The Role of Fathers’ Posttraumatic Stress Symptoms and Dyadic Adjustment in the Intergeneration Transmission of Captivity Trauma

This study aimed to assess the longitudinal associations between the 1973 Israeli-Arab War ex-prisoners of war’s (ex-POWs) posttraumatic stress disorder symptoms (PTSS) and dyadic adjustment (DAS) and their adult offspring’s secondary PTSS and DAS. A sample of 124 Israeli father–child dyads has been examined (fathers at 2003 and 2008; offspring at 2013–2014). Results show that fathers’ PTSS and DAS mediated the link between war captivity and offspring’s secondary PTSS and DAS, respectively. The intergenerational transmission of captivity trauma is indirectly explained by the long-term effects of the fathers’ PTSS on their offspring’s secondary PTSS and DAS.     

Acculturation and adaptation of immigrant adolescents in Greek urban schools

The purpose of this study was to examine the acculturation, psychological well-being, and school adjustment of Pontian adolescents from the former Soviet Union (FSU-Pontians), who are immigrants of the diaspora living in Greece, compared with an immigrant group from Albania and native Greek classmates. The sample included 165 FSU-Pontian immigrants, 272 immigrants from Albania, and their 525 Greek classmates (mean age = 13.7 years). School adjustment data were obtained using multiple methods and informants. Students also reported their subjective well-being and acculturation via multiple measures. Findings indicated that FSU-Pontian adolescents, although they are Greek citizens, had a stronger ethnic and a lower host-national orientation than did Albanian students. Both immigrant groups experienced similar difficulties in school adjustment. Involvement in Greek culture was a salient predictor of school adjustment, while involvement in one's ethnic culture was related to subjective well-being. Findings suggest that the acculturation expectations of host country members may be related to immigrants' acculturation orientations.     

Dialogue and Dominance in Couple Therapy for Depression: Exploring Therapists’ Responses in Creating Collaborative Moments

Previous investigations have found specific communication patterns in couples dealing with depression, specifically when depression concurs with conjugal conflicts. The presence of these patterns can reflect couples’ difficulties in engaging in collaborative communication during their sessions, posing a real challenge for therapists. This exploratory study uses a dialogical approach to examine issues of dominance and type of dialogue in two couples who differed in terms of their levels of dyadic adjustment. The therapists’ reactions were explored in order to detect the kinds of responses that were most effective at engendering a collaborative attitude in therapy sessions. The method used to analyze the dialogue was Dialogical Investigations of Happenings of Change (DIHC). Results on dominance indicated that the degree of quantitative and semantic dominance displayed by a different member of the couple in each case was illustrative of their relational dynamics, while in both cases interactional dominance was exercised by the therapists. Results on dialogue revealed that dialogic dialogue might help to coconstruct new shared meanings of depression. The findings indicated that certain responses by therapists as part of the dialogue could be useful in bringing about a reduction in hostility between the members of a couple, provided that the responses are maintained over the course of the session. Some research and clinical implications that emerge from the results are discussed.     

公立医院管理体制改革的经济学视角

在社会主义市场经济体制下,传统公立医院管理体制存在很多问题。探讨了公立医院管理体制改革所涉及的产权、政府举办的非营利医院之间的关系和处理方法、政府在医疗服务体系中的职责以及政府管理公立医院的形式等问题,提出了深化公立医院管理体制改革的方向和政策建议。     

Psychological Adjustment,Coping, and Emotion Regulation as Predictors of Posttraumatic Growth

Abstract

The present study examined factors contributing to reported benefits of traumatic experiences or posttraumatic growth (PTG) in a college sample. Specifically, we examined dimensions typically associated with trauma recovery (i.e., psychological functioning, coping, emotion regulation) and features of the trauma (i.e., number and recency of traumatic events, average, and maximal distress). Participants (N= 193) completed standardized questionnaires measuring these constructs. Results indicated that active coping and subjective well-being independently contributed to PTG, but social desirability and symptom distress were independent of growth. These results were consistent with study expectations. Although not specifically predicted, maximal trauma distress also uniquely predicted PTG. Contrary to expectations, effective emotion regulation did not contribute to PTG.     

