Severity of psychosocial stress and outcome of alcoholism treatment

We examined the relation between stressful life events and drinking outcome among 129 male alcoholics who had completed an alcohol treatment program. Life events were assessed for the year prior to treatment and for the 3 months after treatment and were rated on the Psychiatric Epidemiology Research Interview and the Contextual Rating System. Approximately 40% of the pretreatment stressors were found to be directly or indirectly related to alcohol use. When stressors related to drinking were excluded from consideration, we found that men who returned to drinking after treatment experienced more severe or highly threatening stress before their relapse than men who remained abstinent during the follow-up period. These data suggest that although less severe stress may not increase risk for relapse, acute severe stressors and highly threatening chronic difficulties may be associated with elevated relapse risk.     

Studies in auditory timing: 1. Simple patterns

Listeners' accuracy in discriminating one temporal pattern from another was measured in three psychophysical experiments. When the standard pattern consisted of equally timed (isochronic) brief tones, whose interonset intervals (IOIs) were 50, 100, or 200 msec, the accuracy in detecting an asynchrony or deviation of one tone in the sequence was about as would be predicted from older research on the discrimination of single time intervals (6%-8% at an IOI of 200 msec, 11%-12% at an IOI of 100 msec, and almost 20% at an IOI of 50 msec). In a series of 6 or 10 tones, this accuracy was independent of position of delay for IOIs of 100 and 200 msec. At 50 msec, however, accuracy depended on position, being worst in initial positions and best in final positions. When one tone in a series of six has a frequency different from the others, there is some evidence (at IOI = 200 msec) that interval discrimination is relatively poorer for the tone with the different frequency. Similarly, even if all tones have the same frequency but one interval in the series is made twice as long as the others, temporal discrimination is poorer for the tones bordering the longer interval, although this result is dependent on tempo or IOI. Results with these temporally more complex patterns may be interpreted in part by applying the relative Weber ratio to the intervals before and after the delayed tone. Alternatively, these experiments may show the influence of accent on the temporal discrimination of individual tones.     

The loss of repetition priming and automaticity over time as a function of degree of initial learning

Two experiments were performed to investigate the buildup of repetition priming in a lexical decision task with repeated presentations and its decline over the course of 2 months. Priming was found to accumulate as a power function of presentations and to decline as a power function of time. Accuracy measures indicated that the loss rate of priming was unaffected by the amount of initial priming. Response time measures indicated the same result when the experiments were analyzed separately; however, when the data were combined, increased initial priming was associated with greater losses in priming over time. The data were interpreted in terms of automaticity, and the power function decline in priming was taken as support for memory-based models of automaticity. Possible ways to incorporate forgetting into memory-based theories of automaticity are discussed.     

Cross-cultural studies of dementia: use of a Chinese version of the Blessed-Roth Information-Memory-Concentration test in a Shanghai dementia survey

A culturally adapted Chinese version of the Blessed-Roth Information-Memory-Concentration test (CIMC) was used in a dementia screening survey of a probability sample of 5,055 elderly Shanghai residents. The individual items on the CIMC that best predicted the overall score were similar to the best predictor of an American version of the IMC. Performance on the CIMC was markedly affected by the level of education or lack thereof. In a subsample for whom clinical diagnoses were obtained, it was possible to establish cutoff values on the CIMC by stratifying the sample according to education.     

Chlordiazepoxide effects on ethanol self-administration: dependence on concurrent conditions.

Experiments examined the effects of acute doses of chlordiazepoxide upon ethanol self-administration in the rat. A concurrent-schedule procedure was used that employed choice between ethanol (5%) and a second fluid (either water or a 1% sucrose solution). When ethanol and water were the available fluids, chlordiazepoxide at doses of 15 and 20 mg/kg reduced ethanol-reinforced responding and intake, with a greater reduction occurring at the 20 mg/kg dose. However, when ethanol and sucrose were concurrently available, in many rats only the 20 mg/kg dose of chlordiazepoxide reduced ethanol-reinforced responding. The differences in dose response function occurred in most animals without large changes in the baseline ethanol-reinforced responding across the two concurrent conditions. Thus the dose-effect curve relating chlordiazepoxide and ethanol self-administration can be altered, dependent upon the nature of the concurrently available reinforcers.     

Evidence for Risk Estimate Precision: Implications for Individual Risk Communication

Actuarial risk assessment instruments using well-established predictor variables measured at the individual level (e.g., age, criminal history, psychopathy) discriminate well between recidivists and non-recidivists across diverse samples. Data indicating the relative risk of recidivism can inform policy decisions about allocating resources according to risk within a correctional system, consistent with the first of the risk–need–responsivity (RNR) principles. Evidence for the precision of absolute risk as applied to an individual based on scores from many samples, however, has proven challenging. In this paper, we present a study examining the association of actuarial risk estimate precision with sample size using the Post Conviction Risk Assessment (PCRA; Lowenkamp et al., 2013), in samples of up to 26,642 offenders. Results indicate that the precision of individual estimates can be demonstrated with sufficient sample size. We believe that the implications of absolute risk for the communication of an individual offender's risks have been poorly understood. We argue that the purpose of individual-level risk communication is to ensure the effective application of policy, which requires matching a new case to aggregate data. We illustrate how an offender's risk might thus be communicated, and conclude that this function is distinct from management of an individual's criminogenic needs and identification of effective and suitable treatments. Copyright © 2015 John Wiley & Sons, Ltd.     

College Women’s Attitudes Toward Sex Workers

A growing number of women are entering the sex industry as a means of funding their education (Reilly 2008). Many people view sex workers in stereotyped ways, and may discriminate and oppress women who work in the sex industry (Wolffers and van Beelen 2003). This investigation assessed attitudes toward sex work. Two hundred sixty-six women from a primarily woman’s university located in the Southwestern region of the U.S. completed selected items from the Attitudes Toward Prostitution Scale, Marlowe-Crowne Social Desirability Scale, and Hostility Toward Women Scale. Results indicated that participants who knew a sex worker had less stereotypical attitudes toward sex workers. However, participants with higher levels of social desirability and hostility toward women had more stereotypical attitudes toward sex workers.     

Supporting Those Holding the Thin Blue Line: Using Solution-Focused Brief Therapy for Law Enforcement Families

Law enforcement officers have one of the most dangerous and demanding careers in the United States (Price in JAMA 35:113–123, 2017). Challenges such as shiftwork, hypervigilance, and anti-police rhetoric can lead to burnout and trauma responses (e.g. Neylan et al., in JAMA 27:1493–1508, 2010). These stressful trials do not only impact the officer, but also their spouses and families (e.g. Alexander & Walker in JAMA 10:131–138 1994; as reported by Bibbins (in:Resse (ed) Psychological Services for Law Enforcement, US Government Printing Office, 1986). Unfortunately, there are minimal suggestions for use of a systemic psychotherapy approach involving the entire family. This article discusses challenges officers and their families frequently face and proposes the use of Solution-Focused Brief Therapy for law enforcement families. This article also provides suggestions for altering interventions to increase sensitivity for families and an example dialogue.