Learning to Heal from Those Who Know! The “Lived” Experience of a Peer Support Program for Adult Survivors of Childhood Trauma

This study explored the dual phenomenon of experiencing a peer support residential trauma program from the perspective of (a) a client, and (b) a facilitator. It sought both positive and negative subjective interpretations. Participants were former clients and current facilitators of the program. Data were collected through a focus group, and analyzed using interpretative phenomenological analysis. One superordinate theme, altruistic growth, overarched 2 subordinate themes. The first, modeling through respect, included subthemes of respect and hope and empowerment. The second subordinate theme, reciprocal model of care, encapsulated personal challenges such as facing the mirror, old demons, and burnout and breaking points. Conversely, participants mused on these challenges as opportunities for further healing through opportunities for self-nurturing and gratitude. Implications for treatment of adult survivors of childhood trauma are discussed. For facilitators, the program was seen as offering further personal reflection and a giving forward that was interpreted as altruistic growth.     

Social Cure Processes Help Lower Intergroup Anxiety Among Neighborhood Residents

Research in the social cure tradition shows that groups can reduce members' stress by providing support to cope with challenges, but it has yet to consider how this applies to the anxiety occasioned by outgroups. Research on intergroup contact has extensively examined how reducing intergroup anxiety improves attitudes towards outgroups, but it has yet to examine the role of intragroup support processes in facilitating this. The present article takes the case of residential contact, in which the impact of diversification upon neighborhood cohesion is hotly debated, but the role of neighborhood identification and social support from neighbors in facilitating residential mixing has been largely ignored. Our surveys of two geographically bounded communities in England (n = 310; n = 94) and one in Northern Ireland (n = 206) show that neighborhood identification predicts both well-being and more positive feelings towards outgroups, with both effects occurring via increased intragroup support. In studies 2 and 3, we show that this positive effect on feelings towards the outgroup occurs independently of that of intergroup contact and is further explained by the effect of neighborhood support in reducing intergroup anxiety. This suggests that social cure processes can improve intergroup attitudes by supporting group members to deal with the stress of intergroup interactions.     

Predictors of treatment outcome for youth receiving intensive residential treatment for obsessive–compulsive disorder (OCD)

ABSTRACT

Little is known about the predictors of outcome from intensive residential treatment of OCD. This study aimed to examine age, gender, and baseline OCD severity, as well as measures of comorbid anxiety and depressive, internalizing/externalizing, and inattention symptoms, as predictors of treatment outcome in adolescents receiving intensive residential treatment for OCD.

The sample comprised 314 adolescents aged 13–17 years with treatment-resistant OCD and a Children’s Yale–Brown Obsessive–Compulsive Scale Self-Report (CY-BOCS-SR) total score ≥16. Bivariate and multiple regression models were used to evaluate the predictors of continuous OCD severity outcome and treatment response.

Results of the bivariate regression analyses of predictors demonstrated that length of treatment, pre-treatment OCD severity, and symptoms of anxiety and depression significantly predicted post-treatment OCD severity, while only symptoms of depression and anxiety predicted treatment response. When including all predictors in the same model, only baseline OCD severity remained a significant predictor of post-treatment OCD severity, and none of the assessed variables significantly predicted treatment response.

Results indicate that low pre-treatment OCD severity predicts lower OCD severity following treatment, although it did not predict treatment response.     

Decreasing Adolescent Drug Use and School Failure:

Behavioral analyses of 3 adolescents show that 3 months of targeted family problem-solving training can decrease drug use and school failure by the end of a 1 1/4 year follow-up while control behaviors remain stable. Some findings, however, reflected incomplete understanding of the controlling variables: (a) lengthy delays before behavioral improvement, (b) recurrences of the problem behavior and subsequent recoveries during follow-up, and (c) correlated changes in the home and school environments. It is suggested that systematic study of relevant variables in the intervention could reduce behavioral variability and further increase understanding of adolescent drug use.     

全真道人居理念及其当代价值

全真道内丹修炼得以进行,需要满足法、财、侣、地四个方面的条件,其中"地"即是指修道场所,而全真道的人居理念主要体现在其对修道场所的选择上。其在选择修道场所时所体现出来的崇阳、择静、取便和尚简的理念,对于当代社会合理而科学的择居具有重要启示价值。