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81.
The prevention of harm to battered mothers and children during custody and divorce litigation requires a trauma‐informed judicial approach. The existence of competing definitions of domestic violence, gender‐biased theories of parental alienation, and requirements that battered mothers co‐parent have undermined legislation intended to protect victims of domestic violence and their children. An informed judicial response to domestic violence requires mental health professionals who are able to identify the multiple patterns of abuse including physical, emotional, economic, and sexual coercively controlling behaviors, as well as the risks of post‐separation violence. The family courts' lack of transparency and limited public access has further contributed to its reliance on empirically weak gender‐biased parental alienation theories. Mental health professionals who provide interdisciplinary support to these courts must have graduate clinical education in domestic violence, child maltreatment, development, and trauma. Additional systemic changes should include neutral court watch observers to promote accountability and transparency, as well as appropriate services, to these vulnerable families. 相似文献
82.
Evan Stark 《International Journal of Applied Psychoanalytic Studies》2020,17(3):262-276
Drawing on a model developed by the author, coercive control was adapted in 2012 as the framework for a new “cross governmental” response in the health and social services to woman and child abuse in Great Britain, including changes in the criminal laws. I illustrate the forensic utility of the coercive control framework by applying it to explore the circumstances leading up to the murder of 4‐year old, Daniel Pelka (DP), in Coventry, England in 2009 and to critique the response by the various service providers to the family and the Crown's decision to try Daniel's mother, Magdalena Lucek, for the murder. Had the new approach been in place when the Lucek case came to public attention, the coercive control could have been recognized and effectively addressed. 相似文献
83.
Milica Nikolić 《Child Development Perspectives》2020,14(4):258-264
Social anxiety disorder (SAD) is one of the most common mental disorders and becomes chronic if left untreated. Even when it is treated, outcomes are less promising than for other anxiety disorders. Thus, many are interested in preventing SAD and in the mechanisms involved in the development of SAD. In this article, I propose in a new model that disturbances in social cognition (cognitive biases, emotion recognition and understanding, negative expectations) and dysregulated social emotions (social fear and self-conscious emotional arousal) in toddlerhood and early childhood lead to avoidance and high levels of anxiety in social situations. When repeated over time, these impair daily functioning and result in a disorder. Biological factors (e.g., fearful temperament), environmental factors (e.g., parental mentalizing), and past experiences may be distal factors that contribute to the development of SAD via disturbed sociocognitive processing and dysregulated emotions. Based on this model, I conclude by describing clinical implications and recommendations for research. 相似文献
84.
Jacek Gierus 《Advances in cognitive psychology / University of Finance and Management in Warsaw》2020,16(4):344
Systematic information processing and decision-making under uncertainty are key constructs of new conceptions explaining the severity of pathological worry. The current study attempted to analyze their usefulness in subclinical and clinical groups. In the first phase of the study (N = 251) participants were examined with the Penn State Worry Questionnaire (PSWQ), a GP consultationrelated survey, and a screening survey for generalized anxiety disorder (GAD). In the second phase (N = 220), the State-Trait Anxiety Inventory, the PSWQ, and tasks measuring systematic information processing (SIP) versus heuristic reasoning (HR) were applied. In the third phase (N = 60), GAD (n = 30) and healthy control (n = 30) groups were examined with the above methods and the Iowa Gambling Task (IGT). In the low risk group, a relationship between mood and the representativeness heuristic (ρ = 0.50), as well as anchoring and adjustment heuristic (anxiety-related stimuli) was found (ρ = −0.53). In the GAD group, significant correlations between the PSWQ score, the IGT loss avoidance score (ρ = 0.40), and total IGT score (ρ = 0.48) were found. The results did not confirm a particular usefulness of the systematic/heuristic information processing construct in subclinical and clinical groups. Theory-consistent results were rather found in the nonclinical groups. Nevertheless, the data revealed some interesting findings supporting potential explanatory power of some theoretical models. 相似文献
85.
86.
