The Significance of Strategic Community Engagement in Recruiting African American Youth & Families for Clinical Research

We present baseline data and describe the utility of a community engaged, culturally relevant approach to recruiting African American youth and families for phase I of The AAKOMA Project. The AAKOMA Project is a two phase treatment development study to improve mental health service use among depressed African American youth. We completed capacity building activities using a community engaged framework and Community Based Participatory Research (CBPR) methods. Replicating the (Alvarez et al. in West J Nurs Res 28:541–560, 2006) model of systematic community outreach enhanced our ability to effectively recruit partners and evaluate outreach efforts as demonstrated by our Recruitment Success Factor (RSF—i.e. ‘an adjusted ratio of eligible participant yield to contacts made’). Using the chi-square goodness-of-fit statistic; we compared the RSFs of the various modes of participant study entry to determine which was most effective. Our target enrollment was 56 persons. We recruited 130 and enrolled 57. Our baseline data is drawn from a gender balanced and socioeconomically diverse sample who participated in youth focus groups and individual interviews and adult focus groups. We identified 3 study participant referral modes (self-referral, provider referral and participant-to-participant referral) with multiple sources per mode and an overall RSF of 0.41. Study findings support the effectiveness of assiduous and systematic community interaction, reflective review of recruitment efforts and the importance of disseminating information on strategic recruitment processes for engaging diverse populations in clinical research.     

Neuropsychological profile following suicide attempt by hanging: two adolescent case reports

Hippocampal damage and amnesia following hypoxia and ischemia are described in the few published adult cases of suicide attempt by hanging. However, a recent review (Caine &; Watson, 2000 Caine, D. and Watson, J. D. 2000. Neuropsychological and neuropathological sequelae of cerebral anoxia: A critical review. Journal of the International Neuropsychology Society, 6: 86–99. [CROSSREF][Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) suggests a variable pattern of brain involvement and neuropsychological impairments following hypoxic-ischemic injury that may or may not involve amnesia. To help clarify the impact of hanging on the developing brain, we examined neuropsychological functioning in two adolescents who survived suicide attempt by hanging. Despite differences in Glasgow Coma Scale (GCS), coma duration, and structural imaging findings, both patients had similar IQ (VIQ > PIQ) and presented with various combinations of deficits in expressive/receptive language, visual-constructional and perceptual ability, processing speed, attention, working memory, and/or executive functioning shortly after injury. In spite of their similarities, only one of the patients presented with classic amnesia symptoms in his early recovery. This patient was evaluated 1 year postinjury, and persistent deficits in processing speed and memory encoding were noted. Several hanging-related variables, including longer estimated hanging duration, greater weight, and severe airway edema, were thought to place this patient at increased risk for cognitive deficits. Clinical MRI scans of this patient obtained 6 weeks postinjury revealed mild volume loss as well as abnormalities in bilateral superior cortex. However, CT and MRI scans obtained throughout early recovery did not reveal overt evidence of injury to specific memory-related structures. Comprehensive neuropsychological evaluation of all adolescent survivors of suicide attempt by hanging is recommended, as a variety of postacute cognitive deficits were observed in these patients despite relatively short (≤ 15 minutes) estimated hanging durations.     

Representation of mental illness in Christian self-help bestsellers

The present study examined messages about mental illness in 14 contemporary Christian self-help bestsellers. Content analysis revealed that most texts focused upon depression. Categories of textual units included Underlying Assumptions Regarding Depression, Representations of Depression, Roots/Causes/Reasons for Depression, and Christian Responses to Depression. Demonic influence was the most frequently cited reason for depression. Other reasons included negative cognitions, failure as a Christian, and negative emotions. Christian responses to depression included trusting God, religious activity, and individual willpower. Discussion of these results focused upon the problematic impact of these messages upon individuals with depression, and upon suggestions for reducing mental illness stigma in religious communities.     

Personality,Demographic, and Intellectual Variables Associated with Readiness for Discharge from Psychiatric Treatment

This study examined the relationship between staff rated discharge readiness and patient personality, demographic, and intellectual variables. Chi square and t test analyses were performed on data of 88 male and female adult patients of a short-term residential psychiatric treatment program. Patient diagnosis, trait anxiety level, marital status, age, and abstract intelligence scores assessed at admission were found to be significantly associated with staff ratings of patients’ readiness for discharge following six weeks of treatment. Findings were discussed in terms of prior process and outcome literature and implications for future research.     

