Building Resilience in Families,Communities, and Organizations: A Training Program in Global Mental Health and Psychosocial Support

This article describes the Summer Institute in Global Mental Health and Psychosocial Support, a brief immersion training program for mental health, health, and allied professionals who work with populations that have endured severe adversities and trauma, such as domestic and political violence, extreme poverty, armed conflict, epidemics, and natural disasters. The course taught participants to apply collaborative and contextually sensitive approaches to enhance social connectedness and resilience in families, communities, and organizations. This article presents core training principles and vignettes which illustrate how those engaging in such interventions must: (1) work in the context of a strong and supportive organization; (2) appreciate the complexity of the systems with which they are engaging; and (3) be open to the possibilities for healing and transformation. The program utilized a combination of didactic presentations, hands‐on interactive exercises, case studies, and experiential approaches to organizational team building and staff stress management.     

Family‐Based HIV and Sexually Transmitted Infection Risk Reduction for Drug‐Involved Young Offenders: 42‐Month Outcomes

This study tested a family‐based human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention approach integrated within an empirically supported treatment for drug‐involved young offenders, Multidimensional Family Therapy (MDFT). A randomized, controlled, two‐site community‐based trial was conducted with 154 youth and their parents. Drug‐involved adolescents were recruited in detention, randomly assigned to either MDFT or Enhanced Services as Usual (ESAU), and assessed at intake, 3, 6, 9, 18, 24, 36, and 42‐month follow‐ups. Youth in both conditions received structured HIV/STI prevention in detention and those in MDFT also received family‐based HIV/STI prevention as part of ongoing treatment following detention release. Youth in both conditions and sites significantly reduced rates of unprotected sex acts and STI incidence from intake to 9 months. They remained below baseline levels of STI incidence (10%) over the 42‐month follow‐up period. At Site A, adolescents who were sexually active at intake and received MDFT showed greater reduction in overall frequency of sexual acts and number of unprotected sexual acts than youth in ESAU between intake and 9‐month follow‐ups. These intervention differences were evident through the 42‐month follow‐up. Intervention effects were not found for STI incidence or unprotected sex acts at Site B. Intensive group‐based and family intervention in detention and following release may reduce sexual risk among substance‐involved young offenders, and a family‐based approach may enhance effects among those at highest risk. Site differences in intervention effects, study limitations, clinical implications, and future research directions are discussed.     

How bad can a good enough parent be?

Almost everyone accepts that parents must provide a good enough upbringing in order to retain custodial rights over children, but little has been said about how that level should be set. In this paper, I examine ways of specifying a good enough upbringing. I argue that the two dominant ways of setting this level, the Best Interests and Abuse and Neglect Views, are mistaken. I defend the Dual Comparative View, which holds that an upbringing is good enough when shortfalls from the best alternative upbringing in terms of the child's interests are no more significant than the parents' interest.     

An analysis of factors affecting wrong-way driving at a highway entrance using a driving simulator among older drivers with cognitive decline

About 200 highway wrong-way driving cases occur annually in Japan, of which about 70% are caused by older drivers. The number of these cases has remained consistent despite adoption of full-fledged measures against wrong-way driving, thus demonstrating the need for further measures. Reports indicate that older drivers include those with cognitive decline. Moreover, it has been revealed that drivers over 75 years of age who caused wrong-way driving had lower test scores in the usual cognitive function tests performed at the time of licence renewal. However, there is no clear evidence on the relationship between cognitive decline and driving behaviour that stimulates wrong-way driving. In this paper, we reproduced a wrong-way driving approaching a right turn to an expressway exit in a virtual environment using a driving simulator for older drivers, including those with mild cognitive impairment (MCI). In addition to the measurement of driving behaviour and eye-tracking during simulator driving, we conducted a cognitive function test to investigate the relationship between driving behaviour and visual behaviour factors that initiate reverse running and cognitive decline. The results revealed that the reason for the start of a highway wrong-way driving may be a human error at the recognition stage of overlooking a visual wrong-way driving countermeasure, or a human error at the judgement stage of failing to suppress action despite noticing the visual countermeasure. Additionally, attentional and executive functions were related to the wrong-way initiative, although MCI did not affect it. This suggests that those who could not control their wrong-way driving behaviour despite observing the signs had specific executive function deficits.     

