Community-Based Interventions in New York City After 9/11

Abstract

The horrors of 9/11 have created tremendous psychosocial needs in the population of New York. For all major providers in this field, this has meant taking up the challenge of learning within the new situation, creating new frameworks for intervention, and implementing programs that previously had not been a part of the traditional social services environment. In this article, we will describe the process of transforming this challenge into an opportunity for organizational, professional and conceptual growth.     

Development of the Trauma Appraisal Questionnaire

This study describes the development and psychometric properties of the Trauma Appraisal Questionnaire (TAQ). Items were generated based on interviews with 72 ethnically diverse community participants exposed to a range of trauma types. From the interviews, more than 600 items that tapped beliefs, emotions, and behaviors were generated for 9 appraisal categories (e.g., fear, betrayal, shame). Based on expert feedback, 108 items were retained for initial testing in a sample of 714 undergraduate volunteers. Using a factor analytic strategy, we arrived at a 6-scale, 54-item solution. The reliability and validity of the new measure were evaluated in community (N = 119) and undergraduate (Ns = 139 and 79) samples. The measure demonstrated excellent reliability (test–retest and internal consistency) and validity (convergent, discriminant, and concurrent).     

Social-Cognitive Moderators of the Relationship between Peer Victimization and Suicidal Ideation among Psychiatrically Hospitalized Adolescents

Peer victimization among children and adolescents is a major public health concern, given its widespread individual and societal ramifications. Victims of peer aggression often face significant levels of psychological distress and social difficulties, such as depression, suicidal ideation, suicide attempts, and social rejection. The purpose of this study was to examine whether cognitive distortions and perceptions of social support moderate the association between peer victimization and suicidal thoughts among psychiatrically hospitalized adolescents. Participants included 183 psychiatrically hospitalized adolescents (ages 13 to 18). In multiple regression analyses that controlled for gender, social and cognitive factors served as significant resource factors. Cognitive factors also moderated the relationship between peer victimization and suicidal ideation.     

Sensing the presence of the deceased: A narrative review

Researchers have reported that bereaved people often continue to sense the presence of the deceased. A particular collection of such experiences can be identified as instilling a perception that the deceased person is in some manner present in the company of the bereaved person. The aim of the current review was to synthesise the results on this topic to provide a comprehensive over-view for practitioners working with bereaved people who report these experiences. The studies were reviewed in terms of the nature of the experiences described, the provision of explanatory models to understand the significance of these experiences, describing any culturally specific aspects of these experiences, discussion of the personal impact of having the experiences, and for recommendations of how people who have these experiences can be supported.     

Competence and control orientations as predictors of test anxiety in students: Longitudinal results

Abstract

The hypothesis that domain-specific self-related cognitions (self-concept of own competence and control orientations) are predictors of text anxiety in students is tested by longitudinal data. At the beginning and at the end of a school year the following variables were measured twice in a sample of 346 secondary school students (grades six to ten): (1) self-concept of own competence in mathematics, (2) three aspects of locus of control for problem-solving behavior (internality, powerful others control, and chance control), (3) generalized locus of control of reinforcement, (4) test anxiety as well as manifest anxiety. The cross-sequential developmental gradients point toward symmetries in the development of self-related cognitions and test anxiety. The results of cross-lagged correlation analyses show that the null hypothesis (no causal relations exist between the self-related cognitions and test anxiety) can be rejected for the domain-specific aspects of (a low) self-concept of own competence and locus of control (low internality and high chance control), which are confirmed as preceding test anxiety. However, longitudinal results also show that findings of cross-sectional studies tend to overestimate the relations between self-related cognitions and test anxiety in a developmental perspective.     

Consistency of social anxiety in psychiatric patients: Properties of persons,situations, response classes,and types of data

The focus of this study was to investigate the consistency of observed overt behaviors, psychophysiological measures, and reported cognitions in high and low socially anxious psychiatric patients. Forty-seven psychiatric patients (25 high and 22 low socially anxious ones) were exposed to two situations: the initiation of a conversation and the refusal of a request. For both groups of subjects, consistency across situations (Situations) and trait indicators (Reactions) was highest for psychophysiological measures. Observed overt behaviors showed the lowest consistency across Situations and Reactions. Substantial evidence was found for the consistency of Persons x Situations and Persons x Reactions interactions. Moreover, high socially anxious subjects showed a higher consistency than low socially anxious patients with respect to observed overt behaviors and reported cognitions. Using psychophysiological measures, low socially anxious patients showed higher consistency than high socially anxious subjects. The implications for the assessment of social anxiety are discussed.     

Doubly bereaved

This paper considers the initial phases of work with a family who suffered the death of one parent and the threatened loss of another parent, both from cancer. In this case, the children were ‘double bereaved’, not only by the actual and anticipated losses, but by the impact of these circumstances on their internal worlds, as manifested by their somatic symptoms and suicidal ideation. The need for a co-ordinated and supportive approach to families in these circumstances is emphasized, as is the importance of addressing individual concerns while maintaining a family perspective.     

Using Genograms Creatively to Promote Healthy Lifestyles

ABSTRACT

Family therapists have used Genograms as an assessment tool for years to examine the interactions and relationships of family members across generations. This article discusses how a therapist can use a genogram creatively to help clients examine the impact of family relationships on healthy and unhealthy lifestyle patterns and how those relationships may be influencing the manner in which clients are currently managing their lives. The integration of a creative genogram can assist clients in recognizing inherited health-disease risks, learned lifestyle patterns, and parental behavior modeling. This technique can assist clients in developing a healthier lifestyle.