Long-term improvement in coping skills following multimodal treatment in war veterans with chronic PTSD

Due to the long-lasting and resistant symptoms characteristic of chronic combat posttraumatic stress disorder (PTSD), its treatment is complex and often requires a tailored therapeutic approach incorporating both psychotherapy and pharmacotherapy. A multimodal approach of psychoeducative, sociotherapeutic, and dynamically oriented trauma-focused groups is described. We assessed the short- and long-term effectiveness of this therapeutic program by monitoring its impact on PTSD symptoms, depression, neurotic symptoms, coping skills, and quality of life for three years. The findings revealed short-term reduction in the symptoms of PTSD and depression, while the long-term results were manifested as the increased use of all coping mechanisms and a greater level of obsession.     

Changing the System by Changing the Workforce: Employing Consumers to Increase Access, Cultural Diversity, and Engagement

Services to families have traditionally been delivered in a medical model. This presents challenges including workforce shortages, lack of cultural diversity, lack of training in strength-based work, and difficulty in successfully engaging and retaining families in the therapy process. The system of care (SOC) effort has worked to establish formal roles for caregivers in SOC to improve services. This paper provides an example of one community's efforts to change the SOC by expanding the roles available to caregivers in creating systems change. It describes the model developed by Communities of Care (CoC), a SOC in Central Massachusetts, and its evolution over a 10 year period. First person accounts by system partners, caregivers hired into professional roles as well as a family receiving services, demonstrate how hiring caregivers at all levels can change systems and change lives, not only for those being served but for the caregiver/professionals doing the work. It also demonstrates, however, that change at the system level is incremental, takes time, and can be fleeting unless an ongoing effort is made to support and sustain those changes.     

Analysis of voice impairment in aphasia after stroke-underlying neuroanatomical substrates

Phonation is a fundamental feature of human communication. Control of phonation in the context of speech-language disturbances has traditionally been considered a characteristic of lesions to subcortical structures and pathways. Evidence suggests however, that cortical lesions may also implicate phonation. We carried out acoustic and perceptual analyses of the phonation of /a/ in 60 males with aphasia (20 Wernicke's, 20 Broca's, 20 subcortical aphasia) and 20 males matched in age with no neurological or speech-language disturbances. All groups with aphasia were significantly more impaired on the majority of acoustic and perceptual measures as compared with the control speakers. Within the subjects with aphasia, subjects with subcortical aphasia were more impaired on most measures compared to subjects with Broca's aphasia, and they, in turn, more impaired than those with Wernicke's aphasia. Lesions in regions involved in sound production-perception result in dysfunction of the entire neurocognitive system of articulation-phonological language processing.     

An investigation of stride interval stationarity while listening to music or viewing television

In recent years, there has been considerable interest in the effects of auditory and visual distractions on pedestrian ambulation. A fundamental temporal characteristic of ambulation is the temporal fluctuation of the stride interval. In this paper, we investigate the stationarity of stride interval time series when people are exposed to different forms of auditory and visual distractions. An increase in nonstationary behavior may be suggestive of divided attention and more frequent central modulation of locomotion, both of which may have ramifications on pedestrian vigilance and responsiveness to environmental perturbations. One group of fifteen able-bodied (6 females) young adult participants completed a music protocol (overground walking with and without music). A second group of fifteen (7 females) did a television protocol (treadmill walking while watching TV with and without sound). Three walking trials, each 15min in duration, were performed at each participant's comfortable walking speed, with force sensitive resistors under the heel of each foot. Using the reverse arrangements test, the vast majority of time series were nonstationary, with a time-varying mean as the principal source of nonstationarity. Furthermore, the television trial with sound had the greatest number of nonstationarities followed by overground walking while listening to music. We discuss the possibility that these conditions measurably affect gait dynamics through a subconscious synchronization to external rhythms or a cyclic distraction followed by a period of increased conscious correction of gait timing. Our findings suggest that the regulation of stride timing is particularly susceptible to constant, time-evolving auditory stimuli, but that normal pacing can be restored quickly upon stimulus withdrawal. These kinds of sensory distractions should thus be carefully considered in studies of pedestrian ambulation.     

