Perceived need for resources: Some differences among groups

Perceived need for interpersonal resources (status, love, services, goods, money and information) was examined in two studies. In the first study drug addicts, prostitutes, alcoholics and motorcycle racers were compared with a control group drawn from the general population. In the second investigation outpatients with medical complaints, alcoholic impatients and drug addict outpatients all treated at a VA hospital were compared with a control group of males drawn from the general population. After patialling out the effects of age and education, both studies showed significant differences among the groups in their expressed need for status, love, services and information. Conversely, no major differences were found in the need for goods and money. The prostitutes in the first study and the addicts of both studies showed the highest need level. The relevance of these findings to the treatment and prevention of social problems is discussed.     

Health Related Quality of Life in Children with Congenital Heart Disease

Health-related quality of life in children with congenital heart disease (CHD) was compared to that of healthy children. Furthermore, agreement between child and parent reports was examined. In addition, differences in quality of life related to the severity of CHD were evaluated. One hundred children with CHD aged between 8-18 years and their parents answered a health-related quality of life-questionnaire during their visit to the paediatric cardiology outpatient department. CHD children reported reduced motor functioning and autonomy compared to healthy children. Parents of children with CHD reported their children to have a reduced quality of life in the domains of: motor functioning, autonomy and cognitive functioning. Agreement between child and parent reports was moderate. Children systematically reported lower health related quality of life on the domain of positive emotions than did parents. Health related quality of life in children with CHD appeared not to be influenced by severity of the disease. In conclusion, regardless of the severity of the disease, children with CHD reported their health related quality of life on several domains to be lower than that of healthy children. This means that on several domains, the emotional impact of problems in health status is greater for children with CHD than for healthy children. When CHD patients visit the clinic, it is important that physicians actively ask patients as well as parents about the child's motor functioning, autonomy and cognitive functioning. Children with problems in these domains can then be identified, and psychological interventions can take place at an early stage.     

Maternal and Paternal Perception of Child Vulnerability and Behaviour Problems in Very Preterm Born Children

Preterm born children have more behaviour problems than term born children. Perinatal risks, current child functioning, sociodemographic characteristics, parental psychological distress and parental perceptions of child vulnerability (PCV) have been shown to be risk factors for behaviour problems. However, the role of maternal and paternal PCV is unclear, as these have not been investigated as a risk factor for behaviour problems, with all other risk factors taken into account. Aim of this study is to investigate whether maternal and paternal PCV are independent risk factors for behaviour problems in very preterm (VP) and term born children. The present study is a single centre prospective cohort study. Preterm children (n = 104), born at <30 weeks' gestation and/or birth weight <1000 g, and term children (n = 95) were assessed at age 5. Results showed that risk factors for parent‐rated behaviour problems were low/middle parental education, VP birth, parental stress and, in VP children, maternal PCV. Risk factors for teacher‐rated behaviour problems were low/middle parental education, foreign parental country of birth, intrauterine growth restriction and objective child vulnerabilities. It can be concluded that maternal PCV is a risk factor for parent‐rated behaviour problems in VP children. When VP children are presented with behavioural problems, clinicians ought to be aware of the possibility that parents might still perceive their child as vulnerable. The neonatal history of the child, the way parents experienced that period, their perceptions of the child and possible consequences of these perceptions could be subjects for conversation during visits at follow‐up clinics. Copyright © 2015 John Wiley & Sons, Ltd.     

Sex and Sociocultural Correlates of Urinary Incontinence in Israeli Preschool Children

Urinary incontinence in children aged 2 to 6 years whose mothers varied in ethnic descent, in level of education, and in immigration status was studied in Israel. Mothers of 302 children were interviewed in well-baby clinics regarding primary and secondary urinary incontinence of their children. A significant age trend was found for attaining primary urinary continence. However, various interactions between mothers' ethnic descent, mothers' level of education, and mothers' immigration status were associated with different rates of primary and secondary urinary incontinence in their children. Moreover, sex differences in rates of primary and secondary urinary incontinence were also associated with mothers' ethnic descent and level of education. It is suggested that different levels of maternal emotional availability to the child in the various subgroups can account for most of the findings.     

Toward a New Geography of Hasidism

The geography of Hasidism has long been one of the most contentious issues in the history of the movement. This article represents an attempt to free hasidic geography from outmoded preconceptions by proposing a new conceptualization of the hasidic leadership and its following in Eastern Europe. Based on an original, extensive database of hasidic centers, the authors drew five maps in sequence showing the development of Hasidism from its inception to the Holocaust. The five periods into which the database is divided are demarcated by four historically significant landmarks: the years 1772, 1815, 1867, and 1914. The article offers some possible interpretations of the maps, and draws a number of conclusions arising from them. The authors examine the dynamics and tendencies of the expansion of the movement within geographical frameworks, including the shift of hasidic centers from Podolia and Volhynia in the eighteenth century to Galicia and the southeastern provinces of Congress Poland in the nineteenth century, and subsequently to Hungary and Romania in the twentieth century; hasidic penetration into Jewish Eastern Europe, reaching its peak in the period between 1815 and 1867; and the metropolization of the hasidic leadership after 1914. The article also analyzes the patterns of concentration and diffusion of the hasidic leadership, and the impact of political factors upon these parameters.     

