Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Background/Objectives: Motivational Enhancement Treatment in Spanish (METS) is a brief intervention aimed at resolving patient ambivalence towards behavior change that has demonstrated efficacy in substance use disorder treatment to reduce use and increase treatment engagement in different populations. In order to have evidence for its implementation in Mexico, a multi-site, randomized, two-arm, controlled clinical trial was conducted at three outpatient addiction treatment centers in the country to compare the effect of METS with Counseling as Usual (CAU). Method: One hundred and twenty patients were randomized to receive three sessions of METS (n = 54) or CAU (n = 66) during the first four weeks of treatment and were assessed during the following 12 weeks. Primary outcome measures were self-reported days of substance use and of treatment services utilization, which were tested using Generalized Estimating Equations. Results: Results associated both conditions with significant changes in substance use over, whereas there were no differences between conditions in substance use or in service utilization. Conclusions: Findings do not support the hypothesis that METS is more effective than CAU, but suggest that brief interventions at treatment initiation may improve patient outcomes.     

Meaning Coconstruction in Group Counseling: The Development of Innovative Moments

This study discusses a model of group counseling, the narrative mediation path (NMP), which is a unique narrative, multimodal approach that combines four narrative modes (metaphoric, iconographic, writing, and bodily) and the narrative group. The purpose of the NMP is to foster reflexive processes with underachieving university students and to improve their academic performance. The study analyzes a single case of group counseling for seven underachieving economics students at an Italian university and the process of meaning construction among NMP narrative modes and the follow-up session. It applies the innovative moments coding system, a reliable method for studying change by tracking narrative innovations in sessions. More specifically, we focus on how innovative moments (IMs: action, reflection, protest, and reconceptualization) evolve during the four different narrative modes and the follow-up session. The findings suggest that the NMP fosters narrative innovations, mainly of a reflexive nature (reflection and reconceptualization). Moreover, during counseling and the follow-up session, the pattern of change is primarily characterized by reconceptualization IMs, the most complex form of narrative innovation.     

Development and validation of a brief self-report measure of agitation: the Brief Agitation Measure

Emerging evidence indicates that agitation is an ominous precursor to imminent death by suicide, yet measures of it are few, and to our knowledge, no self-report measure of agitation exists. To fill this gap, we have developed the Brief Agitation Measure (BAM), which is designed as a brief measure to assess agitation. In this article, we provide preliminary evidence from 2 studies examining the reliability and validity of the BAM in an undergraduate sample as well as a clinical sample. We close with a discussion of the limitations of the studies and implications of our findings.     

The Role of Existential Beliefs Within the Relation of Centenarians’ Health and Well-Being

The purpose of this study was to explore the role of existential beliefs in mediating the influence of health on centenarians’ well-being. A total of 80 centenarians (mean age 101.1; SD = 1.3; 81.3 % women) with no/minor cognitive impairment were included. The OARS questionnaire for diseases and functional capacity (ADL, IADL), the Satisfaction with Life Scale, and the existential beliefs subscale were used for data collection. The findings suggest that existential resources are a crucial element for mitigating the impact of health constraints in subjective well-being in this population. Appropriate models of intervention for very old age that recognize the importance of religion, spirituality, and meaning of life are to be considered.     

Transforming Social Regularities in a Multicomponent Community‐Based Intervention: A Case Study of Professionals’ Adaptability to Better Support Parents to Meet Their Children's Needs

This paper presents an in‐depth case study of the dynamic processes of mutual adjustment that occurred between two professional teams participating in a multicomponent community‐based intervention (CBI). Drawing on the concept of social regularities, we focus on patterns of social interaction within and across the two microsystems involved in delivering the intervention. Two research strategies, narrative analysis and structural network analysis, were used to reveal the social regularities linking the two microsystems. Results document strategies and actions undertaken by the professionals responsible for the intervention to modify intersetting social regularities to deal with a problem situation that arose during the course of one intervention cycle. The results illustrate how key social regularities were modified in order to resolve the problem situation and allow the intervention to continue to function smoothly. We propose that these changes represent a transition to a new state of the ecological intervention system. This transformation appeared to be the result of certain key intervening mechanisms: changing key role relationships, boundary spanning, and synergy. The transformation also appeared to be linked to positive setting‐level and individual‐level outcomes: confidence of key team members, joint planning, decision‐making and intervention activities, and the achievement of desired intervention objectives.     

