Bringing a mentalizing framework to understanding mothers with addiction: The groundbreaking work of Nancy E. Suchman

Nancy Suchman is remembered as a pioneer whose mentalization-based intervention—Mothering from the Inside Out (MIO)—transformed the treatment of parents struggling with substance use disorders. Specifically, Suchman's work highlighted the neural mechanisms underlying substance use disorders and identified the promotion of parental mentalizing as a key therapeutic focus in enhancing early parent-child relationships. Her work transformed parenting support models for this population of parents. Several randomized controlled trials (RCT) show the effectiveness of MIO in promoting parental reflective functioning (PRF) and positive relational outcomes in parents with substance use disorders and their children. Suchman's MIO model has since been extended to parenting in many contexts. She is also remembered as a generous colleague, a gifted researcher and clinician, and an inspiration to generations of researchers and practitioners working with parents who aspire to raise healthy, secure children despite multiple challenges and adversities. This special issue compiles the work of researchers inspired by Suchman as they carry on her legacy in examining aspects of parental mentalization. Collectively, the research presented yields confirmation of MIO core assumptions, offers new insights into roles of positive sentiment and savoring in mentalization processes, and presents evaluations of MIO in multiple contexts and with new adaptations.     

Effects of Counseling and Ethnic Identity on Perceived Risk and Cancer Worry in African American Women

Improving breast screening behaviors in African American women is an important public health goal. To increase participation in screening, it is necessary to identify factors that contribute to reduced screening, including perceived risk and cancer worry. This paper presents predictors of changes perceived in risk and worry among African American women of differing ethnic identities as they undergo breast cancer risk counseling. Participants (n = 113) were recruited from community sources to a study of counseling for breast cancer risk. They completed a baseline assessment, randomly received breast cancer risk counseling or served as a control group, and completed a follow-up assessment. Counseling produced significant differences in perceived risk and cancer worry. Predictors of risk and worry changes, as a result of counseling, included income and ethnic identity. These data can guide better services for African American women and research into the complexity of the effects of ethnic identity on health.     

Relationship Between the Holden Psychological Screening Inventory (HPSI) and the Basic Personality Inventory (BPI) in a Community Sample

Using a sample of 144 mature students, aged 18–53 years, attending a high school upgrading program, the screening properties of the Holden Psychological Screening Inventory (HPSI) and the correspondence of the HPSI to the Basic Personality Inventory (BPI) were evaluated. Correlations between the HPSI and the BPI scales and joint factor analysis of these two inventories demonstrated the validity of HPSI scales and their sampling adequacy from the major components of psychopathology measured by the BPI. Using the BPI as the Gold Standard, the HPSI has almost perfect specificity but the sensitivity of the HPSI is only about 50% at a T-score of 60, whereas at T = 55, the sensitivity is 70%, with a specificity of almost 80%. Overall, results indicated that the three HPSI scales distinctly measure the three major factors of the BPI, and the HPSI has considerable utility as a screening tool.     

Addressing women's breast cancer risk and perceptions of control in medical settings

Many women with family histories of breast cancer deal with two distinct but related issues: their objective physical risk and the emotions this risk engenders. Studies indicate that approximately 70% of African American and white women are concerned about their chances of developing breast cancer someday and perceive themselves to be at risk. Health care providers, including psychologists, need to be aware of the special needs and psychosocial concerns of high-risk women with family histories of breast cancer, since perceptions of breast cancer risk influence screening practices. Providers need training in understanding the significance of specific family patterns of breast cancer, screening guidelines appropriate for women at risk, and the benefits and risks of available prevention options, including genetic screening. Delivering accurate information about both established risk factors known to elevate personal risk, such as age and family history, and factors which women associate with breast cancer, such as bumping and bruising a breast, smoking, and oral contraceptive use, is essential for promoting accurate risk perceptions and appropriate screening schedules.     

Children of alcoholics, negative life events, and early experimentation with drugs

Questionnaires were completed by sixth-grade students and their parents in order to assess differences between children of alcoholics (COAs) and their peers, as well as the relations between family environment and children's experimentation with alcohol, drugs, and tobacco. Social competence and problematic behavior were also explored. The best predictors of early experimentation with alcohol, drugs, and tobacco were the experience of negative life events, family conflict, and lack of family cohesion, but not COA status per se. Differences were found between COAs and non-COAs in respect to family structure, parent education levels, and family environment. COAs were found to be significantly more likely than their peers to experiment with tobacco, but not alcohol or drugs. They also had a tendency to engage more frequently in delinquent behavior. Recommendations for future research and implications for preventive activities are discussed.     

