A review of research on smoking among United States Veterans with posttraumatic stress disorder (2006–2016)

Posttraumatic stress disorder (PTSD) is one of the most common psychiatric disorders diagnosed in U.S. veterans. PTSD is associated with high smoking prevalences and difficulty quitting in the general U.S. population. The current study reviewed research on smoking and PTSD in U.S. veteran samples to summarize past research and identify areas in need of additional inquiry. MEDLINE and PsycINFO searches identified papers on smoking in samples of U.S. veterans with PTSD published from January 2006 through December 2016. Thirty-four articles met all of the inclusion criteria: (a) part of the sample consisted of U.S. veterans with PTSD or PTSD symptoms, and (b) the study examined some aspect of smoking behavior. U.S. veterans with PTSD were more likely to report smoking, heavy smoking, nicotine dependence, and late-onset smoking compared to veterans without PTSD. Smoking behaviors (e.g., current smoking, heavy smoking, smoking expectancies) differed by PTSD symptoms and by combat exposure. Smoking cessation feasibility studies examined the integration of smoking treatment into PTSD clinics and found favorable outcomes. Future research on veterans with PTSD would benefit from extending topics beyond rates of smoking to better understand the treatment needs of veterans. Research on smoking-related behaviors can help identify areas to target for interventions.     

Mothers’ neural responses to infant faces are associated with activation of the maternal care system and observed intrusiveness with their own child

Certain infant facial characteristics, referred to as baby schema, are thought to automatically trigger parenting behavior and affective orientation toward infants. Electroencephalography (EEG) is well suited to assessing the intuitive nature and temporal dynamics of parenting responses, due to its millisecond temporal resolution. Little is known, however, about the relations between neural processing of infant cues and actual parenting behavior in a naturalistic setting. In the present study we examined the event-related potentials (ERPs) of mothers (N = 33) watching infant faces of varying attractiveness, in relation to activation of the maternal care system and the mothers’ observed parenting behavior (sensitivity, nonintrusiveness) with their own child (2–6 years old). The results revealed that, irrespective of the cuteness of the infant face, mothers’ neural processing of infant faces involved both early P1 and P2 components (related to orienting/detecting processes) and late positive potentials (LPPs; related to more controlled cognitive evaluation/attentional engagement). Increased early detection and processing of infant faces (reflected by P1 and P2 activity) was related to increased activation of the parental care system. In later stages of face processing, increased attentional engagement with infant faces (as reflected by LPP activity) was associated with more intrusiveness of a mother with her own child during interaction. These findings suggest that individual variations in responses to infant stimuli are associated with individual differences in parental care system activation and parenting quality. Furthermore, the parental care system might be activated relatively automatically, but actual parenting and caregiving behavior requires more conscious control.     

Reduction of Health Care Costs and Improved Appropriateness of Incoming Test Orders: the Impact of Genetic Counselor Review in an Academic Genetic Testing Laboratory

The goal of this study was to evaluate the impact of genetic counselor (GC) review of incoming test orders received in an academic diagnostic molecular genetics laboratory. The GC team measured the proportion of orders that could be modified to improve efficiency or sensitivity, tracked provider uptake of GC proposed testing changes, and calculated the health care dollar savings resulting from GC intervention. During this 6-month study, the GC team reviewed 2367 incoming test orders. Of these, 109 orders (4.6%) were flagged for review for potentially inefficient or inappropriate test ordering. These flagged orders corresponded to a total of 51 cases (1–5 orders for each patient), representing 54 individuals and including 3 sibling pairs. The GC team proposed a modification for each flagged case and the ordering providers approved the proposed change for 49 of 51 cases (96.08%). For the 49 modifications, the cost savings totaled $98,750.64, for an average of $2015.32 saved per modification. This study provides evidence of the significant contribution of genetic counselors in a laboratory setting and demonstrates the benefit of laboratories working with ordering providers to identify the best test for their patients. The review of test orders by a genetic counselor both improves genetic test ordering strategies and decreases the amount of health care dollars spent on genetic testing.     

A Phenomenological Inquiry Into Counselor of Color Broaching Experiences

Broaching, or the acknowledgment of racial and cultural factors, is a strategy for counselors working with diverse client populations. In this phenomenological study, the authors explored the lived experiences of 8 professional counselors of color regarding their broaching behaviors. The authors present 4 resulting themes (intentionality, considering impacts on client experiences, influence of counselor's discomfort on broaching, and broaching skills and practices) and discuss implications for counselor practice and training.     

The intersubjective responsibility of durational trauma: Contributions of Bergson and Levinas to the philosophy of trauma

Continental Philosophy Review - In public discourse trauma is predominantly framed as an overwhelming event undergone by the individual. In this article I first provide a brief genealogy to trace...     

The relationship between 16 fear factors and psychiatric status

Although originally designed as a guide to therapy, the Wolpe-Lang Fear Survey Schedule (FSS) has been the subject of increasing study of its psychometric characteristics. A recent factor analysis of the records of psychiatric patients yielded 16 fear factors. The present study attempted to evaluate the clinical relevance of these factors by comparing the factor scores of adult psychiatric outpatients (AOP) with those of parents of child psychiatry patients (CPC). On 13 of the 16 factors the AOP group scored higher (with 3 of these 13 differences modulated by sex), indicating a strikingly consistent relationship between clinical status and the fear factors. These results suggest that future research of the patterns of fear factor scores as they relate to clinically relevant variables might well be fruitful. In the present study, females scored higher than males on all 16 fear factors (with 3 of these 16 differences appearing only in the AOP group). These results suggest the importance of treating sex as a moderator variable in future research on the FSS and its factors.     

Visual marking: the influence of temporary changes on time-based visual selection

The preview benefit describes the finding that participants can prioritize the selection of new stimuli by the top-down inhibition of previously presented (previewed) items already in the field (Watson & Humphreys, 1997). Previous work has shown that if the old items undergo a permanent shape change when the new are added, then the old items recompete for selection with the new-the preview benefit is abolished. This is adaptive because it would be useful to stop ignoring items which change in potentially important ways. In contrast, temporary or repeating changes might be much less behaviorally relevant than permanent changes. Accordingly, we examined the effect of temporary changes (Experiment 1) and repeating changes (Experiment 2). Overall, the results showed that temporary changes could be partially but not fully ignored, and ignoring repeating changes became more difficult as the number of repetitions increased. The findings are discussed in terms of attentional prioritization mechanisms, maintenance of inhibitory representations, and the ecological properties of time-based selection.     

Belief in robust temporal passage (probably) does not explain future-bias

Philosophical Studies - Empirical work has lately confirmed what many philosophers have taken to be true: people are ‘biased toward the future’. All else being equal, we usually prefer...     

Childhood Maltreatment and Parental Attitudes Regarding the Use of Corporal Punishment

Journal of Child and Family Studies - Corporal punishment is associated with negative outcomes for children. Increased risk for such adverse parenting practices may be increased for individuals...