Childhood problem behaviours as precursors of drinking to intoxication trajectories – from age 1.5 to 19

Objective: We examined behaviour problem precursors (i.e. internalising and externalising) in childhood (ages 1.5 to 8.5) and early adolescence (age 12.5) and consequences (i.e. harmful alcohol use) in emerging adulthood (age 19), of developmental trajectories of drinking to intoxication across adolescence (ages 14.5–19).

Design and outcome measures: Data from 921 children and their parents followed for 18 years from the population-based Tracking Opportunities and Problems (TOPP) Study were used to examine adolescent trajectories of drinking to intoxication. Logistic regression was used to examine predictors of trajectory group membership.

Results: We identified 3 trajectory classes: low / abstainer (41%), late onset high (31%) and early onset high (28%) using latent class analyses. Logistic regression analyses showed that childhood high externalising characterised early onset of intoxication vs. other classes, while early adolescence externalising discriminated both early and late onset of intoxication. High early childhood internalising characterised those consistently low or abstinent on alcohol intoxication, while early adolescent internalising characterised those having an early onset of intoxication. However, after additional adjustment for co-occurring externalising, there were no evidence for a link between early adolescent internalising and intoxication.

Conclusions: The findings suggest that both child and early adolescent-focused prevention efforts may be warranted.     

Perspectives on Healthcare Provider Well-Being: Looking Back,Moving Forward

Recognizing the impact of healthcare professional (HCP) burnout has led to vigorous interest from organizations and individuals regarding how to most effectively promote HCP well-being. The present paper reviews the literature on HCP well-being and describes factors that impact well-being at various levels (i.e., system, institution, program, interpersonal, and individual). We propose that change must occur at all levels to have the greatest impact. Further, we highlight opportunities to advance research on HCP well-being (e.g., being more inclusive regarding study populations and designing longitudinal intervention studies).     

Religious and non-religious predictors of life satisfaction in a sample of American college students

To promote understanding of young people behavioural mechanisms related to health, we evaluated religious attribution, meaning in life, and emotion regulation strategies as predictors of life satisfaction in the sample of 791 religious and non-religious American college students. Participants completed Religious Attribution Scale, Meaning in Life Questionnaire, Satisfaction with Life Scale, and the Emotion Regulation Questionnaire. A multiple linear regression revealed that the strongest predictor of life satisfaction for both groups was the presence of meaning in life, followed by the use of cognitive reappraisal. We found that participants with high levels of presence of meaning in life, regardless of their religious identity, were able to benefit from the use of cognitive reappraisal. Presence of meaning in life and emotion regulation strategy reside outside of the religious confines, supporting the notion that religiosity is not a singular meaning making system. By identifying constructs related to life satisfaction, we can acquire better understanding of what mechanisms contribute to positive coping strategies that religious and non-religious young adults use to achieve positive life outcomes.     

New Migrants in Residential Aged Care: Managing Diversity in Not-for-Profit Organisations

This paper draws on qualitative interviews with migrant Indo-Asian and African personal care workers and registered and enrolled nurses employed by two not-for-profit residential aged care organisations in Australia: AnglicareSA and Resthaven Inc. The paper examines the way these culturally and linguistically diverse staff talk about the safe organisational environment provided by their employers, while in the wider Australian environment, low levels of hostility towards migrants and refugees are a constant cultural force. We demonstrate the impact of these organisations’ foundational ethics and values that influence how human resource diversity management strategies impact on the quality care provided to residents. We argue that this ethic and these human resource strategies act as conduits for culturally and linguistically diverse (CALD) staff to integrate into the workforce and as a mechanism in assisting new migrants to transition into the wider Australian society, while at the same time enriching the care of the older persons.     

The Effectiveness of Emotionally Focused Couples Therapy With Veterans With PTSD: A Pilot Study

The current study is a pilot project conducted at Baltimore VA Medical Center investigating the use of emotionally focused couples therapy (EFT) for couples in which one partner is a veteran who has been diagnosed with posttraumatic stress disorder (PTSD). Fifteen couples enrolled in the study and seven of these couples completed treatment (26 to 36 weekly sessions of EFT). Both partners were assessed on measures of relationship satisfaction, psychological distress, depression, and quality of life, and veterans were assessed on measures of PTSD symptoms at baseline and 2 weeks after the intervention. Paired t-tests were used to compare scores before and after EFT. In terms of results, the veterans' partners reported significant improvements in relationship and life satisfaction and in decreased depression and a decrease in psychological distress. Veterans demonstrated a significant decrease in self-reported symptoms of PTSD. These results provide preliminary evidence for the usefulness of EFT to help foster improved relationship satisfaction, and psychological well-being for veterans with PTSD and their partners who completed treatment.     

Demeter's Compromise: Separation,Loss, and Reconnection in Mothers with Daughters Entering Adulthood

Drawing on contemporary theory of female development that focuses on the dynamics of the mother/daughter relationship regarding issues of separation and individuation, this article examines the treatment of a middle aged mother as she navigates her way through her daughter's adolescence and early adulthood. Psychoanalytic object relations, psychoanalytic relational theory, and feminist theory serve to frame an understanding of the case material in terms of developmental challenges that are uniquely female. Issues around mother/daughter attachment, separation, competition, conflict, and love are explored in the relationships between the patient and her mother, the patient and her daughter, and the patient and the therapist. The therapist's countertransference, intensified by her relationships with her own mother and daughter, suggests the possibility of both pitfalls and opportunities in the treatment. The article attempts to address a gap in psychoanalytic developmental theory, which offers little understanding of the challenges for women in midlife.     

What Torture Survivors Teach Assessors About Being More Fully Human

This article illustrates the complex sociocultural components in the forensic psychological assessment of a young Ethiopian woman's claim for political asylum due to a well-founded fear of persecution and for relief under the Convention Against Torture. It draws attention to the subtle social and cultural influences in the practice of forensic psychological assessment with an emphasis of reflective practice, which is contextualized in the interpersonal theory of Sullivan. In the interpersonal approach, the essential work of the assessor is to pay careful attention to the microinteractions between the client and the assessor as reflections of the interpersonal (meaning social and cultural) processes, eschewing the illusion of objectivity.

In this case study, I illustrate the particular cultural dilemmas for client and assessor in conducting a forensic assessment of psychological trauma, including cross-cultural, gender, and legal difficulties in arriving at an informed, objective, and compassionate assessment of an individual seeking asylum after an especially brutal experience of torture. I argue that collaborative therapeutic assessment methods adapted for forensic practice offer an approach to assessment of psychological trauma that provides more accurate and compassionate assessment than so-called neutral standard forensic assessment practice.     

Reasoning,biases and dual processes: The lasting impact of Wason (1960)

Wason (1960) published a relatively short experimental paper, in which he introduced the 2-4-6 problem as a test of inductive reasoning. This paper became one of the most highly cited to be published in the Quarterly Journal of Experimental Psychology and is significant for a number of reasons. First, the 2-4-6 task itself was ingenious and yielded evidence of error and bias in the intelligent participants who attempted it. Research on the 2-4-6 problem continues to the present day. More importantly, it was Wason's first paper on reasoning and one which made strong claims for bias and irrationality in a period dominated by rationalist writers like Piaget. It set in motion the study of cognitive biases in thinking and reasoning, well before the start of Tversky and Kahneman's famous heuristics and biases research programme. I also show here something for which Wason has received insufficient credit. It was Wason's work on this task and his later studies of his four card selection task that led to the first development of the dual process theory of reasoning which is so dominant in the current literature on the topic more than half a century later.