High Behavioral Approach System (BAS) sensitivity, reward responsiveness, and goal-striving predict first onset of bipolar spectrum disorders: a prospective behavioral high-risk design

A prospective, behavioral high-risk design provided a theoretically guided examination of vulnerability to first onset of bipolar spectrum disorder based on the Behavioral Approach System (BAS) model. Adolescents (ages 14-19) at an "age of risk" for bipolar disorder onset were screened on BAS sensitivity by interviewers blind to current symptoms, lifetime history, and family history of psychopathology. Participants were selected with high versus moderate levels of BAS sensitivity and administered a lifetime diagnostic interview. Those with a bipolar spectrum disorder, psychosis, or hypomanic episode with onset prior to the BAS sensitivity assessment were excluded. High BAS (n = 171) and moderate BAS (n = 119) sensitivity participants in the final sample completed baseline measures of symptoms, goal-setting, and reward responsiveness and were followed prospectively with semistructured diagnostic interviews every 6 months. Consistent with the vulnerability hypothesis of the BAS model of bipolar disorder, high BAS participants had a greater likelihood, and shorter time to onset, of bipolar spectrum disorder than moderate BAS participants across an average of 12.8 months of follow-up (12.9% vs. 4.2%), controlling for baseline depressive and hypomanic symptoms, and family history of bipolar disorder. High reward responsiveness on a behavioral task and ambitious goal-striving for popular fame and financial success (but not impulsivity) also predicted first onset of bipolar spectrum disorder controlling for the covariates and BAS risk group, and ambitious goal-striving partially mediated the BAS risk group effect. We discuss implications of the findings for the BAS model of bipolar disorder and early intervention efforts.     

Progression along the bipolar spectrum: a longitudinal study of predictors of conversion from bipolar spectrum conditions to bipolar I and II disorders

Little longitudinal research has examined progression to more severe bipolar disorders in individuals with "soft" bipolar spectrum conditions. We examine rates and predictors of progression to bipolar I and II diagnoses in a nonpatient sample of college-age participants (n = 201) with high General Behavior Inventory scores and childhood or adolescent onset of "soft" bipolar spectrum disorders followed longitudinally for 4.5 years from the Longitudinal Investigation of Bipolar Spectrum (LIBS) project. Of 57 individuals with initial cyclothymia or bipolar disorder not otherwise specified (BiNOS) diagnoses, 42.1% progressed to a bipolar II diagnosis and 10.5% progressed to a bipolar I diagnosis. Of 144 individuals with initial bipolar II diagnoses, 17.4% progressed to a bipolar I diagnosis. Consistent with hypotheses derived from the clinical literature and the Behavioral Approach System (BAS) model of bipolar disorder, and controlling for relevant variables (length of follow-up, initial depressive and hypomanic symptoms, treatment-seeking, and family history), high BAS sensitivity (especially BAS Fun Seeking) predicted a greater likelihood of progression to bipolar II disorder, whereas early age of onset and high impulsivity predicted a greater likelihood of progression to bipolar I (high BAS sensitivity and Fun-Seeking also predicted progression to bipolar I when family history was not controlled). The interaction of high BAS and high Behavioral Inhibition System (BIS) sensitivities also predicted greater likelihood of progression to bipolar I. We discuss implications of the findings for the bipolar spectrum concept, the BAS model of bipolar disorder, and early intervention efforts.     

Unemployed Adults’ Career Thoughts,Career Self‐Efficacy,and Interest: Any Similarity to College Students?

Little empirical knowledge about unemployed adults exists during a time when this group needs substantial career assistance. Because there is greater empirical understanding of college student career development compared with what is known about unemployed adults, a chi square and analyses of covariance were used to compare the career thinking, self‐efficacy, and interests of 169 unemployed adults seeking public job center assistance with that of 200 college students. Additionally, a diverse sample of 2,444 unemployed adults is demographically reviewed. Unemployed adults reported a higher level of Realistic interests and similar levels of negative career thinking and career decision‐making self‐efficacy compared with college students.     

Mapping novel labels to actions: how the rhythm of words guides infants' learning

We investigated the effect of lexical stress on 16-month-olds' ability to form associations between labels and paths of motion. Disyllabic English nouns tend to have a strong-weak (trochaic) stress pattern, and verbs tend to have a weak-strong (iambic) pattern. We explored whether infants would use word stress information to guide word-action associations during learning. Infants heard two novel words with either verb-like iambic stress or noun-like trochaic stress. Each word was paired with a single novel object performing one of two path actions and was tested using path-switch trials. Only infants in the iambic stress condition learned the association between the novel words and the path actions. To further investigate infants' difficulty in mapping the trochaic labels to the actions, we conducted an additional study in which infants were given an object switch task using the trochaic labels. In this case, infants were able to associate the trochaic labels with the objects, providing further support that infants use lexical stress to guide label-referent associations. This study demonstrates that by 16months, English-learning infants have developed a bias to expect disyllabic action labels to have iambic stress patterns, consistent with native language stress patterns.     

