Evidence-Based Strategies Improve Assessment of Pediatric Bipolar Disorder by Community Practitioners

The misdiagnosis of pediatric bipolar disorder (PBD) has become a major public health concern. Would available evidence-based assessment (EBA) strategies help improve diagnostic accuracy, and are clinicians willing to consider these strategies in practice? The purpose of the present study was to document the extent to which using an EBA decision tool--a probability nomogram--improves the interpretation of family history and test data by clinicians and to examine the acceptability of the nomogram technique to clinicians. Over 600 clinicians across the US and Canada attending continuing education seminars were trained to use the nomogram. Participants estimated the probability that a youth in a clinical vignette had bipolar disorder, first using clinical judgment and then using the nomogram. Brief training of clinicians (less than 30 minutes) in using the nomogram for assessing PBD improved diagnostic accuracy, consistency, and agreement. The majority of clinicians endorsed using the nomogram in practice. EBA decision aids, such as the nomogram, may lead to a significant decrease in overdiagnosis and help clinicians detect true cases of PBD.     

In Concert and Alone: Divorce and Congregational Experience

Sociologists have paid little attention to the experience of divorce in religious congregations. Numerous quantitative studies suggest that religion can provide health and wellness during such life disruptions, but we know little about the social and individual processes that might foster these benefits. I address this gap in the literature drawing from data collected in a four‐year ethnographic study of divorce and ending life partnerships across six religious traditions. I analyze the experiences of 41 individuals who ended life partnerships while active in their congregations. Despite intense points of communal connection through ritual, respondents named largely private strategies for settling heightened emotion, physical and psychological pain, and creating a new self. Permeating their communal experiences was a marked sense of aloneness, resulting from individual shame and congregational silence, as well as their understanding of divorce‐work as ultimately private self‐work.     

Empowering communities through social media

Multicultural competence is a cornerstone of modern day counseling psychology. The new multicultural and social justice competencies highlight the integration of social justice and multicultural frameworks. These competencies include community engagement through social justice advocacy. Social media may be one way to advocate for social justice for underserved or marginalized communities. Social media networks impact in the Arab Spring and the 2016 United States (U.S.) Presidential election suggests that people may utilize social media to inform and act on their social or political views. Throughout this article, we will explore the benefits of social media for raising critical consciousness, as defined by Freire, and examine how counseling psychologists can utilize social media to engage in social justice advocacy in diverse communities.     

Going beyond the evidence: abstract laws and preschoolers' responses to anomalous data

Given minimal evidence about novel objects, children might learn only relationships among the specific entities, or they might make a more abstract inference, positing classes of entities and the relations that hold among those classes. Here we show that preschoolers (mean: 57 months) can use sparse data about perceptually unique objects to infer abstract physical causal laws. These newly inferred abstract laws were robust to potentially anomalous evidence; in the face of apparent counter-evidence, children (correctly) posited the existence of an unobserved object rather than revise the abstract laws. This suggests that children's ability to learn robust, abstract principles does not depend on extensive prior experience but can occur rapidly, on-line, and in tandem with inferences about specific relations.     

Intimate Diversity: The Presentation of Multiculturalism and Multiracialism in a High-Boundary Religious Movement

Researchers studying the small yet significant number (8–10 percent) of U.S. multiracial/ethnic congregations have argued that formal organizational commitment, the development of inclusive worship styles, and the formation of small racially/ethnically mixed groups appear to be significant factors in constructing and maintaining congregational diversity. Drawing from four years of field studies in a racially and ethnically diverse congregation of the International Churches of Christ (ICOC), I address a process about which we know relatively little: the construction and maintenance of multiracial/ethnic networks in high-boundary religious movements. I demonstrate how this type of group is particularly able to present a valuable and rising commodity in our U.S. religious economy, what I have named intimate diversity—the enactment and/or narration of close and caring relationships among a racially and ethnically diverse membership. My comparative analysis here of the ICOC, the People's Temple, and contemporary U.S. Bahá'í communities suggests that membership in such groups offers members greater exposure and involvement with people from different backgrounds, but the terms of involvement in the organization seriously limit and define the manner in which individuals can experience diversity. Furthermore, group commitment to present a face of intimate diversity and strict mechanisms of social control hinder the abilities of the leadership and members to clearly recognize contradictions in group racial/ethnic ideologies and practice.     

Conflicts of interest: The implications of roadside advertising for driver attention

There is growing concern that roadside advertising presents a real risk to driving safety, with conservative estimates putting external distractors responsible for up to 10% of all road traffic accidents. In this report, we present a simulator study quantifying the effects of billboards on driver attention, mental workload and performance in Urban, Motorway and Rural environments. The results demonstrate that roadside advertising has clear adverse effects on lateral control and driver attention, in terms of mental workload. Whilst the methodological limitations of the study are acknowledged, the overriding conclusion is that prudence should be exercised when authorising or placing roadside advertising. The findings are discussed with respect to governmental policy and guidelines.     

Coping, routine activities, and recovery from acute distress among emergency medical personnel after a mass shooting incident

Emergency medical workers’ distress and recovery patterns after a mass shooting were related to their coping behaviors and routine daily activities. This longitudinal repeated measures study assessed 31 emergency medical workers’ psychological and psychosomatic symptoms self-rated for the weeks before, those just after, and one full month after the shooting. Coping behaviors and time in creative activities were related to increased acute distress; recovery was related to more time in constructive activities. Thinking about the incident was related to higher acute distress but better recovery on several SCL9OR scales. Exercise predicted recovery on Obsessive-Compulsive and Hostility scales. Studies evaluating emergency workers’ reactions to and recovery from critical incidents should use repeated measures designs, should assess short-term recovery, and should distinguish among symptoms.     

Coping, routine activities, and recovery from acute distress among emergency medical personnel after a mass shooting incident

Emergency medical workers’ distress and recovery patterns after a mass shooting were related to their coping behaviors and routine daily activities. This longitudinal repeated measures study assessed 31 emergency medical workers’ psychological and psychosomatic symptoms self-rated for the weeks before, those just after, and one full month after the shooting. Coping behaviors and time in creative activities were related to increased acute distress; recovery was related to more time in constructive activities. Thinking about the incident was related to higher acute distress but better recovery on several SCL9OR scales. Exercise predicted recovery on Obsessive-Compulsive and Hostility scales. Studies evaluating emergency workers’ reactions to and recovery from critical incidents should use repeated measures designs, should assess short-term recovery, and should distinguish among symptoms.