Use of the ten-point clock test to compare executive functioning across 24 months in patients with subcortical vascular dementia

The Ten-point Clock Test can be used to identify early forms of Alzheimer's disease because it is reliable, well accepted, and easily administered at the bedside. Nevertheless, its clinical role in the detection of early dementia and its correlations with other cognitive processes is still under investigation. Vascular dementia is an uncertain nosological entity, in which unevenly distributed patterns of cognitive deficits comprising slowing of cognitive processing and impairment of executive function occur. The present study assessed how the Clock Test scores correlated with a number of other neuropsychological and functional tests in a sample of 144 patients with vascular dementia, who were followed for a period of 24 mo. At baseline, at 12 mo. and at 24 mo. subjects were administered a battery of tests, including the Mini-Mental State Examination, word fluency, visuospatial skills, an evaluation of hetero- and autotopognosia (knowledge of self), the Proverbs Test, and the Ten-point Clock Test. For these patients scores on the Clock Test correlated significantly with semantic abilities, with abstract reasoning capacities, visuospatial perception, and with right and left recognition.     

Vietnamese Amerasians: Predictors of Distress and Self-Destructive Behavior

There have been few empirical studies of Vietnamese Amerasians, children fathered by United States servicemen and civilians during the Vietnam War. In this study, the authors investigated pre- and postmigration variables that predict psychological distress and self-destructive behavior. The sample (N = 169) was selected from 10 cities throughout the United States. Multivariate regression analyses were used to determine the predictors of distress. Results revealed that observing traumatic events rather than actually experiencing trauma was a significant predictor of psychological distress. Participants with frequent cognitions about loss of significant people, places, or both were more likely to report psychological distress and self-destructive behavior. Implications for research and practice are discussed in relationship to cross-cultural counseling with at-risk populations, including individuals from inner cities and war-stricken environments.     

A multi-dimensional model for treating families that have survived mother assault

This paper offers a multidimensional family systems approach to treating children and their mothers in families who have survived violence and are in father-absent families. The model incorporates theoretical and clinical ideas from the child witness-to-violence field, the field of traumatic stress, and from feminist thinking. Three areas of intervention are detailed.The authors gratefully acknowledge the suggestions of the reviewers.     

Collective Narcissism Predicts Hypersensitivity to In‐group Insult and Direct and Indirect Retaliatory Intergroup Hostility

Results of five studies (N = 1596) linked collective narcissism—a belief in in‐group exaggerated greatness contingent on external validation—to direct and indirect, retaliatory hostility in response to situations that collective narcissists perceived as insulting to the in‐group but which fell well beyond the definition of an insult. In Turkey, collective narcissists responded with schadenfreude to the European economic crisis after feeling humiliated by the Turkish wait to be admitted to the European Union (Study 1). In Portugal, they supported hostile actions towards Germans and rejoiced in the German economic crisis after perceiving Germany's position in the European Union as more important than the position of Portugal (Study 2). In Poland, they supported hostile actions towards the makers of a movie they found offensive to Poland (Studies 3 and 5) and responded with direct and indirect hostility towards a celebrity whose jokes about the Polish government they found offensive (Study 4). Comparisons with self‐positivity and in‐group positivity indices and predictors of intergroup hostility indicated that collective narcissism is the only systematic predictor of hypersensitivity to in‐group insult followed by direct and indirect, retaliatory intergroup hostility. Copyright © 2016 European Association of Personality Psychology     

New Professional Roles and Advocacy Strategies for School Counselors: A Multicultural/Social Justice Perspective to Move Beyond the Nice Counselor Syndrome

The transformed role of school counselors as advocates is key in reducing the academic achievement gap. Redefining the school counselors' role requires culturally competent practitioners, social justice advocates, and organizational/social change agents. A major obstacle to implementing culturally responsive social justice advocacy and change in schools is referred to as the nice counselor syndrome (NCS). This article discusses the insidious effects of NCS and outlines a set of recommendations designed to assist school counselors in moving beyond this syndrome.     

Counsellors' experiences of working with suicidal clients: An exploratory study

Counselling is increasingly available in a wide variety of contexts, including mental health and psychiatric services. As a consequence, counsellors increasingly work with clients who present with suicidal ideation, expressing either suicidal thought and/or intent in the counselling session. This paper describes an exploratory study that examined the experience of counsellors when working with suicidal clients. The paper considers counsellors' behavioural, cognitive and emotional responses to such suicidal expression, both on a personal and professional level. The research employed semi‐structured interviews. A constant comparative method was used in analysing the transcribed interview text. Results suggest that counsellors experience a range of responses when their clients express suicidal thought, including fear, anxiety, anger and professional impotence. The interviewees also expressed self‐doubts about their professional competence. In addition, they identified the threat of litigation for negligent practice and the lack of confidence in appropriate risk assessment approaches as significant causes for concern. The implications for further research, and practice, are discussed.     

What is in a word? No versus Yes differentially engage the lateral orbitofrontal cortex

The words "No" and "Yes" are involved in conditioning to prohibit or encourage behavior, respectively. The authors, therefore, hypothesized that these words would be attributed to endogenous valence, activating neuronal circuits involved with valence and emotional control. Functional MRI (fMRI) at 4 Tesla was used to record regional brain activity while participants were exposed to emphatic vocalizations of the words. Results showed that No and Yes were associated with opposite brain-behavior responses; while No was negatively valenced, produced slower response times, and evoked a negative signal in the right lateral orbitofrontal cortex (OFC), Yes was positively valenced, produced faster response times, and evoked a positive signal in a contiguous region of the OFC. Attribution of negative valence to No and trait anger control were associated with increased responsivity of the OFC to No. Inasmuch as sensitivity to the prohibitive command No develops during childhood through interaction with primary caregivers as the first social objects, our findings may implicate the lateral OFC in the neurobiology of emotion regulation and subsequent social development.     

LIBRE model: Engagement styles in counseling

Engagement is essential for the processing of information. It is presented here as 2 points along a continuum: initial attention (primary self‐presentation) and sustained attention (continued self‐regulation). The LIBRE (Listen, Identify, Brainstorm, Reality Test, Encourage) Stick Figure Tool (N. S. Guerra, 2003) provides a graphic organizer for LIBRE problem solving and is instrumental in the assessment of both initial and sustained engagement tendencies. A vignette is presented to illustrate the application of the model. Implications for the model are then discussed in relation to client engagement style in an employment counseling setting.