Assessing risk for violence among male and female civil psychiatric patients: the HCR-20, PCL:SV, and VSC

This study evaluated the predictive validity of violence risk assessments conducted using the HCR-20, the Psychopathy Checklist: Screening Version (PCL:SV), and by the Violence Screening Checklist (VSC) in a sample of 268 involuntarily hospitalized male and female psychiatric patients. Information pertaining to violence and crime was coded from medical charts and correctional records. The HCR-20/PCL:SV evidenced modest non-significant associations in postdictive assessments of inpatient violence among men. Moderate to strong significant associations were found between the HCR-20/PCL:SV and inpatient violence among women. Pseudo-prospective assessments using the HCR-20 and PCL:SV resulted in moderate to large relationships with violence and crime in men and women following community discharge. It is concluded that the VSC is a promising tool for assessing acute inpatient violence risk with men. Findings offer preliminary validation of the predictive validity of the HCR-20 and PCL:SV with female civil psychiatric patients.     

Environmental and individual predictors of Australian young adults' interest in new ideas

Relations were examined among family social status, learning environments, individual characteristics, and young adults' interest in new ideas. Data were collected from 19-yr.-old Australians (4,609 females and 4,174 males), as part of a longitudinal investigation. Multiple regression analysis indicated that the predictors combined to have a small association with young adults' interest in new ideas.     

Context-processing deficits in schizophrenia: diagnostic specificity, 4-week course,and relationships to clinical symptoms

Previous research on schizophrenia suggests that context-processing disturbances are one of the core cognitive deficits present in schizophia. However, it is not clear whether such deficits are specific to schizophrenia as compared with other psychotic disorders. To address this question, the authors administered a version of the AX Continuous Performance Test designed to assess context processing in a sample of healthy controls, patients with schizophrenia, and patients with other psychotic disorders. Participants were tested at index (when medication naive and experiencing their first contact with psychiatric services) and 4 weeks later, following medication treatment. At index, patients with schizophrenia and the psychotic comparison group demonstrated similar impairments in context processing. However, context-processing deficits improved in the psychotic comparison group at 4 weeks but did not improve in patients with schizophrenia.     

The Role of Creativity in Marriage and Family Therapy Practice: A National Online Study

The purpose of this study, using an online methodology, was to investigate therapists' perceptions of the role of creativity in couples' and family therapy. Along with completing a quantitative measure assessing creativity in their work, participants responded to four open-ended questions which addressed the meaning of creativity, characteristics of a creative family therapist, some creative interventions they have used with couples and families, and barriers to their own creativity as a family therapist. A total of 142 marriage and family therapists in 36 states in the United States participated. The findings shed light on the unique importance of creativity in couples and family treatment.     

Assessing working memory and language comprehension in Alzheimer's disease.

Studies of language impairments in patients with Alzheimer's disease have often assumed that impairments in linguistic working memory underlie comprehension deficits. Assessment of this hypothesis has been hindered both by vagueness of key terms such as "working memory" and by limitations of available working memory tasks, in that many such tasks either seem to have little relationship to language comprehension or are too confusing or difficult for Alzheimer's patients. Four experiments investigated the usefulness of digit ordering, a new task assessing linguistic working memory and/or language processing skill, in normal adults and patients with probable Alzheimer's disease. The digit ordering task was shown to be strongly correlated with the degree of dementia in Alzheimer's patients. The task correlated with measures of language processing on which patients and normal controls performed differently. The results are interpreted as indicating that linguistic representations, linguistic processing, and linguistic working memory are intertwined, such that a deficit of one (e.g., working memory) cannot be said to "cause" a deficit in the other. The implications of this approach are explored in terms of task demands in comprehension and memory measures, and interpretation of previous results in the literature.     

Mass media treatment of violence in sports and its effects

There appears to be a strong relationship between mass media portrayals of violence and real-life violence itself. This article reviews the available literature on the effects of media treatment of sports violence; analyzes the theoretical explanations for this treatment; and makes proposals on how the problems of both sports violence and its media coverage may be remedied, with a particular focus on amateur hockey in Canada.     

