The Assessment of Post‐traumatic Stress Disorder for Workers' Compensation in Emergency Service Personnel

There is considerable debate concerning the diagnosis of post‐traumatic stress disorder (PTSD) in compensation claims. This study reviewed the quality of the assessment reports prepared by clinicians who evaluated 31 emergency service workers making PTSD‐related compensation claims. Assessments were conducted by 4‐year trained psychologists (39%), psychologists holding a masters degree (36%), and psychiatrists (19%). The assessment reports were evaluated relative to the diagnostic criteria for PTSD in the Diagnostic and Statistical Manual of Mental Disorders 4th edition (2000). In the majority of cases (81%), the assessor determined that the emergency service worker had PTSD, but only one report met the minimum standard for that diagnosis. In the majority (65%) of cases the clinician failed to address the possibility of malingering. These data suggest that clinical assessment reports for PTSD frequently fail to meet minimum assessment standards.     

‘I Can't Go Back Because If I Go Back I Would Die’: How Asylum Seekers Manage Talk about Returning Home by Highlighting the Importance of Safety

Asylum seekers living in the UK have been shown to have fled danger in their countries of origin, only to face hardship and the threat of deportation once there. This paper draws on the discursive psychological approach to address the way in which asylum seekers in the UK manage questions about returning to their country of origin. Interviews were conducted with nine asylum seekers in a refugee support centre in the Midlands. The interviews were transcribed and analysed using discourse analysis. The analysis showed that participants drew on the notion of safety to counter suggestions that they should return to their country of origin and to manage their identity as legitimate asylum seekers in need of support. The use of this strategy and the use of interviews for discursive analysis are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

Can I Reach That Sticker? Preschoolers' Practical Judgments About Their Own and Others’ Body Size

Research to date has focused mostly on children's representation of their physical self as a prelude to the development of a theory of mind (ToM) and on their understanding of the self as distinct from others over time. Whether children approaching the well-known age of ToM mastery are also accurately appraising their own body's functional relationship to the everyday environment remains largely an unanswered question. Little work has investigated typical preschool-age children's explicit accuracy when making judgments about their own body's proportions. In the current study, 98 preschoolers made 16 practical judgments about whether their own body or an experimenter's body could fit through an apparatus (half of the apparatuses were 30% smaller than the body in question, and half were 30% larger). Overall, accuracy increased with age but was unrelated to body size. Children in all age groups performed above chance, and accuracy did not differ depending on target (e.g., self or other). Children in a comparison condition judging fit of inanimate objects (n = 23) performed similarly, though showed less evidence of “yes” bias, and there were no age-based differences in accuracy. Results are discussed with regard to preschoolers’ developing body awareness, as are implications for research protocols in which children are asked to accurately identify their own body size and shape from an array.     

The Sound of Silence: Can Imagining Music Improve Spatial Rotation Performance?

We report two experiments exploring whether imagining music improves spatial rotation via increases in arousal and mood levels (Schellenberg 2005). To aid their imagination, participants were given instructions (none, basic or detailed) and lyrics (present or absent). Experiment 1 showed no effect of instructions or lyrics on performance although participants felt that the presence of the lyrics helped. Experiment 2 was identical to Experiment 1 except that the participants were musicians (as evidenced by musical experience and/or qualification). This time there was a significant effect of instructions in that those who received the detailed instructions performed significantly better than the no instruction condition although the presence of lyrics did not help. Further research is required to establish the similarity of the imagination to the traditional arousal and mood effect but the phenomenon may be useful for short-term boosts in spatial rotation activities.     

Predictors of Positive Outcomes in Offspring of Depressed Parents and Non-depressed Parents Across 20 Years

Understanding differences in factors leading to positive outcomes in high-risk and low-risk offspring has important implications for preventive interventions. We identified variables predicting positive outcomes in a cohort of 235 offspring from 76 families in which one, both, or neither parent had major depressive disorder. Positive outcomes were termed resilient in offspring of depressed parents, and competent in offspring of non-depressed parents, and defined by two separate criteria: absence of psychiatric diagnosis and consistently high functioning at 2, 10, and 20 years follow-up. In offspring of depressed parents, easier temperament and higher self-esteem were associated with greater odds of resilient outcome defined by absence of diagnosis. Lower maternal overprotection, greater offspring self-esteem, and higher IQ were associated with greater odds of resilient outcome defined by consistently high functioning. Multivariate analysis indicated that resilient outcome defined by absence of diagnosis was best predicted by offspring self-esteem; resilient outcome defined by functioning was best predicted by maternal overprotection and self-esteem. Among offspring of non-depressed parents, greater family cohesion, easier temperament and higher self-esteem were associated with greater odds of offspring competent outcome defined by absence of diagnosis. Higher maternal affection and greater offspring self-esteem were associated with greater odds of competent outcome, defined by consistently high functioning. Multivariate analysis for each criterion indicated that competent outcome was best predicted by offspring self-esteem. As the most robust predictor of positive outcomes in offspring of depressed and non-depressed parents, self-esteem is an important target for youth preventive interventions.