Research and Theory Religion and Spirituality in Coping With Stress

Relations among and between religion, spirituality, and the ability to cope with stress were examined using a sample of 115 graduate students in counseling. Religion and spirituality positively correlated with coping with stress. Counseling students who expressed spirituality through religious beliefs had greater spiritual health and immunity to stressful situations than counseling students who identified themselves as spiritual but not religious. Counseling students with a religious/spiritual affiliation indicated more discomfort counseling clients hostile to religion compared with counseling students with a spiritual‐only affiliation. The results have implications for preparing counseling students to work with clients with religious/spiritual issues.     

The Heart of the Matter: An Essay about the Effects of Managed Care on Family Therapy with Children*

This essay is based on a pilot study that examined the effects of managed care on the treatment of children and families, with special attention to community mental health. We embarked on the pilot study to test the accuracy and generalizability of our impression that family therapy and other systemic practices have been marginalized in ordinary clinics and agencies, and to understand the reasons why. We interviewed managed care providers, researchers, family therapy trainers, and clinicians in the Northeast. Our findings led to seven themes that support our impression that, even though there is a consensus about the need for coordinated family-based services, there is a disconnection between state policies, contractual requirements and what is actually occurring at the implementation level. This study suggests that our knowledge of human systems may be in danger of being disqualified and lost, with damaging consequences for the care of children. Yet, as systemic thinkers and practitioners, it is our belief that ethical and effective treatment need not be at odds with care that is cost-efficient. The direction of our future research will be to study whether the involvement of all stakeholders at all levels of planning and training leads to systemic family-based practices that consistently save costs and provide high-quality care.     

Autobiographical Memory in Emerging Adulthood: Relationship with Self-Concept Clarity

Autobiographical memory research documents increased access in the number of memories recalled by emerging adults (ages 18–25) with stable, clearly defined self-concepts. Very little research has examined the relationship between self-concept clarity and the episodic and semantic components of emerging adults’ autobiographical recollections. This study examined the relationship between episodic and semantic autobiographical memory and self-concept clarity in 100 undergraduate students. Contrary to previous findings, which indicated that stable self-beliefs may be used to facilitate access to episodic memories, the results suggested that self-concept clarity may not be associated with memory specificity. Instead, self-concept clarity was associated with recall of events involving cooperative social interactions. Results further showed that older age was associated with higher SCC. The implications of these results are discussed within the context of the theoretical literature concerning the relation between autobiographical memory and the development of the self-concept during emerging adulthood.     

An Evaluation of the NAMI Basics Program

This brief report describes results from an evaluation of NAMI Basics, a peer-delivered family education program for family caregivers of children and adolescents with mental illness. Over six classes, family members are given information (e.g. education about mental illness and treatments), skills training (e.g. family communication skills) and advocacy support. We report data from 36 caregivers who completed pre and posttest instruments measuring self-care, empowerment, and family problem-solving and communication skills. Results showed significant improvements in self-care, empowerment, and “incendiary” family communication after participation in the program. Results suggest that NAMI Basics may improve both parental functioning and familial processes. Implications and future directions are discussed.     

问题解决中顿悟的原型位置效应的fMRI研究

科学发明创造中, 人们往往对一个问题百思不得其解, 但在看到某一启发性事物(原型)时, 突然产生顿悟, 继而发现解决问题的新思路。本研究以科学发明创造问题为实验材料, 采取“先呈现问题、后呈现原型”和“先呈现原型、后呈现问题”两种范式, 探讨问题解决中顿悟的原型位置效应, 并采用fMRI技术记录大脑的BOLD信号变化。结果发现：行为结果上, “问题在先”条件下正确率显著高于“原型在先”条件; 大脑激活结果上, 问题先导条件下的原型启发的大脑机制主要表现为左侧颞中回(left middle temporal gyrus)和左侧额中回(left middle frontal gyrus)的显著激活, “原型在先”条件下, 主要激活左侧扣带回(left cingulate gyrus)、左侧中央前回(left middle frontal gyrus)。     

Living donation and cosmetic surgery: a double standard in medical ethics?

The commitment of transplant physicians to protect the physical and psychological health of potential donors is fundamental to the process of living donor organ transplantation. It is appropriate that strict regulations to govern an individual's decision to donate have been developed. Some may argue that adherence to such regulations creates a doctor-patient relationship that is rooted in paternalism, which is in drastic contrast with a doctor-patient relationship that is rooted in patients' autonomy, characteristic of most other operative interventions. In this article we analyze the similarities between cosmetic plastic surgery and living donor surgery as examples of surgeries governed by different ethical principles. It is interesting that, while the prevailing ethical approach in living donor surgery is based on paternalism, the ethical principle guiding cosmetic surgery is respect for patients' autonomy. The purpose of this article is not to criticize either practice, but to suggest that, given the similarities between the two procedures, both operative interventions should be guided by the same ethical principle: a respect for patients' autonomy. We further suggest that if living organ donation valued donors' autonomy as much as cosmetic plastic surgery does, we might witness a wider acceptance of and increase in living organ donation.     

