A Family Therapist's Look Into Interpersonal Neurobiology and the Adolescent Brain: An Interview With Dr Daniel Siegel

Advances in brain research are increasingly having an impact on clinical interventions in all fields of psychotherapy. For adolescent family therapists it is important not only to understand the developing adolescent brain, but also how brain research can influence interventions aimed at interrupting problematic familial interactions. Interpersonal neurobiology and the ideas of Dr Daniel Siegel synthesise the interpersonal with the scientific, offering practical clinical methods of incorporating the research into everyday practice. This article incorporates a verbatim interview with Dr Siegel about the adolescent brain, interpersonal neurobiology and attachment with an outline of key concepts from interpersonal neurobiology including the hand model of the brain, nine functions of the prefrontal cortex, the triangle of wellbeing and eight domains of integration. Clinical applications are suggested using a common presenting problem of escalating conflict between teenagers and their parents.     

Black-White Differentials in Adult Homicide Mortality in the United States

Objective . This article examines individual level black-white differences in adult homicide mortality. Homicide is a major social problem and a central cause of preventable death in the United States. A homicide not only claims one life prematurely but can also devastate a family, friends, and a neighboring community. Methods . We link eight consecutive years of the National Health Interview Survey (1987–94) to the Multiple Cause of Death file through the National Death Index (1987–97), and use Cox proportional hazard models to examine the role of social factors in black-white homicide mortality in the United States. Results . We find that individual level sociodemographic characteristics—age, sex, marital status, education, employment status, and geographic factors—explain almost 35 percent of the racial differences in homicide mortality. Conclusions . These results demonstrate the contributions that National Center for Health Statistics data can make to criminological literature and reveal the mechanisms through which blacks experience higher homicide mortality than whites. Such illumination may lead to a reduction in the fourth leading preventable cause of death in the United States.     

Emotional Labor and Health Care

We examine the literature on emotional labor and health care to demonstrate the potential for emotional labor research to inform how social and medical scientists think about health care and how examining healthcare contexts has contributed to the scientific understanding of emotional labor processes. In doing so, we first review the key terms and definitions that are used within the emotion management perspective and evaluate the ways in which power differences have remained largely implicit features of research on emotional labor in healthcare settings. Finally, we explore how the increasing economic rationalization of health care may be influencing the emotional experiences of today's healthcare professionals and the implications of this trend for future research on emotional labor and the health and well-being of care providers and their patients.     

Review Essay: Analyzing Emotions: Prisms,Transferences, Rituals,and Histories

Sociological Forum -     

CONTEXTUALIZED ASSESSMENT WITH BATTERED WOMEN: STRATEGIC SAFETY PLANNING TO COPE WITH MULTIPLE HARMS

Given the prevalence of domestic violence and the likelihood that many victims will not receive services from specialized domestic violence providers, this article provides a framework for contextualized assessment that can be used by generalist practitioners. Drawing from stress and coping theory, the authors discuss the relevance of assessing appraisals and emotional responses within the context of environmental and individual risk and protective factors. Through an illustrative case assessment, the authors describe the contextualized assessment process and its ramifications for strategic safety planning.     

A Content Analysis of Violence in American War Movies

In a content analysis of movie violence, we randomly selected twelve top-grossing American war films from four decades (1970 to 2002). We coded for implements of violence, length of violence, gore, and violence directed at noncombatants. We hypothesized that recently released war movies would be more violent than those released earlier. We found that films released since 1990 did contain more violence compared to others. Further, the intensity of gore increased in recently released movies.     

Causes of death to women of reproductive age in two developing countries

Data on cause of death are deficient for most developing countries. Nevertheless, it is important for policy makers to have access to such information to plan the use of resources and to evaluate health programs. In this study, deaths among women of reproductive age (15 to 49) in two areas in developing countries were located, and family members were interviewed. Local physicians reviewed the completed interviews and determined the cause of death.Complications of pregnancy and childbirth were the cause of 23% of the deaths in Menoufia, Egypt and Bali, Indonesia. In Egypt, the first cause of death was circulatory system disease (28%), followed by complications of pregnancy and childbirth (23%), and trauma (14%, primarily burns). In Indonesia, complications of pregnancy and childbirth was the first cause of death, followed by infectious disease (22%, primarily tuberculosis), and circulatory system disease (13%).Although the method of data collection was unorthodox, findings for Menoufia are comparable to data from other sources for the country as a whole. There are few data with which to compare our findings for Bali, but their similarity to the data from the Egyptian study lends credence to their quality.     

Gambling in young adolescents

A questionnaire was used to investigate gambling in British adolescents. Responses from fifty 13- to 14-year-olds were analyzed. Gambling was found to be very pervasive (90% of subjects reported at least some gambling activity). Males gambled more than females, both in absolute terms and as a proportion of income. Income was found to have some influence on gambling behavior, but the effects of intelligence and social class were nonsignificant. Slot machines were the commonest form of gambling in both sexes.The willing cooperation of the teacher and students concerned is gratefully acknowledged. This paper is based on a report submitted by the first author in partial fulfillment of the requirements for the BSc degree at the University of Exeter. Some of the data were presented to the conference of the British Psychological Society Developmental Section, held in Exeter in September 1986, and to the colloquium of the International Association for Research in Economic Psychology, held at Aarhus, Denmark, in September 1987.