Boarding School Attendance and Physical Health Status of Northern Plains Tribes

Our hypothesis was that boarding school attendance among Northern Plains tribal members was associated with lower self-reported physical health status controlling for demographic, socioeconomic variables, the number of mental health and physical health problems. This secondary analysis used the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project data collected from 1997 to 1999. This analysis included (n = 1638) Northern Plains tribally enrolled members, aged 15–54, who lived on or within 20 miles of their reservations. Using linear regression and path analysis we examined the indirect, direct, and combine associations of boarding school attendance and physical health status. Results confirm boarding school attendance contributed indirectly (beta = ?.83, CI = ?1.33,-.33, p. ≤ .001) through number of physical health conditions to lower physical health status. Combined direct and indirect results (beta = ?.39, CI = ?1.20, .42) show American Indians who attended boarding school have lower physical health status (beta = ?1.22, CI = ?2.18,-.26, p. ≤ .01) than those who did not. The relationship of American Indian boarding school attendance and physical health status is complex with more than one path existing. We need to better understand the relationship of boarding school attendance and American Indian health, identify risk factors, and develop interventions for families and younger generations.     

Glücksspielsucht in der Rechtsprechung des Bundesgerichtshofs

Among the non-substance-related addictions, pathological gambling is the only one that has gained noteworthy forensic relevance. There are numerous parallels to substance-related addictions and not only in the symptomatology. A high proportion of pathological gamblers commit criminal offences to enable them to continue gambling or to pay gambling debts. According to the jurisdiction of the Federal Court of Justice (BGH) pathological gambling in itself cannot be considered as a pathological mental disorder or other serious mental abnormality that substantially diminishes the responsibility of the offender (German Penal Code § 21 StGB); however, the BGH recognizes that in serious cases of pathological gambling mental changes and personality defects can evolve that show similar structure and severity to substance-related addictions and severe withdrawal symptoms might also develop. As with substance-related addictions a substantial diminution of the offender’s responsibility can be assumed, therefore, also with pathological gambling if it has led to most severe personality changes or if the offender suffered from severe withdrawal symptoms while committing an addiction-related crime. According to these criteria a substantial diminution of the offender’s responsibility can be stated only in very rare cases. A custodial addiction treatment order (§ 64 StGB), which is also possible for fully responsible delinquents, is not applicable to cases of mere pathological gambling because the order requires an addiction to alcohol or other drugs. A mental hospital commitment order (§ 63 StGB) can be issued by the court under the same strict conditions that are applied to cases of substance-related addictions. Based on these principles this can only be issued if the defendant is addicted to gambling due to a mental defect that can be distinguished from the addiction itself or if the dependence has already been manifested in very severe personality changes. Pathological gambling can cause a propensity to commit serious offences and therefore, under the further conditions of §§ 66, 66a StGB justify detention for the purpose of incapacitation or a deferred incapacitation order. Even during imprisonment, detainees must be offered a suitable therapy (§ 66c para 2 StGB); however, penitentiaries do not offer the best environment for the treatment of pathological gamblers. The treatment in an addiction therapeutic setting appears to be more promising. Criminal political demands to make custodial addiction treatment orders also applicable to pathological gamblers have, however, very little chance of success.     

Photographs as retrieval cues for children

The aim of this study was to evaluate photographs as an alternative type of retrieval aid suitable for pre-school children. Fifty-seven children (age 3;7–6;8 years) participated in a fishing game. Ten days later the children were questioned about the situation under three conditions: group 1 was interviewed only with a context-reinstatement instruction. Group 2 additionally received photos relevant to the game as well as distractor items. Group 3 received both of these aids and was trained in the use of photos. In the photo groups more correct details were remembered compared to the control group. Accuracy in both photo groups was also enhanced by props. These results show that multiple-choice photos combined with a reinstate context instruction are an effective retrieval aid for young children. © 1998 John Wiley & Sons, Ltd.     

