Psychiatric hospitalization after deliberate self-poisoning

The decision for psychiatric hospitalization after deliberate self-poisoning (DSP) is not well understood. This study, a longitudinal cohort study of 3,148 consecutive DSP patients found 920 (29.2%) subjects were referred for psychiatric hospitalization, 576 (18.3%) on involuntary basis. A logistic regression analysis showed increased risk for: age 25 or older, homelessness, unemployment, previous self-harm, psychiatric inpatient treatment within 12 months, earlier psychiatric inpatient treatment, suicidal ideation or plan, mood or psychotic disorders, and lower clinician experience; and lower risk for being married/defacto, and after hours presentation. Recommendation for psychiatric hospitalization was based on complex decision making. These findings have implications for clinical practice guidelines, service costs, and service organization.     

Immobility and supination in garter snakes (Thamnophis elegans) following handling by human predators

A common response of animals to physical restraint is tonic immobility. The authors observed the behavior of garter snakes, Thamnophis elegans, in the field to determine the frequency of immobility as a response to handling. Most snakes fled after release, but the remainder remained immobile, sometimes on their backs (supination), for up to 10 min. Immobility was seen most often in pregnant snakes, which also were more likely than other snakes not to have moved before capture. Failure to move, either before or after capture, might be a consequence of the limited locomotory ability of gravid snakes. However, the lack of observations of interactions between snakes and their natural predators impedes researchers' understanding of the antipredator value, if any, of tonic immobility.     

Deconstructing therapy outcome measurement with Rasch analysis of a measure of general clinical distress: the Symptom Checklist-90-Revised

Rasch analysis was used to illustrate the usefulness of item-level analyses for evaluating a common therapy outcome measure of general clinical distress, the Symptom Checklist-90-Revised (SCL-90-R; Derogatis, 1994). Using complementary therapy research samples, the instrument's 5-point rating scale was found to exceed clients' ability to make reliable discriminations and could be improved by collapsing it into a 3-point version (combining scale points 1 with 2 and 3 with 4). This revision, in addition to removing 3 misfitting items, increased person separation from 4.90 to 5.07 and item separation from 7.76 to 8.52 (resulting in alphas of .96 and .99, respectively). Some SCL-90-R subscales had low internal consistency reliabilities; SCL-90-R items can be used to define one factor of general clinical distress that is generally stable across both samples, with two small residual factors.     

Effects of nicotine administration via a sublingual tablet on arousal and verbal ability in non‐smokers

Tobacco smoking or nicotine administration on its own can influence cognitive task performance. This study examined the effects of acute nicotine administration on verbal task performance and a physiological index of arousal. Healthy non‐smoking participants received either a 2‐mg sublingual nicotine tablet or placebo. Participants next completed various verbal tasks while heart rate recordings were taken concurrently. Nicotine increased heart rate relative to a pre‐administration baseline period, indicating that the new method of nicotine administration increased cardiovascular arousal. Nicotine was associated with reduced accuracy in a verbal matching task and reduced accuracy and increased reaction time in an anagram task, but had no effect on performance during an analogy or verbal fluency task. The data suggest that nicotine‐naïve individuals are unlikely to gain any benefit to their verbal ability from the single acute intake of nicotine, such as that obtained from cigarette smoking or by using nicotine replacement therapy products.     

The big, the bad, and the boozed-up: Weight moderates the effect of alcohol on aggression

Most people avoid the “big, drunk guy” in bars because they do not want to get assaulted. Is this stereotype supported by empirical evidence? Unfortunately, no scientific work has investigated this topic. Based on the recalibrational theory of anger and embodied cognition theory, we predicted that heavier men would behave the most aggressively when intoxicated. In two independent experiments (Ns = 553 and 327, respectively), participants consumed either alcohol or placebo beverages and then completed an aggression task in which they could administer painful electric shocks to a fictitious opponent. Both experiments showed that weight interacted with alcohol and gender to predict the highest amount of aggression among intoxicated heavy men. The results suggest that an embodied cognition approach is useful in understanding intoxicated aggression. Apparently there is a kernel of truth in the stereotype of the “big, drunk, aggressive guy.”     

From My Center to the Center of All Things: Hourglass Care (Take 1)

In the tradition of presenting metaphors as theoretical and practical models of care, this article introduces the hourglass as a new direction for pastoral care. Everything in this model is “a circle with a triangle in it.”     

Implications of an Emerging Integration of Universal and Culturally Specific Psychologies

ABSTRACT— Psychological researchers increasingly recognize that human behavior reflects a complex interplay of universal human capacities, cultural responses to unique histories and circumstances, and individual differences. Many psychological processes appear to reflect culturally specific instantiations of universal capacities. Current integrative research focuses on further clarifying definitions of universality and on refining methods for identifying universal and cultural components of psychological processes. In this article, we consider implications of this emerging integration. To illustrate possible implications for psychology, we apply it to the study of psychopathology. We report on formal models that explain why some cultures embrace dysfunction among members. We then use the integrative framework to describe methods for determining whether putative disorders bring universal or contextual life dysfunction and to clarify etiological models of three disorders. Models of psychopathology can be more informed and precise if they include careful consideration of both universal and cultural influences on behavior.     

Danegeld remembered: Taxing further the coin head illusion

Abstract

Two experiments studied memory for the appearance of a Danish 20 kroner coin. The coin bears the portrait of Queen Margrethe II in profile, facing to the right. Previous studies have examined memory for British coins, which similarly bear a right-facing portrait of Queen Elizabeth II. They have revealed the occurrence of a mnemonic illusion, in that British people tend to believe the portrait faces left. This finding has been attributed to the occurrence of a joint coin-stamp schema. British stamps bear a left-facing profile of the Queen, and it is possible that information from the stamp predominates in the formation of the schema. In the case of Denmark, however, stamps bear a full-face portrait of the Queen. Nevertheless, the present experiments showed that the Coin Head Illusion is also found in Denmark. That is, the number of participants recalling the Queen's head as facing to the right was significantly below even the chance level of 50%. Further, this result occurred both for residents of Denmark and for visitors to Denmark. These findings suggest that the bias underlying the Coin Head Illusion may be a more general one than that envisaged by the joint coin-stamp schema hypothesis.     

On Martin Luther's Statement, “Fides Creatrix Divinitatis”

Martin Luther's statement “faith creates divinity” depends upon the antecedent promise of the crucified and triune God. When considered as a theology of gift, this statement illustrates that faith makes divinity by giving God glory.