'You get used to it': Working with trauma in a burns unit of a South African children's hospital

I report here on the first stages of my work as a consultant clinical psychologist in a burns unit of a South African children's hospital. I show how the enormous trauma of the work leads inevitably to the adoption of defences on the part of staff against the pain and load of their work. I use the writing of Menzies Lyth and other authors as a basis for understanding staff defences in their daily work. I then describe the process whereby it has become possible to institute a form of group support for the staff. It has been important to think not only of the maladaptive but also of the helpful function of defences, and to recognize the staff's need for continuity and acceptance on the part of the consultant.     

The role of control functions in mentalizing: dual-task studies of theory of mind and executive function

Conflicting evidence has arisen from correlational studies regarding the role of executive control functions in Theory of Mind. The current study used dual-task manipulations of executive functions (inhibition, updating and switching) to investigate the role of these control functions in mental state and non-mental state tasks. The 'Eyes' pictorial test of Theory of Mind showed specific dual-task costs when concurrently performed with an inhibitory secondary task. In contrast, interference effects on a verbal 'Stories' task were general, occurring on both mental state and non-mental state tasks, and across all types of executive function. These findings from healthy functioning adults should help to guide decisions about appropriate methods of assessing ToM in clinical populations, and interpreting deficits in performance in such tasks in the context of more general cognitive dysfunction.     

A Preventive Coping Perspective of Individual Response to Terrorism in Canada

A plethora of studies on terrorism underscores the challenges of managing the psychological and behavioural impacts of terrorist events. This literature also emphasizes the idea that the global pending threat of terrorism, prior to the occurrence of any event, may also give rise to significant reactions among members of the public. Drawing from the literature on proactive coping, the current study presents the results of factor analyses performed on sections of a national survey that assessed appraisals of as well as actual responses to the threat of terrorism in Canada (N = 1,502). Findings revealed that items assessing individual response to terrorism were represented by three factors in this context: Individual Preparedness, Information Seeking, and Avoidance Behaviour. Further analyses demonstrated a tendency for actual preparedness behaviours to be associated with decreased psychological stress, and actual avoidance behaviours to be associated with heightened psychological stress. Furthermore, the divergent patterns of relationships of terrorism response appraisals and corresponding actual responses with psychological stress emphasized the need to distinguish different stages in the process of preventive coping with terrorism. Theoretical and practical implications of findings for individual preparedness in Canada are discussed.

The anatomy of loneliness

Loneliness is a potent but little understood risk factor for broad-based morbidity and mortality. We review five social neurobehavioral mechanisms that may account for this association. The evidence suggests that different mechanisms explain short-term and long-term effects, and that the long-term effects operate through multiple pathways. Implications for the design of interventions are discussed.     

The Teenage Problem Is the Adult

Counselor education programs and professional associations of behavioral and social sciences have failed to assist counselors, teachers, and parents in understanding and relating to youth in this technological era. Rebelliousness, alienation, and even rioting engaged in by youth represent cries for help to which adults respond, sometimes with indifference but more often with confusion, resentment, or active antagonism. Empathic and informed counselors may be able to reduce the basic feeling of guilt that leads to such negative reactions by helping school staff and parents recognize that rapid and dramatic changes in modern society have irrevocably influenced attitudes, values, and behaviors of youth. Youth have much right on their side. However, they need wisdom of perceptive adults to guide them in working in acceptable ways for legitimate goals which the older generation has preached but often disregarded in practice. “There is, of course, a teenage problem, but that problem is not the teenager but the adult.”—Ashley Montagu.     

Perceptions of another person's heavy drinking as a function of one's relationship to the drinker a pilot study

Of 301 participants in a telephone survey, 201 could identify a problem drinker within their social networks. In 67 cases the drinker was a partner, in 45 another family member, in 61 a friend, and in 28 a work colleague. Another person's heavy drinking was reported as most disrupting to one's life when that person was a partner or other family member or if one was living in the same residence as the drinker. The exception to this was that reported disruption to respondents' work life was greatest when the drinker was a work colleague. While there appear to be problems for friends and work colleagues, partners and other family members appear to report the most disruption so providing services to family members seems appropriate.     

The effects of adult aging and induced positive and negative mood on planning

Changes in executive functions have been found in older adults and also in young adults experiencing positive or negative mood states. The current study investigated the hypothesis that older adults would show greater executive function impairment following mood induction than young adults. Ninety-six participants (half aged 19-37, half aged 53-80) completed a neutral, positive, or negative mood induction procedure, followed by the Tower of London planning task. Significant interactions were found between age and mood such that older adults showed greater planning impairment than young adults in both the positive and negative mood conditions. Emotionally salient events occurring before testing may interfere with executive function in older adults.     

Gender, gender relations, and the social dynamics of children's conversations

The authors investigated the effects of gender on the social dynamics and outcomes of conversations involving 120 children (mean age = 8 years 7 months). Children were taught particular values for different shaped counters and placed in same-gender or mixed-gender pairs with children who were taught different values. Pairs were asked to add the counters together to make a total of 100. Conversations were coded in terms of communication acts and simultaneous speech acts. Boys used more controlling acts overall and more negative interruptions in mixed-gender pairs. Girls used more affiliating acts. All children used more collaborative communication in same-gender pairings. Children whose perspective dominated used more controlling and comparatively fewer affiliating acts. When children reached a compromise, conversations were more collaborative.