Short‐term psychodynamic infant–parent interventions at Child health centers: Outcomes on parental depression and infant social–emotional functioning

Randomized controlled trials (RCTs) demonstrate efficacy of parent–infant psychotherapy, but its applicability and effectiveness in public health care are less known. The method followed is Naturalistic study evaluating Short‐term Psychodynamic Infant–Parent Interventions at Child Health Centers (SPIPIC) in Stockholm, Sweden. One hundred distressed mothers with infants were recruited by supervised nurses. Six therapists provided 4.3 therapy sessions on average (SD = 3.3). Sessions typically included the mothers, often with the baby present, while fathers rarely attended sessions. The Edinburgh Postnatal Depression Scale (EPDS) and the Ages and Stages Questionnaire: Social–Emotional (ASQ: SE) were distributed at baseline and at 3 and 9 months later. Data from a nonclinical group were collected simultaneously to provide norm data. Multilevel growth models on the mothers’ questionnaire scores showed significant decreases over time on both measures. Nine months after baseline, 50% achieved a reliable change on the EPDS and 14% on the ASQ: SE. Prepost effect‐sizes (d) were 0.70 and 0.40 for EPDS and ASQ: SE, figures that are comparable to results of other controlled studies. Psychotherapists integrated with public health care seem to achieve good results when supporting distressed mothers with brief interventions in the postnatal period. SPIPIC needs to be compared with other modalities and organizational frameworks.     

SOME CORRELATIONS BETWEEN METHODS OF KNOWING AND THEOLOGICAL CONCEPTS IN ARTHUR PEACOCKE'S PERSONALISTIC PANENTHEISM AND NONPERSONAL NATURALISTIC THEISM

Differences in methods of knowing correlate with differences in concepts about what is known. This is an underlying issue in science and religion. It is seen, first, in Arthur Peacocke's reasoning about God as transcendent and personal, is based on an assumption of correlative thinking that like causes like. This contrasts with a notion of causation in empirical science, which explains the emergence of new phenomena as originating from temporally prior phenomena quite unlike that which emerges. The scientific understanding of causation is compatible with a naturalistic theism that holds a nonpersonal model of God as the creative process. However, focusing on the immanence of God, there is a second correlation between methods of knowing and concepts of God. Classical empiricism, used by science, correlates with God understood nonpersonally as the creative process. Radical empiricism, in which feelings and not only sense perceptions have cognitive import, opens up the possibility that one can experience Peacocke's personal, panentheistic God as pattern‐forming influence. I illustrate this second method‐concept correlation with a personal experience.     

Examining Problems and Assumptions: An Update on Criticisms of Open Theism

Abstract : Open theism, a form of relational theology, has generated a host of criticisms. I examine some of the recent criticisms by analyzing several that center around biblical, doctrinal and philosophical problems. I show how many criticisms miss the mark by failing to recognize and address the underlying assumptions held by open theists.     

Bringing It All Back Home: How Outside Stressors Shape Families' Everyday Lives

ABSTRACT— Families are dynamic systems that are permeable to influences from the outside world, such as daily stressors at work and at school. Our research uses naturalistic methods to investigate how family interactions change in response to such experiences and how other family members contribute to that process. We argue that the short-term effects of daily stressors on family dynamics can have cumulative, long-term implications for family health and functioning. Naturalistic studies that incorporate daily diary, observational, and physiological measures can offer new insights into families' everyday stress responding and coping processes.     

The prevalence of cognitive disengagement in automobile crashes

The current study analysed crashes identified in a large-scale naturalistic driving database to assess the prevalence of cognitive disengagement (i.e., purely cognitive distraction and mind wandering/microsleep) or episodes wherein the driver did not look away from the roadway during secondary task completion or wherein another clearly observable contributing crash factor was not present, and the driver's reaction to the crash showed symptoms of cognitive disengagement. The study found that <1% (95% CI [0.45, 1.66]) of higher severity crashes had a potential contributing crash factor of mind wandering/microsleep; ~1.5% (95% CI [0.83, 2.32]) had a potential contributing factor of purely cognitive distraction. The results suggest a relatively low prevalence of cognitive disengagement among automotive crashes compared with visual/manual secondary tasks. However, the current methodology is limited in that it does not account for instances where cognitive disengagement, in combination with other factors, may have led to crashes, potentially leading to conservative estimates.     

Social aggression and power relations among preschool children

Social agonism and dominance relations were assessed in two preschool groups. An average of 30 hours of observational data was obtained for each group during free-play over a six-week period. A Social Agonism Inventory describing specific initiation and response behaviors during episodes of social conflict was used to code agonistic activity. Dyadic interactions were examined to determine whether the resolution of agonistic interactions conformed to a linear model of social dominance. Although there were group differences in the relative frequency of different forms of conflict, systematic comparison of agonistic wins and losses re vealed similarly rigid and linear dominance structures at both preschools. The relation of aggression and dominance was empirically examined by comparing the initiation and receipt of agonism by high vs low dominance status children. Higher dominance status children engaged in more agonistic interactions, but a majority of these interactions were directed toward other high-ranking group members.     

THE ORIGINS AND GOVERNANCE OF COMPLEX SOCIAL SYSTEMS

The new science of Complexity explains that limited knowledge prevents societies from predicting and controlling their developments. But Complexity further suggests that nature uses the limits of knowledge to evolve, which turns an apparent obstacle into an opportunity to reevaluate governmental institutions. As in nature, the limits of knowledge lead social systems to evolve by individuating, liberating, and empowering their members. Societies individuate and liberate their members to probe environments and exploit opportunities. Societies empower individuals to globalize their findings which requires constitutionally constraining governmental powers. Societies that respect human rights thus gain selective advantage. Showing that what nature is models what societies ought to be, Complexity may finesse the “naturalistic fallacy” of Hume and Moore.     

The effect of tape-recorded relaxation training on well-being,symptoms, and peak expiratory flow rate in adult asthmatics: A pilot study

Abstract

Evidence indicates that psychological stress plays a role in precipitating and exacerbating asthma symptoms and suggests that relaxation techniques aimed at reducing stress and autonomic arousal leads to symptom reduction. This study explored the effect of a tape-recorded relaxation intervention on well-being (mood and stresson). asthma symptoms, and a measure of pulmonary function (PEFR). Twenty adult asthmatics were studied for 21 days in their natural environment using a multiple baseline design. Self-administered relaxation training (including both breathing exercises and muscle relaxation) led to decreased negative mood and stressor report. Reporting of asthma symptoms decreased over time, and PEFR was increased by relaxation training. Asthma medication use was unchanged. Results suggest that tape–recorded relaxation training positively impacts well-being, asthma symptoms. and PEFR in a naturalistic setting. Further study of the potential use of inexpensive tape-recorded interventions in chronic illness is warranted.