Personality pathology severity,cluster type and specific therapeutic interventions in outpatient psychotherapy

We explored the relationship between severity of personality pathology, cluster type and therapeutic interventions (psychodynamic–interpersonal [PI] and cognitive–behavioural [CB]) in 76 outpatients across two early sessions (3rd and 9th) of psychodynamic psychotherapy, while accounting for patients' baseline global symptom severity. Pretreatment personality pathology severity was assessed using the Personality Disorder Index (PDI), where DSM‐IV Axis II PD was assigned a value of 2, subclinical traits and features were assigned a 1 and absence of Axis II psychopathology was assigned a 0. Interrater reliability of personality pathology severity was excellent (ICC [1, 1]: 0.85). Interrater agreement for Cluster A (κ = 0.75), Cluster B (κ = 0.92) and Cluster C (κ = 0.70) was high. Interventions were coded with Comparative Psychotherapy Process Scale (CPPS) from videotapes, and reliability was excellent (CPPS‐PI = 0.86; CPPS‐CB = 0.78). Stepwise linear regressions indicated that therapists' focus on mood shift/topic avoidance (B = 0.29, p = .009) and future events (B = ?0.26, p = .020) predicted Axis II severity. Overall use of PI techniques and Cluster A personality disorder (CLA) were positively correlated (r = .312, p = .006). Stepwise binomial logistic regressions indicated that therapists' focus on uncomfortable feelings (B = 1.915, p = .008) and explaining rationale behind approach (B = 1.276, p =. 038) predicted CLA. All results remained significant when controlling for patients' baseline general symptomatology (Brief Symptom Inventory‐Global Severity Index [BSI‐GSI]), except for the relation between explaining rationale and CLA. Discussion highlights how using psychodynamic treatment model, therapists' focus on patient's in‐session affect expression and explaining rationale behind approach are highly relevant when working with CLA patients.     

Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries

Background/Objective: This study explored the association between active school travel (AST) and suicide attempts among adolescents in low- and middle-income countries (LMICs). Method: We used the data from the Global School-based Health Survey, including 127,097 adolescents aged 13-17 years from 34 LMICs. A self-reported survey was used to collect data on AST and suicide attempts as well as some variables. Multivariable logistic regression was performed to assess the association between AST and suicide attempts. A meta-analysis with random effects was undertaken to identify the difference in the association between AST and suicide attempts. Results: Across all the adolescents, the prevalence of AST was 37% and the prevalence of suicide attempts was 11.60%. Adolescents who engaged in AST were less likely to have suicide attempts irrespective of gender. The country-wise analysis indicated a large inconsistency in the association between AST and suicide attempt across the countries. Conclusions: AST would appear to be a protective factor for reducing suicide attempts among adolescents. However, the association between AST and suicide attempts varied greatly across the countries. Future studies should confirm the association between AST and suicide attempts.     

The use of strategies and messages to alter aggressive interactions

Male and female college students were instigated to aggression by a confederate's shocks during a preliminary task. The confederate informed half of the treatment subjects of the response strategy which he intended to adopt. The other half received an irrelevant message. All subjects then competed against the confederate, who employed one of the following five response consequence strategies: a) set a maximum shock on all trials; b) set a minimum shock on all trials; c) set shocks identical to the subject's response on the preceding trial; d) set shocks two settings below the subject's response; or e) set shocks two settings above the subject's. The subject's latency to setting a shock, the intensities of the shocks set, the durations of the shock settings, and the subject's reaction times were recorded. When an irrelevant message was delivered, passive responses, well below those of the opponent, resulted in the lowest level of retaliation. In the presence of a relevant message, the match-same strategy emerged as an effective deterrent to aggressive behavior. The results were found to be consistent with predictions derived from an application of the norm of reciprocity and research demonstrating the enhancing effects achieved through the communication of existing contingencies.     

The Infant mental health specialist in newborn pediatric rounds: A systems approach

This article describes a special program wherein infant mental health specialists participate in hospital rounds with pediatric residents. The purpose of the program is described in terms of medical awareness of psycho-social needs of the family and improved clinical services. Examples are given of the way in which “rounding” contributes to the meeting of infants' and families' medical and psychological needs. Note is made of the multilevel impact of this collaboration.     

Sexual jealousy in young women and men: Aggressive responsiveness to partner and rival

Two studies compared judgments about aggressive components of jealous reactions to the partner and to the rival, specifically, emotional (anger), cognitive (blame), and behavioral components. The first study randomly assigned 172 young women and men to two questionnaires on jealous reactions to mild (flirting) and serious (cheating) transgressions. One questionnaire assessed standards for appropriate behavior and perceptions of how people usually react. The second questionnaire asked people to report how they had reacted or, if not experienced with a sexual transgression, how they would react. The second study asked 113 people to imagine a situation in which they knew their partner had been sexually unfaithful. There were three major findings that were interpreted in the context of courtship, a time when attention is focused on the qualities of one's potential long-term partner. First, the jealous individual's anger and blame were focused more on the partner than the rival. Second, mean anger and blame scores given the partner were well matched. In contrast, the rival received more anger and blame than deemed appropriate and considerably more anger than blame. These data suggest that, in the context of courtship, a rival is not simply a competitor. Third, men were more inclined to think about aggressive action against the rival but women were more emotionally and behaviorally reactive to the rival. The latter result implies that, in the context of competition for an established romantic partner, a rival is more salient for women than for men. © 1993 Wiley-Liss, Inc.     

