Bearing bad news: Dealing with the mimics of denial

Denial is a common label for certain reactions to bad news. However, true denial is rare, and most cases actually represent a variety of responses with very different causes and needs. Three of these, disbelief, deferral, and dismissal, are characterized according to origins and needs. Failure to differentiate between these seemingly similar behaviors can result in inappropriate counseling, and interfere with attempts to convey information and provide support during a time of crisis.     

Cognitive Coping Tool Kit for Psychosis: Development of a Group-Based Curriculum

This article outlines an 8-week curriculum that was created to help outpatients develop cognitive and behavioral skills for coping with delusions and hallucinations as well as to reduce patients’ comorbid subjective levels of distress (e.g., depression, anxiety). The manualized protocol consisted of psychoeducation and training in a variety of CBT skills that have shown promise in treating individuals with residual psychosis, using recovery-oriented “naturalistic” methods and culminating in the creation of an individualized “tool kit” of cognitive coping resources. A preliminary study of the effectiveness of this brief group-based CBT program for outpatients with chronic, residual symptoms of schizophrenia was conducted. Participants were 24 outpatients diagnosed with schizophrenia spectrum disorders who were stable on medications and connected to case management community follow-up. The Positive and Negative Syndrome Scale for Schizophrenia interview and the Symptom Checklist-90 self-report symptom scales were administered pre- and post-intervention. The results suggest that there were significant improvements in psychotic symptoms and self-reported distress from pre- to posttreatment.     

Self‐reported attitude scales: current practice in adequate assessment of reliability,validity, and dimensionality

The development of methods to create self‐reported attitude scales has lost momentum, in part because of increased research focused on implicit measures. This paper reviews 162 papers on methodological approaches applied to the validation and assessment of attitude scales. Assessment of methodological approaches applied indicates that neither reliability, validity, nor dimensionality assessments are consistently used according to standard operating procedures or in accordance with best practice. Within current practices in the field of attitude scale development, the full potential of self‐report scales is not met, in part because of such methodological issues. The improvement of existing practices and adoption of promising new developments in attitude scale construction and evaluation are discussed, together with recommendations for best practice in scale validation.     

Evidence Supporting an Independent Association between Childhood Physical Abuse and Lifetime Suicidal Ideation

A regionally representative Canadian sample was used to investigate the gender-specific relationship between childhood physical abuse and lifetime suicidal ideation. The prevalence of suicidal ideation was about five times higher in abused men and women compared with their nonabused counterparts. After controlling for five clusters of potentially confounding factors (adverse childhood conditions, socioeconomic factors, health behaviors, psychosocial stressors/chronic illnesses, and mental health), childhood physical abuse was significantly associated with suicidal ideation (OR(adjusted) women = 4.48, 95% CI = 3.32-6.04; men = 3.57, 95% CI = 2.08-6.14). These findings suggest childhood physical abuse is independently associated with suicidal ideation and highlight the importance of providing preventative treatment to childhood abuse survivors.     

Scientific aspects of early eugenics

The eugenics movement supported applications of scientific breeding principles to humans, ultimately to encourage a better society, but actually with often disastrous social consequences. Although mostly viewed as quackery today, legitimate scientific considerations of fact and theory had an important role in determining the course of eugenics. A school of eugenics arose formally from attempts to apply Darwinian principles to humans in the context of biometry, a school that used statistical approaches to biology. Biometry emphasized blending inheritance and continuous traits, in marked contrast to the particulate inheritance of unit traits in Mendelism. Genetics was therefore a scientific challenge to eugenics, which was rooted in biometry. A Mendelian eugenics arose in the United States primarily under the influence of Charles Davenport. This paper reviews some of the technical issues involved in the development of this new paradigm, as well as Davenport's role as a scientist in this process.