Family therapy in general practice: 'We have a clinic here on Friday afternoon …'

General practice is an obvious but relatively untried context within which to practise family therapy. This paper describes the development of a family therapy clinic within a group general practice and considers the influence of the practice setting on the practical style and theoretical approach of the family therapy team. The influence of the clinic on the referring habits and on the consulting style of the GPs is also considered in the context of the changes taking place in the organization of general practice.     

Attention deficit disorder and age of onset of problem behaviors

In the course of a prospective longitudinal study, we examined age of onset of behavior problems in a group of boys and girls identified with attention deficit disorder (ADD) at age 11. Onset occurred during the preschool years, by the first year of schooling, or by the end of the second year of school. Onset was strongly related to informant source at age 11, pattern of comorbidity of disorder at age 11, and developmental language, perceptual motor, and IQ measures. Onset by the first year of schooling was particularly related to poor reading skills. By age 15, nearly three-quarters of those with onset of problems before age 6 had one or more DSM-III disorders.     

Allergic disorders and attention deficit disorder in children

It has been suggested that children with attention deficit disorder-hyperactivity (ADDH) are likely to show allergic disorders, and that both ADDH and allergic disorders may share a common biological background. In a large sample of children from the general population we found no association between parent, teacher, and self-reports of ADDH behaviors and a history of allergic disorders (asthma, eczema, rhinitis, and urticaria) at ages 9 or 13 years. Similarly, reports of ADDH behaviors at age 13 years were not related to level of atopic responsiveness by skin test or serum IgE levels. Our findings call into question the hypothesis that there is a relationship between ADDH and allergic disorder.The Dunedin Multidisciplinary Health and Development Research Unit is supported by the Health Research Council of New Zealand, and involves several departments of the University of Otago. The authors are indebted to the many people whose contributions made this study possible, and in particular the members of the sample and their parents.     

Are girls with problems of attention underrecognized?

There is a generally held belief that disorders of attention (e.g., ADHD) are to be found primarily among boys, not girls. We question the evidence relating to sex differences in the prevalence of attentional disorders and suggest possible reasons why reported sex differences appear limited to teacher ratings. An examination of the admittedly scarce literature on correlates of ADHD behaviors suggests no strong evidence for sex differences in the pattern of developmental, attentional and background correlates. We recommend the use of sex-specific norms and diagnostic criteria to identify girls with problems of attention and our plea is for more research to examine the nature of attention deficits in girls.     

Interim Managers: Distinguishing Personality Characteristics of Managers on Short-term Contracts

The use of interim managers by companies is increasing, and reasons for this trend are discussed. A study is reported in which the normative personality make-up of a group of interim managers is compared with that of a general sample of UK managers. Ninety-four interim managers completed the revised PA Preference Inventory (PAPI-N) and the results are compared with those from a general UK managerial sample. Statistically significant differences are reported for 12 out of 20 scales, with nine of the effect sizes ≥ 0.5. Results are also compared with a priori job expert predictions. Of nine predictions that interim managers would differ from the general management norm, seven are consistent with the statistical findings. Practical and methodological implications of the findings, and their relation to the ‘Big Five’, are discussed, together with broader implications for the study of workers in new and emerging forms of employment. The findings are also interpreted in the particular context of interim management roles.     

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.     

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.     

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.     

Grouping effects in flash-induced perceptual fading

We show that the flash-induced fading effect can be influenced by grouping based on colour and shape similarity. In flash-induced fading, peripherally presented elements perceptually disappear after a flash has been presented around or next to the element(s) (Kanai and Kamitani, 2003 Journal of Cognitive Neuroscience 15 664-672). In the present study, two elements (which could either be similar or different in both colour and shape) were presented at an eccentricity of 2.6 degrees from a fixation cross. After 2 s, a short flash (40 ms) was presented around one of the elements. The two elements remained on the screen for 2.5 s after the flash. We found a higher percentage of mutual perceptual disappearance when the two elements were similar in colour or in shape. These results converge with other findings showing that perceptual fading phenomena are influenced by effects of perceptual grouping. This indicates that, besides low-level adaptation, more global processes play a part in perceptual fading as well and should thus be taken into account in giving a full explanation of perceptual fading in general.