Rates of Subthreshold PTSD Among U.S. Military Veterans and Service Members: A Literature Review

The current study’s goal was to provide a comprehensive review of current subthreshold posttraumatic stress disorder (PTSD) rates among U.S. military veterans and service members. PubMed, PsycInfo, ProQuest, Web of Knowledge, Google Scholar, and any relevant articles’ reference lists identified studies of subthreshold PTSD in the U.S. military. Search terms included PTSD in combination with partial, subthreshold or sub-threshold, subsyndromal or sub-syndromal, subclinical or sub-clinical, and military or veteran. Sixteen articles met criteria for review. Current subthreshold PTSD rates ranged from 2.3% to 22.3%, with a weighted mean rate of 7.6%. Definitional variation within and across the “below threshold” terms produced some variability in rates reported. Few studies consistently reported on impairment and comorbidity in the subthreshold PTSD population. Variability of current subthreshold PTSD rates may be due to methodological issues such as sampling methods, sample sizes, and how below threshold PTSD was assessed and defined. Based on our findings, we provide a number of recommendations that can be used to inform future research of subthreshold PTSD among U.S. military veterans and service members. These recommendations include having a standardized term and definition, determining how to more properly assess subthreshold PTSD symptomatology, clarifying subthreshold PTSD diagnostic stability, and identifying appropriate sampling methods.     

The response to domestic violence in a model court: some initial findings and implications

This study utilized a non-experimental design to obtain information on a full range of domestic violence incidents brought before the Quincy, Massachusetts District Court, a model court. One limitation of previous research on spouse assaults using more sophisticated designs is that the target population has been restricted to specific subgroups of cases thereby limiting subsequent discussions of policy/practice implications of the findings vis-a-vis all spouse assault cases. To address this research “shortfall”, we obtained permission from the Quincy District Court to examine all the spouse assault cases brought before the court during a 7-month period (June, 1995, through February, 1996). The findings show that in a full enforcement environment, victims took out restraining orders only against the most violent, criminally abusive men. Most men who were arrested for domestic violence had prior criminal histories for a variety of offenses. Domestic violence offenders appeared to be of two types: those with extensive and diverse criminal histories and those with little or no such involvement. However, active criminal justice intervention against domestic violence offenders appears to be primarily directed toward offenders already active in the criminal justice system. © 1998 John Wiley & Sons, Ltd.     

Metaphorical sense-making: visual-narrative language portraits of South African students

This article reflects on a creative visual-narrative approach to understanding South African students’ lived experiences of languages. Data were collected in two interviews: the first entailing a biographical history and the drawing of a linguistic portrait on a simple body outline and the second a narrative interview utilising the portrait generated in the first as a basis for talking about language and identity. Framing the research process in this creative visual mode shifts the focus of narrative talk, simultaneously grounding it in affective, embodied experience, and enabling a reflexive position from which to analyse the taken-for-granted role of language in the minutiae of everyday life. The theoretical lenses of identity and subjectivity are invigorated through these metaphorical representations, and new creative possibilities are released for analysing the role of language in mediating shifting power dynamics in post-apartheid and postcolonial South African life.     

Using facial muscular movements to understand young children's emotion regulation and concurrent neural activation

Individual differences in young children's frustration responses set the stage for myriad developmental outcomes and represent an area of intense empirical interest. Emotion regulation is hypothesized to comprise the interplay of complex behaviors, such as facial expressions, and activation of concurrent underlying neural systems. At present, however, the literature has mostly examined children's observed emotion regulation behaviors and assumed underlying brain activation through separate investigations, resulting in theoretical gaps in our understanding of how children regulate emotion in vivo. Our goal was to elucidate links between young children's emotion regulation‐related neural activation, facial muscular movements, and parent‐rated temperamental emotion regulation. Sixty‐five children (age 3–7) completed a frustration‐inducing computer task while lateral prefrontal cortex (LPFC) activation and concurrent facial expressions were recorded. Negative facial expressions with eye constriction were inversely associated with both parent‐rated temperamental emotion regulation and concurrent LPFC activation. Moreover, we found evidence that positive expressions with eye constriction during frustration may be associated with stronger LPFC activation. Results suggest a correspondence between facial expressions and LPFC activation that may explicate how children regulate emotion in real time.     

The contribution of executive control to semantic cognition: Convergent evidence from semantic aphasia and executive dysfunction

Semantic cognition, as described by the controlled semantic cognition (CSC) framework (Rogers et al., 2015 , Neuropsychologia, 76, 220), involves two key components: activation of coherent, generalizable concepts within a heteromodal ‘hub’ in combination with modality‐specific features (spokes), and a constraining mechanism that manipulates and gates this knowledge to generate time‐ and task‐appropriate behaviour. Executive–semantic goal representations, largely supported by executive regions such as frontal and parietal cortex, are thought to allow the generation of non‐dominant aspects of knowledge when these are appropriate for the task or context. Semantic aphasia (SA) patients have executive–semantic deficits, and these are correlated with general executive impairment. If the CSC proposal is correct, patients with executive impairment should not only exhibit impaired semantic cognition, but should also show characteristics that align with those observed in SA. This possibility remains largely untested, as patients selected on the basis that they show executive impairment (i.e., with ‘dysexecutive syndrome’) have not been extensively tested on tasks tapping semantic control and have not been previously compared with SA cases. We explored conceptual processing in 12 patients showing symptoms consistent with dysexecutive syndrome (DYS) and 24 SA patients, using a range of multimodal semantic assessments which manipulated control demands. Patients with executive impairments, despite not being selected to show semantic impairments, nevertheless showed parallel patterns to SA cases. They showed strong effects of distractor strength, cues and miscues, and probe–target distance, plus minimal effects of word frequency on comprehension (unlike semantic dementia patients with degradation of conceptual knowledge). This supports a component process account of semantic cognition in which retrieval is shaped by control processes, and confirms that deficits in SA patients reflect difficulty controlling semantic retrieval.     

A response to the proposed ELCA inter‐religious policy statement

In this solicited essay, an undergraduate Interfaith Scholar and Interfaith Studies minor at Concordia College responds to the ELCA proposed interreligious policy statement. In this essay, I will contend that the policy statement beautifully articulates our Lutheran commitment to accompany our neighbors by envisioning a world in which God celebrates all forms of diversity. Moreover, by framing our vocation in the context of relational theology, the document lays the groundwork for mutual understanding that prioritizes service to the neighbor over proselytization.     

The Virgin and the Whore – An Interreligious Challenge for Our Times

The boundaries of religious belonging are often based upon essentialist patriarchal conceptions of decency and morality that have been shaped into doctrine; those who are deemed indecent are marginalized to locations of struggle and often met with violence – thus presenting an interreligious challenge for our times. This paper will explore the gendered politics of religious belonging through an intersectional lens, focusing on the virgin/whore dichotomy in Christianity. It aims to undress exclusive notions of religious belonging and expose the hegemonic systems that have created ideological boundaries intended to control the bodies of women. It will then look to the narrative of Tamar and Judah in the book of Genesis, where prostitution, Levirate marriage, widowhood, childbirth, ethnicity, honour killing, and sexual desires shape the text and force the reader to confront questions of morality, justice, and the politics of religious belonging.