Does spreading activation summate?

Summary Network models of semantic memory assume implicitly or explicitly that the degree of activation of a node is a monotonic function of the total amount of excitation reaching that node from all sources. For example, the activation level of the node representing apple should be greater if it is receiving excitation due to the activation of the nodes for fruit and pear than if only one of these neighboring nodes is activated. This notion was tested by presenting semantic primes 80 ms or 320 ms before a letter string (e.g., apple or ipple) requiring a lexical decision. The prime stimuli consisted of a pair of simultaneous items that were identical in the single prime condition (e.g., fruit/fruit or pear/pear) or different in the double prime condition (e.g., fruit/pear or pear/fruit), and were either related (target = apple) or unrelated (target = copper) to the target, or neutral. As predicted by the summation of semantic activation assumption of network models there was a larger priming effect (in the 320 ms SOA condition) following the simultaneous activation of two related nodes than following the activation of only one node.This research was supported by grants to the first author from the Natural Sciences and Engineering Research Council of Canada.     

Under what conditions do young children have difficulty inhibiting manual actions?

Understanding how responses become prepotent is essential for understanding when inhibitory control is needed in everyday behavior. The authors investigated the conditions under which manual actions became prepotent in a go/no-go task. Children had to open boxes that contained stickers on go trials and leave shut boxes that were empty on no-go trials. In Experiment 1 (n = 40, mean age = 3.6 years), the authors obtained evidence consistent with this task requiring inhibitory control. Results of Experiment 2 (n = 40, mean age = 3.7 years) suggested that box opening was prepotent because (a) opening is the habitual action associated with boxes and (b) children planned to open boxes on go trials of the task. Experiment 3 (n = 96, mean age = 3.5 years) showed that even empty boxes elicited the same errors and that delaying responding reduced errors even though the delay occurred before the cue that indicated the correct response (contrary to a rule reflection account). Because the delay occurred after box presentation, performance was consistent with a transient activation account. Delay training might benefit children with weak inhibition.     

Capturing the four-factor structure of psychopathy in college students via self-report

A number of self-report psychopathy scales have been used successfully in both clinical and nonclinical settings. However, their factor structure does not adequately capture the four factors (Interpersonal, Affective, Lifestyle, and Antisocial) recently identified in the Psychopathy Checklist-Revised (PCL-R; Hare, 2003) and related measures. This deficit was addressed by upgrading the Self Report Psychopathy Scale (SRP-II; Hare, Hemphill, & Harpur, 1989). In Study 1 (N = 249), an exploratory factor analysis of this experimental version revealed oblique factors similar to those outlined by Hare (2003). In Study 2 (N = 274), confirmatory factor analysis (CFA) confirmed this structure, that is, four distinct but intercorrelated factors. The factors exhibited appropriate construct validity in a nomological network of related personality measures. Links with self-reports of offensive activities (including entertainment preferences and behavior) also supported the construct validity of the oblique four-factor model.     

Effects of pain acceptance and pain control strategies on physical impairment in individuals with chronic low back pain

Psychosocial treatments for chronic pain are effective. There is a need, however, to understand the processes involved in determining how these treatments contribute to behavior change. Control and acceptance strategies represent two potentially important processes involved in treatment, although they differ significantly in approach. Results from laboratory-based studies suggest that acceptance-oriented strategies significantly enhance pain tolerance and behavioral persistence, compared with control-oriented strategies. There is a need, however, to investigate processes of acceptance and control directly in clinical settings. The present study investigated the effects of three brief instructional sets (pain control, pain acceptance, continued practice) on demonstrated physical impairment in 74 individuals with chronic low back pain using an analogue experimental design. After controlling for baseline performance, the pain acceptance group demonstrated greater overall functioning on a set of 7 standardized physical tasks relative to the other two groups, which did not differ from one another. Further, the acceptance group exhibited a 16.3% improvement in impairment, whereas the pain control group worsened by 8.3% and the continued practice group improved by 2.5%. These results suggest that acceptance may be a key process involved in behavior change in individuals with chronic pain.