Social-cognitive processes as moderators of a couple-focused group intervention for women with early stage breast cancer.

OBJECTIVE: The purpose was to examine whether social-cognitive variables would moderate the efficacy of a couple-focused group intervention (CG) for women diagnosed with early stage breast cancer. DESIGN: Participants (N = 238) were randomly assigned to 6 sessions of a couple-focused group versus usual care. Intent to treat growth curve modeling analyses indicated that emotional expression and emotional processing moderated CG effects on depression. MAIN OUTCOME MEASURES: The primary outcome measures for this study were psychological distress and psychological well-being. RESULTS: Treatment attrition analyses separating out participants assigned to but not attending CG indicated that emotional expression, emotional processing, and protective buffering moderated the effects of CG among those who attended CG with the most consistent effects noted for emotional processing on indicators of distress and well-being. CONCLUSION: The CG intervention may be more effective for patients who begin the group experience using emotional approach coping strategies to deal with cancer.     

Who is in Need of Victim Support?: The Issue of Accountable, Empirically Validated Selection and Victim Referral

The tremendous growth in victim-oriented laws granting various rights to crime victims, which emerged worldwide during the last two decades, has initiated a renewed research interest in the varied aspects of the needy victims concept. Highly sophisticated theoretical models, indicating various risk factors (e.g. external control, upward relative risk assessments) and protection factors (hardiness, behaviour attributions), were developed to explain which crime victims are in need of victim support. The practical validity of these models is relatively low: at the police level there are simply no resources to conduct lengthy diagnostic interviews with crime victims. This article aims to bridge the gap between sophistication and mundane selection of needy victims. The focus is on a simple selection instrument, namely the victim's psychological condition prior to the victimization. Analyses suggest that low pre-victimization well-being constitutes a central risk factor, predicting a delayed deterioration in post-victimization well-being, and longer term psychological distress, which is manifest ten months after the victimizing incident. The traffic light model is discussed as a simple selection tool, which might be used during the witness interview. Such a model may also be used by defense attorneys to examine if clients were appropriately assessed as needing support after describing their experiences to the police. For the prosecutor's office the traffic light model offers an instrument to predict which victims might benefit from a personal interview with the prosecutor. Some implications of low well-being for studies on repeat victimizations are discussed, inter alia in terms of a potential mood congruence bias, that might result in inflated estimates of multiple victimizations.     

Crime, Social Capital, and Community Participation

Social disorganization at the neighborhood and community levels has been consistently linked to various forms of criminal activity. However, a very much smaller body of literature addresses the effects of crime on community organizations. In some studies, crime appears to energize communities while in others, crime leads to withdrawal from community life. Using department of health crime victimization data and interviews with 2,985 low-income inner city residents living in 487 multi-family dwellings, a multi-level model examined the relationships among crime victimization, social organization, and participation in neighborhood organizations. Social organization at the individual and building levels was measured using recent formulations of social capital theory. Findings regarding crime suggested more signs of a chilling effect on participation than of an energizing effect, especially at the building level. Social capital at the building level was more strongly and consistently related to participation in community organizations than was crime.     

Police communication programmes aimed at burglary victims: A review of studies and an experimental evaluation

The effects and side-effects of a victim assistance project aimed at victims of burglary are experimentally evaluated. Key features of the programme included the provision of burglary prevention information by police officers during a personal interaction with the victim through a positive and limitative communication strategy. Results suggest that important programme goals (for example, stronger satisfaction with police performance, a more internal risk orientation concerning victimization, stronger preventive intentions) were met. One of the positive effects for which experimental support was found was an improvement in police-victim relations. As regards side-effects the programme led neither to response generalization, nor to increased fear of crime outside the home. However, the side-effects of increased fear in the home did occur in female victims and victims with an external risk-orientation. The implications for future victim assistance projects in this domain are finally discussed.     