Kui Wang Yan‐li Zhao Shu‐ping Tan Jin‐guo Zhang Dong Li Jing‐xu Chen Li‐gang Zhang Xin‐yang Yu Dan Zhao Eric F. C. Cheung Bruce I. Turetsky Ruben C. Gur Raymond C. K. Chan 《PsyCh Journal》2020,9(2):247-257
Impairment in semantic association has been reported in bipolar disorder (BD) and schizophrenia (SZ) patients and could underlie abnormal speech patterns in both disorders. In this study, we compared the electrophysiological semantic processing features in patients with these two disorders. Participants (n = 61; BD = 19; SZ = 19; healthy controls [HCs] = 23) were administered a semantic judgment task and event‐related potentials (ERPs) were recorded. Responses of the two patient groups were significantly slower than HCs, but comparable behavioral semantic priming effects were observed in both patient groups. The N400 priming effect was observed in all groups, with a delayed peak in the two patient groups. The N400 effect was enhanced for both BD and SZ patients over the left frontal and frontal pole region, but SZ patients showed additional reduction of N400 over the right posterior and occipital regions. The N400 mean amplitudes for related targets correlated with less severe negative symptoms in patients with SZ. Discriminant functional analysis using reaction time and N400 measures successfully classified 82% of the participants into their respective clinical groups. These results suggest that patients with BD and SZ have both overlapping and distinctive semantic processing dysfunction. These findings are consistent with the continuum conceptualization of these disorders, but also offer some support for the traditional Kraepelinian dichotomy. 相似文献
87.
Emma Barkus 《PsyCh Journal》2020,9(2):258-279
Working memory training is widely used transdiagnostically to improve cognition. However, more recently, studies using working memory training packages have targeted emotion‐regulation outcomes to determine whether far transfer effects can be achieved. A narrative review is conducted of studies that have used standardized computerized working memory training packages across healthy volunteers, affect, anxiety, post‐traumatic stress disorder (PTSD), and eating disordered populations with emotion‐regulation outcomes. Working memory training has been used in children, adolescents, and adults to improve emotion regulation. Many studies have reported gains in mood as well as emotion‐regulation strategies following working memory training, regardless of clinical indication and whether near transfer gains were achieved in cognitive domains. Significant emotion‐regulation outcomes include: state and trait anxiety, rumination, brooding, positive appraisal, decreasing maladaptive emotion‐regulation strategies, and decreasing intrusive thoughts. It is speculated that these far transfer outcomes from working memory training are possible due to the cognitive and neural overlap between cognitive and affective working memory, and emotion regulation. Working memory training could improve cognitive efficiency, which, in turn, increases the availability of cognitive resources during times when emotion regulation is taxed. Future studies need to consider the role of participant expectancy in predicting outcome measure performance, and including subjective and objective outcomes is paramount to study design. Furthermore, sample sizes require additional attention, given that the current review highlights that individual differences in non‐clinical and clinical populations influence the outcomes from working memory training. Working memory training offers a possibility for improving emotion regulation transdiagnostically. 相似文献
88.
Treatment adherence is relevant for clinical and economic outcome in affective disorders as well as psychosis. Knowledge concerning the disease and its treatment might influence patients' willingness to follow the health‐care providers' recommendations and mutual decision‐making. In the current study, we investigated how Internet surfing for health‐related issues and attitude toward the relevance of the online information impact treatment adherence in major depressive disorder (MDD) and schizophrenia (SZ). A total of 83 outpatients (59 MDD, 24 SZ) participated in a survey. A multiple linear regression model with “exposure,” “attitude,” “diagnosis,” and their interaction as regressors was significant predictive of medication‐adherence rating scores, R2 = .179; 95% CI [0.00, 0.32]. In the MDD group only, more extended exposure to Internet surfing for health‐related issues and attribution of higher personal relevance were associated with poorer medication adherence at a statistical trend level, p = .060 and p = .077, respectively. In both groups, being female as well as higher age and intelligence were associated with favorable adherence, p = .003, p = .044, and p = .039, respectively. Considering the limitations (e.g., small sample size), our findings add to previously published data contributing to a better understanding of how Internet use may impact treatment adherence in MDD and schizophrenia. 相似文献
89.
创伤后应激障碍(PTSD)是唯一在诊断标准中包含惊反射改变的精神疾病.相比自我报告法,对惊反射的实验室测量与总体症状关联更紧密,并已积累了较多神经机制研究成果,可作为连接前临床与临床研究的桥梁.在惊反射应用于PTSD研究的初期,它主要作为PTSD患者高唤醒症状的客观指标,但是尚未发现惊反射强度的变化与总体症状的明确关系.近年来,惊反射与情境性焦虑、恐惧抑制等新范式结合,发现特定情境下惊反射改变是PTSD患者特有的表现.惊反射在创伤应激障碍研究中所取得的新进展对PTSD病理机制的探索和临床诊断都有所启发和推进. 相似文献
90.
The hypothesis that borderline personality disorder (BPD) is related to overgeneral memories was tested in a mixed sample of 39 patients. A memory test with emotional cue words and the instruction to produce specific autobiographical memories was used. Specificity was judged by an independent rater. Regression analyses indicated that age and major depressive disorder were related to the production of less specific memories, whereas educational level and presence of personality disorder were positivily related to number of specific memories. Borderline personality disorder, anxiety disorders and childhood traumas were not related to number of specific memories. 相似文献