The Haven Mother's House Modified Therapeutic Community: Meeting the gap in infant mental health services for pregnant and parenting mothers with drug addiction

The specialized needs of pregnant and parenting women in the treatment of drug addiction must not be underestimated. The impact of substance abuse on developmental outcomes for young infants and children supports the notion that attention to the parent–child relationship is a critical aspect of addiction treatment for this population. As such, the standard of care appears to be shifting from separating mothers and young children while the mother completes addiction treatment to women residing with their children while in treatment and receiving concurrent addiction treatment and parenting education. While parenting education is important, it may not provide the needed relationship intervention to address the myriad of issues often present for female recovering addicts and their children. This article describes the evolution and workings of a program for integrating infant mental health practice into a long‐term residential treatment community for pregnant and parenting women with addiction. The principles and structure of the modified therapeutic community are described, as are the ways in which infant mental health practice have been effectively integrated and incorporated into the addiction treatment philosophy. A case example is provided, and clinical implications are discussed.     

Development and Psychometric Evaluation of the Suicide Anger Expression Inventory—28

We conducted 4 studies to develop and cross-validate scores on a multidimensional self-report measure of suicide and anger expression, the Suicide Anger Expression Inventory-28 (SAEI-28). The SAEI-28 evaluates Suicide Rumination, Maladaptive Expression, Reactive Distress, and Adaptive Expression with 7 content specific items each. Participants were between ages 14 and 47 years old. Study 1 developed a pool of content relevant and representative items for the new inventory. Study 2 explored potential domains of the SAEI-28 items, evaluating preliminary estimates of internal consistency reliability. Study 3 examined specific structures of the SAEI-28 items and scale reliability. Study 4 evaluated the fit of the oblique 4-factor model to 2 alternative solutions. Support was found for estimates of internal consistency reliability for the scales. Criterion-related validity and potential correlates for the SAEI-28 scales were also assessed.     

Sex,genes and hormones

The multidisciplinary symposium convened by the Society for Women's Health Research 'Sex Begins in the Womb' was held at the Crowne Plaza Cabana, Palo Alto, CA, USA, on 1 March 2002.     

Impact of Depression and Anxiety on the Quality of Life of Constipated Patients

Constipation negatively affects quality of life (QOL), however, the specific mechanisms through which this relationship occurs are unclear. The present study examined anxiety and depression as potential mediators of the relationship between constipation severity and QOL in a sample of 142 constipated patients. Results indicated that depression symptom severity mediated the relationship between constipation severity and mental health-related QOL. For patients meeting diagnostic criteria for Major Depressive Disorder, indirect effects were observed in the relationship between constipation severity and both physical and mental health-related QOL. Anxiety did not contribute to this model. Treating depression may be useful in improving QOL in severely constipated patients, which highlights the importance of psychological screening and treatment referrals in primary care settings.     

A Comparison of Normals and Subnormals in Mirror Drawing

A sample of 75 mothers between 15 and 19 years of age was used to investigate the relationship between depression and the maternal behavior of young mothers. Depression, as measured by the Center for Epidemiologic Studies of Depression (CES-D) Scale, varied with marital status, education, and maternal age and was related to hostile, indifferent and rejecting patterns of mother-child interaction. Levels of depression increased in relation to the amount of stress faced by the young mother and decreased when the mother was involved in a supportive social network.     

How Positive and Negative Feedback Motivate Goal Pursuit

This article explores the feedback individuals give, seek, and respond to in the course of pursuing their goals. We propose that positive feedback motivates goal pursuit when it signals an increase in goal commitment, whereas negative feedback motivates goal pursuit when it signals insufficient goal progress. We review research suggesting that whether individuals are drawn to evaluate their level of commitment versus rate of progress determines the type of feedback (positive or negative) that best motivates them to pursue their goals. We then review research suggesting that these effects of feedback operate by inducing positive and negative general moods as well as specific emotions.     

Relationships among depressive symptoms, benefit-finding, optimism, and positive affect in multiple sclerosis patients after psychotherapy for depression.

OBJECTIVE: While many patients with multiple sclerosis (MS) experience psychological problems, such as depression, benefit-finding is commonly reported. Using the Broaden-and-Build Model of positive emotions (Fredrickson, 2001) and the Expectancy-Value Model of optimism (Carver & Scheier, 1998) as two related, yet, distinct conceptual frameworks, this study examined positive affect and optimism as mediators of the relationship between improved depression and enhanced benefit-finding. DESIGN: MS patients (N=127), who participated in a larger, randomized clinical trial comparing two types of telephone psychotherapy for depression, were assessed at baseline, midtherapy (8 weeks), end of therapy (16 weeks), and 6- and 12-month posttherapy. MAIN OUTCOME MEASURES: Depression was measured with a telephone administered version of the Hamilton Rating Scale for Depression; Positive Affect was measured with the Positive Affect Subscale from the Positive and Negative Affect Scale; Optimism was measured with the Life Orientation Test-Revised; Benefit-Finding was measured with the revised version of the Stress-Related Growth Scale. RESULTS: Data were analyzed with multilevel random-effects models, controlling for time since MS diagnosis and type of treatment. Improved depression was associated with increased benefit-finding over time. The relationship between improved depression and benefit-finding was significantly mediated by both increased optimism and increased positive affect. CONCLUSION: Findings provide support to both theoretical models. Positivity appears to promote benefit-finding in MS.     

Truck Driver or Nurse? The Impact of Gender Roles and Occupational Status on Children’s Occupational Preferences

Three experiments examined how US children perceive occupational status and gender roles. In Experiment 1, 107 6-to-12-year-olds rated the status and gender roles of 54 occupations. Feminine occupations were underrepresented among the perceived high status jobs. In Experiment 2, 28 6-to-8-year-olds, and in Experiment 3, 36 9-to-12-year-olds, reported their preferences for equally high status masculine and feminine occupations and low status masculine and feminine occupations. In both experiments, girls preferred feminine to masculine occupations and status only affected preferences for masculine occupations. The younger boys’ preferences were based on both variables, whereas older boys’ preferences were based on status. These findings imply that occupational status may influence boys’ vocational preferences more than pressure to conform to masculine gender roles.