PTSD and the influence of context: The self as a social mirror

The principal accepted models of posttraumatic stress disorder (PTSD) are based on both memory processing and biological/brain changes occurring when one's life or well-being is threatened. It is our thesis that these models would be greatly informed by community studies indicating that PTSD is predicted to a greater extent by earlier life experience and experiences that occur distant from the threatening event. These findings suggest posttraumatic responding is best conceptualized through the lens of the self-in-context, as opposed to imprinting that results from a given event at a given time. Moreover, studies of non-Western populations often do not express trauma as PTSD, or at least not primarily as PTSD, which argues against specific neural or memory encoding processes, but rather for a more plastic neural process that is shaped by experience and how the self develops in its cultural context, as a product of a broad array of experiences. We posit that fear and emotional conditioning as well as the ways traumas are encoded in memory are only partial explanatory mechanisms for trauma responding, and that issues of safety and harm, which are long term and developmental, are the common and principal underpinnings of the occurrence of posttraumatic distress, including PTSD.     

The Effects of Social Influence on Perceptual and Affective Reactions to Scenes of Sexual Violence1

In 2 experiments, we examined the effect of social influence (discussion and modeling) on men's and women's perceptual and affective reactions to a sexually violent film scene depicting gang rape. In Experiment 1, women who discussed the film rated the perpetrators as more responsible compared to participants in all other conditions. Men who did not discuss the film reported higher levels of positive affect compared to participants in all other conditions. In Experiment 2, men and women were affected by the social influence manipulation similarly. As predicted, participants differed in their attributions of responsibility depending on a confederate's response to the film scene. Participants who heard a confederate say that the men in the film were responsible for the rape rated these men as relatively more responsible than did participants in a neutral confederate condition or in a condition in which the confederate said that the woman in the film was responsible for the rape.     

Traumatic stress: A theory based on rapid loss of resources

Abstract

Applied Hobfoll's (1988; 1989) Conservation of Resources (COR) stress theory to the instance of traumatic stress. COR theory posits that stress occurs when resources are threatened, when resources are lost, or when individuals invest resources without gaining adequate resources in return. Traumatic stress is seen as particularly threatening to resources and results in rapid resource depletion when it occurs. The rapidness of resource loss is related to the fact that traumatic stressors (1) often attack people's basic values, (2) often occur unexpectedly, (3) make excessive demands, (4) are outside of the realm for which resource utilization strategies have been developed, and (5) leave a powerful mental image that is easily evoked by cues associated with the event. Results from research on traumatic stress are used to illustrate these points and implications for treatment are discussed.     

Differential Automatic Processing Deficits in Early Stage Alzheimer's Disease

This experiment sought further support for the view that early stage Alzheimer's disease (AD) disrupts cognitive structures that cast experience into a temporal framework. Forty participants, evenly divided between normal elderly (NE) and persons diagnosed with mild AD, viewed 19 lists of 14 pictures each. Following the presentation of each list participants were asked to identify the most recently experienced picture (target) from 3 pictures. A second stimulus was a picture never previously seen; the third picture was a distracting item that had appeared in the list on either one or three occasions. The results show that whereas choice accuracy of the NE group remained largely unimpaired regardless of the delay between the target and the judgment task or the frequency of the distractor, the AD participants exhibited large and profound deficits in temporal judgments, especially when distractor frequency was greater than the more recent event. In effect, the AD group relied on how often an event occurred rather than the time of its occurrence. This finding is consistent with previous research that found AD patients deficient in forming a temporal representation of their experience.     

Improving the Social-Behavioral Adjustment of Adolescents: The Effectiveness of a Social Skills Group Intervention

We evaluated the efficacy of a social skills training intervention designed to improve adolescents’ social, emotional and behavioral adjustment, Social Skills Group Intervention-Adolescent (S.S.GRIN-A). Seventy-four adolescents (ages 13–16 years) and their parents were randomly assigned to either the treatment group (N = 40) or a wait-list control group (N = 34). Adolescents in the treatment and control groups were compared on global self-concept, social self-efficacy, internalizing problems, and externalizing problems pre- and post-intervention. Youth in the treatment group demonstrated enhanced global self-concept, increased social self-efficacy, and decreased internalizing problems as compared to youth in the control group. No differences in externalizing behavior were found. We discuss the effectiveness of S.S.GRIN-A as a general program designed for addressing a range of adjustment issues and social skill deficits in adolescents.     

Diversity Challenges in Community Research and Action: The Story of a Special Issue of AJCP

This story explores an intervention conducted in a Catholic parish community in New York City. The intervention, conducted by the author and a Jesuit priest, focused on issues of unity and diversity among the various Chinese immigrant subgroups in the parish (primarily Cantonese‐ and Mandarin‐speakers). Issues of class, power, and a history of colonialism in the Catholic Church are explored as central to the relations among culturally diverse Chinese American community members and between the members and the practitioners and the church authority. The author especially focuses on how the dynamics that played out in the intervention reflected wider issues of economics, labor practices, and political elitism in the wider Chinatown community. A central part of the author's argument is about power relationships between this parish community and Chinatown and how these power relationships are embedded within broader racial and economic oppression within the United States.     

THE DEFENSIVE NATURE OF BENEFIT FINDING DURING ONGOING TERRORISM: AN EXAMINATION OF A NATIONAL SAMPLE OF ISRAELI JEWS

A study examining the effects of terrorism on a national sample of 1,136 Jewish adults was conducted in Israel via telephone surveys, during the Second Intifada. The relationship between reports of positive changes occurring subsequent to terrorism exposure (i.e., Benefit finding), posttraumatic stress disorder (PTSD) symptom severity, and negative outgroup attitudes toward Palestinian citizens of Israel (PCI) was examined. Benefit finding was related to greater PTSD symptom severity. Further, Benefit finding was related to greater threat perception of PCI and ethnic exclusionism of PCI. Findings were consistent with hypotheses derived from theories of outgroup bias and support the anxiety buffering role of social affiliation posited by terror management theory. This study suggests that benefit finding may be a defensive coping strategy when expressed under the conditions of ongoing terrorism and external threat.     

Smoking in College Women: The Role of Thinness Pressures, Media Exposure, and Critical Consciousness

There are strong social pressures for U.S. females, particularly those of European heritage, to achieve and maintain an extremely low body weight. These pressures are reflected in a variety of media sources, including advertising. We argue that valuing thinness, exposure to thinness-depicting media, and lacking skepticism about tobacco advertisements have adverse effects on young women's decisions about smoking, particularly smoking for weight control. We tested these hypotheses in a study of 188 female undergraduates, both never-smokers and daily smokers. Believing that smoking controls weight, exposure to thinness-depicting media, and low levels of skepticism about tobacco advertising were associated with being a smoker. Among smokers, believing that smoking controls weight, internalizing thinness pressures, and low levels of feminist consciousness were associated with smoking for weight control. Results are discussed with the aim of encouraging public health anti-smoking campaigns targeted at women, and smoking cessation programs that are responsive to the needs of weight-concerned female smokers.