Developing Black Mental Health Provision: Challenging Inequalities in Partnership

This article describes and comments upon the process of developing the Sanctuary project in London, a project that will provide two community-based crisis support services for African and African-Caribbean women and men in mental crisis and distress. This initiative is informed by the extensive research documenting the ways in which mainstream, mental health services fail Black people, and by evidence suggesting that innovations in service provision for Black people are often vulnerable and limited in their impact. In an effort to avoid replicating these problems, considerable emphasis has been given to developing the project in partnership with the main stakeholders—in this instance statutory and Black voluntary sector agencies as well as Black users, carers and community members. Within this context, issues relating to inequalities can be proactively addressed, thereby reducing the risk that they undermine the effectiveness of service provision at a later stage. However, working in partnership can also hinder or delay service developments if discussions between stakeholders become protracted or conflicts unresolved. The author draws on experience gained from this project to identify the potential as well as the difficulties of using a partnership approach to developing effective Black mental health provision. The author's role in the development of these projects has been as representative of one of the partners, the King's Fund Centre for Development.     

Improving Attention in Old Age

The aim of this study was to examine whether a mindful intervention, based on noticing distinctions, could be used to improve the attention of older individuals. Participants were randomly assigned to one of four attention interventions. In the mindfulness groups, participants studying a set of pictures were told to notice either three or five distinctions. In the control groups, participants were either told to pay attention or were not given any directions related to attention before exposure to the set of pictures. The results indicated that those who viewed the stimuli in terms of distinctions were able to remember significantly more pictures than did those in the control groups. Distinction drawing also increased liking for the stimuli. The findings suggest that if older individuals want to increase attention and recall, rather than focus their attention, they may want to find ways to vary their attention.     

John I. Lacey (1915-2004)

John I. Lacey died on June 27, 2004. He was one of the pioneers in the integration of psychology and physiology. He worked to establish concepts that cut across disciplines -- eschewing specialization within a cross-disciplinary area. Although a guiding figure in the founding of the Society for Neuroscience, John remained very active in the American Psychological Association (APA) and the Society for Psychophysiological Research until his professional retirement. John's career was characterized by a focused search for specific mechanisms defining how psychological processes interact with physiological processes. John Lacey has left us a legacy of a scientific approach that focuses directly on the relation between psychological concepts and their realization in physiological function. His creativity and breadth of knowledge contributed mightily to the currently burgeoning fields of neuroscience and behavioral medicine. His approach reminds us to continue to include solid psychological science when venturing into these fields.     

Social perspective coordination in youth with borderline personality pathology

This study investigated social perspective coordination (SPC) in youth (15-24-year-olds) with first-presentation borderline personality disorder (BPD). SPC is defined as the capacity to differentiate and integrate the perspective of the self with the perspectives of others (Selman, Beardslee, Schultz, Krupa, & Podorefsky, 1986). Two groups: patients with full or sub-syndromal BPD (n = 30) and patients with major depressive disorder (MDD; n = 30) completed measures of SPC derived from the interpersonal negotiation strategies (INS) model (Selman et al., 1986). Compared with the MDD group, the BPD group responded to all vignettes with significantly lower SPC scores and SPC was a significant predictor of BPD status over and above self-reported, personality factors (Neuroticism and Agreeableness), attachment disturbance and functional impairment. These findings suggest that disturbances in social cognition are an important characteristic of individuals with BPD pathology. These difficulties extended beyond attachment contexts and were not limited to situations involving BPD-related themes of abandonment, deprivations or mistrust/abuse.     

Blocking by fixed and variable stimuli: Effects of stimulus distribution on blocking

An experiment with rats compared the ability of fixed and variable duration cues to produce blocking. Rats in group B (Blocking) were trained that both fixed- (F) and variable- (V) duration cues would be followed by food delivery. In a subsequent training stage F and V continued to be reinforced, but F was accompanied by X, and V by Y. In the test phase responding to X and Y was examined. Control group O (Overshadowing) received identical treatment, except that F and V were nonreinforced in the first training stage. In group B there was evidence for blocking, but only of X, which had been conditioned in compound with the fixed-duration F; there was no evidence for blocking of Y, which had been conditioned in compound with the variable-duration V. It is suggested that this result may occur because fixed cues reach a higher, more stable asymptote of associative strength than do their variable equivalents.     

A Quasi-Experimental Evaluation of the Effects of Police Body-Worn Cameras (BWCs) on Response-to-Resistance in a Large Metropolitan Police Department

The current study provides a statistically rigorous program evaluation of the impact of police body-worn cameras (BWCs) on police response-to-resistance (e.g., use of force). Results indicate that BWC officers’ mean frequency of response-to-resistance decreased by 8.4% from the 12 months pre-BWC implementation to the 12 months post-BWC implementation compared with a 3.4% increase observed for the matched sample of non-BWC officers. Police departments should consider adopting BWCs alongside other strategies to reduce police response-to-resistance, and to improve transparency and accountability. Study limitations and directions for future research are also discussed.