Predictors and moderators of improved social-emotional functioning in mothers with substance use disorders and their young children enrolled in a relationship-based case management program

Mothers with substance use disorders (SUDs) typically have trauma histories and psychosocial difficulties that lead to poor social-emotional functioning and disrupted mother–child relationships. This 12-month study explored associations of family adverse circumstances and services (case management, therapeutic, and community-based) received by 57-mothers with SUDs and their infants (less than 24-months-old) with changes in social-emotional functioning. All mothers were enrolled in a relationship-based case management program (Parent–Child Assistance Program [PCAP]) that emphasized connecting mothers to appropriate community services. A subset of mothers was additionally provided a trauma-focused psychotherapeutic intervention (infant–parent psychotherapy [IPP]). Dyads in both treatment groups improved in overall social-emotional functioning as assessed by the Functional Emotional Assessment Scale (FEAS). A combined-sample regression analysis revealed that improved FEAS scores were significantly predicted by the number of community services received but not by PCAP case management hours (IPP was not included in this analysis). More adverse circumstances were associated with less improvement in social-emotional functioning in the children; but among the mothers trauma level did not predict FEAS scores. We also found a moderating effect of trauma: Dyads with relatively more adversity showed a significantly greater association of community services received with improvement in FEAS scores than did those with relatively less adversity.     

Diagnostik und Therapie Dissoziativer (Identitäts-) Störungen

In North America, dissociative disorders have gained a central position in psychiatric research of the last 20 years. Their most severe form, the dissociative identity disorder has been explored with utmost thoroughness. The dissociative identity disorder seems to be a complex posttraumatic disorder with a central etiological role of sexual traumatizations in early childhood. Critics, however, expressed their doubts about the validity of the posttraumatic model and the psychiatric diagnosis itself. They assume it to be a matter of the cultural and suggestive impact of the media and of improper psychotherapy. In the present article evidence is provided about the arguments of the socio-cognitive model being scientifically unsubstantiated. A bulk of empirical results supports the assumption that dissociative identity disorder and similar diseases regularly occur both in North America and Europe, but they are rather rarely diagnosed. Therefore, it seemes both to make sense and be necessary to develop diagnostic and treatment programs for dissociative identity disorders and to promote their implementation.     

Poetry and song in a language without sound

We examine distinctive characteristics of a primary language (American Sign Language) which is manual-visual rather than oral-aural. It is proposed that attributes of the mode of this language predispose not only the language itself but also its art forms to certain special characteristics. An analysis is presented of some instances of ‘art-sign’, a poetic tradition developing within our own time, where gestural analogs are suggested to poetry and perhaps even to song.     

Voice quality analysis of American and German speakers

Six phoneticians rated the voices of 26 American and 22 German speakers on nine voice quality parameters which were discussed and illustrated by tape-recorded examples before the rating sessions. A reliability analysis showed highly significant interrater agreement on most parameters. Intercorrelations of the expert ratings and correlations with lay ratings of voice are reported and discussed. In concluding, empirical voice-personality relationships are reported and the role of sociocultural and atributional factors in this area is discussed.     

Increasing purposeful activity of severely and profoundly mentally-handicapped adults

A time-series reversal design was used to evaluate the effect of a ‘room manager’ procedure on the level of purposeful activity of severely and profoundly mentally-handicapped people in a residential home. The room manager procedure consisted of systematic prompts to participate in recreational activity and social reinforcement contingent on engagement. Data were collected on group and individual client behaviour and two measures of staff performance were taken to assess whether the procedure was implemented consistently across subjects and in line with the experimental design. The results showed that, as well as a group of subjects who engaged at a higher level during the room manager condition, there were consistently ‘high-engaging’ and ‘low-engaging’ groups, reflecting in part the general level of ability of the subjects. However, data on the independent variables show that the the contingency of staff contact did not vary across conditions and it cannot therefore be assumed that these subjects would not respond to the intervention. Some limitations of the procedure as used are discussed, and areas where further work is needed are indicated.