Secondary prevention interventions for young drug users: a systematic review of the evidence

This paper reviews the international scientific evidence on the effectiveness of secondary prevention interventions for young drug users. The review provides insight into the effectiveness of interventions that have been evaluated using moderately strong research designs. Most of the studies included are from the United States of America. Some interventions are effective in reducing drug use and associated problems while others have no or mixed effect. Those successful in reducing drug use include behavior therapy, Minnesota 12-step programs, residential care, and general drug treatment. Those with either no effect or mixed effect include schools interventions. Involving parents and other agencies may enhance an intervention's effect. There is a lack of good quality studies outside the USA. Future interventions should focus on either low- or high-risk groups of young drug users. Future research should be conducted on a wider range of services for young people and include non-medical outcomes such as communication skills, schooling, employment, family relations, and economic costs.     

Potentiation and overshadowing of shape by wall color in a kite-shaped maze using rats in a foraging task

The interaction between redundant geometric and featural cues in open field search tasks has been examined widely with results that are not always consistent. Cheng (1986) found evidence that when searching for food in rectangular environments, rats used the geometrical characteristics of the environment rather than local featural cues, suggesting that geometry had overshadowed featural cues. More recently, Graham et al. (2006) and Pearce et al. (2006) found that wall color facilitated (potentiated) learning about the shape of the environment by rats in a kite-shaped water maze. The first experiment in the present research replicated the paradigm used by Graham et al. and Pearce et al. using rats in a foraging situation, but with conditions similar, and found the same results, potentiation of shape by color. Experiments 2 and 3 revealed overshadowing instead of potentiation of shape by wall color under the same conditions except that the wall colors of the test environment were not the same as those used during training. The results are consistent with an analysis of the role of associations formed between wall color and geometry in such situations (Rhodes et al., 2009) and extend our understanding of how featural and spatial cues interact.     

The acceptability and preference for the psychological treatment of PTSD

The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for posttraumatic stress disorder (PTSD) were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment.     

Confirmation in Couples' Communication About Weight Management: An Analysis of How Both Partners Contribute to Individuals' Health Behaviors and Conversational Outcomes

Using confirmation theory, this study investigated how romantic couples' (N = 100) accepting and challenging communication was associated with several weight management (WM) outcomes (i.e., partners' general effectiveness in motivating each other to enact healthy behaviors, productivity of WM conversations, and diet and exercise behaviors). Actor–partner interdependence model analyses showed that acceptance and challenge from partners simultaneously predicted how effective partners were in motivating healthy behaviors, but these components of confirmation predicted the other outcomes in different ways. Analyses across the outcomes also revealed that similar partner communication styles predicted general effectiveness, more productive WM conversations, and healthier eating habits. The findings of this study highlight the importance of assessing the interdependence of partners' WM efforts.     

Expressed emotion and attributions in the carers of patients with Alzheimer's disease: the effect on carer burden

Burden of care, expressed emotion (EE), causal attributions, and salivary cortisol were assessed in 100 carers of patients with Alzheimer's disease. Forty-one carers were rated high EE, which was associated with higher scores of carer distress and strain, and greater reports of noncognitive features in the patient, but not with cortisol levels. High EE carers made more attributions personal to, and controllable by, the patient for negative events. Critical carers made more attributions of the patient's behavior that was idiosyncratic. Warmth toward the patient was associated with the opposite of this pattern. Overinvolved carers made attributions of the patient's behavior to causes external to the patient and internal to themselves. Cortisol levels were associated with self-reports of strain and distress.     

The Genetic Counselor’s Role in Managing Ethical Dilemmas Arising in the Laboratory Setting

Ethical dilemmas are encountered commonly in the setting of the clinical genetic testing laboratory due to the complexity of genetic testing and the number of relevant stakeholders involved in the genetic testing process. Based on their clinical training and role within the laboratory, genetic counselors are uniquely equipped to identify and facilitate management of ethical dilemmas. This paper reviews the historical context of ethical theory and its application to the field of genetic counseling. Theoretical and applied ethics are explored in the context of dilemmas arising in the laboratory setting, with a focus on the role of the laboratory genetic counselor in managing ethical dilemmas. Two illustrative case examples are provided.     

School Uniforms: A Qualitative Analysis of Aims and Accomplishments at Two Christian Schools

Employing rigorous qualitative research methodology, we studied the implementation of two schools' uniform policies. Their primary intents were to eliminate competition, teach young people to dress appropriately, decrease nonacademic distractions, and lower the parental clothing costs. The young people differed with adults regarding whether or not the objectives relating to competition and distractions were met. Both adults and young people agreed that the goal of learning to dress more appropriately was met, yet they differed on how accomplishment was achieved—and also on how they understood appropriate dress. Data from both schools was generally comparable, with four notable differences.     

Empathy, theory of mind, and individual differences in the appropriation bias among 4- and 5-year-olds

Evidence that young children often claim ownership of their partner’s contributions to an earlier collaborative activity, the appropriation bias, has been attributed to shared intentionality (Cognitive Development (1998) 13, 91–108). The current investigation explored this notion by examining individual differences in the bias among 4- and 5-year-olds as a function of empathy and theory of mind. On two occasions, children joined an adult and two dolls (with each doll being operated by one of the humans) in a picture matching board game before being asked to remember who placed each picture. Children showed a robust appropriation bias despite excellent recognition memory for the studied pictures (Study 1) and particularly in relation to the human sources (Study 2). Whereas higher levels of self-reported empathy were associated with a greater frequency of appropriation errors and fewer correct attributions for pictures placed by the adult and her doll partner, the opposite pattern emerged for theory of mind. Moreover, the positive relations between theory of mind and source monitoring accuracy remained robust after controlling for general ability and inhibitory skills. We consider the implications of these findings for understanding the processes driving the appropriation bias.