Experience of a Lifetime: Study Abroad,Trauma, and Institutional Betrayal

This study is the first to expand the investigation of study-abroad risks to include a range of traumatic experiences for male and female students and to examine effects of institutional betrayal (i.e., an institution’s failure to prevent trauma or support survivors). In an online survey of 173 university students who had studied abroad, many respondents (45.44%, n = 79) reported exposure to at least 1 traumatic experience while abroad, most frequently natural disasters, sexual assault, and unwanted sexual experiences. Of students exposed to potentially traumatic events, more than one third (35.44%, n = 28) also reported at least 1 form of related institutional betrayal, which uniquely correlated with posttraumatic distress in some participants, when controlling for lifetime trauma history.     

Characterization of controlled gamblers and pathological gamblers using the social representation theory

Introduction

In industrialized countries, gambling disorder tends to become a major issue. The use of the social representation theory provides clues for a better understanding of pathological gamblers.

An exploration of the benefits of animal‐assisted activities in undergraduate students in Singapore

The rise in psychological problems, attrition, and suicide rates of university students has been linked to the stressful challenges faced during university life. To buffer this, animal assisted activities (AAA) may assist in improving psychological and physiological well‐being in students, however, to date, there is little empirical evidence for their effectiveness. Consequently, this study explored the psychological and physiological benefits of AAA in a sample of undergraduate students. Sixty‐two students from two local universities participated in an hour‐long AAA session delivered by Therapy Dogs Singapore. Measures of perceived stress, anxiety, state self‐esteem, and blood pressure (BP) were taken before and after the sessions. The results indicated that students experienced significant decreases in state anxiety, systolic, and diastolic BP post AAA, and when compared to a quiet reading comparison session. State self‐esteem increased post AAA and, further, was found to moderate the change in anxiety in addition to perceived stress, whereby perceived anxiety reduced more in those with low state self‐esteem and high perceived stress. These results suggest that AAA can be an effective intervention for stress among undergraduate students, which utilizes a novel, easy to implement and enjoyable approach for Singaporean students.     

Narrow lanes and their effect on drivers’ behaviour at motorway roadworks

In recent years, more use of narrow lanes as a temporary traffic management scheme (TTMS) on UK motorway roadwork sections has been made. The rationale is to free up carriageway space, especially for sites with high traffic demands needing repairs. What remains to be determined is the impact of this work on traffic operation. This is important due to the need to manage traffic operational turbulence which could affect the capacity as well as safety levels in roadwork sections. Site observations (mainly using camcorders from overhead bridges) were made which uncovered two discernible patterns of driving behaviour where narrow lanes are implemented at roadworks, especially when heavy goods vehicles (HGVs) are present: (i) “avoiding” passing/overtaking HGVs travelling in the adjacent lanes and (ii) lane “repositioning” while passing/overtaking which might cause some turbulence to traffic operation. From one site, almost half of the passenger car drivers (including small vans) who were following a HGV on the adjacent lanes were avoiding passing that HGV. Also, nearly three quarters of the observed passenger cars, the passenger car drivers tried to position their vehicles as far away as possible, laterally, from the adjacent HGV while passing/overtaking that HGV in order to widen the lateral gap between their vehicles and the HGV. This resulted in driving too close to the edge of the road markings of their current lane away from the HGV. Therefore, this paper aims to report on the “avoiding” and lane “repositioning” behaviours to help inform traffic management teams/designers using narrow lanes as TTMS and make them aware of such behaviours (especially for motorway sections carrying high percentages of HGVs). Also, the finding from these observations were used in the development of a new micro-simulation model in order to evaluate the effect of such turbulence.     

First-time experience of critical range situations in BEV use and the positive effect of coping information

A frequently discussed phenomenon in the context of limited range as a usage barrier for battery electric vehicles (BEVs) is range anxiety (i.e., range stress). The objective of the present research was (1) to examine if the effect of first-time experience of a critical range situation on inexperienced BEV drivers’ range experience (e.g., range stress) is rather positive or negative, (2) to examine if providing minimal coping information can enhance this effect and (3) if a positive adaptation effect can be found under different criticality levels regarding the available range. A field experiment was conducted, in which 74 participants drove a BEV in a critical range situation (i.e., experience of a small range safety buffer) on an unaccompanied 94 km round trip. Results indicate that the first-time experience of a critical range situation has a moderate positive effect on range stress (i.e., reduced range stress after the trip compared to range stress before the trip), that coping information can partly enhance range experience and that these positive effects can be found under both examined criticality levels (critical vs. highly critical range situation). The results can be useful to inform strategies aimed at reducing the experience of range stress in the early period of BEV usage.     