Effects of mindful eating training on delay and probability discounting for food and money in obese and healthy-weight individuals

Obese individuals tend to behave more impulsively than healthy weight individuals across a variety of measures, but it is unclear whether this pattern can be altered. The present study examined the effects of a mindful eating behavioral strategy on impulsive and risky choice patterns for hypothetical food and money. In Experiment 1, 304 participants completed computerized delay and probability discounting tasks for food-related and monetary outcomes. High percent body fat (PBF) predicted more impulsive choice for food, but not small-value money, replicating previous work. In Experiment 2, 102 randomly selected participants from Experiment 1 were assigned to participate in a 50-min workshop on mindful eating or to watch an educational video. They then completed the discounting tasks again. Participants who completed the mindful eating session showed more self-controlled and less risk-averse discounting patterns for food compared to baseline; those in the control condition discounted similarly to baseline rates. There were no changes in discounting for money for either group, suggesting stimulus specificity for food for the mindful eating condition.     

Freely Chosen Index Finger Tapping Frequency Is Increased in Repeated Bouts of Tapping

Healthy individuals (n = 40) performed index finger tapping at freely chosen frequency during repeated bouts and before and after near-maximal muscle action consisting of 3 intense flexions of the index finger metacarpal phalangeal joint. One experiment showed, unexpectedly, that a bout of tapping increased the tapping frequency in the subsequent bout. Thus, a cumulating increase of 8.2 ± 5.4% (p < .001) occurred across 4 bouts, which were all separated by 10 min rest periods. Follow-up experiments revealed that tapping frequency was still increased in consecutive bouts when rest periods were extended to 20 min. Besides, near-maximal muscle activation, followed by 5 min rest, did not affect the tapping frequency. In conclusion, freely chosen tapping frequency was increased in repeated bouts of tapping, which were separated by 10–20 min rest periods. The observed phenomenon is suggested to be termed repeated bout rate enhancement.     

Kierkegaard's accounts of faith: Their relative centrality

This article is an attempt to clarify the concept of apatheia as it appears in the Praktikos of Evagrius of Pontus. The condition (katastasis) of apatheia is central to the Evagrian understanding of the goal of monastic life, and the Praktikos is the treatise in the writings of Evagrius which deals most thoroughly with apatheia. The thesis of the article is that apatheia should be understood in terms of the Platonic distinction between stability and movement, and apatheia, thus, appears to be two different kinds of conditions, namely imperfect apatheia, related to the daily ascetic struggle of the monks against the demons and the thoughts, and perfect apatheia, related to the peaceful condition of undisturbed prayer, in which the mind contemplates the holy Trinity.     

Reasons for Randomness: A Solution to the Axiological Problem for Theists

Abstract

In this paper we bring to light several ways randomness—i.e., undetermined and unintended events—may contribute to our understanding of God's providence and personality. We begin by making clearer a certain problem that randomness has been thought to pose to theism. We then discuss recent criticisms of certain contemporary solutions to this problem that emphasize the value of an autonomous creation. From there, we propose a fresh way of understanding the value of a semi-autonomous creation that does not succumb to these recent critiques. Our end goal is to explore new reasons God might have to value randomness. In particular, we highlight two plausible, interrelated candidate values: (1) There are certain aesthetic properties that a partially random, self-forming creation enjoys; and (2) Such a creation grants God and creatures certain pleasures, such as wonder, anticipation, curiosity, surprise, and appreciation. In articulating our version of the autonomy defense, we position it within two opposing accounts of divine providence, specifically open theism and simple foreknowledge.     

Narcissism and Adult Attachment: A Multivariate Approach

The primary purpose of this study was to examine the relationship between maladaptive narcissism, attachment anxiety, and attachment avoidance. The secondary objective of the present research was to explore further the differences between overt and covert forms of narcissistic vulnerability. Female participants (N = 171) completed measures of adult attachment, overt narcissism, and covert narcissism. Canonical correlation analysis (CCA) explored the multivariate relationship between overt and covert narcissism, on one hand, and adult attachment dimensions of anxiety and avoidance, on the other hand. CCA indicated the two linear combinations of variables overlapped significantly and shared about a quarter of their variance in common. The most important variable within the narcissism set was covert narcissism; and within the adult attachment set, both anxiety and avoidance were important, but the former more than the latter. The implications of the present findings are discussed in the context of past and future research on personality, attachment, and the experience of emotions.