Counselling issues in the fostering and adoption of children at risk of HIV infection

The heterosexual nature of the HIV epidemic in Lothian is such that a number (50 to date) of babies have been born to women who have HIV. Some have needed social work services such as Children Centre placement, foster parents or adopters. Since this work began in 1986, our understanding of the transmission and manifestation of HIV infection in children has grown. However, it is still not possible until children reach the age of two to be certain whether or not they have been infected, or what the outlook is for them. Even then there are some further areas of uncertainty. We have developed a programme of preparation, training and support which has enabled a number of families to live with this uncertainly in offering placements to children at risk of HIV infection.     

Women in families: feminist therapy and family systems*

Current family therapy has as its basis the concept of the family as a system. Systems theory has developed a set of explanations that are frequently functional in nature; they are often applied as though they assume that within a system a common goal is worked towards as in biological systems. For example, the concept of homeostasis is used in much the same way as Cannon (1929) used it to describe the mechanisms of stability within biological systems such as body temperature regulation. Here all the components of the system co-operate to maintain body temperature within certain limits. This functional assumption of a common aim amongst components of a system to achieve balance should be compared with a pluralist systems analysis which does not assume such commonality of goals. For example, a pluralist analysis could highlight the conflict inherent amongst different subsystems when one subsystem has more power than the other. At a theoretical level it can be seen that family systems theory has restricted itself to a limited set of assumptions about the explanatory concepts it uses. An analysis of women's psychology which has emerged through the developments of feminist therapy can enrich the theory and practice of family therapists.     

The Interpretation of Anaphoric Noun Phrases Time Course, and Effects of Overspecificity

Two experiments investigated the interpretation of anaphoric noun phrases, and in particular those thatcould only be linked to their antecedents via knowledge-based inferences. The first experiment showed that much of the inferential processing was carried out as the anaphoric noun phrase was read, although there was some indication that inferential processing continued to the end of the clause. The second experiment attempted to establish why anaphoric noun phrases that are more specific than their antecedents cause problems. It showed that the difficulty did not lie in adding the extra information carried by the anaphor to the representation of the referent. Rather, we suggest, putting extra information in the anaphoric noun phrase disrupts the process of linking that noun phrase to its antecedent.     

Spatial cognition and neighborhood use: the relationship in older adults.

Measures of spatial cognition, neighborhood knowledge, and neighborhood use from the research described by Walsh, Krauss, and Regnier (1981) were examined to determine if laboratory tests of spatial cognition were significant predictors of older adults' use of their neighborhoods. The overall results show that laboratory-based measures of spatial cognition and subjects' knowledge of their neighborhoods are both significant predictors of their use of neighborhood goods and services. The ability to learn and remember the location and orientation of objects, when contextual cues were not provided at test, was more predictive of the participants' neighborhood use than either the participants' number of years in the neighborhood or their mobility. Spatial memory as measured by the Educational Testing Service Building Memory task predicted neighborhood knowledge, which was predictive of neighborhood use.     

Amplitude rise time and the perception of the voiceless affricate/fricative distinction

Variation of amplitude envelope at stimulus onset has been considered to be of primary importance for distinguishing voiceless affricates from fricatives (e.g., |t∫| and |∫|). In earlier perceptual experiments, however, variation in amplitude rise time was confounded with variation in frication duration. In two experiments, these variables were independently manipulated, and their individual and combined effects for perception of |t∫| and |∫| were examined. Variation in amplitude rise time alone was not sufficient to signal the voiceless affricate/fricative contrast in these experiments, but variation in frication duration alone was sufficient.     

Property

This paper first reviews material dealing with the question of whether possession and related behaviours are innately determined or secondary. It is considered that the significance of property-related behaviour can best be understood by reference to its ontogenesis, and to the social context, and to the intentions of the actor. Some relevant material is reviewed, and it is proposed that some forms of acquisition and possession of property may be limited to societies with a high degree of role flexibility and mobility and have to do with the building and maintenance of self-respect.     

Intrusive imagery in severe health anxiety: Prevalence, nature and links with memories and maintenance cycles

Increased understanding of the nature and role of intrusive imagery has contributed to the development of effective treatment protocols for some anxiety disorders. However, intrusive imagery in severe health anxiety (hypochondriasis) has been comparatively neglected. Hence, the current study investigates the prevalence, nature and content of intrusive imagery in 55 patients who met DSM-IV-TR (APA, 2000) criteria for the diagnosis of hypochondriasis. A semi-structured interview was used to assess the prevalence, nature and possible role of intrusive imagery in this disorder. Over 78% of participants reported experiencing recurrent, distressing intrusive images, the majority (72%) of which either were a memory of an earlier event or were strongly associated with a memory. The images tended to be future orientated, and were reliably categorised into four themes: i) being told ‘the bad news’ that you have a serious/life threatening-illness (6.9%), ii) suffering from a serious or life-threatening illness (34.5%), iii) death and dying due to illness (22.4%) and iv) impact of own death or serious illness on loved ones (36.2%). Participants reported responding to experiencing intrusive images by engaging in avoidance, checking, reassurance seeking, distraction and rumination. Potential treatment implications and links to maintenance cycles are considered.     

Personality Traits Predict Irrational Beliefs

Irrational beliefs are the focus of many psychological theories, since research has shown that holding irrational beliefs often leads to unhealthy emotions, dysfunctional behaviors, and psychological disturbances. The aim of such therapies as rational emotive behavioral therapy and cognitive behavioral therapy is to dispute irrational beliefs to promote more rational ways of thinking; however they do not take into account individual personality differences. The aim of this study was to determine whether personality traits predict rational and irrational beliefs in a mixed student and clinical sample. It was hypothesized that the domains of the five factor model of personality would predict rational beliefs as well as a range of irrational beliefs. Our findings supported the hypothesis, showing distinct associations between personality traits and each specific irrational belief. Neuroticism predicted rational beliefs as well as six out of the seven types of irrational beliefs measured. Additionally, extraversion predicted rationality and self-downing, openness predicted need for comfort and total irrationality, and conscientiousness predicted need for achievement and demand for fairness. Agreeableness did not predict any type of rational or irrational beliefs. Knowledge of these distinct relationships may increase a clinician’s ability to conceptualize a therapy case and determine the best approach to treatment.     

Trajectories of Depression and Anxiety Symptoms in Adolescent Girls: A Comparison of Parallel Trajectory Approaches

Longitudinal mixture models have become popular in the literature. However, modest attention has been paid to whether these models provide a better fit to the data than growth models. Here, we compared longitudinal mixture models to growth models in the context of changes in depression and anxiety symptoms in a community sample of girls from age 10 to 17. Model comparisons found that the preferred solution was a 5-class parallel process growth mixture model that differed in the course of depression and anxiety symptoms reflecting both ordering of symptoms and qualitative group differences. Comparisons between classes revealed substantive differences on a number of outcomes using this solution. Findings are discussed in the context of clinical assessment and implementation of growth mixture models.