Self‐disclosure,trauma and the pressures on the analyst

This paper argues that self‐disclosure is intimately related to traumatic experience and the pressures on the analyst not to re‐traumatize the patient or repeat traumatic dynamics. The paper gives a number of examples of such pressures and outlines the difficulties the analyst may experience in adopting an analytic attitude – attempting to stay as closely as possible with what the patient brings. It suggests that self‐disclosure may be used to try to disconfirm the patient's negative sense of themselves or the analyst, or to try to induce a positive sense of self or of the analyst which, whilst well‐meaning, may be missing the point and may be prolonging the patient's distress. Examples are given of staying with the co‐construction of the traumatic early relational dynamics and thus working through the traumatic complex; this attitude is compared and contrasted with some relational psychoanalytic attitudes.     

Do Community Characteristics Relate to Young Adult College Students’ Credit Card Debt? The Hypothesized Role of Collective Institutional Efficacy

This study examines the extent of emergent, outstanding credit card debt among young adult college students and investigates whether any associations existed between this credit card debt and the characteristics of the communities in which these students grew up or lived. Using data (N = 748) from a longitudinal survey and merging community characteristics measured at the zip code level, we confirmed that a community's unemployment rate, average total debt, average credit score, and number of bank branch offices were associated with a young adult college student's acquisition and accumulation of credit card debt. For example, a community's higher unemployment rate and lower number of bank branches were associated with a young adult college student's greater accumulated debt. Community characteristics had the strongest associations with credit card debt, especially after controlling for individual characteristics (i.e., a young adult college student's race and financial independence) and familial characteristics (i.e., their parents’ income and parents’ discussions of financial matters while growing up at home). The findings may help to understand the unique roles that communities play in shaping children and young adults’ financial capability, and how communities can be better capacitated to support the financial goals of their residents.     

School-Aged Children’s Attachment Dismissal Prospectively Predicts Divergence of Their Behavioral and Self-Reported Anxiety

Recent studies on attachment in middle childhood suggest that dismissing children tend to underreport their psychological distress relative to physiological indices of distress. However, this has yet to be examined in the context of behavioral indicators of distress. In this longitudinal study, a community sample of children (N?=?34, M _age?=?9.59 years) completed the Child Attachment Interview at Time 1. Three years later, they returned and completed the Trier Social Stress Task for Children (TSST-C), providing ratings of their state anxiety before and after the stressor. Four raters coded children’s behavioral signs of anxiety (e.g., non-signaling gestures, eye movement, posture, facial expression) on a 7-point scale during the storytelling and arithmetic tasks in the TSST-C. Hierarchical linear regressions revealed that greater attachment dismissal was associated with greater behavioral anxiety in both the story and math tasks, but was not associated with greater increases in self-reported anxiety. Dismissal prospectively predicted increased divergence of behavioral and self-reported anxiety, such that higher dismissal was associated with higher divergence scores (i.e., underreporting of anxiety relative to behavioral indicators). We discuss these results in terms of their contribution to understanding attachment and emotion in an understudied developmental phase.     

Functional brain organization of working memory in adolescents varies in relation to family income and academic achievement

Working memory (WM) capacity reflects executive functions associated with performance on a wide range of cognitive tasks and education outcomes, including mathematics achievement, and is associated with dorsolateral prefrontal and parietal cortices. Here we asked if family income is associated with variation in the functional brain organization of WM capacity among adolescents, and whether that variation is associated with performance on a statewide test of academic achievement in mathematics. Participants were classified into higher‐income and lower‐income groups based on family income, and performed a WM task with a parametric manipulation of WM load (N‐back task) during functional magnetic resonance imaging (fMRI). Behaviorally, the higher‐income group had greater WM capacity and higher mathematics achievement scores. Neurally, the higher‐income group showed greater activation as a function of WM load in bilateral prefrontal, parietal, and other regions, although the lower‐income group exhibited greater activation at the lowest load. Both groups exhibited positive correlations between parietal activations and mathematics achievement scores, but only the higher‐income group exhibited a positive correlation between prefrontal activations and mathematics scores. Most of these findings were maintained when higher‐ and lower‐income groups were matched on WM task performance or nonverbal IQ. Findings indicate that the functional neural architecture of WM varies with family income and is associated with education measures of mathematics achievement.     

Substance Abuse Counselor Certification Requirements: Is It Time for a Change?

The minimum professional training requirements of 32 state certifying bodies for substance abuse counselors were analyzed. Only 14 of the certifying boards included any of the Council for the Accreditation of Counseling and Related Educational Programs core knowledge areas in their training components for Certified Addictions Counselors. Specific training in counseling and drug and alcohol treatment issues also appeared to be minimal. The lack of specific drug and alcohol training brings the quality of preparation for substance abuse counselors into question.     

Prime and prejudice: Brief stereotypical media representations can increase prejudicial attitudes and behaviour towards people with schizophrenia

Prejudice against people with mental illnesses remains a significant problem in the United Kingdom and in many other countries despite sustained efforts by governments and charities. This is particularly so for people with schizophrenia, who are seen as dangerous and unpredictable. The present study investigated the effect of brief, casual, stereotypical representations on prejudice and behavioural intentions towards people with schizophrenia. Participants viewed Halloween costumes in an online environment under the guise of product research. In the experimental condition, they were exposed to a “Psycho Ward” Halloween outfit identical to one sold online by a leading supermarket chain in the United Kingdom. Participants in the control condition saw a neutral “pumpkin” Halloween costume. Exposure to the Psycho Ward outfit resulted in more negative behavioural intentions towards people with schizophrenia, mediated by increased prejudice. These findings confirm and extend earlier research that implicates adverse media stereotypes in the persistence of prejudice against people with mental illness. More research is warranted on the relative effects of different influences on community attitudes to mental illness.     

中国历史上的农村贫困医疗救助

从医学史的角度回顾我国历史上的济贫思想和实践,分析不同时代农村医疗救助的形式、内容和特点,指出农村贫困医疗救助具有悠久历史传统,现代意义上的医疗救助是社会保障体制的重要组成部分,充分利用我国乡村社会以情感和道德为主体的互助历史传统,建立与经济社会发展相适应的贫困医疗救助制度是当今政府和社会的重要任务,也是历史发展的必然要求。     

The influence of strategic monitoring on the neural correlates of prospective memory

The influence of strategic monitoring on the neural correlates of prospective memory was examined in two experiments. Strategic monitoring was manipulated by varying the context in which prospective cues occurred, with the cues requiring a prospective response in one task context and not the other. The N300, associated with cue detection, and the prospective positivity, associated with postretrieval processes, were elicited by prospective hits and were not elicited by prospective misses or ignore prospective cues. A parietal old-new effect was elicited by prospective misses and ignore prospective cues. Together these findings indicate that strategic monitoring may be necessary for cue detection and the recruitment of postretrieval processes, but not the recognition of a prospective cue as an old item. These findings serve to refine strategic monitoring and automatic associative accounts of prospective memory.