Experiences of mandated reporting among family therapists: a qualitative analysis

Mandated reporting of child abuse by Family Therapists (FTs) has been examined by the authors in two previous studies. The first study found that mandated reporting issues negatively affected FTs abilities to maintain a systemic focus. The second study surveyed types and frequencies of negative experiences of FTs with mandated reporting. A 46-item questionnaire was administered to 101 FTs. Results were significant for four of the items. The respondents also provided 116 comments related to mandated reporting experiences. This study provides a qualitative analysis of the written comments of the respondents regarding their xexperiences with mandated reporting of child abuse.     

Social Support Mediates the Effects of Dual-Focus Mutual Aid Groups on Abstinence from Substance Use

Background: Specialized 12-step based groups have emerged to address the needs of persons recovering from both substance abuse and psychiatric illness. Objective: This study investigates the role of social support in mediating the association between mutual aid participation and subsequent substance use for dually diagnosed persons. Method: A cohort of Double Trouble in Recovery (DTR) members in New York City were studied prospectively over a two-year period. Findings: Longer DTR participation during the first year of the study was associated with lower substance use in the second year; that effect was partially explained by the maintenance of high level of social support. Conclusion: These findings speak of the enduring influence of 12-step attendance on reducing substance use, and underline the importance of both 12-step attendance and supportive networks for dually diagnosed persons.     

The relationship between depression and smoking in adolescents

The literature suggests that smokers are more likely to be depressed, while people who are depressed are more likely to smoke. The purpose of the present study was to determine the strength of the relationship between smoking, depression, intention to smoke, and several psychosocial and environmental factors. The participants (98 high school and college students aged 16 to 19 years) completed a paper-and-pencil questionnaire consisting of the Multiscore Depression Inventory (MDI) and items regarding smoking behavior as well as psychosocial and environmental factors. Correlation, stepwise regression, and discriminant analyses were then conducted. It was found that participants were more likely to smoke if their parents smoked, if their scores on the MDI indicated instrumental helplessness and social isolation/withdrawal, or if they were older. Participants were more likely to state intention to smoke in the future if they had MDI scores indicating instrumental helplessness, if they were older, if their parents smoked, if their MDI scores indicated social intro-version, or if they resided with a guardian. Participants were also more likely to have smoked for more years if their parents smoked or if their scores on the MDI indicated instrumental helplessness. Further, participants were more likely to have scores on the MDI indicative of higher depression levels if they had low grades or if their parents smoked.     

Influence of lateral motion transfer on sleep.

This study examined the effects of motion of an artificial bed partner on the sleep of a real subject on the same mattress. A 240-lb eight-sided cylindrical roller served as the artificial bed partner. The roller was placed on one side of a king-size mattress and a normal adult slept on the other half. On experimental nights, the roller intermittently rocked back and forth for brief periods of time which in aggregate represented approximately 13% of total sleep time. On control nights, the roller was stationary. After an adaptation night in the laboratory, subjects spent two more nights in the sleep laboratory. The order of Roller On and Roller Off nights was random. 24 subjects were randomly assigned to sleep on the three surfaces. The three mattresses used in the study had different construction designs and in turn variable properties of motion transfer. Sleep variables were measured objectively by nocturnal polysomnography and subjectively by a postsleep questionnaire. Analysis of the data indicated that motion transferred laterally across a mattress was associated with a significant increase in Stage 1 sleep, and a significant decrease in Stage 3/4 sleep. Over-all, sleep efficiency, number of awakenings, and wakefulness after sleep onset did not show significant changes from control to experimental nights. The amount of change in sleep architecture, however, was more notable on the mattresses which transferred more motion. An implication of these findings is that motion transferred across the surface of a mattress, by lightening the depth of the sleep and thereby decreasing the auditory arousal threshold, can increase the potential for sleep disruption from environmental stimuli such as noise.     

Aging and temporal discrimination of brief auditory intervals

Summary In a duration-discrimination experiment, young adults (mean age = 25.1), middle-aged adults (mean age = 45.5), and older adults (mean age = 64.6) were presented with two very brief auditorily marked intervals per trial, and their task was to decide which of the two was longer in duration. An adaptive psychophysical procedure was used to determine difference thresholds in relation to a constant standard interval of 50 ms. It was found that duration-discrimination performance was unaffected by age; all three age groups yielded a difference threshold of approximately 17 ms. It was concluded that the ability to discriminate durations of very brief auditory intervals appears to be based on an underlying timing mechanism that does not slow down with advancing adult age.     