Diagnosis of ADHD in Adults: What Is the Appropriate DSM-5 Symptom Threshold for Hyperactivity-Impulsivity?

Objective: To empirically identify the appropriate symptom threshold for hyperactivity-impulsivity for diagnosis of ADHD in adults. Method: Participants were 88 adults (M [SD] age = 41.69 [11.78] years, 66% female, 16% minority) meeting formal DSM-IV criteria for ADHD combined or predominantly inattentive subtypes based on a structured diagnostic interview keyed to DSM-IV (Conners' Adult ADHD Diagnostic Interview for DSM-IV [CAADID]). All participants also completed the Conners' Adult ADHD Rating Scale (CAARS), which was normed on the general adult population and includes subscales for DSM-IV inattentive and DSM-IV hyperactive-impulsive symptoms. A T-score threshold of 65 (at least 1.5 SD above population mean) on the CAARS DSM-IV hyperactive-impulsive dimension was used to identify participants with empirically elevated symptom severity. Results: Of 88 participating adults, 48 (55%) had a T-score of at least 65 (1.5 SD) on the CAARS DSM-IV Hyperactive-Impulsive scale. Of these, only 25 (52%) met the DSM-IV cutoff of six hyperactive-impulsive symptoms on the CAADID. Thus, approximately half of those who reported empirically elevated hyperactive-impulsive complaints on the CAARS did not concurrently meet the six-symptom DSM-IV cutoff on the CAADID. An alternative cutoff of four hyperactive-impulsive symptoms on the CAADID captured 39 (81%) cases identified by the CAARS. Conclusion: In adults, mandating at least six hyperactive-impulsive symptoms excludes a significant percentage (almost half) of adults who are at least 1.5 SD above the population mean on a dimensional measure of hyperactivity-impulsivity. These data provide a compelling basis for lowering the symptom threshold of hyperactivity-impulsivity for adults in the DSM-5.     

Associations Between Positive Development in Late Adolescence and Social, Health, and Behavioral Outcomes in Young Adulthood

Little is known about positive development across the transition from adolescence to young adulthood. The purpose of this paper was to use longitudinal data from a large community sample, the Australian Temperament Project, to investigate prospective associations between positive development at age 19?C20?years and changes in social, health, and behavioral outcomes at 23?C24?years. Data from 890 young adults (61.7% women) were analyzed using path analysis. Emotional health, physical well-being, friendship quality, reduced antisocial behavior, and positive development in young adulthood were predicted by higher levels of positive development in late adolescence, after controlling for baseline levels of respective outcomes, gender, and family socioeconomic status. Parent relationship quality and alcohol use were not significantly predicted. Based on these findings, interventions promoting positive development during adolescence should be investigated as a potential means of yielding positive social, health, and behavioral consequences well into young adulthood.     

Neural correlates of establishing, maintaining, and switching brain states

Although the study of brain states is an old one in neuroscience, there has been growing interest in brain state specification owing to MRI studies tracing brain connectivity at rest. In this review, we summarize recent research on three relatively well-described brain states: the resting, alert, and meditation states. We explore the neural correlates of maintaining a state or switching between states, and argue that the anterior cingulate cortex and striatum play a critical role in state maintenance, whereas the insula has a major role in switching between states. Brain state may serve as a predictor of performance in a variety of perceptual, memory, and problem solving tasks. Thus, understanding brain states is critical for understanding human performance.     

Task demands determine the specificity of the search template

When searching for an object, an observer holds a representation of the target in mind while scanning the scene. If the observer repeats the search, performance may become more efficient as the observer hones this target representation, or "search template," to match the specific demands of the search task. An effective search template must have two characteristics: It must reliably discriminate the target from the distractors, and it must tolerate variability in the appearance of the target. The present experiment examined how the tolerance of the search template is affected by the search task. Two groups of 18 observers trained on the same set of stimuli blocked either by target image (block-by-image group) or by target category (block-by-category group). One or two days after training, both groups were tested on a related search task. The pattern of test results revealed that the two groups of observers had developed different search templates, and that the templates of the block-by-category observers better captured the general characteristics of the category. These results demonstrate that observers match their search templates to the demands of the search task.