Theology of Creation and the Use of Scripture Creation,David Fergusson,Eerdmans, 2014 (ISBN 978‐0‐8028‐7196‐1), viii + 149 pp., pb $18 From Nothing: A Theology of Creation,Ian A. McFarland,Westminster John Knox, 2014 (ISBN 978‐0‐664‐23819‐3), xvii + 212 pp., pb $35

David Fergusson's recent book, Creation, overviews differing aspects of creation for a theologically‐literate but non‐specialist readership, while Ian McFarland's From Nothing: A Theology of Creation offers a sophisticated account of the meaning and theological implications of the classic doctrine of creatio ex nihilo. Although both books make constructive appeal to Scripture, I suggest that their use of Scripture indicates that their creative theological thinking is not primarily done by working through the interpretative challenges that Scripture presents. There thus remains a distance between biblically and systematically oriented theological thinking.     

Cumulative burden of comorbid mental disorders,substance use disorders,chronic medical conditions,and poverty on health among adults in the U.S.A.

The health of individuals in the U.S.A. is increasingly being defined by complexity and multimorbidity. We examined the patterns of co-occurrence of mental illness, substance abuse/dependence, and chronic medical conditions and the cumulative burden of these conditions and living in poverty on self-rated health. We conducted a secondary data analysis using publically-available data from the National Survey on Drug Use and Health (NSDUH), which is an annual nationally-representative survey. Pooled data from the 2010–2012 NSDUH surveys included 115,921 adults 18 years of age or older. The majority of adults (52.2%) had at least one type of condition (mental illness, substance abuse/dependence, or chronic medical conditions), with substantial overlap across the conditions. 1.2%, or 2.2 million people, reported all three conditions. Generally, as the number of conditions increased, the odds of reporting worse health also increased. The likelihood of reporting fair/poor health was greatest for people who reported AMI, chronic medical conditions, and poverty (AOR = 9.41; 95% CI: 7.53–11.76), followed by all three conditions and poverty (AOR = 9.32; 95% CI: 6.67–13.02). For each combination of conditions, the addition of poverty increased the likelihood of reporting fair/poor health. Traditional conceptualizations of multimorbidity should be expanded to take into account the complexities of co-occurrence between mental illnesses, chronic medical conditions, and socioeconomic factors.     

Association between tobacco use,depression, and anxiety: A cross-national study among university students from 30 low- and middle-income countries

This study aimed to investigate the association between tobacco use and depression and anxiety in a cross-national study among university students from 30 predominantly low- and middle-income countries. Self-report survey data were collected from 23 073 university students (58.0% female), with a mean age of 20.8 years (SD = 2.5). Following logistic regression analyses, tobacco using university students were more likely to have depressive symptoms and anxiety (posttraumatic stress symptoms = PTSS) than non-tobacco using students. Gender stratified analysis found associations between tobacco use and depressive symptoms were stronger among women than men. The associations between tobacco use and anxiety (PTSD) symptoms were stronger among men than women. In this large cross-national study, current tobacco use was significantly associated with depression and anxiety (PTSD) symptoms. Tobacco use prevention efforts can help alleviating mental health problems among university students.     

On (not) listening for theory: the trainee’s use of theory as defence against the stress of beginning psychodynamic practice

This paper offers reflections on the trainee’s relationship with, and use of, theory in the early stages of psychodynamic practice. It addresses the issues of ‘listening for theory’ in the face of the unsettling, yet inevitable, stress and insecurity of beginning psychodynamic practice and the daunting awareness of the work being assessed by the training institution. While theory makes psychodynamic work possible and applying theory is explicitly welcomed in psychodynamic training, the paper argues that the unexamined use of theory is problematic as it, albeit unconsciously, is used by the trainee as a defensive retreat into a private mental sanctuary from the intimate, relational space of the consulting room and from the felt incompetence and inexperience aroused in the immediate encounter with the client. Exemplified through accounts of working with a particular client during my training, the paper examines the trainee’s evolving relationship with theory, in the light of what impedes and promotes therapeutic progress, as a significant marker of the trainee’s development to work psychodynamically.     

