Brief Psychiatric Treatment and Symptom Improvement in University Students

Abstract

A total of 242 university students seen in an outpatient mental health clinic were evaluated for symptom changes during treatment using both a self-report inventory and chart notations. Specific clusters of major presenting and major improving symptoms, based on combined frequency and severity measures, were obtained for each of the largest diagnostic groups. Self-rated improvement on major symptoms ranged from 81.8 to 88.4% for patients with anxiety neurosis, depressive neurosis, and adjustment reaction, while personality disorder patients reported 54.5% improvement. Chart-based overall improvement rates were uniformly lower (36.4 to 77.3%) than corresponding self-report figures for each diagnostic group. The extent to which chart-rated overall improvement correlated with self-rated improvement on specific symptoms was analyzed.     

UNDERSTANDING ENVIRONMENTALISM IN A RED,AGRICULTURAL STATE: THE IMPACT OF POLITICAL PARTY IDENTIFICATION AND PLACE OF RESIDENCE

The red state-blue state characterization of American society geographically categorizes the U.S. into Republican and Democrat states, with the assumption that the gulf between the states is broad and deep in many issues and policies. Given this presumed division, this research examines three dimensions of environmentalism to determine if political party identification is indeed a useful predictor of environmentalism when taking into consideration a person's place of residence and several other social demographic influences. Data come from a 2003 phone survey of 606 residents in Nebraska. Nebraska provides a good test of how much political party identification matters in understanding environmentalism when the population is generally conservative, with traditional ties to extractive commodity production. The findings show that political party identification is significant in understanding environmentalism and that place of residence does not affect environmentalism. However, while the findings reveal that political party identification is an important predictor of environmentalism, both Republicans and Democrats show a relatively strong support for the environment.     

Demands of Maternal Chronic Illness and Children’s Educational Functioning: An Exploratory Study

The study explored the associations between characteristics (e.g., type of illness, years of illness, time spent on managing illness related activities, and the extent of physical impairment) of maternal chronic illness, household income, demands of illness experienced by the patients and their families, and their children’s academic achievement. One hundred and fifty mothers who were diagnosed with chronic physical illness (e.g., diabetes, cancer, multiple sclerosis, HIV/AIDS, etc.) participated in this study by completing a questionnaire asking their medical condition, experienced demands imposed by their illness, as well as their children’s grades in school. The results indicated that years of illness, extent of physical impairment, time spent on managing illness related activities, and household income were significantly associated with the demands imposed by the mothers’ physical illness. Household income was found to be the most robust predictor of children’s grades in the sample of chronically ill mothers. Implications and limitations of the present study will be discussed.     

Alcohol,Child Maltreatment,and Parenting Stress in the Lives of Birth Mothers

ABSTRACT

This exploratory study examines the potential relationship between parenting stress, child maltreatment, and alcoholism in a pilot data set. Twenty-four participants (six African-American, six European-American, six Mexican-American, and six Native-American) completed four questionnaires (Parenting Stress Index, Conflict Tactics Scale Parent-Child, Michigan Alcoholism Screening Test, Chemical Dependency Assessment Profile [PSI, CTSPC, MAST, and CDAP]). Through principle component analyses and multiple regression analyses, it was suggested that self-perceived parenting strength or competence directly affect a parent's tactics to deal with parent-child conflicts. Results indicated that self-confidence as a competent parent was related to the frequency of using verbal degrading and physical punishment. Parents who reported that the child's temperament bothers them a lot were more likely to physically abuse the child. Though all the participants could be categorized as alcoholic by the MAST, parents' alcoholic abuse did not appear to elevate the severity of child maltreatment, as measured by the CTSPC.     

Discursive Arenas: Deliberation and the Constitution of Identity in Public Participation at a Local Level

This article is based on empirical research into public participation in two English cities. It discusses issues related to motivations to take part in public participation initiatives and the way in which individual and collective identities may be constructed through participation. Drawing on social movement theory it emphasises the importance both of networks and values in prompting participation and it illustrates this with examples drawn from participation initiatives based around identities: age, gender, ethnicity, and issues/interests such as health inequalities, community regeneration and social care service provision. The analysis suggests it is important to understand the histories and motivations of officials as well as citizens who take part, and questions the priority given to ‘representation’ in constituting the membership of participation forums.     

The preoccupation with thresholds in cases of child death or serious injury through abuse and neglect

Thresholds into and between services emerged as a significant theme in the biennial analysis of cases of child death and serious injury through abuse and neglect ‘serious case reviews’ carried out in England for the (then) Department for Education and Skills between 2003–05. The preoccupation with thresholds was one of a number of interacting risk factors and many children's cases were on the boundary of services and levels of intervention. In most cases child protection did not come ‘labelled as such’ which reinforces the need for all practitioners, including those working with adults to be alert to the risks of significant harm. Policy makers should acknowledge that staff working in early intervention are working within the safeguarding continuum and not in a separate sphere of activity. The emotional impact of working with hostility from violent parents and working with resistance from older adolescents impeded engagement, judgement and safeguarding action. In the long term neglect cases that were reviewed, the threshold for formal child protection services was rarely met and some agencies and practitioners coped with feelings of helplessness by adopting the ‘start again syndrome’. Adequate resources are essential but not sufficient to redress the problems. Effective and accessible supervision is crucial to help staff to put into practice the critical thinking required to understand cases holistically, complete analytical assessments, and weigh up interacting risk and protective factors. Copyright © 2008 John Wiley & Sons, Ltd.     

Development of Empathy in Girls During the Second Year of Life: Associations with Parenting, Attachment, and Temperament

The development, antecedents, and concomitants of empathic concern in the second year of life were examined. Associations with parental sensitivity, children's fearfulness and attachment security were investigated. At 16 and at 22 months, 125 firstborn girls from middle‐class families were observed in their homes and in the laboratory. Empathic concern was assessed from the girls’ responses to simulated distress in their mothers and in an unfamiliar person. Temperamental fearfulness was observed when they were confronted with potentially scary items. Attachment security was assessed with the Strange Situation procedure, and parental sensitivity was measured in problem‐solving situations both at home and in the lab. From 16 to 22 months, empathic concern for the mother's distress increased, whereas empathy for the stranger decreased. A more fearful temperament and less attachment security predicted less empathic concern for the stranger's distress. Antecedent and concurrent measures of parenting showed disappointingly weak associations with empathic concern. Empathy for strangers in distress requires the regulation of negative emotions for which fearful and insecurely attached girls seem to be less well equipped.     

Short-term international assignments. Military perspectives and implications for international human resource management

Short-term international assignments have been under-explored in international human resource management (IHRM) literature and research. Equally, there is a dearth of studies on international mobility beyond multinational corporations. Drawing on an exploratory study of short-term international assignments in the Irish Defence Forces, this paper considers the implications for IHRM.