Group therapy for refugees and torture survivors: treatment model innovations

The paper discusses varieties of group therapies with refugees and torture survivors and the logic behind enhancing traditional group therapies to fit the unique experiences of refugees and torture survivors. It discusses some lessons learned from practice and from empirical research and some recommended adaptations. Finally, it discusses the Center for Torture and Trauma Survivors' therapy group model for torture survivors and describes two of its variants: The Bashal group for African and Somali women and the Bhutanese multi-family therapy group. Group therapies, in this model, extend to community healing. One of the essential and innovative features of the model is that it focuses not only on treating individual psychopathology but also extends to community healing by promoting the development of social clubs and organizations that promote the values and culture of the graduates of the therapy group and the continuation of social support. New graduates from the group join the club and become part of the social advocacy process and of group and community support and healing. This model adds an ecological dimension to the traditional group therapy.     

COMPUTER‐ASSISTED MEASUREMENT OF WOUND SIZE ASSOCIATED WITH SELF‐INJURIOUS BEHAVIOR

We evaluated an inexpensive, efficient, and noninvasive technique for measuring tissue damage produced by self‐injurious behavior (SIB). The technique involved computerized measurement of wound surface area (WSA) based on digital photographs. In Study 1, we compared photographic measurement to a more commonly used procedure, transparency measurement, in estimating WSA of 20 wound models. Results showed that both methods were reliable and that there was a high degree of correspondence between the 2 sets of measures. In Study 2, we compared photographic WSA measures to direct‐observation measures in documenting changes over time in the SIB exhibited by a woman with Prader‐Willi syndrome. Results showed that increases and decreases in observed SIB during baseline and treatment conditions corresponded with changes in WSA measures, indicating that the computer‐assisted photographic technique may be useful as a corroborative measure or as a primary measure when direct observation of SIB is not feasible.     

Race/ethnicity and mental health in the first decade of the 21st century

Recent empirical studies on mental health generally report racial/ ethnic differences in depression rates but typically do not control for potential confounding by sample contextual variations in historical epoch, geographical location, and social demography. An empirical study of race/ethnicity differences in psychological distress is reported as an attempt to control these contexts by using a sample that is homogeneous in age, historical epoch, geography, and social demography (954 youth ages 18-19 living in a single, large urban community). No mean differences in psychological distress were observed among four racial/ethnic groups: Asians, African Americans, Latinos, and non-Hispanic Whites. A second analysis compared 17 different racial/ethnic groups defined in terms of family national origin. No differences in psychological distress were found among these groups. The findings are consistent with the view that race/ethnicity itself is not related to disparities in mental health.     

Everettian quantum mechanics without branching time

In this paper I assess the prospects for combining contemporary Everettian quantum mechanics (EQM) with branching-time semantics in the tradition of Kripke, Prior, Thomason and Belnap. I begin by outlining the salient features of ??decoherence-based?? EQM, and of the ??consistent histories?? formalism that is particularly apt for conceptual discussions in EQM. This formalism permits of both ??branching worlds?? and ??parallel worlds?? interpretations; the metaphysics of EQM is in this sense underdetermined by the physics. A prominent argument due to Lewis (On the Plurality of Worlds, 1986) supports the non-branching interpretation. Belnap et?al. (Facing the Future: Agents and Choices in Our Indeterministic World, 2001) refer to Lewis?? argument as the ??Assertion problem??, and propose a pragmatic response to it. I argue that their response is unattractively ad hoc and complex, and that it prevents an Everettian who adopts branching-time semantics from making clear sense of objective probability. The upshot is that Everettians are better off without branching-time semantics. I conclude by discussing and rejecting an alternative possible motivation for branching time.     

