The Influences of Event Centrality in Memory Models of PTSD

The consequences of events for well‐being are influenced by individual and situational factors that are often studied in isolation. In the research reported here, a large (N = 489) nonclinical sample of college students reported their most traumatic event, posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, personality traits, and characteristics of their event memory. This study achieved three major goals. First, we identified the highest types of stress event types in this population as disruptions of interpersonal relationships, homicides/assaults on others, and assaults/accidents involving themselves. Second, we established that the effects of memory characteristics such as vividness, belief, and impact on PTSD symptoms are mediated by the centrality of the event to identity. Third, we affirmed the hypothesis that a structural model of the influence of personality factors on PTSD symptoms has a higher level of concurrent validity if event centrality is included as a mediator of those influences. Copyright © 2015 John Wiley & Sons, Ltd.     

Identifying the Culprit: An International Perspective on the National Academy of Sciences Report on Eyewitness Identification Evidence

The recent National Research Council report on eyewitness identification evidence includes fifteen recommendations intended to improve the procedures used to obtain eyewitness identification evidence, strengthen its value in court, and improve the scientific basis of research. The report includes some important insights on the applied research and makes some novels proposals, which are critically reviewed. It is argued that the report is limited by a lack of international comparison and by its focus exclusively on lineups rather than a wider range of methods available to identify perpetrators from their face.     

The Beavers, McMaster and Circumplex clinical rating scales: a study of their sensitivity, specificity and discriminant validity

To assess the sensitivity and specificity of clinical rating scales from the Beavers, McMaster and Circumplex models of family functioning videotapes of sixty families engaging in a standardized family task interview were rated using the three rating scales. The sixty families included twenty containing a child with an emotional disorder, twenty containing a child with a mixed disorder of emotions and conduct, and twenty in which none of the children presented with clinically significant difficulties. The three rating scales accurately classified 85-90% of normal controls, 70-90% of cases containing a child with a mixed disorder of emotions and conduct, and 55-65% of families containing a child with an emotional disorder. On the rating scales, the Beavers and McMaster models showed particularly high levels of sensitivity in detecting clinical cases, whereas the Circumplex rating scale was particularly good at classifying non-clinical cases accurately.     

The Role of the Father in Anorexia

The literature on anorexia often overlooks the important role of the father in the complex etiology of the illness. This paper examines the father's role and how it impacts on the psychological development of his anorectic daughter. Premorbid and comorbid personality components such as dependency, perfectionism, and high achievement, are shown to be influenced by the father. His role is again significant at the onset of adolescence, when his daughter needs his affirmation as she struggles to make the transition from childhood to womanhood. Socialization of the sexes is implicated in hindering the father/daughter relationship, as is the father's fear of sexual attraction to his developing daughter. The effect of a patriarchal society on the development of anorexia in girls is also explored. The nature of the society we live in is thought to further complicate the anorectic girl's relationship with her father.     

THE WORLDWIDE BURDEN OF INFANT MENTAL AND EMOTIONAL DISORDER: REPORT OF THE TASK FORCE OF THE WORLD ASSOCIATION FOR INFANT MENTAL HEALTH

Children worldwide experience mental and emotional disorders. Mental disorders occurring among young children, especially infants (birth –3 years), often go unrecognized. Prevalence rates are difficult to determine because of lack of awareness and difficulty assessing and diagnosing young children. Existing data, however, suggest that rates of disorders in young children are comparable to those of older children and adolescents (von Klitzing, Dohnert, Kroll, & Grube, 2015 ). The lack of widespread recognition of disorders of infancy is particularly concerning due to the unique positioning of infancy as foundational in the developmental process. Both the brain and behavior are in vulnerable states of development across the first 3 years of life, with potential for enduring deviations to occur in response to early trauma and deprivation. Intervention approaches for young children require sensitivity to their developmental needs within their families. The primacy of infancy as a time of unique foundational risks for disorder, the impact of trauma and violence on young children's development, the impact of family disruption on children's attachment, and existing literature on prevalence rates of early disorders are discussed. Finally, global priorities for addressing these disorders of infancy are highlighted to support prevention and intervention actions that may alleviate suffering among our youngest world citizens.     

The Psychosocial Impact of Undergoing Prophylactic Total Gastrectomy (PTG) to Manage the Risk of Hereditary Diffuse Gastric Cancer (HDGC)

Individuals identified as at high risk of developing Hereditary Diffuse Gastric Cancer (HDGC) are advised to undergo prophylactic surgery - have their stomach removed - in their early twenties. Research with (older) cancer patients who undergo gastrectomy for curative reasons suggests that gastric resection has a number of physical and psychosocial sequelae. Because it is difficult to extrapolate the findings of studies of older cancer patients to younger healthy patients who are considering prophylactic total gastrectomy (PTG), the aim of this qualitative interview study was to determine the psychosocial implications of undergoing prophylactic surgery to manage genetic risk. Fourteen men and 13 women from the UK’s Familial Gastric Cancer study who had undergone PTG were invited to participate in qualitative interviews. Most reported that undergoing surgery and convalescence was easier than anticipated. There was evidence that age affected experiences of PTG, with younger patients tending to report faster recovery times and more transient aftereffects. All saw the benefits of risk reduction as outweighing the costs of surgery. Surgery was described as having a range of physical impacts (disrupted appetite, weight loss, fatigue, GI symptoms) that had related psychological, social and economic implications. Those considering PTG need to be aware that its impact on quality of life is difficult to predict and negative sequelae may be ongoing for some individuals.     

The Evolving Landscape of Global Surgery: A Qualitative Study of North American Surgeons’ Perspectives on Faith-Based and Academic Initiatives

Journal of Religion and Health - Faith-based missions have played a large role in surgical care delivery in low- and middle-income countries (LMIC). As global surgery is now an academic discipline,...