Student mental health: how can psychiatrists better support the work of university medical centres and university counselling services?

Student psychiatric morbidity is rising. Whilst the influence of university counselling services is widely reported, NHS involvement by psychiatrists and general practitioners is not so well described. Counselling and mental health service providers for students at the University of Leeds were approached for numerical data and a university Group on Student Mental Health discussed the findings. The Student Counselling Centre, the University Medical Practice and a dedicated student psychiatric clinic have all seen a rise in referral rates. The University Medical Practice has also seen a rise in the prescribing of psychoactive medication. Collaborative links at the University of Leeds are explored and options for the future discussed. These include self-help over the internet, a research project to assess student mental health needs and the provision of a dedicated NHS psychiatric team for the university.     

The Value of the Virtues

Direct theories of the virtues maintain that an explanation of why some virtuous trait counts as valuable should ultimately appeal to the value of its characteristic motive or aim. In this paper I argue that, if we take the idea of a direct approach to virtue theory seriously, we should favour a view according to which virtue involves knowledge. I raise problems for recent “agent-based” and “end-based” versions of the direct approach, show how my account proves preferable to these, and defend it against a number of objections.     

Ethnic Diversity and Differential Policing in Australia: the Good, the Bad and the Ugly

This paper focuses on three models of policing that have variously been exercised in relation to ethnic minority young people in Australia. As part of this, the paper critically explores policing that is primarily based upon coercion (‘the bad’), and, at its worst, explicitly discriminatory forms of zero tolerance (‘the ugly’), and compares these with police interventions that favour a more constructive and positive community-based approach (‘the good’). The paper provides a comprehensive review of literature on police–ethnic minority youth relations in the Australian context, as well as indicating recent strategic developments within police services around the country.     

A Big Five model of disposition and situation interaction: why a “helpful” person may not always behave helpfully

A “bottom-up” Big Five disposition-situation interaction model is introduced that highlights the interactive relation between an individual's behavioral trait tendencies and the different facets of a situation to which he or she may respond. In the proposed model, personality traits are considered markers for how an individual might interpret and respond to different facets of a situation. Given a complex situation with multiple response options, a person will respond to the part of the situation most salient to him or her at that time. The presented model illustrates how interactions between the trait dimensions of the Big Five model with the different facets of a situational context, as well as the intra-individual interactions between the different trait dimensions themselves, determine which facet of a situation will be salient. The model is expected to improve prediction of specific behaviors in specific situations using personality traits. Results from an illustrative study are presented.     

The Influence of Affective and Instrumental Beliefs on Exercise Intentions and Behavior: A Longitudinal Analysis

Programs encouraging exercise might reduce coronary illness. Ajzen's theory of planned behavior is a useful model for understanding exercise motivation. The current study investigated the contribution of the instrumental and affective components of attitude. As part of a community-based study of exercise behavior, 424 men and 572 women completed questionnaires, with 365 participants providing 6-month follow-up data. Regressions highlighted the affective component as a much more powerful predictor of intention compared to the instrumental component. After controlling for prior exercise, intention was not predictive of later exercise, although the affective component was. The implications for exercise promotion are discussed.     

Psychopathology Following Interpersonal Violence: A Comparison of Risk Factors in Older and Younger Adults

A randomly selected sample of 549 women age 55 years and older and 2,669 women age 18–34 years was interviewed via telephone to determine prevalences of physical and sexual assault, posttraumatic stress disorder (PTSD) symptomatology, and depression. Prevalences of sexual and physical assaults were lower in older compared to younger women. In addition, given a trauma, prevalences and proportionate risk of posttraumatic psychopathology and depression were also lower for older, relative to younger women. Specifically, multivariate analyses revealed that sexual assault predicted only PTSD avoidance in older adults, but all forms of PTSD symptomatology and depression in younger adult women. Similarly, physical assault predicted only PTSD re-experiencing symptoms in older women, but all forms of PTSD symptoms and depression in younger women. Self-reported health status was not associated with any increased risk of psychopathology, and low income predicted increased avoidance and depression only in younger women.     

Narrative Form and Content in Remembering

Narrative is the primary medium through which experience is represented, remembered and shared with others. It has the tendency to unify experience in an abstract linear form. The degree to which this is done is designated narrative form. Mori uses a multidimensional single case analysis to explore how the form of a narrative differs between an experience of real contact with the environment and an experience communicated by another or a ‘real’ experience repeated several times in conversation. I commend Mori’s experimental setup as modeling everyday life activities and for arriving at a theory that applies to all cases. However, I argue (using data from my own experiment on narrative and remembering) that the idiographic approach can be fruitfully supplemented with (1) an analysis of the sample as a whole and (2) narrative content in addition to form.

Teaching Beginning Braille Reading Using an Alphabet or Uncontracted Braille Approach

This study examined the effects of using a research based print reading program modified to accommodate beginning braille readers using an alphabet or uncontracted braille reading approach with five beginning braille readers. Four of the 5 participants displayed a clear increase in their ability to read high frequency words when they began using the Early Steps reading program modified to an Early Steps Alphabet Braille Reading Program. Study findings indicate that access to reading activities and materials afforded to sighted peers resulted in improved reading outcomes for children with visual impairments. Teachers, participants, and family members all viewed the use of the uncontracted braille reading program and materials favorably. Specialized reading instruction was also perceived as beneficial by teachers of students with visual impairments when the training addressed the specific needs of braille readers.