Innovative Assessment of Childhood Trauma and Its Link to HIV and Substance Abuse in Post-Incarcerated Women

Women who are incarcerated often report unresolved early life traumas, which research has linked to subsequent HIV and substance abuse risks. This article presents an arts-based counseling technique used with women re-entering society after incarceration. Women were assessed for childhood trauma (i.e. sexual, emotional, and/or physical abuse) in relation to age of onset and frequency of events using an interactive pictorial assessment technique, Healing Me Timeline activity. The technique allowed women to use color-coded graphs in identifying points along a timeline during which traumatic events occurred and to process insights to foster healthy coping strategies. The timeline activity was an innovative and gender-appropriate method for uncovering the nature and extent of women’s trauma and counseling needs. Facilitators used the counseling tool to assist women in processing personal insights and to make referrals to mental health counseling, medical services, and substance use programs.     

On Association Coefficients for 2×2 Tables and Properties That Do Not Depend on the Marginal Distributions

We discuss properties that association coefficients may have in general, e.g., zero value under statistical independence, and we examine coefficients for 2×2 tables with respect to these properties. Furthermore, we study a family of coefficients that are linear transformations of the observed proportion of agreement given the marginal probabilities. This family includes the phi coefficient and Cohen’s kappa. The main result is that the linear transformations that set the value under independence at zero and the maximum value at unity, transform all coefficients in this family into the same underlying coefficient. This coefficient happens to be Loevinger’s H.     

The life instinct

In psychoanalytic writing an oversimplified interpretation of Freud's concept of the life and death instincts sometimes colours the presentation. Roughly, there is an implication that the life instinct is 'good' and the death instinct 'bad'. Freud however is clear that: "Neither of these instincts is any less essential than the other; the phenomena of life arise from the concurrent or mutually opposing action of both"(1933b, p. 209). In this paper I look in detail at the characteristics of the life instinct as conceptualized by Freud, and draw on Bion's work 'on linking' to elaborate Freud's view that binding is the life instinct's key characteristic. I suggest that there are pathological forms of both the life and death instinct if defused (separated off) from the other, and I explore a pathological variation of the life instinct in which binding is without the negation, rest, limit or end provided by the 'opposing action' of the death instinct. I consider an instance of the kind that any analyst might meet clinically, in which an inhibited patient experiences severe anxiety that life-giving connections threaten to proliferate indiscriminately and to an overwhelming intensity and size.     

“90后”大一新生适应性及心理健康状况研究

目的研究分析"90后"大一新生心理适应能力及心理健康状况,为更好地开展"90后"大一新生的心理健康教育工作提供依据。方法采用心理适应能力问卷和症状自评量表(SCL-90)对四川大学和四川师范大学2009级800名新生进行调查。结果①有54.9%的学生心理适应能力较差,仅有3.3%的学生有较强的心理适应能力;②"90后"大一新生的心理健康水平总体低于全国青年常模,除躯体化和敌对因子外,其它因子得分显著高于常模(P0.05);③不同心理适应能力的"90后"大一新生在SCL-90各个维度上均存在显著差异(P0.05),但性别比较时,只在恐怖因子上存在显著差异(P0.05)。结论"90后"大一新生心理健康状况不容忽视,学校应结合"90后"学生的特点,加强心理健康教育,提高"90后"大一新生的心理适应能力及心理健康水平。     

An imprecise goal programming approach for modeling design team's preferences in quality function deployment planning process

The Quality Function Deployment (QFD) is an approach that facilitates designing product by analyzing and projecting the Customer's Needs (CNs) in the Engineering Characteristics (ECs) of a product. The aim of QFD planning process is to determine the target levels for ECs of a product that achieve high level of overall customers' satisfaction. However, integrating design team's preferences in this preliminary stage of product design could make the design more realistic and could also avoid unfeasibility in posterior phases of the product development processes. Moreover, this process is performed within an imprecise environment, and more than one factor must be taken into account in determining targets levels of ECs; especially, the limited resources and increased market competition. This paper presents an imprecise goal programming approach to determine the best aspiration levels of ECs in QFD planning process. Based on benchmarking data of ECs, the concept of satisfaction functions will be utilized to integrate explicitly the design team's preferences and incorporate the competitive analysis of target market into the modelling and solution processes. In addition, the relationships linking CNs and ECs and the ECs to each other are integrated by functional relationships. The proposed approach will be illustrated through an example of product development of an emulsification dynamite packing machine. Copyright © 2011 John Wiley & Sons, Ltd.     

A parent advice package for family shopping trips: development and evaluation

THIS ARTICLE REPORTS ON THE PRIMARY STEPS IN THE DEVELOPMENT OF PARENT ADVICE FOR POPULAR DISSEMINATION: (a) developing advice for one specific problem situation, family shopping trips; (b) testing the advice program for benefit to children and convenience to adults; and (c) packaging the advice so it can be used successfully by interested parents. Systematic observation of 12 families using the written advice package on shopping trips revealed its effectiveness in reducing child disruptions and increasing positive interactions between parents and children. These findings, along with interview information from families, showed that the package is usable, effective, and popular with both parents and children, and thus is ready for dissemination to a wide audience of parents-a step that in itself should involve research and evaluation.     

A Multifaceted and Dyadic Examination of Intimate Relationship Quality during Pregnancy: Implications for Global Relationship Satisfaction

Understanding how couples navigate and negotiate the challenges and demands of pregnancy has important implications for family health. The aim of this study was to apply a multidimensional model of intimate relationship quality in a sample of 154 pregnant, cohabitating couples, to investigate the association between a range of intimate relationship processes (i.e., emotional intimacy, conflict management, sexual quality, received respect and acceptance, and received support) and the global relationship satisfaction of each partner. Semistructured clinical interviews were administered to each partner assessing multiple qualities of the relationship, and participants completed home surveys of global relationship satisfaction each day for 14 days. Results demonstrated that multiple dimensions of the intimate relationship were associated with greater relationship satisfaction. Some processes (e.g., degree of emotional intimacy and closeness, conflict management) had larger effects on relationship satisfaction than others (e.g., quality of the sexual relationship). Furthermore, some processes were more important for maternal than paternal satisfaction (e.g., emotional intimacy, support, respect). Finally, results varied, to some degree, as a function of whether parents were transitioning to parenthood for the first time. We discuss the implications of adopting a multidimensional approach to studying the specific relationship processes associated with global relationship satisfaction and present implications for clinicians working with couples navigating the transition into parenthood.     

Dialogue and Dominance in Couple Therapy for Depression: Exploring Therapists’ Responses in Creating Collaborative Moments

Previous investigations have found specific communication patterns in couples dealing with depression, specifically when depression concurs with conjugal conflicts. The presence of these patterns can reflect couples’ difficulties in engaging in collaborative communication during their sessions, posing a real challenge for therapists. This exploratory study uses a dialogical approach to examine issues of dominance and type of dialogue in two couples who differed in terms of their levels of dyadic adjustment. The therapists’ reactions were explored in order to detect the kinds of responses that were most effective at engendering a collaborative attitude in therapy sessions. The method used to analyze the dialogue was Dialogical Investigations of Happenings of Change (DIHC). Results on dominance indicated that the degree of quantitative and semantic dominance displayed by a different member of the couple in each case was illustrative of their relational dynamics, while in both cases interactional dominance was exercised by the therapists. Results on dialogue revealed that dialogic dialogue might help to coconstruct new shared meanings of depression. The findings indicated that certain responses by therapists as part of the dialogue could be useful in bringing about a reduction in hostility between the members of a couple, provided that the responses are maintained over the course of the session. Some research and clinical implications that emerge from the results are discussed.