The Effectiveness of Cultural Adjustment and Trauma Services (CATS): Generating Practice-Based Evidence on a Comprehensive, School-Based Mental Health Intervention for Immigrant Youth

A collaborative study of Cultural Adjustment and Trauma Services (CATS), a comprehensive, school-based mental health program for traumatized immigrant children and adolescents, was conducted to generate practice-based evidence on the service delivery model across two school districts. Program effectiveness was assessed by testing whether client functioning and PTSD symptoms improved as a result of 7 separate service elements. An array of clinical services including CBT, supportive therapy, and coordinating services were provided to all students, and an evidence-based intervention for trauma, TF-CBT, was implemented with a subset of students. Greater quantities of CBT and supportive therapy increased functioning, while greater quantities of coordinating services decreased symptoms of PTSD. TF-CBT services were associated with both improved functioning and PTSD symptoms, although TF-CBT was implemented with fidelity to the overall comprehensive service model rather than the structured intervention model. Results suggest the comprehensive school-based model was effective, though different service components affected different student outcomes. Implications of these findings for immigrant mental health interventions and implementing structured evidence-based practices into community mental health programs are discussed. Suggestions are made for future research on existing mental health practices with immigrants.     

Retrieval-induced forgetting of arithmetic facts

Retrieval-induced forgetting (RIF) is a widely studied phenomenon of human memory, but RIF of arithmetic facts remains relatively unexplored. In 2 experiments, we investigated RIF of simple addition facts (2 + 3 = 5) from practice of their multiplication counterparts (2 × 3 = 6). In both experiments, robust RIF expressed in response times occurred only for high-strength small-number addition facts with sums ≤ 10, indicating that RIF from multiplication practice was interference dependent. RIF of addition-fact memory was produced by multiplication retrieval (2 × 3 = ?) but not multiplication study (2 × 3 = 6), supporting an inhibitory mechanism of RIF in arithmetic memory. Finally, RIF occurred with multiplication practiced in word format (three × four) and addition tested later in digit format (3 + 4), which provides evidence that digit and written-word formats for arithmetic accessed a common semantic retrieval network. The results support the view that addition and multiplication facts are stored in an interrelated semantic network and that RIF of competing addition facts is an intrinsic process of multiplication fact retrieval.     

Gender symmetry in intimate aggression: an effect of intimacy or target sex?

Men's greater use of direct aggression is not evident in studies of intimate partner aggression. In previous research, the effects of target sex and relationship intimacy have frequently been confounded. This study sought to examine these effects separately. One hundred and seventy-four participants (59 male and 115 female) read vignette scenarios in which they were provoked by a same-sex best friend, an opposite-sex best friend, and a partner. For each target, participants estimated their likely use of direct physical and verbal aggression as well as noninjurious forms of anger expression. Results showed that men lower their aggression in the context of an intimate partnership and that this is an effect of the target's sex. In contrast, women raise their aggression in the context of an intimate partnership and this is an effect of intimacy with the target. The use of noninjurious angry behavior did not vary between targets for either sex of the participant, which suggests that the effects of target are confined to behaviors which carry an intention to harm. Possible effects of social norms and oxytocin-mediated emotional disinhibition on intimate partner aggression are discussed.     

A First Step to Supporting the Coparenting Relationship and Reducing Child Behaviour Problems: A Delphi Consensus Study

Journal of Child and Family Studies - Parenting programs addressing coparenting skills are very effective in reducing problematic child behaviours. Barriers to participation in parenting programs...     

Discussing Adolescent Sexual Health in African-American Churches

This study describes the ways in which two African-American churches discuss adolescent sexual health topics. Six focus groups were conducted in two churches in Flint, Michigan, that reported no formal sexual health programming for their congregants. Three themes emerged to highlight the different perspectives about the role of churches in adolescent sexual decision-making and sexual health education: (1) churches as sources of sexual information, (2) churches as complex communities, and (3) recommendations for sexual education in churches. Participant responses suggest that churches can and should serve a resource for sexual health information. Implications for practice and research are discussed.     

Wittgenstein and the Expression of Feelings in Psychotherapy

Effective psychotherapy is often held to involve the expression of feelings. Within the person‐centred approach, this view has been especially emphasised by Carl Rogers and Eugene Gendlin. I am concerned with the question of why the expression of feelings can be therapeutically effective. Many psychotherapists picture feelings as “inner experiences” for which the client tries to find appropriate words, but the difficulties with this picture, which were highlighted by Wittgenstein, seem to call for a very different approach. Here, I develop a Wittgensteinian account of the expression of feelings that avoids the difficulties to which Wittgenstein draws attention.