Improving partnerships with families and carers in in‐patient mental health services for older people: a staff training programme and family liaison service

In spite of policies advocating the involvement of families in the care of mental health service users in the UK, there are few examples of initiatives to develop staff confidence and skills in partnership working. This article describes a whole team training initiative and family liaison service to promote family inclusive working on in‐patient wards for older people in Somerset, UK. A three‐day staff‐training programme is described and training outcomes are reported. Staff report a substantial increase in confidence and family meetings held. A pre‐and post‐ training case note audit shows increased consideration of the needs of families. To further increase face to face meetings with families a family liaison service has been established, whereby a staff member with systemic family therapy training joins ward staff to hold family meetings as part of the assessment/admission process. Evaluation of this service has shown it to be effective with positive feedback from families and staff.     

Enhancing Parenting Skills Among Nonresident African American Fathers as a Strategy for Preventing Youth Risky Behaviors

This study evaluated the effectiveness of a theoretically based, culturally specific family intervention designed to prevent youth risky behaviors by influencing the parenting attitudes and behaviors of nonresident African American fathers and the parent–child interactions, intentions to avoid violence, and aggressive behaviors of their preadolescent sons. A sample of 158 intervention and 129 comparison group families participated. ANCOVA results indicated that the intervention was promising for enhancing parental monitoring, communication about sex, intentions to communicate, race-related socialization practices, and parenting skills satisfaction among fathers. The intervention was also beneficial for sons who reported more monitoring by their fathers, improved communication about sex, and increased intentions to avoid violence. The intervention was not effective in reducing aggressive behaviors among sons. Findings are discussed from a family support perspective, including the need to involve nonresident African American fathers in youth risky behavior prevention efforts.     

Predictors of Partner Engagement in PTSD Treatment

A telephone survey was conducted to identify predictors of treatment engagement in 83 cohabitating female partners of 83 Vietnam theater veterans with combat-related post-traumatic stress disorder (PTSD). The survey assessed veterans for their trauma history and PTSD symptoms. Partners were assessed for caregiver burden, patient–partner involvement, PTSD treatment engagement, self-efficacy relating to PTSD, beliefs about benefits of PTSD treatment, and PTSD treatment barriers. Significant predictors of partner PTSD treatment engagement were the couple’s income, patient–partner involvement, and partner caregiver burden. These findings have implications for family interventions that may increase partner PTSD treatment engagement and improve PTSD treatment outcome.     

Do Lemmas Speak German? A Verb Position Effect in German Structural Priming

Lexicalized theories of syntax often assume that verb‐structure regularities are mediated by lemmas, which abstract over variation in verb tense and aspect. German syntax seems to challenge this assumption, because verb position depends on tense and aspect. To examine how German speakers link these elements, a structural priming study was performed which varied syntactic structure, verb position (encoded by tense and aspect), and verb overlap. Abstract structural priming was found, both within and across verb position, but priming was larger when the verb position was the same between prime and target. Priming was boosted by verb overlap, but there was no interaction with verb position. The results can be explained by a lemma model where tense and aspect are linked to structural choices in German. Since the architecture of this lemma model is not consistent with results from English, a connectionist model was developed which could explain the cross‐linguistic variation in the production system. Together, these findings support the view that language learning plays an important role in determining the nature of structural priming in different languages.     

The effects on classifier performance of 2D discrete wavelet transform analysis and whale optimization algorithm for recognition of power quality disturbances

