Early Traumatic Stress Responses in Parents Following a Serious Illness in Their Child: A Systematic Review

A systematic review of the literature investigating the early traumatic stress responses in parents of children diagnosed with a serious illness/injury. A literature review was conducted (September 2013) using Medline, PsycINFO, and CINAHL databases. Twenty-four studies related to parents of children hospitalized due to diagnosis of cancer, type 1 diabetes, meningococcal disease, trauma or serious injury, preterm birth and other serious illnesses requiring admission to intensive care were included. Parents were assessed for early traumatic stress symptoms within 3 months of their child’s diagnosis/hospitalization. Prevalence rates of acute stress disorder in parents ranged from 12 to 63 %. Prevalence of posttraumatic stress disorder ranged from 8 to 68 %. Variability was related to methodological factors including differences in study design, timing of assessments, measurement tools, and scoring protocols. Psychosocial factors rather than medical factors predicted parent distress. This review integrates and compares early traumatic reactions in parents with children suffering a range of serious illnesses. Findings suggest a high prevalence of acute and posttraumatic stress symptoms in parents. Methodological inconsistencies made comparison of early traumatic stress prevalence rates difficult. Risk factors associated with traumatic stress symptoms were identified.     

‘The Nowness of Everything’: A mindfulness-based approach to psychotherapy

Current levels of mental distress are of great concern to those of us working in the therapeutic setting. Many people today are discontented and unhappy with their lives. Success fails to bring fulfilment and with alienation from self and others, an inner numbness can become established. When working with troubled individuals or participants of groups, I believe by remaining with a mindfulness-based here-and-now approach, levels of depression, anxiety, narcissistic conceit and acquisitiveness become diminished. At the same time, I feel peace of mind increases when in-the-moment experiences are the focus of attention. It would seem that a mindful approach which involves circumventing client history and concentrating on current feelings and experiences can effectively facilitate psychic change. This paper considers some of the literature of mindfulness, in an attempt to validate my observations and determine if there is a satisfactory evidence base for a mindfulness-based psychotherapeutic approach to the ills of contemporary life.     

Escaping the impulse to immediate gratification: the prospect concept promotes a future-oriented mindset, prompting an inclination towards delayed gratification

People's willingness to postpone receiving an immediate reward in order to gain additional benefits in the future, that is, a tendency to shallow delay discounting, is closely related to one's health, wealth, and happiness. We conducted two experiments investigating how the prospect concept can induce a future-oriented mindset and induce people to behave accordingly. We found that engaging in prospective imagery led the participants to focus on delayed utility over immediate utility in financial decisions (Experiment 1). Participants who received the prospect prime via a scrambled-sentence task decreased their desire to pursue hedonic activities for instant gratification (Experiment 2). Moreover, a state of future orientation mediated the effect of the prospect prime on measures of delayed gratification (Experiments 1 and 2). Thus, reminders of prospect may activate a mindset for future orientation by which delayed gratification is strengthened.     

Strategies and Techniques to Maintain Sexual Desire

The new mantra in sex therapy is desire, pleasure, eroticism, and satisfaction. There is growing acceptance that the prime sexual factor influencing the couple’s relationship is sexual desire. This conceptual/clinical paper explores two core concepts for maintaining sexual desire in committed, long-term relationships: (1) Establishing a comfortable, functional couple sexual style which balances each person’s sexual autonomy with being an intimate, erotic team and (2) adopting the Good Enough Sex model which promotes a variable, flexible sexual repertoire and recognizes the value of both mutual (synchronous) and asynchronous sexual experiences.     

Gay, Lesbian, and Bisexual Patients’ Recommendations for Genetic Counselors: A Qualitative Investigation

Gay, lesbian, and bisexual (GLB) individuals comprise a growing patient population in genetic counseling. However, only one article from a genetic counseling journal provides empirical data on GLB patients' genetic counseling experiences and genetic counselor attitudes and practices regarding GLB patients. The present study, an extension of the aforementioned article, gathered further information about patients' genetic counseling experiences through semi-structured telephone interviews. Twelve of the previous study's 29 patient respondents (n?=?10 lesbian women, n?=?1 gay man, n?=?1 bisexual woman) participated. Interview questions concerned the use of medically inclusive forms, factors influencing patient disclosure, counselors' ability to relate to them, and their expectations of genetic counselors. Inductive analysis of the interviews yielded seven themes: 1) Medically inclusive forms with gender neutral terms are important; 2) Genetic counselor ability to relate to a GLB person depends more on the relationship established during the session and less on external symbols; 3) The presence of GLB-friendly symbols increases comfort when disclosing one's orientation; 4) Inclusion of the patient's partner is important and best done by encouraging their active participation in sessions; 5) When GLB patients disclose their orientation, they expect to be treated like any other patient; 6) Providers should ask about orientation if medically pertinent and the remaining discussion should take orientation into consideration; and 7) When a provider inquires about orientation it should be done in a safe and appropriate way. Illustrative quotations, genetic counseling practice implications, and research recommendations are presented.     

The Practice of Fee Setting and Collection: Implications for Clinical Training Programs

The purpose of this article is to explore the empirical research that focuses on the association between fees and therapy outcomes as well as on therapists’ responses to issues of money. In addition, the authors will discuss implications for training programs surrounding the issue of client fees and offer suggestions for ways training programs might address the issue.     

Scoring Biodata: Is it rational to be quasi‐rational?

Five quasi‐rational biodata scales were developed by empirically keying biodata items to predict scores on a measure of the Big Five dimensions of personality. The criterion‐related validities of the quasi‐rational scales were compared to empirical and rational biodata keying methods using supervisory ratings of job performance as the criterion. Empirical keying outperformed the quasi‐rational and rational methods (which had similar validities).     

Naming without knowing and appearance without associations: Evidence for constructive processes in semantic memory?

Abstract

This study describes a patient (SE) with temporal lobe injury resulting from Herpes Simplex Encephalitis, who displayed a previously unreported impairment in which his knowledge of associative and functional attributes of animals was disproportionately impaired by comparison with his knowledge of their sensory attributes (including their visual properties and characteristic sounds). His knowledge of man-made objects was preserved. A striking aspect of the present case was that the patient remained able to name many animals from their pictures, despite making gross errors in generating associative information about these same animals. This suggests that a semantic representation incorporating stored sensory knowledge may be sufficient for naming (at least for biological categories) and associative information may be unnecessary. Semantic knowledge may normally incorporate more information than is necessary for identification. SE's errors were found to be confabulatory and reconstructive in nature and it is argued that this aspect of his performance challenges passive conceptions of semantic memory couched in terms of a catalogue of stored representations. It is proposed that the patient's disorder affects a dynamic, constructive, and inferential component of his knowledge base, and that this component is sensitive to semantic category.     

A Personal Construct Approach to Understanding Stress in Mothers of Children Diagnosed with Autism Spectrum Disorders

This study explored the contribution of personal construct psychology (PCP) and the repertory grid technique to understanding stress when raising a child diagnosed with autism spectrum disorder (ASD). Associations between child level of functional impairment, parenting stress, psychological distress, and maternal construing were examined in mothers of 25 children diagnosed with ASD. Results suggest that a personal construct perspective may help delineate factors involved in parent adjustment to ASD.