Behavioral Health Competence: An Exploration of Army Reserve Occupational Therapists

In this study the behavioral health competence of Army Reserve occupational therapists (OTs) was examined by the authors through electronic survey to determine current levels of competence and highlight pre-deployment training needs. Results indicated that while Army Reserve OTs report high levels of behavioral health competence, many questions regarding diagnosis, assessment, evaluation, treatment planning, intervention, and progress arose throughout deployment. OTs often relied on skills from Level II fieldwork education and entry-level didactic education for competency. Perceived competencies may be compromised by curriculum changes in entry-level education, available fieldwork settings, and a lack of adequate training currently available prior to deployment.     

Behavioral Gerontology Research: Where are the Male Participants?

It has been reported that females are underrepresented in several areas of psychological research, which may have significant clinical and theoretical implications. No one has reported, however, whether women are underrepresented in behavioral gerontology research. To make this determination we recorded the gender of participants in behavioral gerontology studies published in six journals. In 129 published studies that included older adults (i.e. people 55 or more years of age) there were a total of 3070 participants, and most (69%) were female. Underrepresentation of men is significant insofar as treatment effects are sometimes gender specific, making it inappropriate to generalize results from females to males (or vice versa). Moreover, underrepresentation of older men suggests that their behavioral needs may not be generating the attention they deserve. Copyright © 2015 John Wiley & Sons, Ltd.     

Which Mental States Are Rationally Evaluable,And Why?

What makes certain mental states subject to evaluation with respect to norms of rationality and justification, and others arational? In this paper, I develop and defend an account that explains why belief is governed by, and so appropriately subject to, evaluation with respect to norms of rationality and justification, one that does justice to the complexity of our evaluative practice in this domain. Then, I sketch out a way of extending the account to explain when and why other kinds of mental states are rationally evaluable. I argue that the cognitive or psychological mechanisms that give rise to and sustain our mental states help to render our mental states appropriate targets for evaluation with respect to norms of rationality and justification when the operation of these mechanisms is responsive, in a specific way, to our judgments about which kinds of considerations constitute rationalizing and justifying reasons for being in states of the relevant sort.     

Eye Remember What Happened: Eye‐Closure Improves Recall of Events but not Face Recognition

Eye‐closure improves event recall. We investigated whether eye‐closure can also facilitate subsequent performance on lineup identification (Experiment 1) and face recognition tasks (Experiment 2). In Experiment 1, participants viewed a theft, recalled the event with eyes open or closed, mentally rehearsed the perpetrator's face with eyes open or closed, and viewed a target‐present or target‐absent lineup. Eye‐closure improved event recall, but did not significantly affect lineup identification accuracy. Experiment 2 employed a face recognition paradigm with high statistical power to permit detection of potentially small effects. Participants viewed 20 faces and were later asked to recognize the faces. Thirty seconds before the recognition task, participants either completed an unrelated distracter task (control condition), or were instructed to think about the face with their eyes open (rehearsal condition) or closed (eye‐closure condition). We found no differences between conditions in discrimination accuracy or response criterion. Potential explanations and practical implications are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

The relation between attention deficit hyperactivity disorder and substance abuse: what role does conduct disorder play?

This paper presents a comprehensive review of the literature examining the relation between childhood attention deficit hyperactivity disorder (ADHD) and substance abuse. A number of researchers have statistically controlled for conduct disorder (CD) when examining the ADHD—substance-abuse relation. These studies have generally found that the ADHD—substance-abuse relation disappears when the high overlap between ADHD and CD is taken into account. On this basis, one may conclude that ADHD is unimportant to substance abuse. However, there is some evidence from both empirical studies and related fields that ADHD and CD may interact to afford a higher risk for substance abuse than may either disorder alone. Thus, ADHD appears to be important to substance abuse in that it interacts with CD to increase the risk. This paper calls for more research that directly examines the joint effects of ADHD and CD on risk for substance abuse. There is also a need for more research that examines gender differences, and mechanisms of the relations among ADHD, CD, and substance abuse.     

Experiences of Women Who Underwent Predictive BRCA 1/2 Mutation Testing Before the Age of 30

This qualitative interview study focuses on the experiences of a sample of British female BRCA 1/2 carriers who had predictive testing before the age of 30, which is the minimum age for breast screening in the UK. Following appropriate informed consent procedures participants were recruited through the Cancer Genetics Service for Wales. Semi-structured interviews were conducted face-to-face with seven participants, transcribed in full and analyzed using thematic analysis. The motives for testing and perceived advantages described by participants were similar to those identified in previous studies with older participants, such as increased awareness and knowledge and feeling more in control. However some of the perceived disadvantages were specific to younger women, including feeling pressured to make important life decisions earlier than they would have liked, such as about family planning and risk reducing surgery. Participants also reported feeling abandoned or forgotten because of lack of ongoing clinical contact, or feeling “stuck waiting” for screening to begin. However, none felt that these disadvantages were a reason to regret having testing. Findings in this small study suggest that having BRCA 1/2 predictive testing can have positive outcomes for young women even though they may be unable to access interventions such as breast screening. However it may be helpful to encourage young women during pre-test counseling to explore the decisions and choices they may face. These young women could benefit from ongoing support and follow up and increased interaction with healthcare professionals.