Adult Israeli Community Norms for the Brief Symptom Inventory (BSI)

The study aim is to establish Israeli norms for the Brief Symptom Inventory (BSI). A nationwide representative sample of 510 community respondents (age range 35–65, 51.4% women) completed the Hebrew version of the BSI. The data showed high internal reliabilities for the 9 BSI scales, as well as for their total score, indicated by the General Severity Index (GSI). Higher levels of GSI were found for widowed, divorced, and single respondents than for married respondents. Higher GSI was also found for unemployed and retired men than the self-employed and employees, validating the GSI as a measure of distress. Most importantly, the scores of the Israeli GSI, as well as each of the 9 scales, were higher than those reported in either the U.S. or the British norms. These findings may indicate that Israeli society is experiencing relatively high distress, highlighting the need for establishing BSI norms for each culture.     

Design as a Tool for Family Evolutionary Guidance

This article begins by describing the impact of systems science on the field of marriage and family therapy, discussing that systems concepts are broadly disseminated but have become diluted. The author describes the educational program at a marriage and family therapy graduate institute where students utilize social systems design in their research projects as well as their work with clients. The article outlines the specifications of the Idealized Systems Design (ISD) teaching system, its relationship with the larger institution, as well as its purposes and systemic functions. Application of ISD to the field of marriage and family therapy is emphasized, demonstrating its use in helping facilitate individual, family, and community health as a research tool as well as a set of intervention tools for the practicing therapist.     

The role of therapy productiveness on MFT clients’ intentions to persist in therapy

Many clients drop out of therapy before reaching their goals (Bohart &; Wade, 2013 Bohart, A. C., &; Wade, A. M. (2013). The client variables in psychotherapy. In M. Lambert (Ed.) Bergin &; Garfield’s Handbook of psychotherapy and behavior change. (p. 219–257). New York: Wiley. [Google Scholar]), though being in therapy produces more change than not being in therapy (Lambert, 1992 Lambert, M. J. (1992). Implications of outcome research for psychotherapy integration. In J. C. Norcross &; M. R. Goldfried (Eds.), Handbook of psychotherapy integration (pp. 94–129). New York: Basic Books. [Google Scholar]). To investigate the factors that affect clients’ decisions to persist in therapy, we surveyed a convenience sample of 72 clients of MFTs in individual, couple or family therapy currently in treatment in a community-based therapy center. We tested moderation using regression analysis to determine the extent to which productiveness moderates the relationship between therapeutic alliance and intended persistence. Results showed that productiveness moderated the relationship between therapeutic alliance and intended persistence. Specifically, higher levels of therapy productiveness strengthened the relationship between therapeutic alliance and therapy persistence. Implications for future research and practice are presented and discussed.     

生殖系基因治疗的技术和伦理问题

生殖系基因治疗是通过对生殖系细胞的基因修饰,给该细胞发育而来的整个有机体及其后代带来永久性的遗传纠正。本文着重对生殖系治疗的现有技术条件,存在技术问题及各种观点作一归纳,主要试图反映生殖系基因治疗的科学背景及当代人的思考,希望有助于人们的思考。     

Cross-sex versus same-sex experience and relationship satisfaction: addressing diverse social networks among Orthodox Jews

Romantic experiences in adolescence often predict relationship stability and marital status in adulthood. Religious practice and belief also have been linked to increased marital satisfaction and overall wellbeing. However, certain religions limit cross-sex interaction in areas of education, social and romantic relationships. Although gender segregation has been studied in educational and occupational contexts, no previous research has addressed religious gender segregation and its impact on relationship development, marital satisfaction, and overall wellbeing. The present study addressed the generalisability of data on cross-sex experience derived from normative populations to a religious subculture, outlining predictors for marital satisfaction and wellbeing in an Orthodox Jewish sample. Results showed some similarities between the general population and the Orthodox Jews represented by the study sample. However, some factors illustrated divergent paths and outcomes for this sample. This study demonstrates the influence of societal norms and the importance of addressing cultural context when evaluating marital satisfaction.     

Diversity and Community Can Coexist

We examine the (in)compatibility of diversity and sense of community by means of agent‐based models based on the well‐known Schelling model of residential segregation and Axelrod model of cultural dissemination. We find that diversity and highly clustered social networks, on the assumptions of social tie formation based on spatial proximity and homophily, are incompatible when agent features are immutable, and this holds even for multiple independent features. We include both mutable and immutable features into a model that integrates Schelling and Axelrod models, and we find that even for multiple independent features, diversity and highly clustered social networks can be incompatible on the assumptions of social tie formation based on spatial proximity and homophily. However, this incompatibility breaks down when cultural diversity can be sufficiently large, at which point diversity and clustering need not be negatively correlated. This implies that segregation based on immutable characteristics such as race can possibly be overcome by sufficient similarity on mutable characteristics based on culture, which are subject to a process of social influence, provided a sufficiently large “scope of cultural possibilities” exists.     

