Exercise is medicine… when you enjoy it: Exercise enjoyment,relapse prevention efficacy,and health outcomes for youth within a drug and alcohol treatment service

ObjectiveEvidence for the effectiveness of exercise as therapy for youth substance use disorder (SUD) is scarce. In this study, we investigated associations between exercise enjoyment and recovery outcomes for youth undergoing residential SUD treatment.MethodUsing ecological momentary assessment, each week participants reported perceptions of exercise enjoyment, relapse prevention efficacy, self-esteem, and physical health, and associations between these variables were assessed at both between- and within-person levels. There were 97 participants (age: M = 17.5, SD = 1.57, range = 14 to 21; 37 female, 60 male), with a final sample of 64 due to participants (n = 33) discontinuing treatment within 2 weeks of commencement. Of the remaining sample, 50% (n = 32) completed 3 or more assessments, 40% (n = 26) completed 5 or more, and 25% (n = 16) completed 7 or more.ResultsRelapse prevention efficacy, self-esteem, and perceived physical health increased over time in the program. Youth who, on average, enjoyed exercise more had higher self-esteem, perceived physical health, and relapse prevention efficacy than those who enjoyed it less. Additionally, on occasions when youth enjoyed exercise more (relative to their own average), they reported higher self-esteem, perceived physical health, and relapse prevention efficacy than on occasions when they reported enjoying it less.ConclusionParticipation in—and importantly, enjoyment of—exercise was linked to key health indices and predictors of relapse for youth during SUD treatment. These findings demonstrate that participation in enjoyable structured exercise may provide an important component of successful SUD treatment.     

Does the right hemisphere take over after damage to Broca's area? the Barlow case of 1877 and its history

In 1877 Thomas Barlow, a London physician, published a remarkable case of functional recovery of speech following brain damage. It involved a 10-year-old boy who had lost his speech, regained it, and lost it again before he died from a disorder that affected his heart and produced embolisms that subsequently affected other organs, including his brain. Examination of the boy's brain revealed two focal regions of softening; one that affected Broca's area and the left facial-motor area, and another, which occurred weeks later, in the homologous regions of the right hemisphere. Although Barlow was most concerned with motor deficits, others at the turn of the century began to cite this case as strong evidence that the corresponding region of the right hemisphere can take over speech functions for Broca's area on the left. Whether this case really provides good support for functional takeover or vicariation theory is critically evaluated in the light of contemporary research, including PET scan studies involving damage to Broca's speech region.     

Factors of Empowerment for Women in Recovery from Substance Use

Empowerment is an interdisciplinary construct heavily grounded in the theories of community psychology. Although empowerment has a strong theoretical foundation, few context-specific quantitative measures have been designed to evaluate empowerment for specific populations. The present study explored the factor structure of a modified empowerment scale with a cross-sectional sample of 296 women in recovery from substance use who lived in recovery homes located throughout the United States. Results from an exploratory factor analysis identified three factors of psychological empowerment which were closely related to previous conceptualizations of psychological empowerment: self-perception, resource knowledge and participation. Further analyses demonstrated a hierarchical relationship among the three factors, with resource knowledge predicting participation when controlling for self-perception. Finally, a correlational analysis demonstrated the initial construct validity of each factor, as each factor of empowerment was significantly and positively related to self-esteem. Implications for the application of psychological empowerment theory and research are discussed.     

A Little Goes a Long Way: The Impact of Distal Social Support on Community Integration and Recovery of Individuals with Psychiatric Disabilities

Although an extensive body of literature highlights the important role of social support for individuals with psychiatric disabilities, definitions of support tend to be restricted—focusing on intimate relationships such as friend and family networks and ignoring the role of casual relationships existing naturally in the community. This mixed-methods study of 300 consumers of mental health services in the Southeastern US aims to better understand the impact of community supports, termed distal supports, on community integration and recovery from mental illness. Qualitative content analysis, tests of group mean differences, and hierarchical linear regression analyses revealed the following: (1) participants primarily reported receiving tangible support (e.g., free medication/discounted goods) from distal supports rather than emotional support (e.g., displays of warmth/affection) or informational support (e.g., provision of advice); (2) women and older participants reported more distal supports than men or younger participants; and (3) distal supports played a unique role in predicting community integration and recovery even after accounting for the influence of traditional support networks. Results highlight the importance of considering diverse types of social support in naturally occurring settings when designing treatment plans and interventions aimed at encouraging community participation and adaptive functioning for individuals with psychiatric disabilities.     

