Supervision in the Psychotherapy of Schizophrenia: Awareness of and Mutual Reflection upon Fragmentation

Historical and newly emerging models of schizophrenia suggest it is a disorder characterized by the fragmentation of the experience of the self and the world, leading to the interruption of how a unique life is unfolding in the world. It has been proposed that psychotherapy might therefore promote recovery by facilitating the development of a greater ability to integrate information about the self and others. In this paper we explore how the supervision of a metacognitively-oriented psychotherapy can assist therapists to experience and conceptualize fragmentation within sessions, join patients in the gradual process of making sense of their psychiatric problems and life challenges, and ultimately envision and achieve recovery. Common challenges and responses within supervision are described and discussed.

     

Childhood Cruelty to Animals: Psychiatric and Demographic Correlates

This retrospective study compared frequencies of aggressive behaviors and abuse histories noted during a psychiatric intake assessment for children where animal cruelty was endorsed and a control sample of youth for whom animal cruelty was not endorsed to determine if rates of concerning behaviors differed significantly. Relative to the control group, the cruelty group was significantly more likely to have had problems with peers, perpetrated bullying, experienced sexual abuse, and have a history of sexually acting out. Recommendations for childhood animal cruelty screening in mental health settings are discussed.     

Effects of delay of prospective memory cues in an ongoing task on prospective memory task performance

To address the mixed results reported in previous studies, the present experiments examined forgetting in prospective memory (PM) by manipulating the delay between the PM instructions and cue presentation in event-based PM tasks. PM performance was measured for delays of 2–20 min in Experiment 1 and for delays of approximately 1–10 min in Experiment 2. Experiment 2 included both focal and nonfocal PM tasks, and speed on the ongoing task was measured to examine evidence for monitoring processes across the delays tested. The results suggest that nonfocal PM performance follows a nonlinear forgetting function (i.e., rapid decline for shorter delays and slower decline for longer delays) when tested over delays from 1 to 20 min. No effect of delay was seen for the focal task tested in Experiment 2 from 1 to 10 min. In Experiment 2, ongoing-task costs were also found for the first delay but not for longer delays, suggesting that monitoring was significantly reduced between 1 and 2.5 min of the ongoing-task trials.     

Resolving the contributions of fatigue-induced migration and scapular reorientation on the subacromial space: an orthopaedic geometric simulation analysis

Subacromial impingement occurs when tissues interposed between the humeral head and the acromion become compressed between the bones. Two fatigue-related mechanisms are suggested to contribute to this impingement: superior humeral head migration and scapular reorientation, specifically downward rotation, anterior tilt and protraction. Although both mechanisms have received attention, controversy exists regarding their relative contributions to reducing subacromial space width. This simulation study presents a three-dimensional orthopedic model for assessing the spatial relationship between the humerus and the scapula. Through incorporating empirically generated fatigue data as inputs, changes in the subacromial space associated with each mechanism acting independently and in combination were quantified. These changes were examined for three scenarios (average, impingement sparing, impingement causing) and at three humeral elevation angles (0°, 45° and 90°) in a total of 36 unique simulations. Humeral head migration generally decreased the subacromial space and scapular reorientation generally increased the space across scenarios. This strongly implies that superior humeral migration is the dominant fatigue-related mechanism associated with increasing the likelihood of impingement. The results suggest that future research should target efforts to reduce migration in industry, primarily through avoidance or modification of situations known to induce rotator cuff fatigue, such as overhead work.     

Anterior cingulate cortex findings in child disruptive behavior disorders.: A meta-analysis

The brain imaging literature suggests that child disruptive behavior disorders (DBD) are associated with structural and functional abnormalities of the anterior cingulate cortex (ACC).However, there is a lot of heterogeneity in findings in terms of direction of modifications identified until this point. The present study used a meta-analytic design to aggregate the empirical findings from the literature on functional and structural abnormalities of the ACC in children with DBD. A total of eight structural and functional brain imaging (sMRI and fMRI) studies were included and results obtained from a sample of 266 children show a large effect size (D = ?.98 (95% CI [? 1.18, ? 0.77]) in terms of reduced activation of the ACC in children presenting with DBD. Effects of ACC abnormality were moderated by: 1) the type of imaging used in the study (i.e., functional vs. structural); 2) the presence or absence of co-morbid attention deficit hyperactivity disorder (ADHD); 3) the mean age of the samples of children presenting with DBD. Overall, findings confirm functional impairments of the ACC in children with DBD and highlight the importance of using such neurological information to design innovative treatments.     