Feature Statistics Modulate the Activation of Meaning During Spoken Word Processing

Understanding spoken words involves a rapid mapping from speech to conceptual representations. One distributed feature‐based conceptual account assumes that the statistical characteristics of concepts’ features—the number of concepts they occur in (distinctiveness/sharedness) and likelihood of co‐occurrence (correlational strength)—determine conceptual activation. To test these claims, we investigated the role of distinctiveness/sharedness and correlational strength in speech‐to‐meaning mapping, using a lexical decision task and computational simulations. Responses were faster for concepts with higher sharedness, suggesting that shared features are facilitatory in tasks like lexical decision that require access to them. Correlational strength facilitated responses for slower participants, suggesting a time‐sensitive co‐occurrence‐driven settling mechanism. The computational simulation showed similar effects, with early effects of shared features and later effects of correlational strength. These results support a general‐to‐specific account of conceptual processing, whereby early activation of shared features is followed by the gradual emergence of a specific target representation.     

Symptom Expression and Somatization Among Elderly Korean Immigrants

In a study of expression of symptoms of somatization, depression, and other biopsychological conditions, 70 elderly Korean immigrants in the greater Washington, D.C., metropolitan area (35 who met the criteria for major depression and 35 who did not meet those criteria) were administered a Korean version of the Brief Symptom Inventory (BSI). Subjects who met the criteria for depression had the highest mean score on the BSI somatization dimension compared with other normative samples including a sample of psychiatric inpatients. A factor analysis of data from the BSI showed that for elderly Korean immigrants, a factor of somatization was identified that included the items from the original BSI obsessive-compulsive, somatization, and anxiety dimensions. Items loading on the somatization factor suggest that elderly Korean subjects experience body and mind as a unitary system and tend to communicate the distress associated with old age, cultural adjustment, and family and social changes through somatic symptoms.     

Plagues,Pagans, and Christians: Differential Survival,Social Networks,and the Rise of Christianity

In his book, The Rise of Christianity, Rodney Stark argues that the early Christian church indirectly benefitted from the plagues that struck the early Roman Empire in the 2nd and 3rd centuries of the Common Era. In particular, he argues that the early church's doctrines concerning love, charity, and social service would have led Christians to enjoy higher survival rates than pagans, which would have left the social networks of the former relatively intact, while those of the latter in disarray. Moreover, since recruitment to new religious movements occurs largely through social ties, the probability that an average pagan would have converted to Christianity would have been greater after the plagues than before. In this article, we use computer modeling to test Stark's hypothesis. Not only do we find support for his hypothesis, we also show that higher survival rates for either group not only would have benefitted their respective social networks but also would have benefitted their competitor's social networks, highlighting how network effects often flow in multiple and unexpected ways. We conclude with suggestions for future research, in particular how scholars can build upon our analyses and explore alternative assumptions.     

Statewide Implementation of Cognitive Behavioral Therapy for Psychosis Through a Learning Collaborative Model

Cognitive Behavioral Therapy for Psychosis (CBTp) is an evidence-based psychotherapeutic intervention (EBPI) for adults with schizophrenia spectrum disorders that remains under-implemented in the United States (U.S.). There has been little empirical attention on implementation and dissemination strategies for this EBPI. The Learning Collaborative (LC) model is a method of implementing evidence-based practices across agencies and geographic regions that may facilitate CBTp implementation and dissemination in the US.We applied the LC model in an attempt to enhance the accessibility of CBTp in community mental health settings statewide. Providers (N = 56) from 12 agencies voluntarily participated in an in-person, CBTp workshop followed by 6 months of biweekly phone-based consultation sessions (Phase 1). Twenty-one providers opted to participate in an additional 6-month CBTp LC immediately following completion of the initial CBTp LC (Phase 2). Adoption, penetration, provider-perceived skill development, fidelity, as well as provider-perceived implementation barriers were re-assessed during and 6 months after completion of Phase 2.One year after the completion of the Phase 2 LC, 21% of the original trainee group across 3 of the 12 participating agencies continued to offer CBTp to clients. CBTp trainees were treating between one and two clients each. Self-assessed CBTp skills improved modestly over the Phase 2 consultation period. On average, both clinicians and supervisors reached an acceptable fidelity score on the sessions reviewed. Participating providers identified multiple barriers to CBTp implementation, including features of the training and consultation, the agency, the intervention itself, and psychosocial and clinical challenges associated with the client population.Few CBTp implementation studies have applied a framework to CBTp implementation. The authors adapted the LC model in an attempt to promote adoption of CBTp in community mental health clinics across a large, populous state with poor access to mental health services. Identified challenges and recommendations should be considered in future implementation efforts.