Effects of dentalization and devoicing of the /z/ phoneme on listeners' judgment of a speaker's sexual orientation

25 undergraduate listeners judged that a male speaker with normal speech, who dentalized (lisped) or devoiced the /z/ phoneme in the context of a sentence, sounded significantly more "gay" in terms of judged sexual orientation than did the same speaker producing /z/ without phonological processes. Speech-language pathologists should be aware of possible social consequences of speech production disorders.     

Posttraumatic stress disorder in the emergency room: exploration of a cognitive model

Ehlers and Clark (Behav. Res. Ther., 38 (2000) 319) recently proposed a cognitive model of posttraumatic stress disorder (PTSD). In this study, we examined two facets of this model, appraisal and peritraumatic dissociation, in the context of a hospital emergency room. Fifty-one emergency room personnel completed questionnaires measuring posttraumatic stress symptoms, interpretations of traumatic events experienced while working in the emergency room and subsequent intrusive recollections, and peritraumatic dissociation. Twelve percent of participants met formal diagnostic criteria for PTSD, and 20% met PTSD symptom criteria. As predicted, both negative appraisals of the trauma and of intrusive recollections were associated with increased PTSD severity. Although peritraumatic dissociation did not correlate with overall PTSD symptom severity, it was associated with the reexperiencing symptom cluster. Discussion focuses on the factors associated with PTSD in emergency room professionals and implications for intervention.     

Correlations of religious belief and practice with college students' tattoo-related behavior

This research builds on a large body of literature which suggests that religious belief and practice suppress deviant behavior. Survey data from 520 undergraduates (64% freshmen and sophomores; 70% female; 80% Euro-American) at a large public university in the southwest were examined for whether students' strength of religious faith, church attendance, or frequency of prayer correlated with their having a tattoo, being interested in tattoos, or being likely to get a (or another) tattoo. Analysis showed strength of religious faith had a weak, negative correlation with having a tattoo, being interested in tattoos, and being likely to get a (or another) tattoo. Church attendance also weakly correlated with a reduced interest in tattooing. Since the strength of the numerous correlations was very low and barely reached statistical significance, religious belief and behavior do not appear to be associated substantively with attitudes and behavior regarding tattoos. This suggests increasing cultural acceptance of tattooing.     

Trauma-Informed Medical Care: Patient Response to a Primary Care Provider Communication Training

Trauma exposure predicts mental disorders and health outcomes; yet there is little training of primary care providers about trauma’s effects, and how to better interact with trauma survivors. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6-hour CME course, Trauma-Informed Medical Care (TI-Med), to evaluate its feasibility and preliminary efficacy. We randomized four primary care sites to training or wait-list conditions; PCPs at wait-list sites were trained after reassessment. Primary care providers (PCPs) were Family Medicine residents (n = 17; 2 sites) or community physicians (n = 13; 2 sites). Outcomes reported here comprised a survey of 400 actual patients seen by the PCPs in the study. Patients, mostly minority, completed surveys before or after their provider received training. Patients rated PCPs significantly higher after training on a scale encompassing partnership issues. Breakdowns showed lower partnership scores for those with trauma or posttraumatic stress symptoms. Future studies will need to include more specific trauma-related outcomes. Nevertheless, this training is a promising initial approach to teaching trauma-informed communication skills to PCPs.     

Requencies and relations of body piercing and sexual experience in college students

This research examined the relation between having a body piercing and having engaged in premarital sexual intercourse. Data were gathered from a convenience sample of 450 college students. 72% were women; 85% were ages 18 to 22 years (M=20.9, SD=4.5), 80% were Euro-American. Women with piercings reported substantively and significantly greater frequency of sexual activity than college students without piercings. There were no significant differences in sexual experience between men with piercings and those without. These findings differ from previous research comparing the sexual activity of college students with and without tattoos.     

The use of counsellor verbal response modes and client-perceived rapport

The search for those counsellor'client interaction variables which mediate the level of rapport between participants in counselling sessions remains a major focus, particularly in view of the questions which are arising regarding the reliability and usefulness to practitioners of data from large scale controlled clinical trials of specific treatment procedures delivered via standardized manuals. This study examined one of the major therapy interaction variables'verbal response modes'and evaluated its effectiveness upon the development of the Bond aspect of the Working Alliance. To operationalize this variable, client-perceived rapport was assessed every minute via the standardized client procedure described elsewhere. Data suggested that minimal encouragers, reflections of feelings and restatements were the most prominent of the traditional verbal response modes in building rapport, and the usage across the period of 40 to 60 minute interviews varied. Other response modes were also examined. Implications for therapy and training of counselling skills are discussed.     

The impact of an 8-day intensive treatment for adolescent panic disorder and agoraphobia on comorbid diagnoses

Previous research findings have shown positive effects of cognitive-behavioral therapy for primary anxiety disorders as well as for nonprimary, co-occurring anxiety disorders. In this study, we analyzed data from an existing randomized controlled trial of intensive treatment for panic disorder with or without agoraphobia (PDA) to examine the effects of the treatment on comorbid psychiatric diagnoses. The overall frequency and severity of aggregated comorbid diagnoses decreased in a group of adolescents who received an 8-day treatment for PDA. Results suggest that an 8-day treatment for PDA can alleviate the symptoms of some specific comorbid clinical diagnoses; in particular specific phobias, generalized anxiety disorder, and social phobia. These findings suggest that an intensive treatment for PDA is associated with reductions in comorbid symptoms even though disorders other than PDA are not specific treatment targets.     

Starting on haemodialysis: A qualitative study to explore the experience and needs of incident patients

Dialysis can be very stressful with the initial months onto treatment being highly critical in terms of both adaptation and mortality. This qualitative study aimed to explore the lived experiences of incident haemodialysis patients in Singapore. Topics related to the end-stage renal disease diagnosis and haemodialysis treatment were raised with 13 incident haemodialysis patients in the form of semi-structured interviews, and interpretative phenomenological analysis was undertaken as the framework for data analysis. Emotional distress, treatment-related concerns and social support emerged as main issues following a critical review of themes. Our study revealed that incident haemodialysis patients have emotional and informational needs, highlighting the importance of intervention programmes in particular to this patient group to promote better psychosocial adjustment to the disease and its treatment.     

Fractioned Reaction Ttme in Power-Trained and Endurance-Trained Athletes under Conditions of Fatiguing Isometric Exercise

Fractionated knee extensor and plantar flexor reaction time (RT) components were assessed in a group of eight weightlifters and eight long distance runners. Following a 4-day period of baseline stabilization for each muscle group, a 50% maximal voluntary contraction (MVC) holding-time exercise was administered. Results showed that the runners had longer premotor times (PMT) than the weightlifters in the knee extensors, but had much faster PMTs than the lifters in the plantar flexor condition. Compared to previously reported investigations using non-athletes, the data for the present sample of athletes indicated faster total reaction times (TRT) in both the knee extensors and the plantar flexors. A resistance of 15% MVC applied during the RT task resulted in a lengthening of the motor time (MT) component in both groups prior to exercise. However, while knee extensor resisted motor time was lengthened by the exercise task, no such lengthening occurred in plantar flexor resisted RT. It is concluded that power-trained and endurance-trained athletes exhibit differences in response to a fractionated RT task, under both baseline and fatiguing exercise conditions.