Suicidality in Schizophrenia: Implications for the Counseling Profession

Schizophrenia is a common mental disorder treated by many counseling professionals, and it is associated with a high rate of early mortality. The most common reason for early mortality in schizophrenia is suicide. To date, the most recent comprehensive study on correlates of suicidality among clients with schizophrenia is titled “Suicidal Behavior in Schizophrenia: Characteristics of Individuals Who Had and Had Not Attempted Suicide” (J. M. Harkavy‐Friedman et al., 1999). It is the purpose of this Trends article to review this study and discuss its implications for counselors.     

Grammatical Encoding in Aphasia: Evidence from a “Processing Prosthesis”

Agrammatic aphasia is characterized by severely reduced grammatical structure in spoken and written language, often accompanied by apparent insensitivity to grammatical structure in comprehension. Does agrammatism represent loss of linguistic competence or rather performance factors such as memory or resource limitations? A considerable body of evidence supports the latter hypothesis in the domain of comprehension. Here we present the first strong evidence for the performance hypothesis in the domain of production: an augmentative communication system that markedly increases the grammatical structure of agrammatic speech while providing no linguistic information, functioning merely to reduce on-line processing demands. Copyright 2000 Academic Press and Unisys Corporation.     

Developing coherence in community and clinical psychology: the integration of idealism and pragmatism

Illustrations of how ideas from community psychology may be integrated with clinical psychological thinking and practice are described from the perspective of a clinical psychologist working in the NHS. The intentions are to consider socially relevant conceptualizations of the causes of people's well-being and distress, and to develop ways of helping individuals and communities to clarify and address these causes. Incorporating an analysis of social power also necessitates a critical awareness of the limited potency of psychological interventions. © 1998 John Wiley & Sons, Ltd.     

Sexuality,Intimacy, and Group Psychotherapy with Older Adults

Sexuality is an intrinsic part of life but late-life sexuality is a neglected topic in the literature. With an aging society, groups will contain more older adults. It is important for group therapists to reflect on their attitudes when working with older group members. This paper examines how both the attitudes of society in general and of therapists regarding late-life sexuality and intimacy may contribute to the neglect of these subjects being discussed in group therapy.     

Internal health locus of control predicts willingness to track health behaviors online and with smartphone applications

Given rising technology use across all demographic groups, digital interventions offer a potential strategy for increasing access to health information and care. Research is lacking on identifying individual differences that impact willingness to use digital interventions, which may affect patient engagement. Health locus of control, the amount of control an individual believes they have over their own health, may predict willingness to use mobile health (mHealth) applications (‘apps’) and online trackers. A cross-sectional study (n = 276) was conducted to assess college students’ health locus of control beliefs and willingness to use health apps and online trackers. Internal and powerful other health locus of control beliefs predicted willingness to use health apps and online trackers while chance health locus of control beliefs did not. Individuals with internal and powerful other health locus of control beliefs are more willing than those with chance health locus of control beliefs to utilize a form of technology to monitor or change health behaviors. Health locus of control is an easy-to-assess patient characteristic providers can measure to identify which patients are more likely to utilize mHealth apps and online trackers.     

Differential Influence of Social Support in Emerging Adulthood Across Sources of Support and Profiles of Interpersonal and Non-Interpersonal Potentially Traumatic Experiences

Social support is protective against the negative effects of trauma, yet how these effects vary across sources of support and patterns of trauma exposure has not been examined. High co-occurrence exists among different types of trauma across domains and ages, yielding patterns of trauma exposure that may affect social support. This study identified profiles of potentially traumatic events (PTEs) experienced by 252 college students and examined the relationships between social support and mental health across these profiles. Five profiles emerged: “Non-Interpersonal Trauma Exposure,” “Adult Intimate Partner Violence,” “Poly-trauma Exposure,” “Low Trauma Exposure,” and “Childhood Family Violence.” The link between social support and adjustment differed across profiles. Family support was valuable for promoting resilience across patterns of PTEs. Friend and romantic partner support were related to lower mental health problems. Support from family and friends is particularly valuable in the context of adult intimate partner violence and childhood family violence.     

The Integration of Personal Identity,Religious Identity,and Moral Identity in Emerging Adulthood

The present study investigated the relative roles of identity structure (i.e., personal identity) and identity contents (i.e., religious identity and moral identity) in predicting emerging adults’ prosocial and antisocial behaviors. The sample included 9,495 college students. A variable-centered analysis (path analysis) used personal identity, religious identity, and moral identity as predictors of prosocial and antisocial behavior and tested interactions of personal identity with religious identity and moral identity. Moral identity was the strongest predictor of both behaviors, and religious identity and moral identity both interacted with personal identity in predicting antisocial behavior. A person-centered analysis (latent profile analysis) found three classes: integrated, moral identity–focused, and religious identity–focused, with integrated being most adaptive on both outcomes.     

An Elephant in the Consulting Room: Making Space for a Patient's Secret

Developing a private self is required for healthy development to proceed during childhood. However, when secrecy becomes a way of life, development becomes derailed. Secretiveness crowds out privacy during this critical phase of development for many reasons and the result is a secret self. This articles examines secrecy as an adaptive way to avoid shame, manage isolation, and hold onto the threads of identity, allowing for the preservation of a self. It also examines the ways in which secrecy creates emotional distance and prevents intimacy. To illustrate these ideas, I present my work with a patient who developed a secret self and came to treatment with a secret he has yet to reveal. Known between the therapist and patient as “the elephant in the room,” the secret became and remained central to the work and the therapeutic relationship.     

Is There a Correlation Between Static and Dynamic Postural Balance Among Young Male and Female Dancers?

Aimed to investigate whether young male and female dancers have different patterns of association between static and dynamic postural balance (PB), 60 dancers from the Australian Ballet School (14–19 years old) were tested for static and dynamic PB with head and lumbar accelerometers. Monotonic relationships between static and dynamic PB were found in head movements among young female dancers in all three directions, but were found for young male dancers in the mediolateral (ML) and anteroposterior (AP) directions only. In lumbar movements, monotonic relationships were found for young female dancers in the AP direction only. Comparing head with lumbar movements in static PB, young male dancers demonstrated monotonic relationships between head and lumbar movements in all 3 directions; however, young female dancers demonstrated monotonic relationships in the AP direction only. In the dynamic measurements, both male and female dancers demonstrated monotonic relationships between head and lumbar movements for all parameters measured in the ML and vertical directions (p < .05). In conclusions, among female dancers static PB ability is correlated with their dynamic ability, whereas among male dancers, no relationship between the static and dynamic PB in the AP direction exists. Male dancers showed head and lumbar coordination in the static PB movement, but both genders manifested no head and lumbar coordination in the AP direction measured for dynamic PB.