Exercise after work,psychological mediators,and affect: A day-level study

In this diary study, we tested the recovery potential of exercise activities during leisure time and examined the psychological mechanisms underlying the relation between exercise activities and affect. We hypothesized that spending time on exercise activities after work will be related to subsequent affect in the evening, and that psychological detachment from work, sense of belonging, and physical self-perceptions explain why exercise activities are related to subsequent affect. One-hundred and twenty-six participants from diverse occupations completed a diary twice a day over five consecutive work days. Multilevel analyses showed that exercise activities after work were related to positive, but not to negative affect in the evening. As proposed, psychological detachment, sense of belonging, and physical self-perceptions mediated the relation between exercise activities after work and positive affect in the evening.     

Mediated conditioning versus retrospective revaluation in humans: The influence of physical and functional similarity of cues

Two experiments assessed whether similarity between the two elements of a compound would influence the degree of mediated extinction versus recovery from overshadowing in human causal judgements. In both Experiments 1 and 2, we assessed the influence of extinguishing one element of a two-element compound on judgements about the other element. In Experiment 1 we manipulated the physical similarity of the two elements of the compound; in Experiment 2, we used equivalence and distinctiveness pretraining in order to vary their functional similarity. We found that these procedures influenced mediated extinction and recovery from overshadowing as a function of both physical and acquired similarity and distinctiveness, respectively. The implications of these results for previously reported differences between humans and nonprimate animals are discussed.     

Development of exhaustion for high-performance coaches in association with workload and motivation: A person-centered approach

ObjectivesThe aim of the current study was twofold. First, to explore whether there were different trajectories of exhaustion among high-performance coaches over the course of a competitive season. Then, to investigate whether workload-related variables and motivational regulations were associated with exhaustion class membership.Methods and design299 high-performance coaches responded to an online survey at the start, middle, and end of a competitive season, assessing exhaustion, workload, work home interference (WHI), recovery, and motivational regulations. Latent class growth analyses were used to identify different trajectories of perceived exhaustion. Further, multinomial logistic regression examined class associations for workload-related variables and motivational regulations at the start and at the end of competitive season.ResultsFour different trajectories of perceived exhaustion among coaches were identified, termed respectively “High” (10%), “Increase” (15%), “Decrease” (4%) and “Low” (71%). Higher levels of workload and WHI were associated to classes with higher levels of exhaustion. Higher levels of recovery, and intrinsic and identified regulations were associated to classes with lower levels of exhaustion. Adaptive and maladaptive profiles were identified.ConclusionsDifferent trajectories of exhaustion among high-performance coaches over the course of a competitive season were found. A maladaptive profile was associated with higher perceived workload and WHI, as well as lower levels of recovery, intrinsic and identified regulations, when compared to the adaptive profile.     

军人婚姻关系恢复机制的探讨

随着社会的变化发展,离婚率日渐增长,军人婚姻关系也受到一定影响,离婚人数日益增多。家是社会的基础,是社会的细胞,特别是军人家庭,他们家庭的稳固与否不但对双方家庭影响巨大,同时也对国家、军队建设有比较深刻的影响。对军人婚恋关系恢复机制的探讨,加强对处于危机中的军人家庭的研究,有助于挽救其处于危机中的婚姻关系,建立和谐家庭,使其减少后顾之忧,更好地投入到部队的建设中去。     

A Randomized Trial of a Mental Health Consumer-Managed Alternative to Civil Commitment for Acute Psychiatric Crisis

This experiment compared the effectiveness of an unlocked, mental health consumer-managed, crisis residential program (CRP) to a locked, inpatient psychiatric facility (LIPF) for adults civilly committed for severe psychiatric problems. Following screening and informed consent, participants (n = 393) were randomized to the CRP or the LIPF and interviewed at baseline and at 30-day, 6-month, and 1-year post admission. Outcomes were costs, level of functioning, psychiatric symptoms, self-esteem, enrichment, and service satisfaction. Treatment outcomes were compared using hierarchical linear models. Participants in the CRP experienced significantly greater improvement on interviewer-rated and self-reported psychopathology than did participants in the LIPF condition; service satisfaction was dramatically higher in the CRP condition. CRP-style facilities are a viable alternative to psychiatric hospitalization for many individuals facing civil commitment.     

Finding a Way Back Home: A Spirituality of Exile after Hurricane Katrina

Three years ago breath took the form of Hurricane Katrina and passed through our bodies and our lives, leaving us forever changed. We all breathed her, but for those of us living on the Gulf Coast our encounter with Katrina was more intimate, our breathing more conscious, our memory more charged, our lives forever changed. My story takes me from the winds of Hurricane Katrina blasting through the Gulf Coast, through the tube of a machine that helped keep my son’s lung expanded, through the Sinai dessert and the valley of the dry bones, through the in-between spaces of grounded groundlessness, to the forests and rivers of the Berskhire Mountains, where I have relocated and started my life over. My spiritual journey “home” is a dynamic story of Earth, wind, fire, water, flesh, and Spirit.