Expressions of emotional distress in active duty military personnel with mild traumatic brain injury: A qualitative content analysis

Service members (SMs) who sustain traumatic brain injury (TBI) during deployment have increased risk for mental health issues. Mental health treatment can be challenging in military settings where treatment seeking is often stigmatized. Adequate care relies on accurate interpretations of SMs’ verbal accounts of distress, but little is known about how SMs, embedded in a culture that values resilience and self-reliance, relay emotional distress. We performed qualitative analyses of recordings from a telephone-based intervention with 25 SMs who sustained deployment-related mild TBI (mTBI) to elucidate thematic and dialectal patterns. Consistent with our expectations, SMs rarely used explicit depressive terms while discussing their emotional distress. More prevalent was language suggestive of an overarching theme of loss of control, whereby SMs’ stress, anxiety, and anger were often attributable to SMs’ perceptions that they had incomplete jurisdiction over their own lives. This study may help mental health providers improve engagements with SMs and Veterans, preventing misunderstandings and even improper diagnoses or referrals that could result from a strict reliance on the more customary expressions of distress.     

The influence of political climate on job pursuit intentions and the moderating effect of Machiavellianism

Job seekers now have access to a number of internet resources (e.g., social media, chat rooms, and message boards) that provide information about potential employers. These resources provide potential job applicants with extensive amounts of third‐party information about organizations, including information about the extent to which a particular organization's climate can be characterized as being political. Unfortunately, owing to a dearth of research on this topic, it is unclear to what extent such information about an organization's political climate might affect the recruiting process. Therefore, drawing from the Attraction‐Selection‐Attrition model, we considered the extent to which potential job applicants are less (more) likely to pursue jobs in organizations that are perceived as more (less) political. We further identified Machiavellianism as a potential moderator of this relationship, given that this trait reflects the extent to which an individual would “fit” into a highly political work environment. Across three studies, our findings provide evidence that job applicants report being less likely to pursue jobs in organizations characterized by high levels of workplace politics. The results further indicated that Machiavellianism attenuates this negative effect. In light of our findings, we discuss implications for how information that is not controlled by the organization (e.g., information provided by social media or other internet‐based sources) affects job pursuit intentions and the organization's applicant pool.     

Habituation and novelty detection fNIRS brain responses in 5‐ and 8‐month‐old infants: The Gambia and UK

The first 1,000 days of life are a critical window of vulnerability to exposure to socioeconomic and health challenges (i.e. poverty/undernutrition). The Brain Imaging for Global Health (BRIGHT) project has been established to deliver longitudinal measures of brain development from 0 to 24 months in UK and Gambian infants and to assess the impact of early adversity. Here results from the Habituation‐Novelty Detection (HaND) functional near‐infrared spectroscopy (fNIRS) task at 5 and 8 months are presented (N = 62 UK; N = 115 Gambia). In the UK cohort distinct patterns of habituation and recovery of response to novelty are seen, becoming more robust from 5 to 8 months of age. In The Gambia, an attenuated habituation response is evident: a larger number of trials are required before the response sufficiently suppresses relative to the response during the first presented trials. Furthermore, recovery of response to novelty is not evident at 5 or 8 months of age. As this longitudinal study continues in The Gambia, the parallel collection of socioeconomic, caregiving, health and nutrition data will allow us to stratify how individual trajectories of habituation and recovery of response to novelty associate with different risk factors and adaptive mechanisms in greater depth. Given the increasing interest in the use of neuroimaging methods within global neurocognitive developmental studies, this study provides a novel cross‐culturally appropriate paradigm for the study of brain responses associated with attention and learning mechanisms across early development.     

Same clinic,different conceptions: Drug users’ and healthcare professionals’ perceptions of how stigma may affect clinical care

Stigma experienced by drug users by their healthcare professionals can be a barrier to treatment engagement, which in turn affects mortality and morbidity rates. Attribution theory suggests that stigma will be greatest whenever drug use is attributed to factors within personal control. Here, clients (n = 76) and healthcare professionals (n = 62) identified features that characterize good and bad clinical interactions, and responded to a vignette about a drug user who attributed his use to personal control or situational factors. Healthcare professionals completed the vignette and drug users gave their best guess of how healthcare professionals would react to this vignette. Clients and professionals held overlapping prototypes of clinical interactions. Clients overestimated both how negative healthcare professionals’ reactions would be, and the extent to which healthcare professionals’ reactions would accord with attribution theory. Despite healthcare professionals’ believing they are acting in nonstigmatizing ways, they may engender stigma in clinical situations more than they realize. Discrepancies between professionals’ hypothetical responses and clients’ anticipation of these responses are discussed in terms of the influence of self‐stigma and societal understandings of drug use and control. Attribution theory only offers a limited explanation for these discrepancies, because professionals’ beliefs about drug users are complex. Implications for theories of stigma and engagement with services are discussed, and the importance of clients’ anticipation of stigma is highlighted as a primary target for addressing treatment disengagement. Anti‐stigma campaigns may also benefit from changing their focus from individuals’ attributions to holistically addressing discrepant conceptions of treatment.     

