A call for integrating a mental health perspective into systems of care for abused and neglected infants and young children

A system of care for abused and neglected infants and young children should adopt a comprehensive perspective, with mental health considerations systematically incorporated into policies and decisions affecting children and their families. Children age birth to 5 years have disproportionately high rates of maltreatment, with long-term consequences for their mental and physical health. Research on normal development and developmental psychopathology has shown that early development unfolds in an ecology of transactional influences among biological, interpersonal, and environmental domains. Psychologists should collaborate with other early intervention disciplines to create systems of care based on an ecological-transactional model of development that includes early mental health principles in order to serve the needs of these young children. Didactic courses, practicums, and internships in infant and early childhood mental health should become integral components of undergraduate and graduate curricula in psychology in order to build capacity to achieve this goal. Recommendations are offered for systemic change by integrating infant and early childhood mental health principles into existing systems of care for young children and their families.     

Gifts,talismans and tokens in analysis: symbolic enactments or sinister acts?

Analysis is nuanced with many non-verbal cues and interactions. This is vividly illustrated when gifts are presented to the analyst. Their physical presence transcends the symbolic frame of analysis because, although their meaning may be metaphorical, their presence is real. Unlike other material objects and pictures, the gift may seem to invite the analyst to receive it personally. It may apparently demand some form of action. A gift may be consciously given as a token, or it may be magically invested as a talisman. On the surface, it might appear to be an expression of love; it may be a communication of a wish for acceptance; but it may have more 'sinister', unconscious intent. It may embody the wish to expel unwanted affect, ward off evil or control the analyst. Therefore disposal, that is the resolution and settling of the object, is significant. The case with which this paper is illustrated traces the meaning of a series of gifts in a single analysis. It is hoped that this will enhance a wider understanding of this common analytic phenomenon.     

Influences of APOE ε4 and expertise on performance of older pilots

Little is known about how APOE ε4-related differences in cognitive performance translate to real-life performance, where training and experience may help to sustain performance. We investigated the influences of APOE ε4 status, expertise (FAA pilot proficiency ratings), and their interaction on longitudinal flight simulator performance. Over a 2-year period, 139 pilots aged 42-69 years were tested annually. APOE ε4 carriers had lower memory performance than noncarriers (p = .019). APOE interacted with Expertise (p = .036), such that the beneficial influence of expertise (p = .013) on longitudinal flight simulator performance was more pronounced for ε4 carriers. Results suggest that relevant training and activity may help sustain middle-aged and older adults' real-world performance, especially among APOE ε4 carriers.     

Rewarding performance feedback alters reported time of action

Past studies have shown that the perceived time of actions is retrospectively influenced by post-action events. The current study examined whether rewarding performance feedback (even when false) altered the reported time of action. In Experiment 1, participants performed a speeded button press task and received monetary reward for a presumed “fast,” or a monetary punishment for a presumed “slow” response. Rewarded trials resulted in the false perception that the response action occurred earlier than punished trials. In Experiments 2 and 3, the need for a speeded response and reward were independently manipulated in order to decouple the cognitive and reward components in the feedback signal. When tested independently, neither variable affected the judged time of action. We conclude that meaningful feedback (fast or slow) is only used when made salient by reward, to modulate the judged time of an action.     

Psychoanalytically Based Treatment for Traumatized Children and Families

A psychoanalytic orientation provides an important perspective for developing community-based prevention and intervention programs for traumatized children and their families. In New Orleans, the Violence Intervention Program for Children and Families is designed to reduce the risk of exposure to violence, mental health problems following exposure, interference with normal developmental progression, academic performance, family functioning, onset of behavioral and conduct disturbances, later psychopathology, and subsequent violence. The program includes an unusual focus on work with police officers as first responders to increase their sensitivity and responsiveness to traumatized children. A psychoanalytic perspective helps a therapist or interventionist understand a person's strengths and weaknesses, frustrations, and conflicts as well as those within a chaotic environment and social situation. The psychoanalytic approach allows for more effective therapeutic approaches as well as more flexible problem-solving strategies.     

Alternative Methodologies in Research Literature Review: Links Between Clinical Work and MFT Effectiveness

Traditionally, "good outcome research" has referred to laboratory-based, controlled studies that report the efficacy of a given treatment on a specific population. Although useful and needed in the struggle to establish MFTs as accepted mental health service providers, this type of research does not address whether MFT is effective in "real world" settings. In order to highlight the clinical and professional relevance of existing effectiveness research, this article reviews 15 years of clinical research in three major family therapy journals. The results suggest that 1) MFT effectiveness is under-represented in major review articles, 2) clinicians can use a variety of methodologies to establish the effectiveness of their work, and 3) more research is needed that investigates how and why MFT works in "real world" settings. Implications for practice and future research are discussed.     

When Implicitly and Explicitly Measured Racial Attitudes Align: The Roles of Social Desirability and Thoughtful Responding

This set of studies compares the effects of choice among partners versus assignment to partner in an outcome-dependent context. In both studies, White participants were randomly assigned to 1 of 3 conditions. In the first condition participants were assigned to a White partner, in a second condition they were assigned to a Black partner, and in a third condition they were given a choice between a Black and a White partner. Regardless of condition, all participants read essentially equivalent information about the targets. Results showed that participants given a choice generally preferred the White partner (especially if they held negative attitudes toward Blacks in general) and, rated her more favorably, whereas those assigned to a partner tended to rate their assigned partner more favorably regardless of race. Those given a choice of partner also construed their chosen partner more positively and rated her as more similar to themselves. In contrast, however, those assigned to a partner tended not to construe their partners in these ways. Results were discussed in terms of motivated reasoning theory.     

Attitudes towards cancer as a function of experience with the disease: A test of three models

Abstract

The present study develops and tests three models that can account for the relationship between cancer attitudes and experience with the disease. Individuals were classified according to the extent of their experience with cancer: personal experience, familial experience and minimal experience. In three studies, each using a different sample and different method of attitude measurement, it was found that those with personal cancer experience held the most positive attitudes towards cancer, while those with familial cancer experience held the most negative attitudes. These findings are consistent with the predictions of the proposed dual process model. Results are discussed in terms of the importance of understanding the impact that cancer attitudes have on the physical and emotional management of the disease.     

Thermal aging effects on magnetisation reversals in a pre-deformed Fe-1wt%Cu alloy studied via first-order reversal curves

Abstract

The ability of amorphous metallic alloys to resist irradiation-induced structural changes will depend on the composition of the alloy and the particle fluences used. In this paper we show that a fast neutron fluence of 10²⁰ cm^?2 can induce local crystallization in a refractory NiTi glass. For specimens irradiated with lower fluences, the mode of crystallization of the amorphous matrix is changed from that of a primary process to a eutectic mechanism.     

The impact of psychological therapies on violent behaviour in clinical and forensic settings: A systematic review

Violent behaviour is a serious problem in terms of the impact on victims, quality of life for perpetrators, and the financial burden on the prison service, the health sector, and society generally. However, to date there is not a general consensus as to how this can be managed other than removing the perpetrators from communities. Incarceration can be on an indeterminate basis or for a short period of time before reintegration into society, depending on the gravity of the offence. This systematic review critically examines the existing research literature on psychotherapeutic interventions for violent behaviour in forensic and clinical populations. Five databases were searched, selected journals were hand searched, and authors of identified papers were contacted in efforts to obtain relevant unpublished work. The first author and a colleague independently evaluated the eligibility of all studies identified, abstracted data, and assessed study quality. The overall findings provide tentative support for the utility of psychotherapeutic interventions in reducing aggressive behaviour in forensic and psychiatric patients with a history of violent behaviour.