Orally disintegrating olanzapine: a possible alternative to injection of antipsychotic drugs

1. The orally disintegrating formulation of olanzapine dissolves rapidly on contact with saliva. 2. In certain cases, orally disintegrating olanzapine may be administered, instead of injection of an antipsychotic agent. 3. Orally disintegrating olanzapine is intended to deliver a dose analogous to regular olanzapine tablets.     

Social support and children affected by parental HIV

While HIV and AIDS continue to decimate the population of sub-Saharan Africa, HIV remains an issue of major concern for those working with children and families throughout Europe. The combined impact of intravenous drug use by young adults and heterosexual transmission means that increasing numbers of children and young people in many countries in Europe are growing up in families where one or both parents is HIV positive (EuroHIV Report 2001 EuroHIV Report December 2001 www.eurohiv.org/AidsSurv/comments.htm  [Google Scholar]). This paper draws on findings of a recently completed qualitative study of children and young people in Scotland with a parent or carer with HIV. It is argued that social support is especially necessary and yet highly problematic for children and young people with a parent or carer with HIV.     

Linking early social risks to impaired physical health during the transition to adulthood

The present longitudinal study of 485 youth used structural equation models to investigate the ways in which a combination of social disadvantage in the family of origin and adolescent maladjustment increases risk for physical health difficulties during adulthood. The study examined a theoretical model that proposes that disruptions in the transition to adulthood mediate the effect of earlier social disadvantage and adolescent maladjustment on young adult physical health status. Results show that early risk factors initiate a sequence of negative influences on young adult physical health through early entry into family responsibility, truncated educational attainment, and poor occupational and economic status. These associations prevailed even after controlling for physical health status during adolescence.     

Felt,false, and miserable smiles

Theoretically based distinctions linked to measurable differences in appearance are described for three smiles: felt smiles (spontaneous expressions of positive emotion); false smiles (deliberate attempts to appear as if positive emotion is felt when it isn't); and, miserable smiles (acknowledgements of feeling miserable but not intending to do much about it). Preliminary evidence supports some of the hypotheses about how these three kinds of smile differ.This research was supported by a grant (MH 11976) and a Research Scientist Award (MH 06092) from the National Institute of Mental Health. We are grateful to Maureen O'Sullivan for her suggestions on this report.     

Decentralizing Risk Analysis in Large Engineered Systems: An Approach to Articulating Technical and Socioorganizational Dimensions of System Performance1

Nuclear power production in France, as the domain of one national utility and one reactor builder, has a standardized profile of technical installations, safety procedures, and personnel qualifications. Despite this relative homogeneity, discrepancies are observed from one production unit to another, notably in the area of worker-safety performance. There is a strong implication for risk analysis: varying performance cannot be attributed solely to the technical dimensions of equipment, procedures, and human skills. The authors retain as a working hypothesis that safety performance is an outcome of interactions between technical and organizational factors. Traditional risk analysis appears to be underequipped to represent such interactions. The notion of decentralized risk analysis (DRA) is introduced as a means of achieving this goal. A program of applied research carried out in a NPP facility is presented. It aims at increasing, across plant work structure, knowledge and control of these interactions specific to the given context. Systematic measurements and feedback of social representations are performed, using a three-dimensional factor space of individual and organizational values. Direct involvement of the total plant population, transfer of analytic tools, methodological continuity, interactive elaboration of data, coordination of different levels of findings with operations, follow-up and feedback of measured change, are the main features of this DRA process. In the case cited, improvement observed in safety performance parallels changes in measured social representations. The value of DRA for articulating technical and organizational dimensions of risk, and for integrating information into decision-making, is argued.     

Trends in Premarital Counseling*

Recent developments and current problems in the field of premarital counseling are discussed. Particular attention is given to the need for better training of premarital counselors and for more systematic evaluation of the impact of premarital counseling strategies.     

Reflecting emotions: The movement-mirroring test

This study tests the ability to mirror emotions by having second-year social work students and first-and second-year dance therapy students duplicate a videotape of a person expressing sadness, anger, and happiness. The ability to mirror is then compared to imaginative, expressive, and observational skills. Movement mirroring was found to correlate positively with, and was predictive of, observational skills. Mirroring was found not to be related to expressivity and the relationship between mirroring and imagination was unclear. Dance therapy students performed significantly better than social work students on the Movement-Mirroring Test, however, training did not improve their scores.