成瘾药物心理依赖及复发的脑机制研究

围绕学习、记忆、情绪及应激等心理因素与复发的关系,应用阿片类物质心理依赖研究条件性位置偏爱,条件性位置厌恶,Morris水迷宫量化觅药动机模型,行为及条件性行为敏感化等多种动物行为模型,从情绪相关学习、记忆在成瘾行为中的作用,不同神经核团与神经递质系统活动性的改变,应激相关因素易化的成瘾易感性,自然奖赏与成瘾药物奖赏相关记忆的比较研究等方面,对应激与记忆相关的吗啡心理依赖及复发的脑机制进行了系列研究     

Council-Based Approaches to Reforming the Health Care Response to Domestic Violence: Promising Findings and Cautionary Tales

Councils are commonly formed to address social issues including intimate partner violence (IPV). Research suggests that councils may be well positioned to achieve proximal outcomes, but that their success may depend on contextual factors. The current study compared providers and health care settings at two points in time to explore the degree to which the Health Care Council achieved proximal outcomes in the health care response to IPV, including: (a) providers' reported capacity to screen for IPV, (b) providers' beliefs about IPV as a health care issue and about the IPV screening process, (c) providers' screening behaviors and (d) organizational policies and protocols to encourage screening. This study, while preliminary, provides support for council-based efforts to stimulate change in the health care response to IPV and also highlights the central role that organizational environment plays in shaping desired outcomes.     

Interaction strategies with advanced driver assistance systems

When using advanced driver assistance systems (ADAS) drivers need to calibrate their level of trust and interaction strategy to changes in the driving context and possible consequent reduction of system reliability (e.g. in harsh weather conditions). By investigating and identifying categories of drivers who choose inadequate interaction strategies, it is possible to address unsafe usage with e.g. tutoring lessons tailored to the respective driver category. This paper presents two studies investigating categories of drivers who apply different interaction strategies when using ADAS. Study I was designed as an exploratory field study with 37 participants interacting with a SAE level 2 system. For the exploratory study, it was important to observe and understand the interaction strategies in a driving context which entails the real complexity of the driving task. The experimental set-up of study II (simulator study), however, allowed to clearly interpret the interaction strategies as either calibrated or un-calibrated by varying the situational risk. Participants (N = 33) were driving in a situation where the system was either working reliably (low-risk condition) or in a situation where the system displayed repeatedly errors under harsh weather conditions (high-risk condition). Cluster analyses with the variables trust, monitoring behavior towards the system and usage behavior were performed to analyze potential categories of drivers. Extreme driver categories with interaction strategies indicative for both misuse and disuse were observed in both studies. In study I, drivers were categorized as either highly trusting attentive, moderately trusting attentive, moderately inattentive, inattentive or skeptical. In study II, drivers were categorized as either un-calibrated, calibrated, inconsistent or skeptical. Taken together, results underline the need of tutoring systems that are tailored for different driver categories.     

自闭症谱系障碍的早期筛查工具

基于35项实证研究, 遵循诊断准确性研究的质量评估(QUADAS-2)的循证程序对自闭症谱系早期预警特征筛查工具开展质量评估, 包括婴儿阶段(10个筛查工具, 159388人)、幼儿阶段(14项筛查工具, 11712人), 旨在为自闭症谱系风险的早期识别提供全面的理解。结果表明：幼儿阶段的筛查工具的分类准确性要高于婴儿阶段, 在婴儿阶段达到良好水平的筛查工具有M-CHAT-R/F、PDQ-1; 在幼儿阶段达到优秀水平的筛查工具有OERA、TIDOS。其中, “改良的幼儿自闭症检查表-有修订的后续随访” (M-CHAT-R/F)是目前最具潜力的自闭症谱系风险筛查工具之一。最后, 我们探讨了应用QUADAS-2评估研究质量的局限性, 强调需要规范工具的质量评估标准与进一步验证研究的必要性。     

Generational patterns in Mexican Americans' academic performance in an unwelcoming political context

Research has shown that immigrant students often do better academically than their U.S.-born peers from the same ethnic group, but it is unclear whether this pattern holds for Mexican Americans. We examined the academic performance of four generations of Mexican American students from 5th to 10th grade looking for generation differences and explanations for them. Using data from 749 families, we tested a model with 5th-grade variables that differed by generation as potential mediators linking student generation to 10th-grade academic performance. Results showed that immigrants were academically behind at 5th grade but caught up by 7th. Only economic hardship mediated the long term relation between student generation and 10th-grade academic performance; maternal educational expectations and child language hassles, English usage, discrimination, and mainstream values helped explained the early academic deficit of immigrant children. The results identified potential targets for interventions to improve Mexican American students' academic performance.