Home Groups: Integrating Peer Support and Clinical Care in a Community Mental Health Center

With peer supporters now comprising one of the most rapidly growing components of the mental health workforce, group interventions that combine their expertise with those of more traditional mental health providers are needed. An example of one such intervention, developed and implemented at a large community mental health center for individuals with serious mental illnesses, is presented. Called a “Home Group” and co-led by peers and clinical psychology interns, this intervention provides unique learning opportunities for peers and trainees and many potential benefits to group members. Vignettes to illustrate the model are presented and the potential therapeutic and empowering aspects of this innovative and promising approach are identified and discussed.     

The Spiritual Assessment Inventory: A Theistic Model and Measure for Assessing Spiritual Development

The Spiritual Assessment Inventory (SAI) is a relationally-based measure designed to assess two dimensions of spiritual development: Awareness of God and Quality of Relationship with God. The present article reports the results of two studies: exploratory and confirmatory factor analyses of a revised SAI, which replicated five factors, and a factor analysis of a revised SAI with a new Impression Management (IM) subscale. Results supported the factor structure of the SAI and the homogeneity of the IM scale. Correlations of the SAI subscales with the Spiritual Well-Being Scale, the Intrinsic/Extrinsic-Revised, the Bell Object Relations Inventory, the Defense Styles Questionnaire, and the Narcissistic Personality Inventory also supported the construct validity of the SAI. Two-step multiple regressions supported the incremental validity of the SAI. Suggestions for future research and implications for clinical use of the instrument are discussed.     

Postinjection suppression of drinking is modified by the presence of conditioned contextual cues: implications for both anticipatory and posttreatment nausea in humans

In three experiments, we set out to determine whether the response of rats to an injection of LiCl would be modified by the presence of an environmental context that had previously been paired with LiCl. Experiment 1 confirmed that one feature of the malaise produced by LiCl is a reduced tendency to consume an otherwise palatable flavor. Experiment 2 showed that the size of this response was enhanced if it was measured in the presence of a conditioned context. In Experiment 3, we investigated the possibility that the postinjection response could be modified by an overshadowing treatment given during the conditioning phase. The significance of these findings for the understanding of chemotherapy-induced nausea in the clinical population is discussed.     

Self-reported changes in subjective health and anthrax vaccination as reported by over 900 Persian Gulf War era veterans

A 1999 study of United Kingdom servicemembers by Unwin, et al. recently found significant relationships between anthrax and other vaccinations, reactions to those vaccines, and later health problems for male current or former active military Gulf War veterans. Likewise, in 2000 Steele and in 1998 Gilroy found possible adverse effects of vaccinations on Gulf War veterans. However, the role of such vaccinations remains controversial; more recent government reports continue to dispute the existence of any data that might reflect adversely on the role of vaccinations on the health of Gulf War veterans. To address this controversy, the current study assessed similar relationships for over 900 Reserve Component Gulf War Era veterans from Ohio and nearby states. Gulf War veterans were more likely to report poorer health than non-Gulf veterans. Female veterans were more likely to report mild or severe reactions to vaccines than male veterans. Those veterans who received anthrax vaccine reported more reactions to vaccines than those who did not receive anthrax vaccine. Declines in long-term subjective health were associated with receipt of anthrax vaccine by Gulf War veterans but not for those who did not deploy to the Gulf, although few of the latter received anthrax vaccine. Regardless of deployment status, veterans who reported more severe reactions to vaccines were more likely to report declines in subjective health. Female veterans reported poorer health during the Gulf War than did male veterans, but sex was not related to veterans' reports of subjective health at subsequent times. It is recommended that servicemembers who experience severe reactions to anthrax vaccine be medically reevaluated before receiving further anthrax vaccine and that careful follow-ups be conducted of those receiving the vaccine currently, in accordance with Nass's 1999 recommendations. We also recommend that safer alternatives to thimerosal (a mercury sodium salt, 50% mercury) be used to preserve all vaccines.     