Delayed working memory consolidation during the attentional blink

After the detection of a target (T1) in a rapid stream of visual stimuli, there is a period of 400–600 msec during which a subsequent target (T2) is missed. This impairment in performance has been labeled the attentional blink. Recent theories propose that the attentional blink reflects a bottleneck in working memory consolidation such that T2 cannot be consolidated until after T1 is consolidated, and T2 is therefore masked by subsequent stimuli if it is presented while T1 is being consolidated. In support of this explanation, Giesbrecht & Di Lollo (1998) found that when T2 is the final item in the stimulus stream, no attentional blink is observed, because there are no subsequent stimuli that might mask T2. To provide a direct test of this explanation of the attentional blink, in the present study we used the P3 component of the event-related potential waveform to track the processing of T2. When T2 was followed by a masking item, we found that the P3 wave was completely suppressed during the attentional blink period, indicating that T2 was not consolidated in working memory. When T2 was the last item in the stimulus stream, however, we found that the P3 wave was delayed but not suppressed, indicating that T2 consolidation was not eliminated but simply delayed. These results are consistent with a fundamental limit on the consolidation of information in working memory.     

Visual Search Remains Efficient When Visual Working Memory is Full

Many theories of attention have proposed that visual working memory plays an important role in visual search tasks. The present study examined the involvement of visual working memory in search using a dual-task paradigm in which participants performed a visual search task while maintaining no, two, or four objects in visual working memory. The presence of a working memory load added a constant delay to the visual search reaction times, irrespective of the number of items in the visual search array. That is, there was no change in the slope of the function relating reaction time to the number of items in the search array, indicating that the search process itself was not slowed by the memory load. Moreover, the search task did not substantially impair the maintenance of information in visual working memory. These results suggest that visual search requires minimal visual working memory resources, a conclusion that is inconsistent with theories that propose a close link between attention and working memory.     

MRI-Assessed Volume of Cerebellum Correlates with Associative Learning

Richard F. Thompson's cerebellar model of classical eyeblink conditioning highlights Purkinje cells in cerebellar cortex and principal cells in the deep cerebellar nucleus as the integrating cells for acquisition of conditioned responses (CRs). CR acquisition is significantly slower in rabbits with lesions to cerebellar cortex and in Purkinje cell-deficient mice that lose all cerebellar cortical Purkinje cells. Purkinje cells are the largest neurons in the cerebellum and contribute significantly to cerebellar volume. Magnetic resonance imaging (MRI) was used to assess cerebellar volume in humans. Cerebellar volume was related to eyeblink conditioning (400-ms delay procedure) in 8 adults (21-35 years) and compared to 8 older adults (77-95 years) tested previously (Woodruff-Pak, Goldenberg, Downey-Lamb, Boyko, & Lemieux, 2000). In the young adult sample, there was a high correlation between percentage of CRs in a session and cerebellar volume (corrected for total intracranial volume [TIV], r =.58, p =.066). There were statistically significant age differences in cerebellar volume, t(14) = 8.96, p <.001, and percentage of CRs, t(14) = 3.85, p <.002, but no age difference in TIV. Combining the young and older adult sample, the correlation between percentage of CRs and cerebellar volume (corrected for TIV) was.832 (p <.001). Cerebellar volume showed age-related deficits likely due to Purkinje cell loss. Individual differences in classical eyeblink conditioning are associated with differences in cerebellar volume, supporting Thompson's model of a cerebellar cortical role in facilitating this form of associative learning.     

Beurteilerübereinstimmung von Psychotherapie-Gutachtern

The access to outpatient psychotherapy in Germany is regulated by an application and expert opinion procedure in a peer-review system. In an external assessment procedure, the application of each patient is considered concerning the existence of a mental disorder, a positive prognosis as well as the adequacy of the chosen therapy rationale. The present paper examines the reliability of this procedure by reanalysing the data from three studies on interrater agreement in the expert opinions about psychoanalytic/psychodynamic therapy, behaviour therapy or child and youth behaviour therapy. In the study of Rudolf et al. (2002) 48 experts re-examined two already assessed cases, in the studies of Sulz et al. (2003) as well as Sulz and Peterander (2004) each of 30 and respectively 7 experts had judged five non selected or seven selected applications. The interrater agreement was calculated using the kappa coefficient by Fleiss for the agreement among many raters, which tests the observed agreement probability against the expected agreement probability that would occur by chance. The level of agreement among the experts differs between 46% and 70%. With the chosen method it is mostly not possible to show that there is a significant higher agreement than by chance. The generalizability of the results to the usual assessment procedure is discussed as well as their potential for the advancement of the application procedure and expert peer-review system.