Social support,coping, and psychological adjustment among caregivers of head-injured patients

Abstract

The purpose of this study was to test a mediational model of risk and protective factors associated with the psychological adjustment of caregivers of head-injured patients. Forty-three caregivers of patients who had suffered a head injury participated in the study. Findings strongly supported hypotheses. Caregiver burden was associated with poorer psychological adjustment. Social support and a higher percentage of approach coping strategies relative to overall coping strategies were associated with better psychological adjustment. As predicted, caregiver burden showed a direct relationship to psychological adjustment, while social support showed an indirect relationship to adjustment mediated by percentage approach coping.     

The relationship between different components of national identities and psychosocial adjustment among high-school adolescent immigrants from Russia and Ukraine in Israel

This study investigated the relationship between different components of national identities of immigrants (related to both the country of origin and host country), and psychosocial adjustment in pre-migration and post-migration periods. Adolescents who immigrated from Russia and Ukraine to Israel (N = 151) completed questionnaires at four time points: about six months prior to, and in the first, second, and third years after, immigration. At each point, adolescents were assessed on degree of identification they felt with the citizens of their country of origin and Israel and on their attitudes towards the two countries. Five indexes of psychosocial adjustment were measured: emotional and behavioural problems, self-esteem, social competence, school competence and loneliness. Adolescents' positive attitudes towards the host country were associated with higher psychosocial adjustment, both before and after immigration. Positive attitudes towards the country of origin were associated with higher psychosocial adjustment in the post-migration period. Degree of identification with either nation was not related to psychosocial adjustment. Findings suggest that it may not be identity per se that is the critical factor for adjustment for adolescent immigrants, but rather the extent to which they feel affirmation, pride and positive regard towards the two countries. For adolescent immigrants, idealization of origin and host countries may fulfil an important developmental role allowing them to de-idealize parental figures and create new objects of idealization.     

对学生学习成绩与社会行为的交叉滞后分析

采用二元交叉滞后回归分析法考察小学四、五年级学生和初中一、二年级学生在21个月中的学校适应与学习成绩之间的关系。结果发现,在同时性测量中,由教师评价获得的中小学生的社交领导能力、定向耐挫能力、果敢性社交技能得分和同伴积极提名分数与他们的学习成绩之间均存在正相关关系,而他们的攻击破坏得分、学习适应不良得分以及小学生的同伴消极提名分均与他们的学习成绩有显著的负相关关系。二元交叉滞后回归分析结果表明,小学生在前测中的社交领导能力得分、攻击破坏得分、定向耐挫得分、学习适应不良得分、果敢性社交技能得分同伴积极和消极提名得分均可以预测21个月后的学习成绩。对中学生来说,这种预测关系只在攻击破坏行为、定向耐挫行为中存在。中小学生的害羞抑制得分和焦虑抑郁得分与他们的学习成绩之间既没有同时性的相关关系,也没有滞后性的预测关系。     

Secondary traumatic stress and adjustment in therapists who work with sexual violence survivors: the moderating role of posttraumatic growth

ABSTRACT

Due to their secondary exposure to the traumatic events disclosed by clients, therapists who work with sexual violence survivors are at risk of experiencing secondary traumatic stress. We examined whether the negative effects of secondary traumatic stress on therapist adjustment would be buffered by posttraumatic growth. Sixty-one therapists who work with sexual violence survivors completed measures of secondary traumatic stress, posttraumatic growth and a range of adjustment indicators. Hierarchical multiple regression analyses demonstrated that posttraumatic growth moderated the negative impact of secondary traumatic stress on therapist depression, anxiety, personal meaning and satisfaction with life. Posttraumatic growth sustained positive affect through a direct effects model only. This study provides support for the protective role of posttraumatic growth in adjustment to secondary traumatic stress.