by the level of the subjects' executive functions. The findings imply that impacts of situational influences on decision making as they frequently occur in real life depend upon the individual's cognitive abilities. Anchor effects can be overcome by subjects with good cognitive abilities.     

Sustainable antibullying program implementation: School profiles and predictors

We examined the sustainability of the KiVa antibullying program in Finland from its nationwide roll-out in 2009 to 2016. Using latent class analyses, we identified four different patterns of implementation. The persistent schools (43%) maintained a high likelihood of participation throughout the study period. The awakened (14%) had a decreasing trend during the first years, but then increased the likelihood of program participation. The tail-offs (20%) decreased in the likelihood of participating after the third year, and the drop-offs (23%) already after the first year. The findings suggest that many schools need support during the initial years to launch and maintain the implementation of evidence-based programs; yet a large proportion of schools manage to sustain the program implementation for several years. The logistic regression analyses showed that large schools persisted more likely than small schools. Lower initial level of victimization was also related to the sustainability of the program. Finally, persistent program participation was predicted by several school-level actions during the initial years of implementing the program. These results imply that the sustainability of evidence-based programs could be enhanced by supporting and guiding schools when setting up the program during the initial implementation.     

Reading minds: Mentalization,irony and literary engagement

The concept of ‘mentalization’ has recently provided a fertile resource for thinking about various issues in psychoanalysis, including attachment, children’s play, personality disorders and the work of interpretation within the analytic setting. Mentalization also provides fruitful ways of thinking about how we read. This paper will suggest that book reading is akin to mind reading: engaging with certain literary texts is akin to understanding the minds of others from the subjective perspective required by mentalization. This way of thinking about literature provides a useful way of understanding its value. The paper will focus specifically on the uses of irony and free indirect speech in Jane Austen’s novel Persuasion. Austen’s use of literary techniques provides a way of understanding the inner lives of her characters via the ironic voice of the implied author, and requires the reader to engage in the kinds of understanding and insight required for mentalization.     

Programme of meetings - 1990 NATO international scientific exchange programme

Programme of meetings - 1990 NATO international scientific exchange programme