Using a Training-of-Trainers Approach and Proactive Technical Assistance to Bring Evidence Based Programs to Scale: An Operationalization of the Interactive Systems Framework’s Support System

Bringing evidence based programs to scale was a major initial impetus for the development of the Interactive Systems Framework for Dissemination and Implementation (ISF). The ISF demonstrates the importance of the Support System in facilitating the uptake of innovations in the community (the Delivery System). Two strategies that members of the Support System commonly use are training‐of‐trainers (TOT) models and technical assistance (TA). In this article, we focus on the role of the Support System in bringing evidence‐based programs (EBPs) to scale in the Delivery System using a case example, with special attention on two strategies employed by Support Systems—training‐of‐trainers (TOT) and proactive technical assistance. We then report on findings from a case example from the Promoting Science Based Approaches to Teen Pregnancy Prevention project that furthers our conceptualization of these strategies and the evidence base for them. We also report on the limitations in the literature regarding research on TOTs and proactive TA and provide suggestions for future research on TOTs and proactive TA that will enhance the science and practice of support in the ISF. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Grief experiences and expectance of suicide

Suicide is generally viewed as an unexpected cause of death. However, some suicides might be expected to a certain extent, which needs to be further studied. The relationships between expecting suicide, feeling understanding for the suicide, and later grief experiences were explored. In total, 142 bereaved participants completed the Grief Experience Questionnaire and additional measurements on expectance and understanding. Results supported the prediction of a link between expecting suicide and understanding the suicide. Higher expectance and understanding were related to less searching for explanation and preoccupation with the suicide. There was no direct association with other grief experiences. We conclude that more attention should be brought to the relation between expecting the suicide of a loved one and later grief responses in research and in clinical practice.     

A Film Unfinished. Directed by Yael Heronski

Journal of Religion and Health -     

Community perception: the ability to assess the safety of unfamiliar neighborhoods and respond adaptively

When entering an unfamiliar neighborhood, adaptive social decisions are dependent on an accurate assessment of the local safety. Studies of cities have shown that the maintenance of physical structures is correlated with the strength of ties between neighbors, which in turn is responsible for the crime level. Thus it should be theoretically possible to intuit neighborhood safety through the physical structures alone. Here we test whether people have this capacity for judging urban neighborhoods with 3 studies in which individuals observed photographs of unfamiliar neighborhoods in Binghamton, New York. Each study was facilitated by data collected during previous studies performed by the Binghamton Neighborhood Project studies. In the 1st study, observer ratings on neighborhood social quality agreed highly with reports by those living there. In the 2nd, a separate sample of participants played an economic game with adolescent residents from pictured neighborhoods. Players exhibited a lower level of trust toward adolescents from neighborhoods whose residents report lesser social quality. In the 3rd study, the maintenance of physical structures and the presence of businesses explained nearly all variation between neighborhoods in observer ratings (89%), whereas the specific features influencing play in Study 2 remained inconclusive. These and other results suggest that people use the general upkeep of physical structures when making wholesale judgments of neighborhoods, reflecting a adaptation for group living that has strong implications for the role of upkeep in urban environments.     

Selective responses to threat: the roles of race and gender in decisions to shoot

Extensive work over the past decade has shown that race can bias perceptions and responses to threat. However, the previous work focused almost exclusively on responses to men and overlooked how gender and the interaction of race and gender influence decisions regarding use of force. In the current article, two studies examine the implications of gender (Study 1) and both race and gender (Study 2) for decisions to shoot criminal suspects on a computerized simulation. In Study 1, participants were biased away from shooting White female suspects compared to White male suspects. In Study 2, White participants showed a pronounced bias toward shooting Black men but a bias away from shooting Black women and White ingroup members, providing evidence of a behavioral threat-related response specific to outgroup men stereotypically associated with aggression. The theoretical and practical implications of these findings are discussed.     

Birds of a feather sit together: physical similarity predicts seating choice

Across four studies, people sat (or reported they would sit) closer to physically similar others. Study 1 revealed significant aggregation in seating patterns on two easily observed characteristics: glasses wearing and sex. Study 2 replicated this finding with a wider variety of physical traits: race, sex, glasses wearing, hair length, and hair color. The overall tendency for people to sit beside physically similar others remained significant when controlling for sex and race, suggesting people aggregate on physical dimensions other than broad social categories. Study 3 conceptually replicated these results in a laboratory setting. The more physically similar participants were to a confederate, the closer they sat before an anticipated interaction when controlling for sex, race, and attractiveness similarity. In Study 4, overall physical similarity and glasses wearing similarity predicted self-reported seating distance. These effects were mediated by perceived attitudinal similarity. Liking and inferred acceptance also received support as mediators for glasses wearing similarity.