Do Applicants Fake Their Personality Questionnaire Responses and How Successful are Their Attempts? A Case of Military Pilot Cadet Selection

This paper presents the results of three interrelated studies investigating the occurrence of response distortion on personality questionnaires within selection and the success of applicants in faking situations. In Study 1, comparison of the Big Five personality scores obtained from applicants in a military pilot cadet selection procedure with participants responding honestly, faking good, and faking an ideal candidate revealed that applicants responded more desirable than participants responding honestly but less desirable than respondents under fake instructions. The occurrence of faking within the military pilot selection process was replicated in Study 2 using the Eysenck Personality Questionnaire and another comparison group. Finally, in Study 3, comparison of personality profiles obtained in selection and ‘fake job’ situations with experts' estimates indicated that participants were partially successful in faking the desirable profile.     

Brain oscillatory activity associated with task switching and feedback processing

In this study, we sought to dissociate event-related potentials (ERPs) and the oscillatory activity associated with signals indicating feedback about performance (outcome-based behavioral adjustment) and the signals indicating the need to change or maintain a task set (rule-based behavioral adjustment). With this purpose in mind, we noninvasively recorded electroencephalographic signals, using a modified version of the Wisconsin card sorting task, in which feedback processing and task switching could be studied separately. A similar late positive component was observed for the switch and correct feedback signals on the first trials of a series, but feedback-related negativity was observed only for incorrect feedback. Moreover, whereas theta power showed a significant increase after a switch cue and after the first positive feedback of a new series, a selective frontal beta–gamma increase was observed exclusively in the first positive feedback (i.e., after the selection of the new rule). Importantly, for the switch cue, beta–alpha activity was suppressed rather than increased. This clear dissociation between the cue and feedback stimuli in task switching emphasizes the need to accurately study brain oscillatory activity to disentangle the role of different cognitive control processes.     

Introduction

There are very significant conceptual links between theories of social macroevolution and theories of the World System development. It is shown that the growth of the World System complexity and integrity can be traced through a system of phase transitions of macroevolution. The first set of phase transition is connected with the agrarian, industrial, and information-scientific revolutions (that are interpreted as changes of “production principles”). The second set consists of phase transitions within one production principle. These phase transitions are analyzed on the basis of the World System urbanization dynamics, but they can be traced with respect to the other (cultural, economic, technological, demographic, political, etc.) dimensions of the World System development.     

Apostolic Administrator Dr Mihael Toroš and his Connections with the Communist Authorities in Slovenia between 1947 and 1953

Abstract

This article presents the work of Apostolic Administrator Dr Mihael Toro? in the western border areas of Slovenia after the annexation of the Primorska region to Yugoslavia in 1947. When he became administrator his parishes were in ruins. He wanted to rebuild religious life, but this was impossible without the help of the communist authorities. However, the authorities used him to cause a rift in the Catholic Church in Slovenia. He and his priests were given material goods and other benefits to show others how profitable cooperating with the authorities was. In return Toro? had to declare his loyalty to the state in public. After a few years he realised that he was being exploited and he distanced himself from the authorities. His connections with the authorities were criticised by the Vatican, but he achieved a good deal for the Catholic Church in Slovenia (a magazine, a boys' seminary) by cooperating.     

The attitude of the Moscow Patriarchate towards other Orthodox churches

Abstract

The Moscow Patriarchate is a transnational subject of political relations which acts both inside and outside the Russian Federation. It has specific goals: to maintain the integrity of its canonical territory and to gain dominance within the Universal Orthodox Church. It is in competition with the Patriarchate of Constantinople, it makes alliances with Slavic Orthodox churches and it pursues diplomacy. The activity of the Moscow Patriarchate is of interest to the Russian government. This article examines relations between the Russian Orthodox Church and other Orthodox churches and their significance for Russian foreign policy.     

The role of schizoid personality,peritraumatic dissociation and behavioral activation system in a case of parricide

The goal of this paper is to emphasize several important details through a case study of parricide: a) the schizoid personality structure as a potential basis for brutal offenses, b) the role of dissociation during the commitment of crime; and c) the contribution of non-standard psychological assessment instruments and Gray's reinforcement sensitivity theory in illuminating the killer's personality and motivation for the offense. A parricide case was analyzed through psychiatric examination, standard clinical psychological assessment, and Behavioral Inhibition and Activation Scales based on Gray's theory. It was determined that the perpetrator suffered from schizoid personality disorder and that there were visible signs of peritraumatic dissociation at the moment he committed the offense. It was concluded that: a) a schizoid personality sometimes become a perpetrator of a brutal offense in situations where he feels he is in danger of punishment, and his personal space is being threatened, b) dissociation, activated by murder itself, can help the murderer to protect himself from a traumatic situation which overcomes his resources, and c) Gray's theory can serve as a framework for understanding individual cases as this one.