Resilience in Families Adapting to Autism Spectrum Disorder

This study explored adjustment and adaptation in families living with Autism Spectrum Disorder (ASD). Data on family resilience were collected from 19 biological mothers of children with ADS. The data were analysed qualitatively and quantitatively to yield information on factors that enable these families to bounce back from the diagnosis and accompanying challenges with regard to ADS. The findings from the qualitative analysis indicate that social support, the spousal relationship, and family time, togetherness and routines are the most important resilience-promoting factors with ASD. Family hardiness, family problem-solving communication, and family time and routines were significant resilience resources.     

The effects of naloxone administered into the periaqueductal gray on shock-elicited freezing behavior in the rat

Freezing behavior that occurs following footshock was found to increase in rats in which naloxone was injected into the ventrolateral region of the mesencephalic periaqueductal gray (PAG) area of the brain prior to footshock administration. Since naloxone administered into the ventrolateral region of the PAG induced minimal freezing in rats which did not receive footshock, the results suggest that the effect of naloxone on shock-induced freezing is not due to a nonspecific decrease in motor activity. Naloxone had no effect on freezing when injected into the dorsolateral region of the PAG. The data are consistent with the theory that conditioned fear induces opioid mediated analgesia, and that the ventrolateral region of the PAG is an important component of a pain-inhibitory system involved in this analgesia.     

Family decision-making for nursing home residents: Legal mechanisms and ethical underpinnings

Families frequently act as substitute decisionmakers for their older members who suffer from diminished mental capacity to make and express their own medical choices. Substitute decisionmaking takes on particular ethical and legal urgency within the nursing home environment, especially when choices concern potential medical treatment near the end of the nursing home resident's life. This article examines current legal mechanisms in the United States that enable a family to make substitute medical decisions, the ethical underpinnings of those mechanisms, and specific ethical and legal considerations implicated by their application to the nursing home setting. The article offers advice to nursing home professionals, including physicians, in working with families as substitute decisionmakers.     

The Epidemiology of Homicide followed by Suicide: A Systematic and Quantitative Review

This systematic review of population based studies of homicide followed by suicide was conducted to examine the associations between rates of homicide‐suicide, rates of other homicides and rates of suicide. The review analysed 64 samples, including the case of an outlier (Greenland) that were reported in 49 studies. There was a significant association between the rates of homicide‐suicide and those of other homicides in studies from the U.S.A. Outside the U.S.A. there was no clear association between homicide‐suicide and other homicide but there was modest but significant association between rates of suicide and homicide‐suicide. Homicide‐suicide appears to be closer in epidemiological terms to homicide than suicide in regions with high rates of homicide and measures to reduce homicide in these regions may also reduce homicide‐suicide.     

Can Facilitation Imagery Alter the Effects of Semantic Priming?

This study examined if task motivational imagery suggestions could facilitate a semantic priming effect, relative to general relaxation suggestions and no specific suggestions; and if the participants’ hypnotizablity moderated the effects of the three types of instructions. Participants (n = 127) were assigned randomly in groups to one of the three instructional conditions (imagery, relaxation, or control) and two versions of a stimulus list for counterbalancing. A 3-way analysis of variance suggested that the semantic priming effect was found to be stronger for stimulus list version 2 than for version 1. A stronger semantic priming effect was found for the high, relative to the low and medium, hypnotizable groups. When medium hypnotizable participants were excluded, an instructional group X hypnotizability group interaction was found for list 1 suggesting that while the low hypnotizable participants benefited more from the relaxation suggestion, the high hypnotizables benefited more from the imagery instruction. The results suggest that imagery instructions may moderate automatic processes for highly hypnotizable individuals.     

Regulating Research for the Decisionally Impaired: Implications for Mental Health Professionals

Mental health professionals, in fulfilling their different roles, often become involved with research protocols involving decisionally impaired current or prospective human subjects, many of whom are elderly. The opening section of this paper briefly describes the present regulatory environment regarding human subjects research, followed by an overview of the Institutional Review Board (IRB) process. There then ensues an enumeration of some of the general criticisms of the current regulatory scheme that have been enunciated recently. Particular concerns concerning decisionally impaired persons as research subjects are then addressed, referring when applicable to the recommendations made by the National Bioethics Advisory Commission (NBAC) in its 1998 report on this subject and the implications of those recommendations for mental health professionals.     

Evaluating the performance of departments of psychotherapy

Conceptual and practical issues which surround attempts at assessing the efficiency of psychotherapy departments are surveyed and the advantages and disadvantages associated with performance indicators reviewed. The issues of assessing efficiency in general and the selection of appropriate indicators at both national and local levels are discussed. It is concluded that it is possible to find indicators which reflect the value of a psychotherapeutic service to the community within which it is based, and that the identification of a generally agreed set of such parameters is a matter of priority.