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81.
Health disparities for sexual and gender minority (SGM) populations are well documented and manifest systemically. Mental health professionals have begun working to address these disparities, demonstrating efforts to more effectively define and increase competency in SGM health and by adapting existing evidence-based interventions to more effectively target the unique needs of the SGM community. While such efforts are necessary, they inadequately address the systemic nature of the problem, placing an unnecessary burden on SGM individuals to tolerate systemic discrimination, injustice, and inequality. The current special series attempts to address this gap by featuring papers that describe multilevel (e.g., micro, mezzo, macro) intervention approaches to reduce SGM health disparities. We argue that advocacy is inherent to the work, and we hope that this special series will empower mental health professionals to engage in multilevel, systemic interventions as an ethical imperative. 相似文献
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Inge-Marie Eigsti Jillian Schuh Einar Mencl Robert T. Schultz Rhea Paul 《Child neuropsychology》2013,19(6):600-617
This study examines the processing of prosodic cues to linguistic structure and to affect, drawing on fMRI and behavioral data from 16 high-functioning adolescents with autism spectrum disorders (ASD) and 11 typically developing controls. Stimuli were carefully matched on pitch, intensity, and duration, while varying systematically in conditions of affective prosody (angry versus neutral speech) and grammatical prosody (questions versus statement). To avoid conscious attention to prosody, which normalizes responses in young people with ASD, the implicit comprehension task directed attention to semantic aspects of the stimuli. Results showed that when perceiving prosodic cues, both affective and grammatical, activation of neural regions was more generalized in ASD than in typical development, and areas recruited reflect heightened reliance on cognitive control, reading of intentions, attentional management, and visualization. This broader recruitment of executive and “mind-reading” brain areas for a relative simple language-processing task may be interpreted to suggest that speakers with high-functioning autism (HFA) have developed less automaticity in language processing and may also suggest that “mind-reading” or theory of mind deficits are intricately bound up in language processing. Data provide support for both a right-lateralized as well as a bilateral model of prosodic processing in typical individuals, depending upon the function of the prosodic information. 相似文献
83.
The neuropathological correlates of suicide in older persons have received little research attention. Our recent study of elderly suicide victims from an Australian forensic medicine department (n = 143), unlike a previous case-control study, did not find an increased prevalence of Alzheimer's disease (AD) in older persons who committed suicide despite a history of dementia in 6.3%. Both studies were limited to the examination of AD-related pathology by the availability of tissue. We present clinicopathological data on three cases from our study for whom autopsy findings were available. These cases included: a community-dwelling male in his early eighties with dementia who was found to have multiple cortical and striatal lacunes and glial scars, small vessel cerebrovascular disease (SVD) and AD-related pathology; a community-dwelling male in his mid-seventies with depression and loss of concentration, with brainstem predominant Lewy body disease (LBD) and AD-related pathology; and a female nursing home resident in her nineties with a history of stroke and prior suicide attempts who was found to have infarcts and SVD in frontal regions. Neuropathological findings in elderly suicide victims may include multiple neurodegenerative pathologies. The burden and distribution of neurodegenerative diseases apart from AD, including SVD and LBD, should be assessed as possible pathophysiological factors contributing to late life suicide. 相似文献
84.
As Black, Indigenous, and people of color (BIPOC) endure losses throughout the life span, their grief can impede daily functioning and interactions. This is especially true for older individuals (age 65 and over) who have a history of losses and traumatic experiences. We describe BIPOC's common losses, along with practical implications for integrating grief counseling and trauma-informed principles. 相似文献
85.
