A Model of Sexually and Physically Victimized Women’s Process of Attaining Effective Formal Help over Time: The Role of Social Location, Context, and Intervention

As empirical evidence has demonstrated the pervasiveness of sexual assault and intimate partner violence in the lives of women, and the links to poor mental health outcomes, attention has turned to examining how women seek and access formal help. We present a conceptual model that addresses prior limitations and makes three key contributions: It foregrounds the influence of social location and multiple contextual factors; emphasizes the importance of the attainment of effective formal help that meets women's needs and leads to positive mental health outcomes; and highlights the role of interventions in facilitating help attainment. We conclude with research and practice implications.     

Expanding the Scope of Mindfulness-Based Cognitive Therapy: Evidence for Effectiveness in a Heterogeneous Psychiatric Sample

Mindfulness-based interventions (e.g., MBSR; Kabat-Zinn, 1990; MBCT; Segal, Williams, & Teasdale, 2002) have demonstrated effectiveness in a number of distinct clinical populations. However, few studies have evaluated MBCT within a heterogeneous group of psychiatric adult outpatients. This study examined whether a wider variety of patients referred from a large, tertiary mood and anxiety outpatient clinic could benefit from such a program. Twenty-three psychiatric outpatients with mood and/or anxiety disorders (mean age = 53.65 years, SD = 10.73; 18 women) were included in this study. Each participant completed the Structured Clinical Interview for Diagnosis Axis I and measures of mood, life stress, and mindfulness skills, prior to the start of group and immediately following its completion. Paired t-test analyses were conducted and results revealed a significant improvement in mood and mindfulness skills in addition to a significant reduction in severity and total number of perceived life stressors. In summary, our results indicate that MBCT can effectively be administered to a group of patients whose diagnoses and difficulties may vary, who have significant comorbidity, and who are currently experiencing significant symptoms. This has important practical implications for offering this treatment within broader psychological and psychiatric service systems.     

Patterns of Women’s Aggression Against Partners and Others: Broadening Our Understanding of Violence

Research on women's aggression typically focuses on relational aggression. However, the study of violence must include multiple forms of violence such as aggression against partners and non‐partner others, while also considering victimization experiences by partners and non‐partners. The focus of this study is the multiple experiences of violence (perpetration and victimization) of women who are incarcerated. Incarcerated women are likely to experience higher rates of both than women in community settings, but most will be released in a brief period of time. Using a random sample (N = 580) we conducted cluster analyses to identify five patterns of women's aggression. Clusters varied depending on the target/s of aggression (i.e., partner and/or others), and type of aggression (i.e., physical and/or intimidation). Multinomial logistic regression was performed to determine the relationship between women's membership in a perpetration cluster and their victimization. Victimization history was related to an increased risk of perpetrating aggression, and varied depending on the target and type of aggression. Our findings provide support that research and interventions addressing women's use of aggression must also address their victimization history. Furthermore, results indicate that for some women, aggression towards partners and others is related. Future research should investigate multiple forms of aggression.     

Fractioned Reaction Ttme in Power-Trained and Endurance-Trained Athletes under Conditions of Fatiguing Isometric Exercise

Fractionated knee extensor and plantar flexor reaction time (RT) components were assessed in a group of eight weightlifters and eight long distance runners. Following a 4-day period of baseline stabilization for each muscle group, a 50% maximal voluntary contraction (MVC) holding-time exercise was administered. Results showed that the runners had longer premotor times (PMT) than the weightlifters in the knee extensors, but had much faster PMTs than the lifters in the plantar flexor condition. Compared to previously reported investigations using non-athletes, the data for the present sample of athletes indicated faster total reaction times (TRT) in both the knee extensors and the plantar flexors. A resistance of 15% MVC applied during the RT task resulted in a lengthening of the motor time (MT) component in both groups prior to exercise. However, while knee extensor resisted motor time was lengthened by the exercise task, no such lengthening occurred in plantar flexor resisted RT. It is concluded that power-trained and endurance-trained athletes exhibit differences in response to a fractionated RT task, under both baseline and fatiguing exercise conditions.     

Psychological factors in hiv testing among sexually transmitted disease clinic patients: An exploratory study

Abstract

Substantial numbers of persons at risk for HIV infection do not seek HIV testing and factors influencing testing decisions are not well understood. To identify psychological characteristics of persons who remain unwilling to receive HIV testing, we surveyed patients of an inner-city sexually transmitted disease (STD) clinic (n = 181). Participants completed an anonymous survey and were grouped on the basis of HIV testing history and compared on measures of testing perceptions, attitudes, and decision making influences. Results showed that untested participants feared testing and had a sense of not knowing if they needed to be tested. In contrast, participants who were getting tested believed that testing would help them feel better about their health. Results also showed that participants lacked accurate information about some HIV testing procedures. We conclude that identifying concerns which inhibit seeking HIV testing can be useful in developing effective methods of promoting HIV testing.     

Three More Jigs in the Puzzle: The Unity of Analogy,Beatitude and Virtue in Thomas' Summa Theologiae

Scholarship abounds on the notion of analogy in Thomas Aquinas' writing. Scholarship also abounds on Thomas' treatment of beatitude and virtue. Yet seldom does scholarship treat the fundamental unity Thomas intended among analogy, beatitude and virtue in the Summa Theologiae. This article traces the connections between these terms to re‐endow terms like ‘beatitude’ and ‘virtue’ with a theological meaning that may surprise, and it shows how Thomas assumes that what we say of God is of first importance.     

The importance of gesture in children's spatial reasoning

On average, men outperform women on mental rotation tasks. Even boys as young as 4 1/2 perform better than girls on simplified spatial transformation tasks. The goal of our study was to explore ways of improving 5-year-olds' performance on a spatial transformation task and to examine the strategies children use to solve this task. We found that boys performed better than girls before training and that both boys and girls improved with training, whether they were given explicit instruction or just practice. Regardless of training condition, the more children gestured about moving the pieces when asked to explain how they solved the spatial transformation task, the better they performed on the task, with boys gesturing about movement significantly more (and performing better) than girls. Gesture thus provides useful information about children's spatial strategies, raising the possibility that gesture training may be particularly effective in improving children's mental rotation skills.     

Loewald's approach to psychoanalytic theory

The author suggests that part of the legacy of Hans Loewald is the nature of his approach to psychoanalytic theory. Loewald carefully considered and selectively utilized the work of theorists from a number of psychoanalytic schools of thought: id psychology, object relations theory, ego psychology, self psychology, and the interpersonal tradition. In addition, he helped pave the way for the current widespread interest in intersubjectivity, and also positioned himself in relation to those who embraced hermeneutics. Through all of this, he maintained a skeptical attitude, embodied in his belief in the complexity of the phenomena to be explored and his commitment to the perspective that psychoanalytic ideas should be open to revision.     

Being a candidate: its impact on analytic process

Despite its crucial importance to psychoanalytic training, the control analysis has received surprisingly little scrutiny by psychoanalytic writers. How the candidate's training influences analytic process--a critical feature of the control analysis--is examined. In keeping with previous contributions, it is found that the candidate's training experience does indeed influence analytic process. It is argued, however, that focusing on the influence of training itself, as some authors have done, moves discussion away from the meanings of training for each candidate and from how these meanings bear on the interplay of transference and countertransference in the control analysis. Detailed case examples illustrate how one candidate's experience of training was drawn into his control analyses in the form of enactments, supporting the conclusion that attention to the particular ways in which training influences each candidate's analytic work is critical to the candidate's psychoanalytic education.