Treatment of antisocial personality, psychopathy, and other characterologic antisocial syndromes

Treatment of antisocial personality disorder (APD) and ";core" psychopathy is usually considered a pessimistic clinical exercise. This paper reviews the importance of accurate diagnosis (including differences between APD and other antisocial syndromes), limited techniques for predicting and preventing adult antisocial syndromes, several kinds of treatment that have been attempted with varying success, management of specific antisocial behaviors, and the frustrations-even dangers-of working with severely antisocial patients.     

Category coherence and category-based property induction

One important property of human object categories is that they define the sets of exemplars to which newly observed properties are generalized. We manipulated the causal knowledge associated with novel categories and assessed the resulting strength of property inductions. We found that the theoretical coherence afforded to a category by inter-feature causal relationships strengthened inductive projections. However, this effect depended on the degree to which the exemplar with the to-be-projected predicate manifested or satisfied its category's causal laws. That is, the coherence that supports inductive generalizations is a property of individual category members rather than categories. Moreover, we found that an exemplar's coherence was mediated by its degree of category membership. These results were obtained across a variety of causal network topologies and kinds of categories, including biological kinds, non-living natural kinds, and artifacts.     

Improving day-treatment services for adults with severe disabilities: a norm-referenced application of outcome management

We evaluated an outcome management program for working with staff to improve the performance of adults with severe disabilities in a congregate day-treatment setting. Initially, observations were conducted of student task involvement and staff distribution of teaching interactions across students in four program sites. Using recent normative data to establish objective goals for student performance, management intervention was warranted in two of the sites. A six-step outcome management program was then implemented in the two sites. The program involved defining desired student and staff outcomes, systematic monitoring of the outcomes, staff training, and supportive and corrective feedback. The outcome management program was accompanied by increases in student on-task behavior and staff distribution of teaching interactions in both sites. The increases brought the levels of on-task behavior above the normative average; on-task behavior was maintained above the baseline average for over 1 year in both sites. These results are discussed in terms of the benefits of relying on normative data for objectively evaluating and improving service delivery systems. Discussion of future research needs focuses on applying the outcome management program to other settings and services for people with disabilities.     

A variable mapping task produces symmetrical interference between global information and local information

When processing global and local aspects of compound visual figures, a robust finding is that global targets are detected faster and more accurately than local targets. Moreover, unidirectional interference is often observed. Despite the convincing evidence that global information and local information are available together, when attention is focused on the global level, items from the local level often have very little, if any, effect on behavior. If local information is available with global information, then why is global dominance so often observed under such a wide range of conditions? This paper is concerned with the fate of the ignored, and apparently ineffective, local distractors. In our experiments, at least one critical factor was stimulus-response (S-R) mapping. We compared a consistent S-R task, which facilitated a speed advantage for global, with a variable S-R task, which required a higher degree of semantic analysis for each stimulus. The two tasks produced large differences in behavior, showing unidirectional interference in the consistent S-R task, and strong bidirectional interference in the variable S-R task. Thus, the identity of ignored local distractors was available, even under conditions that favored focused attention to global information. The results provide support for a model in which global processing proceeds more quickly at early perceptual stages and in which local processing can catch up if processing demands are increased at later stages.     

Distance-Delivered Parent Training for Childhood Disruptive Behavior (Strongest Families™): a Randomized Controlled Trial and Economic Analysis

Disruptive behavior disorders are prevalent in youth, yet most children with disruptive behavior do not have access to timely, effective treatment. Distance-delivered service (e.g., via telephone, Internet) can overcome several barriers to care. This study tested the effectiveness of a 12-week parent training program, Strongest Families? Parenting the Active Child, delivered via written material, skill-based videos, and telephone coaching sessions, as compared to usual care in reducing child externalizing behavior. Participants were 172 primary caregivers of a 6- to 12-year-old (29% girls; M age?=?8.5 years) recruited from community children’s mental health clinics. Participants were randomized to either Strongest Families? or usual care and completed measures of child externalizing behavior, parenting practices, parent distress, and intervention services consumed at baseline and 5-, 10-, 16-, and 22-months post-baseline. Growth curve analysis showed significant reductions in externalizing behavior in both conditions over time. Improvements were significantly greater at 10 months in the Strongest Families? condition (d =?0.43). At 22 months, however, the differences were not significant and small in magnitude (d =??0.05). The intervention decreased inconsistent discipline significantly more than usual care. Parents in both conditions showed significant reductions in distress. We also conducted a cost-effectiveness analysis to assess the value for money of the Strongest Families? program versus usual care. Distance parent training is a promising way to increase access to, and reduce costs associated with, mental health care for families with a child with disruptive behavior.     