Perceptual learning with a sodium depletion procedure

Rats in a state of salt need prefer a flavor that has previously been paired with saline (Experiment 1). In Experiments 2 and 3, rats exposed to 2 saline concentrations, presented either concurrently or on separate trials, and each paired with a different flavor, showed a preference for the flavor that had been associated with the stronger saline. This effect was substantial, however, only in those rats that had experienced the concurrent exposure schedule. This effect cannot be attributed to a difference in the strength of within-compound associations produced by the 2 preexposure schedules (Experiment 4). It is suggested that concurrent preexposure can engage a learning process that enhances the discriminability of the preexposed stimuli.     

Frontal deficits in alcoholism: an ERP study

Alcoholism is a major health problem afflicting people all over the world. Understanding the neural substrates of this addictive disorder may provide the basis for effective interventions. So-called "executive processes" play a role in cognitive functions like attention and working memory, and appear to be disrupted in alcoholism (Noel et al., 2001). Event related potentials (ERPs) provide an excellent, minimally invasive technique for exploring these neural deficits. The current study used the P300 in number sequencing task (modified version of the Petries & Milner, 1982) requiring working memory to compare a group of patients with alcoholism and frontal lobe lesions to patients with subcortical lesions and normal controls to assess the relationship of alcoholism to frontal lobe damage. The ERP paradigm was a Number Sequencing task. Electrophysiological results indicate that the frontal lesion group had significant P300 amplitude reduction and a similar trend for alcohol dependent group but not the subcortical group compared to the normal controls.     

Category norms as a function of culture and age: comparisons of item responses to 105 categories by american and chinese adults

Understanding how aging influences cognition across different cultures has been hindered by a lack of standardized, cross-referenced verbal stimuli. This study introduces a database of such item-level stimuli for both younger and older adults, in China and the United States, and makes 3 distinct contributions. First, the authors specify which item categories generalize across age and/or cultural groups, rigorously quantifying differences among them. Second, they introduce novel, powerful methods to measure between-group differences in freely generated ranked data, the rank-ordered logit model and Hellinger Affinity. Finally, a broad archive of tested, cross-linguistic stimuli is now freely available to researchers: data, similarity measures, and all stimulus materials for 105 categories and 4 culture-by-age groups, comprising over 10,000 fully translated unique item responses.     

Criterion-related validity of the three-factor model of psychopathy: personality, behavior, and adaptive functioning

The Psychopathy Checklist-Revised (PCL-R) has been conceptualized as indexing two distinct but correlated factors. Previous research has established that these factors demonstrate distinct patterns of relations with external criteria. However, more recent findings suggest that the PCL-R psychopathy construct may encompass three distinguishable factors, reflecting affective, interpersonal, and behavioral symptoms. Here, we evaluated the validity of this newer three-factor model of the PCL-R factors with reference to external criteria from the domains of personality, antisocial behavior; and adaptive functioning in a sample of 310 incarcerated offenders. The interpersonal factor was related to social dominance, low stress reactivity, and higher adaptive functioning; the affective factor was correlated with low social closeness and violent offending; and the behavioral factor was associated with negative emotionality, disinhibition, reactive aggression, and poor adaptive functioning. These findings provide support for the convergent and discriminant validity of these psychopathy facets.     

The Minnesota Multiphasic Personality Inventory-2 across the human immunodeficiency virus spectrum

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) was used to assess individuals' patterns of psychological symptoms across the spectrum of HIV illness. Two hundred and twenty-five participants in the present sample were administered the MMPI-2, 61 were HIV-seronegative controls, 61 were asymptomatic, 36 were symptomatic, and 67 met criteria for AIDS. Symptomatic HIV-seropositive patients scored higher on the Hypochondriasis, Conversion-Hysteria, and Depression Scales. These differences appeared to be largely due to an increase in somatic complaints rather than an increase in other depressive symptoms. Group differences did not appear to be due to HIV-associated neuropsychological dysfunction. Interpretive strategies for the MMPI-2 and treatment considerations are discussed.