Jillian M. Rung Charles C. J. Frye William B. DeHart Amy L. Odum 《Journal of the experimental analysis of behavior》2019,112(3):254-272
Most delay discounting studies use tasks that arrange delay progressions in which the spacing between consecutive delays becomes progressively larger. To date, little research has examined delay discounting using other progressions. The present study assessed whether the form or steepness of discounting varied across different delay progressions. Human participants completed three discounting tasks with delay progressions that varied in the time between consecutive delays: a standard (increasing duration between delays), linear (equal duration between delays), and an inverse progression (decreasing duration between delays). Steepness of discounting was generally reduced, and remained so, following experience with the inverse progression. Effects of the delay progression on the best fitting equation were order‐dependent. Overall the hyperbola model provided better fits, but the exponential model performed better with data from the inverse progression. Regardless, differences in which model fit best were often small. The finding that the best fitting model was dependent, in some cases, on the delay progression suggests that a single quantitative model of discounting may not be applicable to describe discounting across all procedural contexts. Ultimately, changes in steepness of discounting following experience with the inverse progression appeared similar to anchoring effects, whose mechanism will require further study to delineate. 相似文献
86.
John G. Borgen F. Charles Mace Brenna M. Cavanaugh Kenneth Shamlian Keith R. Lit Jillian B. Wilson Stephanie L. Trauschke 《Journal of applied behavior analysis》2017,50(4):830-842
We evaluated a unique procedure to establish compliance with instructions in four young children diagnosed with autism spectrum disorder (ASD) who had low levels of compliance. Our procedure included methods to establish a novel therapist as a source of positive reinforcement, reliably evoke orienting responses to the therapist, increase the number of exposures to instruction–compliance–reinforcer contingencies, and minimize the number of exposures to instruction–noncompliance–no reinforcer contingencies. We further alternated between instructions with a high probability of compliance (high‐p instructions) with instructions that had a prior low probability of compliance (low‐p instructions) as soon as low‐p instructions lost stimulus control. The intervention is discussed in relation to the conditions necessary for the development of stimulus control and as an example of a variation of translational research. 相似文献
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In child sexual abuse investigations, forensic interviewers within the Child Advocacy Center (CAC) model serve as neutral fact‐finders for a team of professionals tasked with investigating and intervening in cases of alleged child sexual abuse. Although empirical evidence has led to the development of best‐practice techniques and protocols, there is currently no universally adopted protocol in the field. The present research gathered detailed information from a national sample of real‐world child forensic interviewers about their training and current practices, with a specific focus on assessing the information interviewers typically review prior to conducting child forensic interviews. Most notably, the survey revealed a lack of uniformity in interviewing protocols adopted and pre‐interview preparation practices. Although rare, some interviewers reported using an allegation‐blind interviewing approach, highlighting the need for future research on this and other under‐studied techniques. Copyright © 2017 John Wiley & Sons, Ltd. 相似文献
89.
Joseph N. Ricciardi Allison Weiss Rothschild Natalie M. Driscoll Jillian Crawley Joshua Wanganga David A. Fofanah James K. Luiselli 《Behavioral Interventions》2020,35(3):458-466
Care providers within human services organizations have many job responsibilities and performance expectations. In the present study, we conducted social validity assessment with 78 care providers concerning their attitudes and opinions about behavior data recording with adults who had intellectual disability and lived in community group homes. Specifically, the care providers responded to a written questionnaire that inquired about the practicality, training/supervision, and value of behavior data recording in the context of service delivery. Results indicated generally high approval of behavior data recording practices, purposes, and approaches to training. We discuss implications of these findings for implementing data recording by care providers and the contribution of social validity assessment to training and performance management within human services organizations. 相似文献
90.
McKay D Piacentini J Greisberg S Graae F Jaffer M Miller J Neziroglu F Yaryura-Tobias JA 《心理评价》2003,15(4):578-581
The Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) is one of the most popular measures of symptom severity for childhood obsessive-compulsive disorder (OCD). This study describes the factor structure of the CY-BOCS. A total of 233 children diagnosed with OCD were evaluated with the CY-BOCS. The results indicated that 2 alternate 2-factor solutions (obsessions and compulsions; severity and disturbance) fit the data set best. The results also suggested that items assessing resistance to obsessions and compulsions provide unreliable evaluations of these symptoms in children with OCD. Recommendations for modifications to the CY-BOCS as well as clinical applications and for future research with the measure are made. 相似文献