Stagnation as a Distinct Clinical Syndrome: Comparing 'Yu' (Stagnation) in Traditional Chinese Medicine with Depression

Background: Depression was translated into Chinese as yiyu,with reference to the yu syndrome in traditional Chinese medicine.Literally meaning ‘not flowing, entangled or clogged’,yu, or ‘stagnation’ in English, is, however, a constructdistinct from depression. Objective: The study aimed to explorethe construct of stagnation through scale development. Method:A concept-driven approach was adopted to generate candidateitems for the Stagnation Scale. Other measures were a validitychecking item, a Beck Depression Inventory (BDI) and a twelve-itemGeneral Health Questionnaire (GHQ-12). Respondents were recruitedby convenience and snowball sampling, resulting in 602 questionnairesbeing completed by adults between the ages of eighteen and sixty-five.Results: Exploratory factor analysis provided a three-factor,sixteen-item solution. The three factors were named Overattachment,Body-Mind Obstruction and Affect-Posture Inhibition. Cronbach’salphas of the entire scale and subscales ranged from 0.82 to0.91. Correlations of the scale total with the validity checkingitem, BDI and GHQ-12 were 0.71, 0.53 and 0.48, respectively.Stagnation showed a pattern of associations with demographicvariables different from depression. Conclusion: The StagnationScale has good psychometric properties, and has meaningful factorstructures. The evidence supports the contention that stagnationis a clinical syndrome distinct from depression. The new concepthas important implications for social work practice.     

Micro-Genetic Development of Timing in a Child

The purpose of this study is to analyze the micro-genesis of a child’s appropriation of timing. The data consist of video observations from a primary classroom with a focus on one child (7 years old) participating in a musical activity. The results show that the teacher scaffolds the child in several steps: from establishing a platform for participation in the activity, via demonstration to explanation. The child goes from being uncoordinated with the teacher to being able to play in time with her. The meta-issue of how to represent developmental processes in research is discussed.     

A Randomized,Waiting-List-Controlled Study Shows That Brief,Mindfulness-Based Psychological Interventions Are Effective for Treatment of Women’s Low Sexual Desire

We evaluated two treatment conditions for low sexual desire in women: one where participants were administered a mindfulness-based treatment protocol and another with exercises focusing on scheduled sex and motivations for sex in addition to the aforementioned protocol. Seventy women (M_age 39.2, SD = 9.8) with complaints of low sexual desire were randomly allocated to one of these treatment conditions or a waiting-list condition. Participants attended four individual sessions and completed homework exercises. Questionnaire data were collected before and after treatment and at follow-ups three and six months later. Primary outcomes were the Female Sexual Function Index (FSFI) desire subdomain and the Sexual Interest and Desire Inventory–Female (SIDI-F). Secondary outcomes were the Female Sexual Distress Scale–Revised (FSDS-R), the Revised Dyadic Adjustment Scale (RDAS), the Perceived Relationship Quality Components Inventory (PRQC), and the Brief Symptom Inventory–18 (BSI-18). Women in both treatment conditions reported significantly higher sexual desire (FSFI desire d = 0.75 to 1.06) immediately following treatment, compared to the waiting list. Improvements were sustained at follow-up, accompanied by improvements in some secondary outcomes. We found no significant differences between the treatment conditions in terms of treatment effectiveness. Our study adds to the literature suggesting that mindfulness-based treatments are suitable options for treating low sexual desire in women.     

Typologies of Childhood Exposure to Violence: Associations With College Student Mental Health

Abstract

Objective: This study examined typologies of childhood violence exposure (CVE) and the associations of profiles with current demographic characteristics and mental health in emerging adulthood. Participants: The study evaluated a sample of college students from 2 US geographic regions (Midwest, n = 195; Southeast, n = 200). Methods: An online questionnaire (collected 2013–2014) assessed CVE and current mental health. Latent class analysis was used to identify typologies of CVE. Follow-up analyses were conducted to distinguish differences between typologies in demographic characteristics and mental health. Results: Four distinct profiles emerged: High-Exposed, Domestic-Exposed, Community-Exposed, and Low-Exposed. High- and Domestic-Exposed groups were more likely to be first-generation college students and to experience symptoms of psychopathology. Conclusions: This study offers a unique presentation of CVE profiles and a nuanced interpretation of their differential relationship to current demographic characteristics and mental health. It may befit university mental health initiatives to engage first-generation students and utilize comprehensive assessments of previous victimization.     

Disability stigmatization as a barrier to employment equity for legally-blind Canadians

Canada has expressed a strong commitment to the rights of its citizens against discrimination, including those with disabilities. A question remains whether Canadians with disabilities are able to practice these rights. Our mixed-methods study sheds light on the situation of one important sub-group of people with disabilities – those who are legally blind. Our survey results show that the labour-force participation rate for this population is very low compared with those without disabilities, and also lower than the rate for persons with other disabilities. Legally-blind working-age Canadians have significantly higher rates of unemployment and underemployment, and perceive major barriers to employment. In-person interviews reveal the negative impact of one major barrier – disability stigmatization – on accessing meaningful employment and other societal assets. We discuss the implications of these findings and suggest policy directions.     

Treatment‐as‐usual in effectiveness studies: What is it and does it matter?

Andrée Löfholm C, Brännström L, Olsson M, Hansson K. Treatment‐as‐usual in effectiveness studies: What is it and does it matter? A hallmark of an evidence‐based practice (EBP) is the systematic appraisal of research related to the effectiveness of interventions. This study addressed the issue of interpreting results from effectiveness studies that use treatment‐as‐usual (TAU) as a comparator. Using randomised controlled studies that evaluate the effectiveness of multisystemic therapy as an illustrative example, we show that TAU includes a wide variety of treatment alternatives. Estimated treatment effects on recidivism suggest that TAU seems to contain a greater variation in underlying risk than experimental conditions, supporting the hypothesis that the content of TAU could affect outcomes. Implications for the realisation of an EBP are discussed.     

Negotiating cultural values and expectations within the public child welfare system: A look at familismo and personalismo

This paper examines, from the perspective of parents and child welfare workers, how cultural values and expectations are integrated and negotiated in public child welfare cases. The study focuses on the experiences and interactions of Mexican families with the public child welfare system in Southern California. Grounded theory is used to complete the content analysis. Findings indicate that workers' efforts to provide culturally congruent services are limited by organizational structural factors. Consistent with the value of personalismo, parents stress the importance of a good relationship with their worker and the implications to their case. Specific recommendations to enhance service delivery include (1) developing services models that are informed by families served; (2) developing/providing ongoing training and evaluation to ascertain if services are in fact culturally competent; and (3) promoting a change in child welfare policy that reflects the diverse needs of families.     

Immigration Policies and Social Determinants of Health: Is Immigrants’ Health at Risk?

The purpose of this study was to examine the impact of immigration legislation on Latino immigrants within the social determinants of health framework to understand the impact of such legislation on the immigrant’s health. While the socio-political climate in California is geared towards more pro-integration immigration policies, findings indicate that immigrants still experiences poor treatment in the form of microaggressions, horizontal discrimination, and institutional discrimination. This poor treatment may be an indication of residual anti-immigrant sentiment that remains in the state as well as a spillover effect from the anti-immigrant legislation being passed in neighboring states or national rhetoric. The findings overlap with four domains of the social determinants of health framework including economic stability, education, health and access to care, and social and community context. Implications for practice, policy and research are discussed.