Identity,Incentives, and Religious Defense of Human Rights: Marshall Meyer and the DAIA in Argentina's Dirty War

Whether religious groups advance or limit human rights has been a topic of recent debate among human rights scholars. This article studies the conditions under which religious leaders advance human rights in the context of Argentina's Jewish community during the country's 1976–1983 military dictatorship. Three major influences on religious support for human rights—autonomy from a religious community's establishment, a missionary-reformer identity, and congregational mobilization—are highlighted. Original archival research from the papers of U.S.-born rabbi Marshall T. Meyer illustrates his defense of human rights in Argentina, contrasting his work with the inaction of a major established Jewish organization. Quantitative cross-national analysis extends the case study findings by showing a relationship between religious institutions’ autonomy from the state and defense of human rights.     

A novel approach to mechanical foot stimulation during human locomotion under body weight support

Input from the foot plays an essential part in perceiving support surfaces and determining kinematic events in human walking. To simulate adequate tactile pressure inputs under body weight support (BWS) conditions that represent an effective form of locomotion training, we here developed a new method of phasic mechanical foot stimulation using light-weight pneumatic insoles placed inside the shoes (under the heel and metatarsus). To test the system, we asked healthy participants to walk on a treadmill with different levels of BWS. The pressure under the stimulated areas of the feet and subjective sensations were higher at high levels of BWS and when applied to the ball and toes rather than heels. Foot stimulation did not disturb significantly the normal motor pattern, and in all participants we evoked a reliable step-synchronized triggering of stimuli for each leg separately. This approach has been performed in a general framework looking for “afferent templates” of human locomotion that could be used for functional sensory stimulation. The proposed technique can be used to imitate or partially restore surrogate contact forces under body weight support conditions.     

Updating process of internal model of action as assessed from motor and postural strategies in young adults

Internal models are constantly updated based on the actions and experiences of a person in the world. In the present study, we proposed to assess the updating process of internal models of action by providing new environmental constraints for motor planning, postural control, and execution processes in daily tasks such as STS and BTS. STS and BTS tasks were performed with different inclinations of the support surface on which the participant and the chair were positioned: horizontal support, support tilted 10° to the right, or forward. Twelve healthy adults participated in this experiment. Kinematic characteristics were recorded using an optoelectronic motion analysis system. Movement duration and trunk inclination amplitudes were analyzed for STS and BTS as well as trunk orientation and strategies of head stabilization. Concerning the movement analysis our results showed (1) temporal asymmetry between STS and BTS, attributed mainly to the integration of the mechanical effects of gravity, and (2) a decrease of trunk movements when the support was tilted forward, attesting to an immediate adaptation process. Concerning the postural analysis our study revealed that adults adopted selective head stabilization on space strategy with respect to balance constraints. To conclude, young adults were able to immediately update their internal model of action in order to optimize motor control and vertical body orientation.     

Functional ear (a)symmetry in brainstem neural activity relevant to encoding of voice pitch: a precursor for hemispheric specialization?

Pitch processing is lateralized to the right hemisphere; linguistic pitch is further mediated by left cortical areas. This experiment investigates whether ear asymmetries vary in brainstem representation of pitch depending on linguistic status. Brainstem frequency-following responses (FFRs) were elicited by monaural stimulation of the left and right ear of 15 native speakers of Mandarin Chinese using two synthetic speech stimuli that differ in linguistic status of tone. One represented a native lexical tone (Tone 2: T2); the other, T2′, a nonnative variant in which the pitch contour was a mirror image of T2 with the same starting and ending frequencies. Two 40-ms portions of f₀ contours were selected in order to compare two regions (R1, early; R2 late) differing in pitch acceleration rate and perceptual saliency. In R2, linguistic status effects revealed that T2 exhibited a larger degree of FFR rightward ear asymmetry as reflected in f₀ amplitude relative to T2′. Relative to midline (ear asymmetry = 0), the only ear asymmetry reaching significance was that favoring left ear stimulation elicited by T2′. By left- and right-ear stimulation separately, FFRs elicited by T2 were larger than T2′ in the right ear only. Within T2′, FFRs elicited by the earlier region were larger than the later in both ears. Within T2, no significant differences in FFRS were observed between regions in either ear. Collectively, these findings support the idea that origins of cortical processing preferences for perceptually-salient portions of pitch are rooted in early, preattentive stages of processing in the brainstem.     

Using the visual world paradigm to study language processing: a review and critical evaluation

We describe the key features of the visual world paradigm and review the main research areas where it has been used. In our discussion we highlight that the paradigm provides information about the way language users integrate linguistic information with information derived from the visual environment. Therefore the paradigm is well suited to study one of the key issues of current cognitive psychology, namely the interplay between linguistic and visual information processing. However, conclusions about linguistic processing (e.g., about activation, competition, and timing of access of linguistic representations) in the absence of relevant visual information must be drawn with caution.