Predicting post‐traumatic growth and post‐traumatic stress in firefighters

Emergency service workers (e.g., firefighters, police, and paramedics) are exposed to elevated levels of potentially traumatising events through the course of their work. Such exposure can have lasting negative consequences (e.g., post‐traumatic stress disorder (PTSD)) and/or positive outcomes (e.g., post‐traumatic growth (PTG)). Research had implicated trauma, occupational and personal variables that account for variance in post‐trauma outcomes yet at this stage no research has investigated these factors and their relative influence on both PTSD and PTG in a single study. Based in Calhoun and Tedeschi's model of PTG and previous research, in this study regression models of PTG and PTSD symptoms among 218 firefighters were tested. Results indicated organisational factors predicted symptoms of PTSD, while there was partial support for the hypothesis that coping and social support would be predictors of PTG. Experiencing multiple sources of trauma, higher levels of organisational and operational stress, and utilising cognitive reappraisal coping were all significant predictors of PTSD symptoms. Increases in PTG were predicted by experiencing trauma from multiple sources and the use of self‐care coping. Results highlight the importance of organisational factors in the development of PTSD symptoms, and of individual factors for promoting PTG.     

Can CBT Be Effective for Aboriginal Australians? Perspectives of Aboriginal Practitioners Trained in CBT

The objective of the study was to investigate whether high and low intensity versions of cognitive behaviour therapy (CBT) might be an effective therapeutic approach for enhancing the mental health of Aboriginal Australians. Five university‐educated Aboriginal counsellors received in‐depth training in CBT. Over the following year, they used CBT strategies with their clients, and met 10 times as a participatory action research group. The group addressed three key questions: (a) Does CBT appear to be useful for Aboriginal Australians? (b) If so, what elements of CBT are perceived to be effective? (c) What adaptations might be made to CBT to enhance its effectiveness with Aboriginal Australians? The resulting qualitative data were transcribed and analysed. Counsellors perceived CBT to be very useful for their Aboriginal clients and for themselves. They reported that it enhanced their clients' well‐being, their own clinical skills, and their own well‐being, and it reduced burnout. The qualities of CBT that were perceived to be effective were its adaptability, pragmatic here‐and‐now approach, capacity for low‐intensity interventions, safe containing structure, promotion of self‐agency, and valuable techniques. It was suggested that the prime requirement for adaptations to CBT were that they would need to fit different social and cultural contexts.     

Seminary Students and Physical Health: Beliefs,Behaviors, and Barriers

Journal of Religion and Health - As an occupational group, clergy exhibit numerous physical health problems. Given the physical health problems faced by clergy, understanding where physical health...     

Exaggerated leftward bias in the mental number line of patients with schizophrenia

Several visuo-motor tasks can be used to demonstrate biases towards left hemispace in schizophrenic patients, suggesting a minor right hemineglect. Recent studies in neglect patients used a new number bisection task to highlight a lateralized defect in their visuo-spatial representation of numbers. To test a possible lateralized representational deficit in schizophrenia, we used the number bisection task in 11 schizophrenic patients compared to 11 healthy controls. Participants were required to orally indicate the central number of an interval orally presented. Whereas healthy subjects showed no significant bias, schizophrenic patients presented a significant leftward bias. Therefore, these results suggest an impairment in higher order representations of the number space in patients with schizophrenia, an impairment that is qualitatively similar to the deficit described in neglect patients.     

Online control of discrete action following visual perturbation

We examined the spatial and temporal limitations of the visual corrective process in goal-directed aiming, as well as gender differences in online control. An initial experiment was conducted to test the utility of a monocular switch procedure as a method of rapidly introducing a visual perturbation. The results revealed minimal effect of the monocular switch on movement time and the endpoint error. Following this control experiment, prismatic displacement was introduced at the initiation of and during the movement. In the third experiment, the prism was presented prior to movement initiation, and then removed at the beginning of or during the movement. Movement trajectories were most influenced by the early presentation and removal of the prism, and female performance was significantly more affected by both perturbations than male performance.     

Assessing Violence Risk: A Review and Clinical Recommendations

Guidance to identify and manage clients with a perceived high risk for future violence is of great importance for mental health professionals. In the past decade, several structured instruments have been developed to assess risk of future violence. Awareness of the limits and abilities of such instruments is required. This article reviews the most well‐known risk assessment tools and provides recommendations for how to approach the area of violence risk assessment.     

Spirituality and Counselor Competence: A National Survey of American Counseling Association Members

A random sample of 505 American Counseling Association (ACA) members completed a questionnaire that evaluated respondents' ratings of the importance of 9 competencies developed at the Summit on Spirituality (G. Miller, 1999; “Summit Results,” 1995) meetings to effectively address spiritual and religious issues in counseling practice. Results suggest that, in general, ACA members strongly support the importance of the competencies for effective counseling practice.     

Enhancing children's event recall after long delays

The effects of context reinstatement as means of enhancing 5‐ and 6‐year‐old children's event memory in repeated interviews after a 6‐month delay were examined. Children were interviewed immediately after the event (baseline interview) and twice at a 6‐month delay, with 24 hours between interviews. The first 6‐month interview was conducted in a perfect‐context reinstatement (n = 15), imperfect‐context reinstatement (n = 16), or no‐context reinstatement (n = 15) condition. The second 6‐month interview was conducted 24 hours later with no‐context reinstatement for all children. Context reinstatement attenuated the effects of delay on recall. The accuracy of the details reported was greater in the perfect‐context compared to the imperfect‐context and no‐context conditions. Details repeated between the immediate‐baseline interview and in the first 6‐month interview were more accurate than details repeated between the first and second 6‐month interview. There was no increase in recall (hypermnesia) across the first and second 6‐month interviews in any condition. Practical implications of these findings are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Single‐limit interval estimates as reference points

People often describe uncertain quantities by suggesting a lower or upper limit of an uncertainty interval, rather than the complete range. Five studies are reported, which demonstrate how interval limits function as provisional reference points (PRP), conferring evaluative meanings to the target objects, by suggesting downward or upward comparisons. Thus, a price above X appears expensive, whereas a price below Y appears cheap, even when Y > X. This can give rise to framing effects: a purchase can appear to be recommended or advised against, and a seller can appear as optimistic or pessimistic, and, more generally, an estimate can indicate abundance or scarcity, depending upon which boundary (upper or lower) that is selected. Furthermore, inclusive lower bounds (minimum, at least) and upper bounds (maximum, at most) differ from exclusive lower (more than, above) and upper bounds (less than, below), by suggesting possible (likely) rather than implausible (unlikely) values. Copyright © 2006 John Wiley & Sons, Ltd.     

The Process of Transcending a Traumatic Childhood

This study used a qualitative, exploratory approach to develop a conceptual framework that illustrated the process by which spirituality emerged as one of the processes that helped people transcend a traumatic childhood. Ninety people described how they survived and transcended the difficult time. This article outlines the stages of the developmental process that culminated for many in a deeper spiritual awareness and how this helped them in their process of transcending. These findings have implications for marriage and family therapists, clergy, and others in the helping professions in providing therapy, resources, and support for those who have experienced difficult childhoods.