Life Spillovers: The Spillover of Fear of Home Foreclosure to the Workplace

Work–life research has focused on the spillover of family experiences to the workplace but has neglected other life experiences that may also be brought to work. Addressing this shortcoming, we present a conceptual framework for the study of life spillovers. We offer the idea that life experiences can include shocks and that the fear associated with nonwork shocks can spill over to the workplace. The national shock of the collapse of the U.S. financial and housing markets in 2008 offered an opportunity to test these ideas and build an empirical foundation for the study of life spillovers. Using a sample of 2,135 organizationally employed homeowners, we examined the spillover of fear of home foreclosure to the workplace. In support of our moderated mediation model, employees with greater fear of losing their homes to foreclosure reported more physical stress‐related symptoms at work, and their acknowledgment of home‐to‐work spillover fully mediated this relationship. Fear of foreclosure also directly predicted job search behaviors and negatively affected employees’ organizational commitment and turnover intentions through multiple mediators involving home‐to‐work spillover and stress. Resources and demands from the home and, to a lesser extent, work domains amplified the spillover of fear of foreclosure to the workplace. Taken together, these findings support widening the work–life lens to include a broader array of nonwork experiences. Practical implications are presented as well as new directions for future research using the life spillover framework.     

The impact of premature childbirth on parental bonding

The development of an affectionate parent-infant bond is essential for a newborn infant's survival and development. However, from evolutionary theory it can be derived that parental bonding is not an automatic process, but dependent on infants' cues to reproductive potential and parents' access to resources. The purpose of the present study was to examine the process of bonding in a sample of Dutch mothers (n = 200) and fathers (n = 193) of full-term (n = 69), moderately premature (n = 68), and very premature infants (n = 63). During the first month postpartum parents completed the Pictorial Representation of Attachment Measure (PRAM) and Postpartum Bonding Questionnaire (PBQ). Longitudinal analyses revealed that mothers' PRAM scores decreased after moderately preterm delivery, whereas decreases in PRAM scores occurred in both parents after very preterm delivery. As lower PRAM scores represent stronger feelings of parent-infant connectedness, our findings suggest a higher degree of bonding after premature childbirth. Results of the PBQ analysis were in line with PRAM outcomes, as parents of preterm infants reported less bonding problems compared to parents of full-terms. These findings support the hypothesis that in affluent countries with adequate resources, bonding in parents of preterm infants on average may be higher than in parents of full-term infants.     

Religious cultures and gender cultures: tracing gender differences across religious cultures

This special issue of the Journal of Contemporary Religion focuses on varying empirical connections and theoretical relations between ‘religion’ and ‘gender’. The introduction to this special issue suggests a theoretical approach which is sensitive to culture by drawing on a phenomenological understanding of culture that is based on knowledge and meaning production and sense making. At first sight, this may not sound convincing because ‘culture’ is a category that is most notably used in combination with religion and gender in culturalist ways. In the migration societies of contemporary Europe, religion has become a metaphor for cultural difference and symbolic boundary-making. The core element of this approach is the conceptualisation of culture as a social web consisting of symbolic forms based on signs of meaning that shape social action, orientation, and experience in the world, including the religious sphere. This entails an understanding of religion as a distinct province of meaning that is structured by processes of social symbolisation just like any other sphere of life. This approach reveals that culturalist conceptions of both religion and gender have specific social meanings as meaningful signs in the symbolic order of secular modernity.     

"Am I going crazy, doc?": a self psychology approach to therapeutic assessment

In this case study, we explore the effectiveness of Therapeutic Assessment with a severely disturbed 25-year-old man, referred by his therapist, following Finn's (2007; Finn & Tonsager, 1992, 1997) model. This patient-therapist pair had been working together for approximately 2 months, but the therapy had ceased to progress. The therapist requested a clearer picture of his patient's affective functioning, interpersonal functioning, and self-functioning that might facilitate more effective treatment. Through a collaborative assessment process informed by the principles of Kohutian self psychology, the evaluator and patient slowly formed a working alliance that proved useful for the eventual communication to the patient of his psychologically tenuous reality. This case illustrates the utility of a collaborative, multimethod Therapeutic Assessment with a severely ill patient and the use of Therapeutic Assessment by a less experienced clinician.     

Decreasing Psychiatric Symptoms by Increasing Choice in Services for Adults with Histories of Homelessness

Despite the increase in consumer-driven interventions for homeless and mentally ill individuals, there is little evidence that these programs enhance psychological outcomes. This study followed 197 homeless and mentally ill adults who were randomized into one of two conditions: a consumer-driven “Housing First” program or “treatment as usual” requiring psychiatric treatment and sobriety before housing. Proportion of time homeless, perceived choice, mastery, and psychiatric symptoms were measured at six time points. Results indicate a direct relationship between Housing First and decreased homelessness and increased perceived choice; the effect of choice on psychiatric symptoms was partially mediated by mastery. The strong and inverse relationship between perceived choice and psychiatric symptoms supports expansion of programs that increase consumer choice, thereby enhancing mastery and decreasing psychiatric symptoms.