Predictors of Suicide‐Related Hospitalization among U.S. Veterans Receiving Treatment for Comorbid Depression and Substance Dependence

This study examined whether widely accepted suicide risk factors are useful in predicting suicide-related hospitalization, beyond history of a suicide attempt, in high-risk treatment-seeking veterans with depression and substance dependence. Negative mood regulation expectancies were the only significant predictor of hospitalization during 6-months of outpatient treatment. History of a suicide attempt was the only significant predictor of hospitalization during the one-year follow-up period. Results suggest that within high-risk populations, standard suicide risk factors may not identify individuals who will engage in suicidal behaviors resulting in hospitalization. Assessing negative mood regulation expectations may assist in identifying those most at risk.     

I knew you'd understand: How gendered expectations of understanding affect stress

An experimental design was used to examine the effects of interviewer gender and (mis)understanding on physiological stress (i.e., cortisol). A total of 103 undergraduate students wrote about a recent social conflict and then discussed that conflict with either a male or a female interviewer. During these discussions, the interviewer displayed verbal and nonverbal cues of (mis)understanding toward the participants. Participants' cortisol was assessed four times throughout the study. Results from a 2 × 2 × 4 mixed‐model analysis of variance demonstrated an interaction between the gender of the interviewer, understanding condition, and time such that cortisol decreased the most over time when the interviewer used cues of understanding that matched stereotypical expectations for the interviewers' gender (i.e., when women were understanding and men were misunderstanding).     

Natural sequence of recovery from child post-traumatic amnesia: A retrospective cohort study

The aim of this study was to determine the sequence of skills recovery during post-traumatic amnesia (PTA) in children with moderate to severe traumatic brain injuries (TBIs). Setting: Fifty children aged 8 to 15 years consecutively admitted to a children’s hospital with TBI and PTA>24 were tested in a retrospective cohort study where the main measure was the Westmead PTA Scale (WPTAS). The group analyses show that orientation to time took longer to recover than orientation to person and place, but not memory, while the individual analyses revealed that when orientation to time was grouped with memory, 94% of children recovered orientation to person and place before orientation to time and memory (examiner and pictures). Correlation coefficients between age and the number of days taken to recover skills were not found to be significant. It was established that, in terms of the natural sequence of skills recovery in children aged 8 to 15 years following moderate to severe TBI, recovery of orientation to time is more closely aligned to memory than to orientation to person and place. It was also established that WPTAS items are developmentally appropriate for children aged 8 to 15 years who have sustained TBI. These findings are clinically important because monitoring recovery from PTA both impacts the rehabilitation offered to individuals during acute care and aids discharge planning.     

Not a Problem to Be Fixed: Successful First-Generation Graduates and Implications for College Counselors

This article describes a qualitative study with seven first-generation college graduates who went on to complete graduate school and are now working in colleges and universities as counselors and counselor educators. The findings highlight the resources that these participants possessed that contributed to their college success stories. Relational-cultural theory is proposed as a fitting developmental model for college counselors working with this student demographic. Este artículo describe un estudio cualitativo con siete graduados universitarios de primera generación que completaron programas de posgrado y actualmente trabajan como consejeros y educadores de consejeros en universidades y otros centros de estudios superiores. Los resultados resaltan los recursos que poseían los participantes y que contribuyeron a sus historias de éxito en la educación superior. Se propone la teoría relacional-cultural como un modelo de desarrollo apropiado para consejeros de educación superior que trabajan con este grupo demográfico de estudiantes.     

What we talk about when we talk about pediatric suffering

Theoretical Medicine and Bioethics - In this paper I aim to show why pediatric suffering must be understood as a judgment or evaluation, rather than a mental state. To accomplish this task, first I...