Power Quality (PQ) is becoming more and more important day by day in the electric network. Signal processing, pattern recognition and machine learning are increasingly being studied for the automatic recognition of any disturbances that may occur during the generation, transmission, and distribution of electricity. There are three main steps to identify the PQ disturbances. These include the use of signal processing methods to calculate the features representing the disturbances, the selection of those that are more useful than these feature sets to prevent the creation of a complex classification model, the creating a classification model that recognizes multiple classes using the selected feature subsets. In this study, one-dimensional (1D) PQ disturbances signals are transformed into two-dimensional (2D) signals, 2D discrete wavelet transforms (2D-DWT) are used to extract the features. The features are extracted by using the wavelet families such as Daubechies, Biorthogonal, Symlets, Coiflets and Fejer-Korovkin in 2D-DWT to analyze PQ disturbances. Whale Optimization Algorithm (WOA) and k-nearest neighbor (KNN) classifier determine the feature subsets. Then, WOA and k nearest neighbor (KNN) classifier are used to determine the feature group. By using KNN and Support Vector Machines (SVM) classification methods, Classifier models that distinguish PQ disturbances are formed. The main aim of the study is to determine the features derived from 2D wavelet coefficients for different wavelet families and to determine which of them has a better classification performance to distinguish PQ disturbances signals. At the same time, different classification methods are simulated and a model which can classify PQ disturbances signals with high performance is created. Also, the generated models are analysed for their performance in terms of different noise levels (40 dB, 30 dB, 20 dB). The result of this simulation study shows that the model developed to classify PQ disturbances is superior to conventional models and other 2D signal processing methods in the literature. In addition, it was concluded that the proposed method can cope better with noisy signals by low computational complexity and higher classification rate.     

Personality has minor effects on panel attrition

In light of the recent interest in using longitudinal panel data to study personality development, it is important to know if personality traits are related to panel attrition. We analyse the effects of personality on panel drop-out separately for an ‘older’ subsample (started in 1984), a relatively ‘young’ subsample (started in 2000), and a ‘new’ subsample (started in 2009) of the German Socio-Economic Panel (SOEP) study. We found that openness slightly decreases the probability of panel drop-out in all three samples. For the ‘older’ subsample only, we found a small negative effect of agreeableness on panel drop-out. We control for age, sex, education, migration background, and the number of inhabitants in the region of the respondents.     

Bringing Up Nones: Intergenerational Influences and Cohort Trends

Recent polls show that an increasing number of young adults profess no religious affiliation. Prior research has suggested several explanations for this, among them older ages at marriage, higher education rates, reaction against the priest/pedophile scandal, and political backlash against the religious right, as well as the traditional explanation of youthful rebellion against religious parents. In this article, we propose another theory: intergenerational transmission, an increase in the number of parents and grandparents who have been explicitly socializing their children to a nonreligious worldview. We use a mixed methods approach with data from the 34‐year Longitudinal Study of Generations to examine parents’ and grandparents’ influence on youth over several decades. The rate of nonreligious young persons in our sample tripled between 1971 and 2005. Though this undoubtedly reflects broader cohort trends, we can trace a significant portion of this growth to family intergenerational continuity brought about by explicitly nonreligious socialization by parents as well as grandparents. Qualitative data provide insight into processes of nonreligious influence over generations, seen in three types: multigenerational socialization of humanism, of atheism, and of the unintended socialization of “religious rebels” from highly religious parents.     

The Harm Principle Cannot Replace the Best Interest Standard: Problems With Using the Harm Principle for Medical Decision Making for Children

For many years the prevailing paradigm for medical decision making for children has been the best interest standard. Recently, some authors have proposed that Mill’s “harm principle” should be used to mediate or to replace the best interest standard. This article critically examines the harm principle movement and identifies serious defects within the project of using Mill’s harm principle for medical decision making for children. While the harm principle proponents successfully highlight some difficulties in present-day use of the best interest standard, the use of the harm principle suffers substantial normative and conceptual problems. A medical decision-making framework for children is suggested, grounded in the four principles. It draws on the best interest standard, incorporates concepts of harm, and provides two questions that can act as guide and limit in medical decision making for children.     

When Parents Refuse: Resolving Entrenched Disagreements Between Parents and Clinicians in Situations of Uncertainty and Complexity

When shared decision making breaks down and parents and medical providers have developed entrenched and conflicting views, ethical frameworks are needed to find a way forward. This article reviews the evolution of thought about the best interest standard and then discusses the advantages of the harm principle (HP) and the zone of parental discretion (ZPD). Applying these frameworks to parental refusals in situations of complexity and uncertainty presents challenges that necessitate concrete substeps to analyze the big picture and identify key questions. I outline and defend a new decision-making tool that includes three parts: identifying the nature of the disagreement, checklists for key elements of the HP and ZPD, and a “think list” of specific questions designed to enhance use of the HP and ZPD in clinical decision making. These tools together will assist those embroiled in complex disagreements to disentangle the issues to find a path to resolution.