John Buridan on the Possibility of Defining Definition

The study of the medieval reception of Aristotle’s Topics has largely been oriented toward debates on dialectical argumentation. And this is surely right. Nonetheless, I wish to approach John Buridan’s commentary on the Topics from another perspective, which highlights some semantic features of the set of predicates around which the work is organized. Thus, in my paper I will first reconstruct Buridan’s account of the identification of the predicates discussed in the Topics. I will argue that, for him, they are different in that they reflect one or more features of the way in which definiens and definiendum relate. By doing this, I will shed light on the role the notion of definition plays in Buridan’s commentary, so that an interpretation of it as a work on definition becomes promising. In the second part of the paper, I will offer an analysis of Buridan’s first move in his commentary toward a theory of definition. It concerns the problem of whether there is a definition of definition. In examining Buridan’s answer, I will argue for the close connection between his treatment of definitions and his theory of supposition, so that distinctions among the different modes of supposition help him to disambiguate statements in their possible meanings, and thus to clarify the difficulty related to the definability of definition.     

Co‐development of child‐mother gestures over the second and the third years

This study looks at whether there is a relationship between mother and infant gesture production. Specifically, it addresses the extent of articulation in the maternal gesture repertoire and how closely it supports the infant production of gestures. Eight Spanish mothers and their 1‐ and 2‐year‐old babies were studied during 1 year of observations. Maternal and child verbal production, gestures and actions were recorded at their homes on five occasions while performing daily routines. Results indicated that mother and child deictic gestures (pointing and instrumental) and representational gestures (symbolic and social) were very similar at each age group and did not decline across groups. Overall, deictic gestures were more frequent than representational gestures. Maternal adaptation to developmental changes is specific for gesturing but not for acting. Maternal and child speech were related positively to mother and child pointing and representational gestures, and negatively to mother and child instrumental gestures. Mother and child instrumental gestures were positively related to action production, after maternal and child speech was partialled out. Thus, language plays an important role for dyadic communicative activities (gesture–gesture relations) but not for dyadic motor activities (gesture–action relations). Finally, a comparison of the growth curves across sessions showed a closer correspondence for mother–child deictic gestures than for representational gestures. Overall, the results point to the existence of an articulated maternal gesture input that closely supports the child gesture production. Copyright © 2006 John Wiley & Sons, Ltd.     

Ego Development and Psychosocial Functioning in Young Adults With and Without Psychiatric History

Ego development has been associated with positive outcomes, namely, with a better psychosocial adjustment and establishment of satisfactory relationships. However, ego development and psychosocial functioning are independent domains and a developed ego does not guarantee successful adaptation. Moreover, it is not clear whether ego development differentially influences psychosocial functioning in clinical and normative samples. The present study investigated the impact of ego development on the psychosocial functioning of young adults with (high-risk) and without (normative) psychiatric history. Results show an association between those two variables, especially strong for the high-risk group. High-risk individuals with successful psychosocial functioning exhibited levels of ego development more similar to those of normative young adults than to those of the remaining high-risk individuals. Moreover, as predicted, ego development mediated the relationship between psychiatric history and psychosocial functioning. Further support was found for the protective role of ego development, especially for individuals with psychiatric history.     

Spermine improves recognition memory deficit in a rodent model of Huntington’s disease

Huntington’s disease (HD) is a progressive neurodegenerative disorder associated with motor and cognitive impairment. Intrastriatal administration of quinolinic acid (QA) causes neurodegeneration, glial proliferation and cognitive impairment in animals, which are similar to these seen in human HD. Since polyamines improve memory in cognitive tasks, we now tested if the post-training intrastriatal administration of spermine, an agonist of the polyamine site at the NMDA receptor, reverses the deficits in the object recognition task induced by QA. Bilateral striatal injections of QA (180 or 360 nmol/site) caused object recognition impairment, neuronal death and reactive astrogliosis. A single injection of spermine (0.1 and 1 nmol/site), 5 days after QA injection, reversed QA-induced impairment of object recognition task. Spermine (0.1 nmol/site) also inhibited QA-induced reactive astrogliosis measured by a semi-quantitative determination of GFAP immunolabelling, but did not alter neuronal death, measured by a semi-quantitative determination of fluoro-Jade C staining. These results suggest that polyamine binding sites may be considered a novel therapeutic target to prevent reactive astrogliosis and mnemonic deficits in HD.