Spirituality and aging: How worship communities of older adults sustain their faith in the absence of traditional ordained leadership

ABSTRACT

This article considers how older Christians (aged over 70) exercise worship in an environment of shared ministry. Specifically, the Local Shared Ministry Units (LSMU) model of worship within the Auckland Diocese of the Anglican Church in Aotearoa/New Zealand and Polynesia (Auckland Diocese). A collective case study approach was used, and individual members of four LSMUs were interviewed with the resulting comments treated as a collective case study. The findings indicate these older adults are still seeking faith formation, do not regard themselves as fully formed spiritually, and use personal prayer in particular to enhance and nourish their faith growth.     

Perceived Social Support and Mental Health among First-Year College Students with Histories of Bullying Victimization

Although childhood bullying victimization is associated with adult depression and anxiety, the majority of previously bullied youth do not develop psychopathology. Identifying protective factors has implications for designing interventions that can support a successful adjustment to emerging adulthood. In this study, we investigate whether perceived social support protects against depression and anxiety among first-year college students who had previously experienced bullying. We collected data from 1474 first-year college students attending four large universities across the United States. Students completed a web-based survey in fall 2012 (Wave 1) and 436 (29.5 %) participated in a follow-up survey in spring 2013 (Wave 2). Participants reported on childhood bullying victimization, current depression and anxiety, and current social support (overall and from family, friends, and significant others). Results indicated that a history of childhood bullying victimization was positively associated with depression and anxiety in both fall and spring. Further, overall social support reported in fall moderated the association between childhood bullying victimization and fall and spring anxiety. Also, higher levels of perceived family support, in particular, buffered previously bullied students’ risk for spring anxiety. Results suggest that perceptions of familial social support during the initial adjustment to college may protect previously bullied first-year students from anxiety during their adjustment to college. Research and clinical implications, study limitations, and future directions are discussed.     

A discipline-mediated model of excessively punitive parenting

This study developed and compared several mediated and direct-effects models proposed to link well-established correlates of physical child abuse to excessively punitive parenting in a population-based sample of 206 families recruited from high-risk areas of a medium-sized metropolitan area. Parents were classified as exhibiting excessively punitive parenting based on home observations and parent reports of the use of physical punishment strategies other than spanking. We hypothesized that the levels of child coerciveness, parent irritability, and family stress would be mediated by disruptions in parent discipline in predicting excessively punitive parenting toward the child. Structural equation methodology was employed to test the hypothesized and alternative models. Results consistently supported the powerful mediational role of discipline in the hypothesized model over alternative models that posited separate, direct effects of child coerciveness, parent irritability, and parent stress on excessively punitive parenting behavior. Results are discussed in terms of the need for further examination of parenting behavior, as well as parents' perceptions of and affective reactions to parent-child interactions in the occurrence of physical abuse. Aggr. Behav. 23:259–280, 1997. © 1997 Wiley-Liss, Inc.     

Reduced prefrontal and increased subcortical brain functioning assessed using positron emission tomography in predatory and affective murderers

There appear to be no brain imaging studies investigating which brain mechanisms subserve affective, impulsive violence versus planned, predatory violence. It was hypothesized that affectively violent offenders would have lower prefrontal activity, higher subcortical activity, and reduced prefrontal/subcortical ratios relative to controls, while predatory violent offenders would show relatively normal brain functioning. Glucose metabolism was assessed using positron emission tomography in 41 comparisons, 15 predatory murderers, and nine affective murderers in left and right hemisphere prefrontal (medial and lateral) and subcortical (amygdala, midbrain, hippocampus, and thalamus) regions. Affective murderers relative to comparisons had lower left and right prefrontal functioning, higher right hemisphere subcortical functioning, and lower right hemisphere prefrontal/subcortical ratios. In contrast, predatory murderers had prefrontal functioning that was more equivalent to comparisons, while also having excessively high right subcortical activity. Results support the hypothesis that emotional, unplanned impulsive murderers are less able to regulate and control aggressive impulses generated from subcortical structures due to deficient prefrontal regulation. It is hypothesized that excessive subcortical activity predisposes to aggressive behaviour, but that while predatory murderers have sufficiently good prefrontal functioning to regulate these aggressive impulses, the affective murderers lack such prefrontal control over emotion regulation. © 1998 John Wiley & Sons, Ltd.