Investigating the nature of expressiveness in stranger,acquaintance and intrafamilial homicides

This study explores the role of the victim–offender relationship in the dynamics of homicide, by examining the crime scene behaviour of 25 intrafamilial, 30 acquaintance and 27 stranger homicide offenders (n = 82). Six crime scene variables were examined: ‘Weapon from the scene’, ‘Excessive wounding’, ‘Facial trauma’, ‘Multiple wounds to a single area’, ‘Post‐mortem activity’ and ‘Manual violence’. The first objective was to identify whether these variables could be combined to form a partially ordered scale of expressiveness. The second was to examine whether the nature of this expressive crime scene varied according to the victim and offender relationship. It was hypothesised that the intrafamilial homicides would be characterised by a more expressive crime scene. This was examined by Partial Order Scalogram Analysis which supported the hypothesised link between the level of expressed emotion evident in the crime scene and the nature of the victim–offender relationship. Further analysis on the individual variables revealed that the best single predictor of the relationship between victim and offender was the presence of multiple wounding. These findings are discussed both as contributing to a theoretical understanding of the emotional salience of crime scene actions when killing a family member, and in practical terms in relation to the significance of these variables for both police investigations and clinical interventions with homicide perpetrators. Copyright © 2005 John Wiley & Sons, Ltd.     

Prevalence of mood symptoms and depressions during pregnancy: implications for clinical practice and research

A review of the literature demonstrates that the incidence of new mental disorders and their prevalence during pregnancy is similar to the 12-month incidence of mental disorders in women during other periods of their lives. The prevalence of severe mood, behavior, and cognitive symptoms during pregnancy is rather high. Severe mental symptoms during pregnancy have been reported to be associated with an increased rate of complications during pregnancy and delivery, preterm deliveries, low birth weight, a higher rate of postpartum depression, and a longer-term impact on the offspring's development. Several pre-pregnancy risk factors to develop dysphoric symptoms have been reported, but their utility for primiparous women with no previous history of mental disorders is unclear. The association of mental symptoms with general symptoms and biological changes during pregnancy is also unclear. Given the short- and long-term impact of dysphoric symptoms and stress during pregnancy on mother and child, efficacious, efficient, and safe prevention and treatment modalities are essential and achievable. Clarification of the nature and phenotyping of mental and general symptoms during pregnancy is an important step for the development of effective interventions.     

The Expert Snare as an Influence Tactic: Surf,Turf, and Ballroom Demonstrations of Some Compliance Consequences of Being Altercast as an Expert

Two experiments provide evidence for a newly discovered influence tactic termed the expert snare. In the expert snare, alter—the target of influence—is cast into the role of “expert.” In that role, alter attempts to maintain status by putting on the trappings of expertise, avoiding embarrassing disclosures, and accepting absurd proposals deemed necessary to uphold the role. Surfers, Frisbee players, and recreational dancers were altercast as experts in their respective domains. Relative to controls, such “experts” were more likely to support absurd proposals within their domain of expertise such as requiring surfboard bellies to be painted yellow with purple polka dots and students to take an orientation course on the non-existent activities of Tanzimat Frisbee and root dancing.     

Benchmarking Treatment Effectiveness of Community‐Delivered Trauma‐Focused Cognitive Behavioral Therapy

It is critical for urban youth with post‐traumatic stress disorder (PTSD) living in poverty to have access to evidence‐based interventions for their traumatic stress. However, there is limited research on the effectiveness of these interventions when provided in urban, community settings. The objectives of the current study are to (a) evaluate the effectiveness of trauma‐focused cognitive behavioral therapy delivered from 2013 to 2016 in 15 behavioral health agencies on youth (N = 114) PTSD as well as  general mental health symptoms and  functioning, and (b) benchmark these clinical outcomes against other published efficacy and effectiveness trials. Effectiveness data are from the Philadelphia County Community Behavioral Health System, a system that has invested significantly in the training and ongoing support of clinicians providing high‐quality trauma services to youth since 2012. From baseline to last assessment, youth PTSD symptom severity (d = 0.34), PTSD functional impairment (d = 0.38), and overall mental health problem severity (d = 0.29) improved. The effect sizes of  improvements were smaller than effect sizes observed in efficacy and effectiveness studies. This study is the first benchmarking study of TF‐CBT and provides preliminary findings with regard to the effectiveness, and transportability, of TF‐CBT to urban community settings that serve youth in poverty.