Trends in community mental health programming

One hundred-seventy-three mental health centers responded to a survey inquiring about allocation of staff time for mental health services and about the availability of an array of services at present, 3 years previous, and 3 years hence. The data reflect an emphasis upon reactive services as opposed to those considered proactive, and on services directed to individuals as opposed to other groups. However, this emphasis seems to be changing. Future projections call for a de-emphasis on individual reactive programs and increased emphasis on programs directed toward families and small groups, and toward proactive programs directed to the communities-at-large. Data about specific programs and services further suggest de-emphasis of services that involve the mental health professional and the client in direct interaction, and continued growth in services that can be delivered by less formally trained mental health workers or volunteers.     

Individual differences between liars and the ability to detect lies

It is difficult to detect deception. Studies suggest it is little, ifany, better than chance. But some guidance is available. This study examinedpersonality traits, in particular self-consciousness in public and abilityto control behaviour. The effects can be observed in hand movements. Thisstudy examined the effects, of giving this information to assessors, upontheir ability to detect deception.     

The Possible-Word Constraint in the Segmentation of Continuous Speech

We propose that word recognition in continuous speech is subject to constraints on what may constitute a viable word of the language. This Possible-Word Constraint (PWC) reduces activation of candidate words if their recognition would imply word status for adjacent input which could not be a word - for instance, a single consonant. In two word-spotting experiments, listeners found it much harder to detectapple,for example, infapple(where [f] alone would be an impossible word), than invuffapple(wherevuffcould be a word of English). We demonstrate that the PWC can readily be implemented in a competition-based model of continuous speech recognition, as a constraint on the process of competition between candidate words; where a stretch of speech between a candidate word and a (known or likely) word boundary is not a possible word, activation of the candidate word is reduced. This implementation accurately simulates both the present results and data from a range of earlier studies of speech segmentation.     

Longitudinal Assessment of Pain, Coping, and Daily Functioning in Children with Sickle Cell Disease Receiving Pain Management Skills Training

Objective. To conduct intensive pain management skills training (IST) in children with sickle cell disease (SCD) and their parents and to comprehensively evaluate pain, coping, and daily functioning in children pre, immediately post, and 3 months following treatment. Methods. Three children who received IST in nonpharmacological and pharmacological pain management strategies completed a Coping Strategies Questionnaire (CSQ) at pre, post, and follow-up assessments, and daily pain and activity diaries for 18 weeks, spanning from 1 week pretreatment to 11 weeks posttreatment. Results. From pre- to posttreatment, 1 child receiving IST indicated increased report of active coping attempts and all 3 children indicated decreased report of negative thinking on the CSQ. Participants in IST used coping skills on 90% of days with pain and reported the skills to be moderately helpful on the daily diaries. For daily activities such as eating dinner, playing with friends, and hours slept, children participated similarly on days with pain and days without pain during the posttreatment period. Given the small number of participants in this study, individual cases are discussed to highlight similarities and differences in how participants responded to the treatment and during the 3-month follow-up period. Conclusions. In this pilot study, each participant showed improvement in coping and daily functioning after completing the IST program. Individual differences in response to treatment indicate the need for more targeted intervention programs that incorporate pharmacological and nonpharmacological components. The results of this study highlight both the promise and the complications of conducting comprehensive pain intervention and functional outcome studies in children with SCD.     

“It Depends on What You Mean by Starting”: An Exploration of How Women Define Initiation of Aggression and Their Motives for Behaving Aggressively

This study explored women's use of aggression, focusing on how they define initiation of aggression and what motives they have for behaving aggressively. Twenty-five women who had used aggression during conflicts with their romantic partners were interviewed. Results indicated that, while the women reported initiating aggression in the majority of conflicts described (54%), they varied in how they defined initiation, with some believing that initiating aggression meant being angry, bringing up the conflict issue, or persistently asking the partner to engage verbally. Twelve categories of motives for the use of aggression were also identified. Theoretical and practical implications are discussed, highlighting the ongoing need for an ecological perspective when studying women's use of aggression.     

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.     

What do children with autism attend to during imitation tasks?

Individuals with autism show a complex profile of differences in imitative ability, including a general deficit in precision of imitating another’s actions and special difficulty in imitating nonmeaningful gestures relative to meaningful actions on objects. Given that they also show atypical patterns of visual attention when observing social stimuli, we investigated whether possible differences in visual attention when observing an action to be imitated may contribute to imitative difficulties in autism in both nonmeaningful gestures and meaningful actions on objects. Results indicated that (a) a group of 18 high-functioning 8- to 15-year-olds with autistic disorder, in comparison with a matched group of 13 typically developing children, showed similar patterns of visual attention to the demonstrator’s action but decreased attention to his face when observing a model to be imitated; (b) nonmeaningful gestures and meaningful actions on objects triggered distinct visual attention patterns that did not differ between groups; (c) the autism group demonstrated reduced imitative precision for both types of imitation; and (d) duration of visual attention to the demonstrator’s action was related to imitation precision for nonmeaningful gestures in the autism group.     

Use of a structured investigative protocol enhances the quality of investigative interviews with alleged victims of child sexual abuse in Britain

One hundred alleged victims of child sexual abuse (aged 4–13; M = 9.3 years) were interviewed by police investigators about their alleged experiences. Half of the children were interviewed using the National Institute of Child Health and Human Development (NICHD) structured interview Protocol, whereas the other children, matched with respect to their age, relationship with the alleged perpetrator, and seriousness of the alleged offenses, were interviewed by investigators following the Memorandum of Good Practice. Protocol‐guided interviews elicited more information using free‐recall invitations and less information using directive, option‐posing and suggestive questions than did standard Memorandum interviews. There were no age differences in the proportion of total information provided in response to open‐ended invitations in either condition, but there was a significant increase with age in the proportion of central information provided in response to open‐ended invitations. Published in 2008 by John Wiley & Sons, Ltd.