Measuring medical students' reluctance to prescribe opioids for cancer pain

Among 644 senior medical students a 14-item scale which was internally consistent indicated no change over the 6 years of testing in intent to reserve opioids for terminally ill.     

Teaching group treatment in doctoral programs for counseling psychology

We surveyed the 71 doctoral programs in counseling psychology approved by the American Psychological Association to examine whether and how group counseling or therapy was taught. Responses from 31 programs listed at least one graduate course in group counseling; over half offered more than one. In most cases the introductory course was required. Analysis also indicated that introductory courses often included an in-class or an out-of-class experiential component, focused either primarily or exclusively on outpatient therapy and used Yalom's interpersonal approach. Discussion focused on the importance of courses in group interventions in doctoral programs in counseling psychology and the differences and similarities in academic training of group interventions in programs in counseling and clinical psychology.     

A Case of Child and Family Therapy: Is Anger Permissible in This Home?

This article illustrates the impact of a peer supervision group on the treatment of an Orthodox Jewish child and her family system. Examples of treatment difficulties encountered when Orthodox therapists treat Orthodox patients are also presented. It highlights the use of a peer supervision group as a means to manage some of these treatment difficulties.     

...And some men have leadership thrust upon them.

Viewing leadership behavior as a joint function of situational factors, individual predispositions, and followers' responsive behavior, this study used 64 subjects, half of them high and half of them low in measured leadership self-concept. Half had a high and half a low stake in a group task. Each subject was twice appointed leader of a three-man group, once exposed to "followers" (experimenter's condederates,) altercasting him to lead, once to followers alter-casting him to follow. Multivariate analyses of variance showed effects of followers' behavior on profiles of a subject's behavior (when subjects were pushed to lead they led, when pushed to follow they increased socioemotional activity) and perceptions of followers. These effects were specified by leadership self-concept (little difference between groups when confronting pushy followers, more when confronting passive ones), prompting an interpretation in terms of role incongruity.     

Lateral differences in habituation of ipsilateral head-turning to repeated tactile stimulation in the human newborn

Lateral differences in habituation of ipsilateral head-turning to repeated tactile perioral stimulation following midline head restriction was studied in 44 full-term neonates. Left-sided stimulation had a significantly greater and faster decremental effect than right-sided stimulation. Even in the absence of tactile stimulation (Control Group), head-turning to the left decreased systematically whereas head-turning to the right did not. The transient efficacy of prior midline head restriction for the elimination of lateral differences in both spontaneous head movements and responsiveness to tactile input suggests that behavioral asymmetry is already well-established in the newborn.     

Reaching Higher in Community Psychology: Social Problems, Social Settings, and Social Change

Forty years after the founding of community psychology, we have yet to deliver on the full promissory note of our birth, where we were poised to address social problems, social settings, and social change. Despite some success, we are at risk for selling ourselves short, for dying out in the discipline of psychology, and for failing to improve the common good. Given changes in demographics and in the safety net, the problem of entrenched disparities is even more urgent—in perception of the other, in the provision of opportunities for development, and in outcomes. Envisioning and enabling will be critical as we work with unified purpose toward a cumulative science where failure will not be predictable.An earlier version of this paper was presented at the mid-west ECO Conference in Community Psychology held in Saugatuck, Michigan, October 2004.     

Brief functional analysis and treatment of tantrums associated with transitions in preschool children

A brief functional analysis was used to examine the influence of termination of prechange activities and initiation of postchange activitieson tantrums exhibited by 2 preschool children. For 1 participant, tantrums were maintained by access to certain (pretransition) activities. For a 2nd participant, tantrums were maintained by avoidance of certain task initiations. Although advance notice of an upcoming transition was ineffective, differential reinforcement of other behavior plus extinction reduced tantrums for both participants.     

Stress affects dopaminergic signaling pathways in Drosophila melanogaster

Behaviors modulated by dopamine appear to be conserved across species. In the model system Drosophila melanogaster, as in mammals, dopamine modulates female sexual receptivity, a simple form of learning and responses to drugs of abuse. Synthesis, reuptake and binding of dopamine are also evolutionarily conserved. Since stress has been shown to affect dopaminergic signaling pathways in mammals, we investigated the consequences of exposure to diverse stressors on dopaminergic physiology in the fruit fly, D. melanogaster. Animals were exposed to a metabolic stress (starvation), an oxidative stress (via the superoxide anion generator paraquat) or a mechanical stress (gentle vortexing). Sexual maturity, reproductive status, gender and type of stress differentially affected survival. The stress paradigms also resulted in alterations in the activity of tyrosine hydroxylase, the rate-limiting enzyme in dopamine biosynthesis. Exposure to these stressors perturbed female sexual receptivity and ovarian development, which are modulated by dopamine, suggesting that dopaminergic physiology is affected as a consequence of stress. Transgenic Drosophila with reduced levels of neuronal dopamine displayed an altered response to these stressors, suggesting that, as in mammals, dopamine is a key element in the stress response.     

Perceived stress and physiological dysregulation in older adults

We use a population-based representative sample of older Taiwanese to investigate links between respondents' perceived levels of stress and a broad set of biological measures. These biomarkers were collected at a single time (2000) and reflect sympathetic nervous system (SNS)-activity, hypothalamo-pituitary-adrenal (HPA)-activity, immune function, cardiovascular function, and metabolic pathways. We model the relationship between perceived stress and (1) extreme values for each of 16 individual biological indicators; and (2) a measure of cumulative physiological dysregulation based on the full set of biomarkers. We consider two measures of perceived stress, one derived from the 2000 interview and the second based on data from three interviews (1996-2000). Age and sex-adjusted models reveal significant associations between measures of perceived stress and extreme values of cortisol, triglycerides, interleukin-6 (IL-6), dehydroepiandrosterone sulphate (DHEAS) and fasting glucose. Examined individually, numerous biomarkers, including those pertaining to blood pressure and obesity, are not significantly related to perceived stress. Jointly, however, the measure of cumulative physiological dysregulation is associated with both the level of perceived stress at a given time and to a longitudinal measure of perceived stress. Some results suggest that the relationship between level of perceived stress and physiological response is stronger for women than men.