Explicit disassociation of a conditioned stimulus and unconditioned stimulus during extinction training reduces both time to asymptotic extinction and spontaneous recovery of a conditioned taste aversion

Conditioned taste aversions (CTAs) may be acquired when an animal consumes a novel taste (CS) and then experiences the symptoms of poisoning (US). This aversion may be extinguished by repeated exposure to the CS alone. However, following a latency period in which the CS is not presented, the CTA will spontaneously recover (SR). In the current study we employed an explicitly unpaired extinction procedure (EU-EXT) to determine if it could thwart SR of a CTA. Sprague-Dawley rats acquired a strong CTA after three pairings of saccharin (SAC the CS) and Lithium Chloride (LiCl the US). CTA acquisition was followed by extinction (EXT) training consisting of either (a) CS-only exposure (CSO) or (b) exposure to saccharin and Lithium Chloride on alternate days (i.e., explicitly unpaired: EU). Both extinction procedures resulted in ?90% reacceptance of SAC, although the EU extinction procedure (EU-EXT) significantly decreased the time necessary for rats to reach this criterion (compared to CSO controls). Rats were subsequently tested for SR of the CTA upon re-exposure to SAC following a 30-day latency period of water drinking. Rats that acquired a CTA and then underwent the CSO extinction procedure exhibited a significant suppression of SAC drinking during the SR test (as compared to their SAC drinking at the end of extinction). However, animals in the EU-EXT group did not show such suppression in drinking compared to CSO controls. These data suggest that the EU-EXT procedure may be useful in reducing both time to extinction and the spontaneous recovery of fears.     

Multicultural personality dispositions and psychological well-being

The authors investigated the empirical relationship between K. I. van der Zee and J. P. van Oudenhoven's (2000, 2001) multicultural personality dispositions and C. D. Ryff's (1989b) dimensions of psychological well-being. The present sample included 270 students from one primarily graduate university and one primarily undergraduate university in the northeast region of the United States. Factor analysis indicated that a three-dimensional model of the multicultural personality was the best fit structure for the sample. Correlations between multicultural personality scores and psychological well-being scores were generally positive and in the predicted directions. However, the academic setting of the participants appeared to influence the pattern of relationships. The authors identified the multicultural personality as a promising construct for research across diverse psychology specialties.     

Increasing Positive Health Behaviors in Adolescents with Nutritional Goals and Exercise

Research has documented that low-income urban youth are at risk for obesity and related health problems. Our goal was to develop a brief, developmentally informed intervention to increase positive health behaviors (e.g., diet and exercise) among low-income, minority adolescents. Our study was designed to examine the feasibility and potential impact of our single session intervention that was delivered in a primary care setting. The participants were 100 adolescents from an urban adolescent medicine clinic who were randomly assigned to one of two conditions: a) a 3–5?min goal-only session or b) a 15–20?min motivationally enhanced intervention. Health behaviors and individual characteristics (i.e., autonomous motivation, self-efficacy) were assessed at baseline and re-assessed at follow-up 1 month later with 53?% of the youth completing the follow-up assessment. Those in the enhanced intervention group were more likely to participate in the follow-up as were those who reported higher baseline motivation and self-efficacy. Both groups reported statistically significant health behavior improvements over time and older adolescents reported more improvements. The two conditions did not significantly differ in reported health improvements. Self-efficacy predicted improvements in self-reported fruit and vegetable intake at follow-up. Results support that a brief “chat” with adolescents about their personal goals and values appears to have the potential to increase their positive health behaviors and appears to be useful as a preparatory intervention for weight management efforts for urban teens. The study demonstrates the feasibility and potential efficacy of implementing this 20?min intervention into primary care settings, thereby helping urban youth focus on their individualized goals, values, and motivations for health.     

Adolescent Religiosity as a Mediator of the Relationship Between Parental Religiosity and Adolescent Health Outcomes

Studies have demonstrated the positive impacts of both parent and adolescent religiosity on adolescent outcomes; however, the relationships among these variable have not been studied. Our study was conducted to assess whether adolescent religiosity mediates the relationship between parent religiosity and adolescent emotional and behavioral health outcomes. A sample of 491 late adolescents ages 18–22 completed surveys that assessed their parents’ religious practices, their own religious practices, deviant behaviors, and internalizing behaviors. Findings suggest that adolescent religiosity mediates the relationship between parents’ religiosity and adolescent health outcomes such as drug and alcohol use and depression.