Integrated Treatment Programmes for Mothers with Substance Use Problems: A Systematic Review and Meta-analysis of Interventions to Prevent Out-of-home Child Placements

Approximately half of mothers receiving substance use treatment are involved with childcare proceedings. This review aims to determine whether integrated treatment programmes for mothers with substance use problems are effective in preventing out-of-home placement (temporally/permanent) and influencing other maternal factors such as patterns of substance use, treatment completion and parenting behaviours. Six trials were identified—two randomised controlled trials and four non-randomised controlled studies. The pooled sample of participants was 1717. The results showed that mothers who participated in integrated treatment programmes were significantly less likely to have the children removed from their care (Odds Ratio (OR)?=?0.40, 95% CI?=?0.27, 0.61), more likely to complete substance use treatment (OR?=?3.01, 95% CI?=?1.79, 5.06), and more likely to reduce their alcohol consumption (Standardised Mean Difference (SMD)?=??0.40, 95% Cl?=??0.78, ?0.01) and drug use (SMD?=??0.30, 95% CI?=??0.53, ?0.07). However, non-significant reductions were observed for parent–child conflict (SMD?=??0.35, 95% CI?=??0.72, 0.03) and child abuse risk (SMD?=??0.03, 95% CI?=??0.36, 0.31). While the findings from this review suggest that mothers involved in integrated treatment programmes could potentially be less likely to experience out-of-home child placements and more likely to improve substance use treatment outcomes, little evidence exists for the effectiveness of these interventions. Further research, particularly high-quality RCTs, is required to demonstrate and persuade health and public policy on the far-reaching value of the integrated approaches.

     

Metaphors do not use associations between concepts,they are used to create them

Does the interpretability and aptness of a metaphor depend on prior existing associative relations between the metaphor topic and vehicle? Lexical decision latencies for pairs of words drawn from apt, comprehensible metaphors were no faster than latencies for randomly paired words. In contrast, lexical decision latencies for associatively related word pairs were faster than latencies for randomly paired words. These data suggest that good metaphors do not use preexisting associations to achieve their effects. Instead, we argue tht people use metaphors to create new relations between concepts. Implications for a theory of metaphor comprehension are discussed.     

Perceived discrimination is associated with poorer health and well‐being outcomes among Pacific peoples in New Zealand

Our study investigated the association between perceived discrimination and outcomes related to health and well‐being for Pacific adults in New Zealand. We examined personal and group discrimination from the 2013 wave of the New Zealand Attitudes and Values Study (n = 429 women and 196 men). Personal discrimination was associated with poorer health and well‐being outcomes (higher psychological distress and lower self‐esteem, subjective evaluation of health, satisfaction with life and personal well‐being). Group discrimination, in contrast, was associated with poorer well‐being but not health outcomes (lower subjective evaluation of health and personal well‐being). These findings corroborate previous research and highlight the corrosive effect of discrimination towards health and well‐being among Pacific communities in New Zealand.     

An agenda for psychological distance apart from construal level

Mental life is not confined to physical reality. Instead, anchored in the here and now, people can conjure worlds set in other locations, in other times, from other people's perspectives, and with otherworldly odds. These routes away from immediacy represent different dimensions of psychological distance—space, time, social distance, and probability—in that they all provide a means by which targets of consideration can feel psychologically distant. Though largely developed under the theoretical banner of construal level theory, psychological distance benefits from consideration in its own, independent right. This review proposes that prominent characteristics of it inform an agenda for translational insights across the four dimensions of psychological distance.     

“Put a Little Love in Your Heart”: Acceptance of Paternalistic and Ally Political Discourses Both Predict Pro-Roma Solidarity Intentions Through Moral Inclusion

The way politicians talk about minorities institutes the normative context of intergroup relations. We investigated how endorsement of different political discourses predicts donation and collective action intentions by majority members toward the Roma in five European countries. The survey was conducted online using samples demographically similar to the populations of Hungary, Slovakia, Romania, France, and Ireland (N = 5,054). First, results showed that accepting paternalistic discourse versus discourse promoting allyship were not distinguishable; both promoted higher moral inclusion which in turn predicted higher prosocial intentions. Second, donations (i.e., immediate relief) and collective action (i.e., social change action) were driven by identical factors. Third, acceptance of openly hostile political discourse neither predicted moral exclusion, nor lower prosocial intentions. In summary, our research provides important evidence that when it comes to Roma—non-Roma relations, the previously established distinction between solidarity intentions that aim to solidify status relations versus bring about social change is completely blurred, presumably because of the social context in which any positive message communicates moral inclusion challenging the hostile status quo.     

In defense of Joy: C. S. Lewis and psychoanalysis

The imaginative experience of Joy, as he calls it, was central to the career of C. S. Lewis: it informed his work as literary scholar, writer, and religious thinker. Cognizant that psychoanalytic concepts held implications for the meaning of this experience, Lewis offers a critical commentary on these implications and their presuppositions with regard to literary imagery. His commentary suggests possible conflicts between a view of humankind that is psychoanalytically-derived and one which is aesthetically informed.     

Deciding to believe: The ethics and rationality of religious belief

This is the text of an Inaugural Lecture, given at the University of Auckland, 25th July, 1994. I am grateful to Stephen Davies, Fred Kroon and Alastair Anderson for helpful discussion on earlier drafts.     

Emerging Administrative Strategies for College and University Counseling Centers

The current environment in higher education is influencing college and university counseling centers in several new ways. Issues surrounding funding patterns, definitions of service entitlement, and personnel policies have emerged, as have a variety of responses on the part of counseling centers. Administrative and managerial strategiesfor dealing with these issues are described and discussed.     

Jung and the mystical theology of the Eastern Orthodox Church: Comments on common ground

The authors present a comparison of the cosmological, theological, and anthropological assumptions that underlie the mystical traditions of the Eastern Orthodox Church and certain of Jung's mystical observations about the universe, God, and humankind. It is argued that, one touchstone of scientific validity being the universality of observations independently made, the common ground of the two divergent systems of Eastern Orthodox and Jungian mysticism suggests a universality and scientific validity in Jung's assumptions about the great unknown.Bishop Chrysostomos is Academic Director of the Center for Traditionalist Orthodox Studies at the St. Gregory Palamas Monastery in Etna, CA. He received his doctorate in psychology at Princeton University.