Measuring Feeling of Knowing: Comment on Schraw (1995)

Schraw compares two coefficients for the 2×2 contingency tables resulting from many feeling of knowing (FOK) studies: Hamann's coefficient and Goodman and Kruskal's γ. He favours Hamann's coefficient and gives examples where Hamann's coefficient produces what might be considered the more intuitive result. Further scrutiny reveals that these examples are not as convincing as Schraw makes them out to be. Because Hamann's coefficient depends on the row and column marginals, it does not map onto FOK ability as well as Goodman and Kruskal's γ, which is a direct measure of the diagnostic worth of FOK ratings.     

The Lambeth Appeal and the Appeal of Britain

In 1920, the Lambeth Conference of Anglican bishops issued the “Appeal to All Christian People.” While much has been written on its genesis in 1920 and its impact on the later ecumenical movement and on Anglicanism, much less has been written about the relationship of the sort of ecumenism espoused by the Lambeth Appeal to the international political developments of the time. This article assesses the impact of the First World War and the Versailles Settlement on some of the assumptions underlying the Lambeth Appeal, examining how the appeal was in many ways a by-product of a new form of internationalism, which itself was closely related to the reinterpretation of the British Empire that emerged during the war.     

Unfolding Relations among Mindful Parenting,Recurrent Conflict,and Adolescents’ Externalizing and Internalizing Problems

The current study examined unfolding relations among mothers’ mindful parenting, parent–adolescent recurrent conflict, and adolescents’ externalizing and internalizing problems. In a community sample of 117 families (31% black, Asian, American Indian, or Latino), parents and adolescents (52% female; average age = 12.13 years) were followed over 15 months. Parents answered questions about mindful parenting and recurrent conflict, and adolescents reported on their own externalizing and internalizing problems. Path analyses indicated that higher levels of mindful parenting were significantly related to lower levels of recurrent conflict 2–3 months later, controlling for previous levels of recurrent conflict. Moreover, lower levels of recurrent conflict were significantly related to lower levels of externalizing problems and internalizing problems 1 year later, controlling for previous levels of those problems. Subgroup analyses indicated that relations were comparable across subgroups defined by adolescent gender, race, parent marital status, and family financial strain. The effects of mindful parenting were robust even after accounting for other indicators of positive and supportive parenting, namely inductive reasoning and warmth in the parent–adolescent relationship. These findings highlight the potential of mindful parenting to improve family interactions and adolescent adjustment.     

Religious Engagement,Civic Skills,and Political Participation in Latin America

To what extent has the growth of Evangelicalism in Latin America contributed to political participation across the region? A number of scholars of religion and politics in the United States have suggested that Evangelicalism promotes the development of civic skills necessary for political engagement, while the Catholic Church, due to its hierarchical structure, provides fewer opportunities for skill acquisition. In this paper, we apply this debate to Latin America to test whether civic skills developed in Catholic and Protestant church activities lead to differential participation rates in 18 countries. We utilize the 2014 Pew Religion in Latin America survey to test these effects, and find that Protestant churches do indeed promote skill-developing activities at higher rates, but that Catholics, when involved, are more likely to translate this religious participation into political action. We conclude that political scientists must better understand the organizational role of religion in promoting political engagement worldwide.     

The Strategic Practice of “Fiesta” in a Latino Protestant Church: Religious Racialization and the Performance of Ethnic Identity

Founded and led by a U.S.-born white pastor, Amor Poderoso is a nondenominational, evangelical megachurch in El Paso, Texas, almost entirely composed of Mexican-Americans, recent Mexican immigrants, and current Mexican citizens. Ethnographic fieldwork from 2014 to 2017, supplemented with interviews with pastors, worship leaders, and attendees, reveal that much of congregational life orients around intentionally showcasing “Mexican” culture through sounds, images, and artifacts that appropriate an array of idealized ethnic references (e.g., food, dress, mannerisms, clichés) from Northern Mexico. Ongoing ethnic displays do not originate spontaneously or impromptu from membership but rather serve as a form of tactical authenticity derived from U.S. racial schemas mobilized by congregational leaders as a distinctive religious resource. Weekly worship services featuring dialect-inflected Spanish preaching and singing project ethnic signals that elicit connections to both a common ancestral heritage and a common religious identity. In short, church leaders at this southern border Latino church deliberately deploy sounds, images, and artifacts to assert racialized performances of being “Mexican” for distinctly religious purposes, especially evangelization. In the process, the distinctive practices of religious racialization effectively structure church members’ ethnic and religious identities around racial tropes to buttress a cogent corporate identity for enacting institutionalized evangelical narratives and legitimating charismatic authority.