青少年同伴依恋与问题性手机使用的关系:自我建构对孤独感中介作用的调节

采用同伴依恋问卷、问题性手机使用量表、孤独感问卷以及自我建构量表对624名青少年进行调查,以探讨青少年同伴依恋对问题性手机使用的作用过程及其机制。结果显示,青少年同伴依恋通过孤独感的完全中介作用对问题性手机使用产生影响;依存型建构在孤独感与问题性手机使用之间起调节作用,独立型建构的调节作用不显著。这说明同伴依恋通过孤独感影响青少年的问题性手机使用,依存型建构可促进感到孤独的青少年使用手机。     

海洛因戒治者对疼痛线索的选择性注意加工偏向

研究采用点探测范式,以疼痛线索(感觉疼痛词、情感疼痛词和健康灾难词)和中性线索(中性词)为实验材料,考察接受美沙酮维持治疗的海洛因戒治者对疼痛线索的视觉选择性注意偏向。结果表明:海洛因戒治者对疼痛线索的注意偏向具有普遍性,即对感觉疼痛词、情感疼痛词和健康灾难词等三类疼痛线索均存在注意回避偏向,尤其对健康灾难词的注意回避程度最高;海洛因戒治者还对感觉疼痛词和情感疼痛词存在注意脱离易化倾向。本研究对于有针对性的开展注意偏向矫正以干预疼痛,从而辅助美沙酮的治疗效果、维持患者的戒断状态、降低其复吸风险具有重要意义。     

学校氛围和青少年病理性网络游戏使用的关系:有调节的中介模型

采用问卷法对3056名青少年进行调查研究,考察了学校氛围对青少年病理性网络游戏使用(Pathological online game use, POGU)的影响,同时考察了学校参与在其中的中介作用,以及该过程是否受到父子关系或母子关系的调节.结果发现:(1)在控制了性别、年龄、父母受教育水平、亲子关系、家庭收入和冲动性后,学校氛围对POGU仍具有显著的负向预测作用;(2)学校氛围不仅可以直接负向预测POGU,还可以通过影响学校参与进而间接预测青少年POGU;(3)母子关系显著调节学校氛围对学校参与的影响,而父子关系显著调节学校参与对青少年POGU的作用.总之,在学校氛围影响青少年POGU的过程中,既存在中介效应,又存在调节效应.实际干预时,可以通过提高学校参与降低青少年POGU,父子关系和母子关系可以进一步调节该过程.     

发展性障碍儿童的脑发育特点及干预

随着发展认知神经科学的兴起, 研究者借助脑成像等技术探讨了发展性障碍儿童的脑结构发育特点, 发展缺陷与脑功能损伤的关系以及障碍干预和脑功能改善的机制等, 这为揭示发展性障碍儿童异常神经机制的共性和特异性, 进而为早期诊断和干预提供了重要的生物学标记。针对儿童期常见的发展性障碍, 从脑结构损伤、脑激活异常、脑网络连接和脑功能康复等方面对相关研究进行了总结, 指出未来研究应拓展角度, 注重揭示各发展性障碍之间异常脑发育特点的共性和特异性的具体表现、病理机制及基因基础等; 临床工作者应注重将脑发育的异常和功能改善用于辅助各类障碍的早期识别和干预效果评估。     

灾后孤儿创伤后应激障碍的发生发展及其认知神经机制

灾后孤儿亲历双重重大创伤, 是创伤后应激障碍(post-traumatic stress disorder, PTSD)的高发群体; 同时, 巨大创伤对其认知功能和行为模式也带来一定程度的影响。本研究拟以灾后孤儿这一特殊群体为研究对象, 考察“PTSD发生发展及其认知神经机制”, 具体如下：(1) 采用序列研究设计, 展开灾后孤儿PTSD流行病学调查, 描述其PTSD发生发展、变化的轨迹和时程特点; (2) 展开横断研究, 考察灾后孤儿认知发展特点, 并通过结构方程模型, 揭示其PTSD发生发展的心理行为机制; (3) 采用眼动和脑电技术展开比较研究, 考察罹患PTSD孤儿的认知神经机制。本研究的研究结果将对今后的灾后孤儿安置及心理援助提供科学建议; 为有针对性地提供心理干预、制定心理干预的总体规划提供科学依据; 力争为今后孤儿的创伤心理的诊断、干预效果评估提供科学客观的指标和方法。