Drug Ingestions in Children 10–14 Years Old: An Old Problem Revisited

To determine changes in rates of drug ingestions in 10–14 year old children in our country, a retrospective chart review of 10–14 year olds hospitalized for drug ingestion between 1993–1995 and 2000–2004 was performed. Odds ratios and Chi‐square were used for analyses. From 1993–1995 there were 92.8 ingestions/100,000 children/year; from 2000–2004 there were 63.3 ingestions/100,000 children/year. More males ingested in 2000–2004 than 1993–1995 (26.3% vs. 14.2% O.R. 2.15 [1.19, 3.92]). More patients took psychiatric medications in 2000–2004 than 1993–1995 (38.9% vs. 27.0%, O.R. 1.72 [1.06, 2.80]). More patients ingested SSRIs in 2000–2004 than 1993–1995; fewer ingested tricyclics. Hospitalization rates for drug ingestions have decreased. There has been a change in drug ingested, and more males are ingesting drugs.     

What Does Psychological Autopsy Study Tell Us About Charcoal Burning Suicide—A New and Contagious Method in Asia?

Charcoal burning suicides in Hong Kong between 2002–2004 in the 15 to 59‐year‐old age group were investigated using the psychological autopsy method. The psychopathological profiles of charcoal burning suicides (N = 53) were compared against “other suicides” (N = 97). The two groups did not differ significantly in the prevalence of DSM‐IV axis I diagnoses with the exception of schizophrenic spectrum disorder which was less frequently associated with charcoal burning suicides. Score on “neuroticism” in the NEO‐five Factor Inventory (NEO‐FFI) was significantly higher in victims of charcoal burning suicide. There was also a trend toward higher score on “conscientiousness” in the NEO‐FFI among charcoal burners than victims of other suicide.     

A Comparison of the Interactive Systems Framework (ISF) for Dissemination and Implementation and the CDC Division of HIV/AIDS Prevention’s Research-to-Practice Model for Behavioral Interventions

Translating evidence-based HIV/STD prevention interventions and research findings into applicable HIV prevention practice has become an important challenge for the fields of community psychology and public health due to evidence-based interventions and evidence-based practice being given higher priority and endorsement by federal, state, and local health department funders. The Interactive Systems Framework (ISF) for Dissemination and Implementation and the Division of HIV/AIDS Prevention (DHAP) Research-to-Practice model both address this challenge. The DHAP model and the ISF are each presented with a brief history and an introduction of their features from synthesis of research findings through translation into intervention materials to implementation by prevention providers. This paper describes why the ISF and the DHAP model were developed and the similarities and differences between them. Specific examples of the use of the models to translate research to practice and the subsequent implications for support of each model are provided. The paper concludes that the ISF and the DHAP model are truly complementary with some unique differences, while both contribute substantially to addressing the gap between identifying effective programs and ensuring their widespread adoption in the field.     

Hmong Mental Health Needs Assessment: A Community-Based Partnership in a Small Mid-Western Community

The overall goal of this assessment was to verify the mental health needs of Hmong living in a mid-west community in order clarify the format, content, and feasibility of providing mental health services for Hmong in the future. Using a Community-Based Participatory Research (CBPR) model, we held four focus groups with 36 men, women, adolescents and professionals, all of Hmong descent, as well as interviewed 28 individual medical, mental health, education, and social service providers in the Eau Claire community. Our Hmong sample was frequently unclear about what “mental” health meant, indicating a low level of mental health literacy. Results confirmed that there are significant mental health needs in this refugee and immigrant population. Participants described problems consistent with depression, post-traumatic stress disorder (PTSD), anxiety disorders, somatoform disorders, and severe social stress and acculturation difficulties in every generation. Elder people and male adolescents were described as the most disaffected and in need of immediate services. It will be critical to address mental health literacy before designing future interventions. Treatment suggestions were provided with the intention of removing barriers and incorporating culturally sensitive methodologies, while continuing to work closely with our local mental health providers and Hmong leadership.     

Reactance versus rationalization: divergent responses to policies that constrain freedom

How do people respond to government policies and work environments that place restrictions on their personal freedoms? The psychological literature offers two contradictory answers to this question. Here, we attempt to resolve this apparent discrepancy. Specifically, we identify the absoluteness of a restriction as one factor that determines how people respond to it. Across two studies, participants responded to absolute restrictions (i.e., restrictions that were sure to come into effect) with rationalization: They viewed the restrictions more favorably, and valued the restricted freedoms less, compared with control participants. Participants responded in the opposite way to identical restrictions that were described as nonabsolute (i.e., as having a small chance of not coming into effect): In this case, participants displayed reactance, viewing the restrictions less favorably, and valuing the restricted freedoms more, compared with control participants. We end by discussing future research directions.     

The body in clinical cognitive theory: from beck to mindfulness

Working with the body in Mindfulness-Based Cognitive Therapy (MBCT) is often seen as a ‘means to an end’; that is, a vehicle for diverting attention from negative thought patterns, thereby fostering a detached metacognitive awareness of problematic thinking. The MBCT literature, however, accords the body a more central role. The literature expresses both the idea that the body is integral to a basic level of meaning creation experienced as a ‘bodily felt sense of something’ and that direct sensory or bodily awareness can contribute to a critical change in the felt sense of emotional difficulties. Tracing the development of the concept of the body in clinical cognitive theory, the paper concludes that these ideas of the body are anticipated in earlier revisions to Beck's schema theory. The paper concludes that research into the psychological mechanisms behind bodily awareness would be a fruitful supplement to the current research focus on metacognitive awareness.     

Forms of Transformation in the Reflective Space: Clarifying “Mentalization” Theory Through a Clinical Application: Commentary on Paper by Stephen Seligman

In responding to discussions of my paper “Jonah: A Fantasy of Flight” by Fishman, Salberg, and Shulman, I focus on some of my critical assumptions in reading this or any other biblical text. Prominent among these is the need to relinquish the stance of “already knowing” the meaning of the text. This irreducibly enigmatic book demands close, informed, and literary reading. Within the context of a sustained reflection on the methodology and spirit of my enterprise, I discuss the main points of difference or disagreement that arise in the papers of my discussants, as well as celebrating the places of accord and enrichment.     

音乐与情绪诱发的机制模型

音乐与情绪关系的讨论正处于行为层面描述向认知及神经机制研究的初探阶段.线索一致性模型、音乐期待模型、协同化理论和多重机制模型分别从音乐线索、听者认知、音乐与听者互动关系及多重整合角度对音乐诱发情绪的过程做出了解释.当前分歧集中于三方面:(1)音乐诱发情绪是否必须以认知为中介;(2)诱发过程是一般领域还是特殊领域;(3)诱发情绪的机制是多元还是单一.文章提出确定概念同质、借助多指标测量和思考机制关系等解决思路,并阐明了此领域的研究趋势.