The Individualised Patient‐Progress System: A decade of international collaborative networking

Background: The backstage of research projects is seldom presented to the general audience, in particular, how the research questions emerged, how the team interacted and how the methods and design were decided upon. Aim: In this paper we will recount the story behind an international practice‐based research network for personalising health assessment, the joint journey of researchers and therapists from three different countries in creating the Individualised Patient‐Progress System (IPPS). Results: We first describe how the idea of the IPPS emerged; then we show how IPPS is being piloted and integrated into clinical practice. Next, we present the views of therapists and researchers who have been part of this project. Conclusions: We discuss some lessons learned from this 14‐year collaborative research programme.     

An Exploration of Stigma in the Lives of Sex Offenders and Heroin Abusers

Research was conducted on variations and commonalities of sexual offenders and heroin abusers and how they manage stigma in their everyday lives. Interviews with 13 sex offenders (SOs) and 44 heroin abusers (HAs) were conducted in New York City. Results suggest that both SOs and HAs disclose or conceal their stigmatized status based on their relationship to others and the situations in which they anticipate social condemnation. Both groups have formed intra-group hierarchies based on status, where child molesters and heroin abusers receive the most disdain. Some heroin abusers manage their stigma by engaging in behavior that we term redemptive passing, in which stigmatized individuals attempt to pass as non-stigmatized through deceptive means in order to make amends for prior harms they have caused. The stigmatization of sex offenders and heroin abusers has important implications for health, as members of these groups are less likely to seek treatment in order to distance themselves from their stigmatizing status.     

Learning Disabilities and Delinquent Behaviors among Adolescents: A Comparison of Those with and without Comorbidity

Research is inconclusive on whether adolescents with learning disabilities (LD) engage in more delinquency than adolescents without such deficits. Mixed results may result from a failure to account for the effects of co-occurring disabilities. Using the National Longitudinal Study of Adolescent Health, this study examines delinquency among adolescents without disabilities to youth with LD, Attention Disorder Symptoms (ADS), and comorbid LD/ADS. Results indicate no significant differences in property offenses, or alcohol, tobacco, and marijuana use; however, youth with LD reported significantly more violence than non-disabled youth. Findings illustrate the heterogeneous effects various disabilities have on delinquent behavior. Future research and policy implications will be discussed.     

Multiracial and Biracial Individuals: A Content Analysis of Counseling Journals, 1991–2013

This content analysis examines the counseling literature on multiracial individuals using the top journals. The authors conducted an exhaustive search for research articles and identified 10 published articles that addressed biracial and multiracial individuals from the years 1991 to 2013 in top‐tier counseling journals. Of the 10 counseling journals, 4 journals addressed multiracial individuals (Journal of Counseling & Development, Journal of Multicultural Counseling and Development, Journal of Humanistic Counseling, and Journal of College Counseling). Recommendations for counselors and researchers are provided. Este análisis de contenido examina las investigaciones en el campo de la consejería sobre individuos multirraciales publicadas en las revistas académicas más importantes. Los autores llevaron a cabo una búsqueda exhaustiva de artículos de investigación e identificaron 10 artículos publicados en revistas académicas de consejería de alto nivel que trataban sobre individuos birraciales y multirraciales entre los años 1991 y 2013. Cuatro de las 10 revistas académicas de consejería trataban sobre individuos multirraciales (Journal of Counseling & Development, Journal of Multicultural Counseling and Development, Journal of Humanistic Counseling y Journal of College Counseling). Se ofrecen recomendaciones para consejeros e investigadores.     

THE IMPACT OF DEPRESSION ON MATERNAL RESPONSES TO INFANT FACES IN PREGNANCY

Research has suggested that prenatal depression may be associated with disrupted maternal responses to infant stimuli, with depressed pregnant women not showing the bias toward distressed infants as that observed in nondepressed pregnant women. The current study examined the effects of depression on self‐ reported responses to infant stimuli, in early pregnancy. Women with clinical depression (n = 38), and nondepressed women (n = 67) were recruited from a wider cognitive behavioral therapy trial. They completed Maternal Response Scales in which they were presented with images of distressed, neutral, and happy infant faces, with no time limit. The women rated their responses to these images along three dimensions—wanting to comfort, wanting to turn away, and feelings of anxiety—using Likert scales via a computerized task. There was evidence that women with depression in pregnancy showed different responses than did women without depression. Women with depression were substantially more likely to be in the highest quartile for ratings of wanting to turn away, odds (OR) ratio = 4.15, 95% confidence intervals (CIs) = 1.63–10.5, p = .003, and also were substantially less likely to be in the highest quartile for wanting to comfort a distressed infant face, OR = 0.22, 95% CIs = 0.09–0.54, p < .001. Findings are consistent with there being both a heightened avoidant and a reduced comforting response toward distressed infants in depressed pregnant women, providing some support that depression disrupts maternal preparations at a conscious level.     

When Sleeping Dogs Awake,There Is Wisdom: Holmes’s Response to Guralnik,White, and Tummala-Nara

Whether the three discussions are framed in terms of the pull on all of us to the socio-political world in which we live (Guralnik), the usefulness of interpersonal psychoanalysis as a way of working (White), or the need to legitimize culturally imposed trauma in the face of resistances to doing so (Tummala-Narra), each commentator offers meaningful elaborations on what I have offered and/or alternative perspectives to be considered. This response affords me a welcome opportunity to celebrate and elaborate the multiple ways in which culture and cultural trauma can be conceptualized, understood, and worked with in the consultation room. I hope these papers, considered together, will make cultural trauma more accessible to work with for all psychoanalytic clinicians.