Killing Versus Witnessing Trauma: Implications for the Development of PTSD in Combat Medics

Killing in combat uniquely predicts elevated PTSD symptomatology among military veterans. This study investigated the effects of combat killing in a sample of 345 U.S. Army combat medics who had recently returned from operational deployments to Iraq or Afghanistan. Combat medics provide frontline medical care before, during, and after battles but also fight alongside other soldiers when under attack. Attempting to kill in combat was a significant predictor of PTSD symptomatology even after accounting for passively witnessing trauma in fellow soldiers. Medics may be well prepared to cope with the passive experiencing and witnessing of war-zone trauma, but may benefit from training to cope with the negative consequences of taking actions to kill.     

Intimate Partner Violence and Relationship Dissolution Among Reserve Soldiers

The military has sought to prevent intimate partner violence (IPV) and relationship dissolution. This study examined the longitudinal associations of psychosocial, demographic, and military service characteristics with IPV and relationship dissolution among 546 married or cohabiting reservist military personnel that both mobilized and demobilized during an approximate 8-month period in 2003. Over 13% reported engaging in IPV in the year prior to mobilization. Younger age and more stress were associated with IPV. Upon demobilization, 5% of the sample had experienced relationship dissolution, which was associated with less education, CONUS (continental United States) deployments, and enlisted rank. Identifying the factors associated with IPV and relationship dissolution may help detect couples at potential risk to improve family support and military readiness.     

Team Perceived Trustworthiness in a Complex Military Peacekeeping Simulation

Antecedents to trust (propensity to trust, perceived trustworthiness) and trust behaviors were examined in relation to team performance in a complex eight-mission military peacekeeping simulation. Teams were colocated or distributed and stayed in the same or transferred to a different context at task transfer. In Experiment 1, an ability and competence factor accounted for most of the variance in perceived trustworthiness and greater perceptions of teammates' abilities/competences predicted posttransfer performance. One's perception of how others perceived one's ability/competence increased over missions. In Experiment 2, propensity to trust did not predict performance; however, trust in others' and one's own ability/competence and trust behaviors predicted performance. At task and/or context transfer, teams produced more monitoring and less cooperating language in their communication.     

Comparison of the Family Therapy Educational and Experience Requirements for Licensure or Certification in Six Mental Health Disciplines

In a review of literature on clinical licensure programs and certified mental health disciplines, no studies specifically compared didactic methods and clinical training standards for family-based interventions. Consequently, consumers and insurers of these services have no basis from which to evaluate the relative competency of each of the mental health disciplines in providing family-based interventions. This study used content analysis to examine the amount of family based training that is required by six core mental health disciplines (Clinical Psychology, Psychiatry, Psychiatric Nursing, Professional Counseling, Marriage and Family Therapy, and Social Work) in each of the 50 United States. Results indicate that a marriage and family therapist is required to have three times more family therapy coursework than any other professional mental health discipline. Also, before becoming licensed a marriage and family therapist, must complete 16 times more face-to-face family therapy hours than a mental health professional from any other discipline. Implications for consumers and practitioners are discussed.     

How Substance Abuse Recovery Skills, Readiness to Change and Symptom Reduction Impact Change Processes in Wilderness Therapy Participants

Previous research has demonstrated that wilderness therapy is effective, yet very few studies have attempted to discern quantitative factors responsible for change that occur during wilderness therapy. This study aimed to tease apart specific factors that impact client progress and outcome. A sample of 189 adolescent clients in a wilderness therapy program completed the Youth Outcome Questionnaire Self-Report, the University of Rhode Island Change Assessment (URICA), and the Adolescent Relapse Coping Questionnaire (ARCQ) at pre-treatment, post-treatment, and follow-up intervals. Analysis of the complete data sets of 41 adolescents indicated that client Y-OQ scores improved significantly at post and follow-up assessments. URICA scores were not significantly related to such changes, while the ARCQ subscale of abstinence-focused coping strategies accounted for a significant proportion of the variance in Y-OQ change. These results indicate that clients in wilderness therapy do not necessarily need to want to change in order to do so. Furthermore, helping adolescents in wilderness therapy settings gain abstinence-focused coping strategies may be the most effective tool to improve treatment outcomes.     

Book reviews

The good, the bad, and the unknown: Two books on genius

MURRAY, P. (Ed.). (1989). Genius: The History of an Idea. Oxford, England: Basil Blackwell (242 pp.). ISBN 0–631–15785–9.

OCHSE, R. (1990). Before the Gates of Excellence. Cambridge, England: Cambridge University Press (ix+300 pp.). ISBN 0–521–37557–6.

Creativity and metaphor

HAUSMAN, CARL R. (1989). Metaphor and Art: Interactionism and Reference in the Verbal and Nonverbal Arts. Cambridge, England: Cambridge University Press (238pp.). ISBN 0 521363853.

Manic‐depression and creativity

HERSHMAN, D. JABLOW, and LIEB, JULIAN. (1988). The Key to Genius: Manic‐Depression and the Creative Life. Buffalo, NY: Prometheus Books (220 pp.). ISBN 0–87975–437–0.

Farewell to “form follows function”;

FINKE, RONALD A. (1990). Creative Imagery: Discoveries and Inventions in Visualization. Hillsdale, NJ: Erlbaum (188 pp.). ISBN 0–8058–8058–0772–1.     

Well Connected: Pharmacy Education and the Humanities

Traditional pharmacy education emphasizes the biological processes of diseases and their pharmacological treatments. While the intense focus on biomedical aspects of disease is vital to educating pharmacy students, this focus is often insufficient in conveying what patients experience. The humanities, however, offer powerful characterizations of the disease experience for individuals as well as its impact on the human condition more generally. In this essay, I describe how using literary texts with pharmacy students provides them with a fuller appreciation of what patients face with their diseases. The goal of this endeavor is to make students more effective as pharmacists in detecting and responding to their patients’ problems and needs by connecting their biomedical knowledge to depictions and meanings of illness experiences.     

The Role of Face Familiarity in Judgments of Personality and Intelligence

Personality judgments based on facial features are a common occurrence. The face familiarity overgeneralization hypothesis states that people make judgments of unknown faces based on their similarity to known faces. However, there is a dearth of research regarding how face familiarity relates to perceptions of personality and intelligence in strangers. The current article used two studies to provide evidence for the relationship between face familiarity and judgments of personality and intelligence. Study 1 showed that photographs perceived as familiar by one set of participants were rated more positively regarding personality and intelligence by a second group of participants. Study 2 found that high perceived familiarity resulted in positive judgments of personality and intelligence, whereas familiarity based on exposure did not. These findings indicate both that perceived familiarity significantly impacts positive judgments of personality and intelligence and that the face familiarity overgeneralization hypothesis is a useful framework for this area of research.     

Spiritual Coping in American Buddhists: An Exploratory Study

Researchers in the United States have examined spiritual coping in Christians, Jews, Hindus, and Muslims, but rarely Buddhists. Using qualitative methodology, the present study represents an initial investigation into Buddhist forms of coping. Twenty-four Buddhists from across the United States were interviewed by phone, examining how their spirituality is used to cope with stress. Thematic analyses revealed six forms of Buddhist coping—right understanding, meditation, mindfulness, spiritual struggles, morality, and finding support in one's sangha. Implications of the study are discussed, including possibilities for future research on Buddhist coping.