Mary Astell on Bad Custom and Epistemic Injustice

Mary Astell is a fascinating seventeenth‐century figure whose work admits of many interpretations. One feature of her work that has received little attention is her focus on bad custom. This is surprising; Astell clearly regards bad custom as exerting a kind of epistemic power over agents, particularly women, in a way that limits their intellectual capacities. This article aims to link two contemporary sociopolitical/social‐epistemological projects by showing how a seventeenth‐century thinker anticipated these projects. Astell's account of bad custom shows that she was attuned to the kinds of institutional or structural explanations theorized by Sally Haslanger, and that she acknowledges that bad custom—as an institutional or structural explanation—is intimately linked with epistemic injustice, albeit a kind not yet captured by contemporary social epistemologists. I call this form of epistemic injustice found in Astell epistemic internalization injustice. I argue that the epistemic significance of Astell's notion of bad custom is that it enables us to understand how bad custom conditions human relations in such a way as to result in epistemic injustice. Through coming to understand her notion of bad custom, we can expand our understanding of social epistemic phenomena like epistemic injustice.     

See no lies,hear no lies: differences in discrimination accuracy and response bias when watching or listening to police suspect interviews

In the present experiment, police officers attempted to detect truths and lies told by suspects in their police interviews in three different ways: They either saw the suspects (visual condition), only heard the suspects (audio condition) or both saw and heard the suspects (control condition). Research has demonstrated that vocal and speech‐related cues are better diagnostic cues to deceit than visual cues. Therefore, we predicted that participants in the visual condition would perform worst in the lie detection task. Having access only to visual cues may encourage observers to be more reliant on stereotypical beliefs when attempting to detect truths and lies. Since these stereotypes are related to the behaviour of liars, rather than to the behaviour of truth tellers, we further predicted that being exposed only to visual cues may result in a lie bias. The findings supported these hypotheses, and the implications are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Brief functional anlaysis and treatment of elopement in preschoolers with autism

As a result of the impact of functional analysis methodologies in identifying maintaining variables of problem behavior, considerable research has been devoted to tailoring the methodologies to be practical for an outpatient setting. The purpose of this study was (a) to use brief functional analysis (BFA) methodologies to empirically demonstrate the function of elopement exhibited by two preschoolers diagnosed with autism and (b) to develop function‐based interventions derived from the results of the BFA. In phase one, a BFA consisting of 5‐min sessions with multiple repetitions of each condition was conducted with each participant. In phase two, the efficacy of function‐based interventions was assessed using a pairwise design. Both participants' rates of elopement were differentially lower during the implementation of the function‐based intervention relative to baseline. Collectively, these results demonstrated that brief functional methodologies could be applied successfully to the assessment and treatment of elopement. Moreover, the application of BFA and the ensuing treatment in an outpatient setting extend the existing research on functional analysis. Copyright © 2008 John Wiley & Sons, Ltd.     

Toddlers' use of cues in a search task

Search for a ball that has undergone hidden motion rapidly improves during the second year of life (Dev. Psychol., 2000; 36 :394–401). In three experiments we investigated whether the poor performance of younger toddlers was due to attentional failure by highlighting the major cue for the hidden object. We observed only slight improvement in search behaviour. We performed two other experiments that tested the depth of understanding of 3‐year‐olds in this task and found that their performance was robust to changes in the apparatus and experimental procedures. Overall, the results point to a rapidly developing ability in the second year of life to either reason about space or select the correct motor response in search tasks. Copyright © 2008 John Wiley & Sons, Ltd.     

Children's and adults' recall of children's news stories in both print and audio‐visual presentation modalities

Research into adults' recall from different presentation modalities has demonstrated a recall advantage for print over television yet recent research indicates that children remember television news better than print news. An experiment was conducted by comparing children's and adults' recall of children's news stories presented in two different modalities, television and print, in order to establish whether children's recall advantage for television is dependent on their age or level of reading proficiency. A sample of 40 adults, 40 13‐year‐olds and 40 11‐year‐olds were presented with children's news stories, either in their original televised form or in a print version. All participants were aware they would be tested for recall. The results of the cued recall test indicated that children from both age groups learned more from the television news than from the print versions, regardless of age or reading proficiency and that adults remembered equal amounts from both presentation modalities. For the 11‐year‐olds the advantage of television was only found for information that had been accompanied by redundant pictures in the televised version, providing support for the dual‐coding hypothesis. For 13‐year‐olds the recall of television was not dependent on the addition of redundant visual information. Viewers and readers were found to invest the same amounts of mental effort, but reported levels of invested mental effort were found to be dependent on age and level of reading proficiency. Copyright © 2002 John Wiley & Sons, Ltd.     

Parental depression,parenting behaviours,and behaviour problems in young children

In the past, research has demonstrated that parental depression and parenting practices are related. More recently, there has been an increase in research examining child outcomes as they are related to maternal and paternal psychopathology. To continue with this line of research, this study examined the relationships among mothers' and fathers' symptoms of depression, characteristics of their parenting practices, and their ratings of their young children's internalizing and externalizing behaviour problems. The results of this study demonstrated that these variables are related significantly. Further, the results of this study suggested that mothers' parenting, particularly their limit setting with their young children, is an important predictor of their ratings of their young children's externalizing behaviour problems in the context of their own symptoms of depression. A different pattern of relationships may be present for fathers, as both their symptoms of depression and their parenting characteristics predicted their ratings of their young children's externalizing behaviour problems. Such findings were not supported for young children's internalizing behaviour problems. These findings suggested that interventions should have different targets for mothers and fathers. Copyright © 2009 John Wiley & Sons, Ltd.