Cross-association analysis of EEG and EMG signals according to movement intention state

Rehabilitation within three months plays a significant role in the recovery of damaged motor functions following the onset of a stroke. To increase the effectiveness of rehabilitation, it is important to perform rehabilitative exercises with movement intention. This study analyzed the association between electroencephalogram (EEG) and electromyogram (EMG) signals in healthy individuals in an attempt to verify the differences between the two signals in corticomuscular connectivity as well as the time delay in the flow of information in accordance with the presence of movement intention. To examine the relationship between the brain and muscles, coherence and mutual information analyses were performed on the EEG signals in the motor cortex and EMG signals in the flexor digitorum superficialis muscle during grasping training. Coherence and mutual information between EEG and EMG signals were significantly higher and the time delay of information flow was shorter when subjects performed active exercise with movement intention than when they performed passive exercise without movement intention. These findings could be applied to the rehabilitation of stroke patients to develop a rehabilitative training system with heightened effectiveness through verification of the presence of movement intention in the patients.     

The history and tradition of the Precious Blood of Christ in Mantua

The relic of the Precious Blood of the Passion of Christ is kept in the crypt of the Basilica of Sant’Andrea in Mantua. Venerated over the centuries by popes and emperors, it was, according to tradition, transferred from Calvary to Mantua by the Roman centurion (later saint) Longinus, who had pierced the side of Jesus to verify his death (John 19.34). This devotional tradition was corroborated by historical testimonials and miraculous facts. The soil soaked with the Precious Blood was hidden underground, for fear of desecration, and then found again in two subsequent retrievals (in 804 and 1048 A.D.). Due to its donation to the Holy Roman Emperor, Henry III, a part of the relic finally arrived, through various vicissitudes, in Weingarten, a town now twinned with Mantua. Guardianship of the prestigious Christian relic rests in Mantua, with the Confraternity of the Precious Blood of Jesus Christ.     

A Threatened Identity: The Mental Health Status of Syrian Refugees in Egypt and Its Etiology

This study utilized the development-based trauma framework on identity traumas to study the cumulative effects of trauma on the identities of Syrian refugees. Participants included 196 Syrian refugees residing in Cairo, Egypt (Mean age = 35.99, SD = 11.05). The rate of post-traumatic stress disorder was 33.5%, and the rate of depression was around 30%; the level of comorbidity was high with a high rate of suicidal plans or attempts (13.7%). Analyses indicated that existential annihilation anxieties, moderated by identity salience, mediated the effects of cumulative trauma on mental health. The results confirmed the utility and validity of the identity trauma model and provided evidence of the dire mental health needs of Syrian refugees.     

From Traumatic Language to Posttraumatic Language: The Development of Language in Therapy According to the “Phenomenon of Hope” Model

Hope and language are part of the human development process starting from birth and continuing through all the stages of development. They are tools that help us to cope in complex situations. Environmental failure produces trauma, which damages the “self” and impairs the development of hope and language. The individual experiences “pessimistic hope” and “drained hope” and begins using “concrete language” and “pseudo-language.” Such profiles and languages indicate functional difficulties, including the inability to establish mature intimate personal relationships. When traumatic events such as those experienced in military combat compound childhood trauma (environmental failure), mental and functional difficulties buried by our defense systems may rise to the surface and worsen and chronic complex trauma may ensue. Psychotherapy for chronic complex trauma is complex. The therapeutic approach that is used in the “hope phenomenon” model includes five therapy stages that allow us to examine the effect of a trauma on personality and function. Here we examine the link between the five stages of therapy and the use of language. According to my experience, patients use concrete language and pseudo-language in the beginning of the therapeutic connection. As this connection and therapist-patient alliance evolves and deepens and the client and therapist move through the various stages, the patient then starts to use “plural language.” Concrete language and pseudo-language are used in the pessimistic hope and drawn hope stages, respectively, until a profile characterized by a realistic and mature hope emerges. This profile goes hand in hand with an ability to use plural language. This article examines the development of hope and language in a complex posttraumatic stress disorder (PTSD) patient who was treated using the hope phenomenon model. Consent for the therapy details to be used in this article was given by the patient.     

Working Through Countertransference: Navigating Between Safety and Paranoia for a Client With Complex Trauma History and Borderline Personality Organization

The aftermath of complex trauma deeply impacts one's self-organization and interpersonal relationships, often resulting in clients who present to therapy with borderline characteristics and are typically labeled as difficult to treat. Further clinical complications with paranoid features may quickly place the therapist at a loss with respect to managing perceived and/or actual threats to client safety. Using psychodynamic theories, especially Kleinian understandings of psychosis and Winnicottian approaches to early disturbance and its impact on the emergence of self, this article provides a detailed case illustration that explores how a critical reflection of countertransference as “enactment,” “communication,” and “imagination” can help the therapist to understand the client's unconscious symbolic psychic struggles and to guide treatment selections in the therapy process.