Treatment of co-occurring child maltreatment and substance abuse

Despite high prevalence and severe negative consequences of child maltreatment (e.g., Brown, G. R., & Anderson, B., (1991). Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse. American Journal of Psychiatry, 148, 55–61; Jaudes, P. K., Ekwo, E., & Van Voorhis, J.V., (1995). Association of drug abuse and child abuse. Child Abuse and Neglect, 19, 1065–1075; Murphy, J. M., Jellinek, M., Quinn, D., Smith, G., & Goshkom, M., (1991). Substance abuse and serious child mistreatment: Prevalence, risk, and outcome in a court sample. Child Abuse and Neglect, 15, 197—211), the treatment of perpetrators and victims of child abuse and neglect remains grossly understudied (Behl, L. E., Conyngham, H. A., & May, P. F., (2003). Trends in child maltreatment literature. Child Abuse and Neglect, 27, 215–229). More than half of parentes founded for the abuse and neglect of their children have evidenced drug abuse, yet no treatments have been validated that concurrently address these problems. The reciprocal interaction between substance abuse and child maltreatment supports the need to concurrently treat these problems. This article illustrates the relationship between child maltreatment and parental substance abuse and proposes a behavioral model to explain the reciprocal influence of drug abuse and child maltreatment. A behavioral treatment plan that is designed to concurrently address drug abuse and child abuse is proposed and suggestions are made for future directions in this area.     

Affiliative Need,Different Types of Social Support,and Physical Symptoms1

Less tangible types of social support (emotional, informational, and companionship) were shown to predict reports of physical symptoms as a joint function of both affiliative need and negative life events, while the effects of tangible support depended only upon the occurrence of negative life events (the prototypical buffering effect). Low affiliative need individuals tended to benefit from both types of support, while high affiliative need individuals benefited primarily from more tangible support. The results were discussed in terms of the proposal that low affiliative need individuals hold a more problem-focused view of social support, while high affiliative need individuals tend to take a less personally instrumental stance toward interpersonal interaction.     

The influence of context on lexical decision times for emotionally aversive words

Forty-eight undergraduates made lexical decisions about emotionally aversive and nonemotional words. Emotionally aversive target words were preceded either by an emotionally aversive prime word, a nonemotional but semantically related prime or a nonemotional and semantically unrelated prime. Nonemotional targets were preceded by nonemotional primes which were either semantically related to targets, unrelated, or neutral (strings of Xs). Primes were presented for 50 ms to one group of 16 participants, 500 ms to a second group and 1250 ms to a third group. Measurement of lexical decision time showed significant semantic primary effects for nonemotional targets, and these were not influenced by prime duration. Priming effects for emotionally aversive targets due both to emotional and nonemotional relatedness of primes and targets were also found and these effects were not influenced by prime duration. The results are considered to be consistent with Bower’s (1981) associative network theory of memory, and possible clinical implications for explaining spontaneous panic attacks and the incubation of anxiety are discussed.     

Memory for two types of spatial location: effects of instructions, age, and format

Three experiments, with old persons (59-80 years) and college students (17-30 years) in Experiments 1 and 2 and with college students (17-24 years) in Experiment 3, investigated the differences between two types of spatial location memory: memory for the location of individual items in an array and memory for occupied, as opposed to unoccupied, locations in an array. Young persons performed better than old persons on both measures of location memory. However, an effect of instructions (intentional vs. incidental for spatial location) was consistently obtained for memory for occupied, as opposed to unoccupied, locations, whereas no effect of instructions was obtained for memory for individual item locations. In addition, item location memory was superior for objects as opposed to matched words (Experiment 2), whereas occupied location memory was not affected by presentation format (Experiments 2 and 3). These differences indicate that spatial memory is a complex process whose properties are affected by variations in stimulus characteristics and task demands. It was concluded that the distinction of Hasher and Zacks (1979) between automatic and effortful processes is not adequate for understanding spatial memory. A recognition of the complex nature of spatial processing suggests a resolution of discrepancies in the literature based upon differences in stimulus characteristics, task demands, and the effectiveness of task-appropriate mnemonic strategies.     

Factors Predisposing Women to Take Precautions Against Breast and Cervix Cancer

The utility of the Theory of Reasoned Action (TRA), the Health Belief Model (HBM), and the Subjective Probability Model (SPM) in a health education diagnosis to discover predisposing factors for performing breast self-examination (BSE) and having a Pap test was explored in a survey of 123 women. Each model was a significant predictor of BSE and Pap test intentions. However, a composite model comprising the TRA's attitudinal and normative components supplemented by the barriers component of the HBM was the most useful in performing a health education diagnosis in relation to breast self-examination and the Pap test. "Psychological relevance" scores of particular beliefs obtained by SPM procedures tended to confirm the TRA's correlational method of identifying primary beliefs that would be the targets of persuasion to change BSE and Pap test intentions.     

The pattern of reading deterioration in dementia of the Alzheimer type: Observations and implications

Thirteen patients with dementia of the Alzheimer type (DAT) were tested for their ability to read aloud and to read with comprehension. Reading aloud was preserved in all but the most severely impaired cases and was found to be relatively independent of intellectual deterioration. Reading comprehension declined progressively with increasing dementia severity and correlated well with quantitative mental status assessments. The results suggest that the pattern of reading deterioration may aid in the clinical identification of DAT, that the disturbance of reading comprehension is a linguistic deficit rather than a product of visual-perceptual disturbances, and that the alexia is more consistent with an instrumental loss than a de-developmental model of dementia.     

Sensitivity to perspective structure while walking without vision

Experiments are reported of the nonvisual sensitivity of observers to their paths of locomotion and to the resulting changes in the structure of their perspectives, ie changes in the network of directions and distances spatially relating them to objects fixed in the surrounding environment. In the first experiment it was found that adults can keep up to date on the changing structure of their perspectives even in the absence of sights and sounds that specify changes in self-to-object relations. They do this rapidly, accurately, and, according to the subjects' reports, automatically, as if perceiving the new perspective structures. The second experiment was designed to investigate the role of visual experience in the development of sensitivity to occluded changes in perspective structure by comparing the judgments of sighted adults with those of late-blinded adults (who had extensive life histories of vision) and those of early-blinded adults (who had little or no history of vision). The three groups performed similarly when asked to judge perspective while imagining a new point of observation. However, locomoting to the new point greatly facilitated the judgments of the sighted and late-blinded subjects, but not those of the early-blinded subjects. The findings indicate that visual experience plays an important role in the development of sensitivity to changes in perspective structure when walking without vision.