Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Linguodidactic Profiling in Teaching Russian as a Foreign Language to Labour Migrants

The main purpose of this exploratory study is to work out and describe the labour migrant’s linguodidactic profile, to verify its didactic capacity of an instrument of pedagogic measurement of social, cognitive, ethnocultural, educational and other significant characteristics of migrants affecting the efficiency of the Russian language training courses. The interdisciplinary methodology of the research integrates principles and approaches of methods for teaching Russian as a foreign language, interdidactics, migration sociolology, culturology, anthropology and cognitive science. The Russian language training courses have a strong potential for linguocultural adaptation and integration of labour migrants because the language functions as a depository and translator of the hosting nation’s moral norms and values. The effectiveness of the Russian language training course depends upon the strict consideration of all significant characteristics of its addressees, i.e. labour migrants. These characteristics were identified and then integrated into the linguodidactic profile which was taken as a basis for the language training course. The didactic capacity of the linguodidactic profile was proved on the example of language teaching and testing of migrants from the Republic of Tajikistan, since foreigners from this country form the majority (47%) of labour immigration flows to the Russian Federation. The role and capacity of the linguodidactic profile in teaching Russian as a foreign language have been verified experimentally. The analyses and comparisons of the final examination results proved the efficiency of the training course worked out with consideration for the labour migrant’s typical linguodidactic profile and, consequently, its high didactic capacity.     

Prologue: Introduction and Overview to Special Volume

Abstract

The editors provide an overview of the obstacles that prevent us from ending child abuse in the United States and briefly summarize the various articles in this volume that address these obstacles from multiple points of view.     

The neural bases of the constructive nature of autobiographical memories studied with a self-paced fMRI design

In Conway and Pleydell-Pearce's model (2000), autobiographical memories are viewed as transitory mental representations, more often generated in an effortful way. An important claim of the model concerns the dynamic process that evolves over time, from the left prefrontal areas to posterior regions, to retrieve specific memories. The present work aims at investigating, using fMRI, the temporal distribution of effortful autobiographical memory construction. In addition, a self-paced design was implemented to elucidate the question of the timing window required to evoke recollections. The results showed a large pattern of brain regions, which included the two major poles of activation predicted by Conway and Pleydell-Pearce's model. Likewise, we were able to detect the earlier implication of the left dorso-lateral prefrontal cortex, by comparison with posterior structures, which seemed to confirm its involvement in the effortful retrieval process. Finally, the self-paced procedure allowed us to refine the timing window necessary to construct past events.     

Do Geographic Regions with Higher Suicide Rates also have Higher Rates of Nonfatal Intentional Self‐Harm?

Fatal and nonfatal intentional self‐harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New Hampshire 206.5/100,000 person years; Massachusetts 166.7/100,000). Geographic context did not uniformly impact the likelihood of self‐harm across event types. The state‐level public health burden posed by such acts cannot, therefore, be accurately estimated from either mortality or morbidity data alone.     

Sustained Effects of Flexible Working Time Arrangements on Subjective Well-Being

The article addressed the impact of a transition to two flexible working time arrangements, employee- and employer-oriented, on subjective well-being (measured by job satisfaction and satisfaction with leisure time) from a longitudinal perspective. The study investigated which of three patterns of well-being, i.e., stability, recovery, or chronic strain/long-term improvement, are associated with these transitions. To address this question, the study used data from eleven waves (2003–2013) of the German Socio-Economic Panel. Fixed-effects analyses indicated that the well-being of individuals who switched to the employer-oriented flexible time arrangement followed a chronic strain pattern (women) or adaptation pattern (men). The effect of the transition to an employee-oriented flexible time arrangement is not unanimous: women appear to profit from this arrangement in the long run in terms of increased satisfaction with leisure time, whereas men experience deterioration in satisfaction with leisure time, followed by adaptation. At best, the effect of this transition on job satisfaction is short-lived for both genders.     

Lasting increases in basolateral amygdala activity after emotional arousal: implications for facilitated consolidation of emotional memories

Manipulations that reduce or enhance the activity of basolateral amygdala (BLA) neurons in the minutes to hours after training have been shown to respectively impair or facilitate retention on the inhibitory avoidance task. Although this suggests that BLA activity is altered after emotional arousal, such changes have not been directly demonstrated. To test this, we devised a feline analog of the inhibitory avoidance task and recorded BLA unit activity before and after a single inescapable footshock. Single-unit recordings revealed that the firing rate of many BLA neurons gradually increased after the footshock, peaking 30-50 min post-shock and then subsiding to baseline levels 2 h later. During this period of increased activity, the discharges of simultaneously recorded BLA cells were more synchronized than before the shock. Although it was known that pairing innocuous (conditioned stimulus, CS) and noxious stimuli modifies the responsiveness of BLA neurons to the CS, our results constitute the first demonstration that emotional arousal produces lasting increases in the spontaneous firing rates of BLA neurons. We propose that these changes in BLA activity may promote Hebbian interactions between coincident but spatially distributed activity patterns in BLA targets, facilitating the consolidation of emotional memories.