Clinical trends on tendinitis

Tendinitis has dramatically risen over the last few years. Some instances of tendinitis are resistant to traditional management aimed at decreasing the inflammatory process leaving clinicians to wonder whether or not they are truly dealing with an inflammatory condition. An understanding is essential for the appropriate clinical management of tendon disorders. The focus of this article will be to review tendon injuries, their healing, and to present an illustrative case treated successfully with an innovative form of treatment.     

Sexual offenders' perceptions of their early interpersonal relationships: An attachment perspective

The present study examined the perceptions of early interpersonal experiences of sexual offenders (child molesters and rapists) and two criminal comparison groups. A grounded theory approach was applied to a comprehensive list of responses provided by the participants to questions about their early interpersonal experiences. The raw data was collapsed into 14 basic categories by grouping together responses of similar meanings. The categories were responsiveness, consistency, acceptance, boundaries, emotional regulation, autonomy, self‐evaluation, developmental trauma sexual abuse and deviation, physical abuse, loss, conflict, safety, and positive mediating interactions. In the second part of the study, the four groups were compared using the categories and the differences noted. All four groups experienced significantly negative early interpersonal experiences.     

The Distinction Between Social Distance and Stereotyping

An analysis of survey data from a large city in the Southwest shows that social distance and stereotyping are distinct components of prejudice in white attitudes toward both blacks and American Indians. Further, whites perceive more social distance between themselves and blacks than between themselves and Indians. There is evidence of a smaller difference in the levels of stereotyping of Indians and blacks by whites.     

Working with Military Families Through Deployment and Beyond

Military families experience considerable stress, periods of long separation, and changes to the family system due to family members planning to enter a war zone, actively living in a war zone, and reuniting after being in a war zone. Anticipation and understanding of the stages of deployment improves family, couple and individual functioning. The issues that the family and the couple are confronting at each stage of deployment: pre-deployment, deployment, and post-deployment are presented. Clinical interventions for the family and the couple are presented at each stage of deployment. Additionally, the impact of the service member’s war time experience on the family, couple, and her/himself is discussed.     

Index to Volume 31: August 1982–June 1983

Abstract

“Immunodeficiency in Female Sexual Partners of Men with the Acquired Immunodeficiency Syndrome,” CAROL HARRIS, et al. Because the current outbreak of acquired immunodeficiency syndrome (AIDS) among previously healthy adults may be caused by a transmissible biologic agent, and because it may be preceded by immunologic abnormalities with or without a prodromal illness, we studied seven female sexual partners of male patients with the syndrome. The male patients were all drug abusers. One of the seven women was found to have the full-blown syndrome, a second had an illness consistent with the prodrome of AIDS (generalized lymphadenopathy, lymphopenia, and a decreased ratio of helper to suppressor T cells), and four others had generalized lymphadenopathy or lymphopenia, with or without a decreased ratio of helper to suppressor T cells. Only one woman had no abnormalities. These findings suggest that AIDS may be transmitted between heterosexual men and women. (New England Journal of Medicine 1983;308:1181–4.)

“The Effect of Different Types of Intrauterine Devices on the Risk of Pelvic Inflammatory Disease,” DAVID W. KAUFMAN, et al. A case-control study of 155 women with pelvic inflammatory disease (PID) and 305 controls with other conditions was carried out. Compared with other methods of contraception, the age-adjusted relative risk estimate for use of any intrauterine device (IUD) within one month of admission was 8.6 (95% confidence limits, 5.3 and 13.8); for past use, the estimate was 1.6 (confidence limits, 0.6 and 4.0). The estimated risk was highest for users of the Dalkon Shield (11 cases and two controls), lowest for users of copper-containing devices (40 cases and 34 controls), and intermediate for users of other IUDs, principally the Lippes Loop (32 cases and 23 controls). Compared with copper-containing IUDs, the relative risk estimate for the Dalkon Shield was 6.5 (confidence limits, 1.5 and 27.5). When the Dalkon Shield and copper-containing IUDs were compared, in turn, with the Lippes Loop, the estimated risk was increased for the former and reduced for the latter, but the differences were not statistically significant. Nine of the 11 cases using the Dalkon Shield (82%) had severe PID (diagnosed at surgery or because of purulent cervical discharge), compared with 12 of 40 copper device users (30%) and nine of 32 Lippes Loop users (28%). The risk of PID did not seem to be related to duration of use of any of the three IUDs. This study confirms that IUD use increases the risk of PID. It also suggests that the Dalkon Shield is more harmful than other devices. (Journal of the American Medical Association 1983;250:759–762.)     

Costs of Not Getting to Know You: Lower Levels of Parental Reflective Functioning Confer Risk for Maternal Insensitivity and Insecure Infant Attachment

Parental reflective functioning (PRF) is a robust predictor of parenting sensitivity and secure infant attachment, but its assessment requires extensive resources, limiting its integration into research and clinical practice. The Mini‐Parent Reflective Functioning Interview (Mini‐PRFI) assesses the parent's capacity to mentalize for his/her 6‐month‐old infant (rated using the PRF coding system; Slade et al., 2004, PRF coding system and Slade REF, Unpublished protocol, New York, NY: The City University of New York). In the current study, we examined whether Mini‐PRFI scores were associated with theoretically related constructs; to establish a point of comparison, we evaluated links between Mini‐PRFI scores alongside RF assessed from the Adult Attachment Interview (AAI). Mother–infant dyads (N = 88) completed the AAI before the birth of the infant, the Mini‐PRFI and an interaction task (rated for insensitive parental behavior) when infants were 6 months old, as well as the Strange Situation Procedure when infants were 16 months old. Mini‐PRFI scores were strongly positively associated with AAI RF and negatively associated with maternal insensitivity. Mini‐PRFI scores predicted infant attachment organization (secure/insecure, organized/disorganized) at 16 months, and this effect was mediated by parenting insensitivity. These findings suggest that the Mini‐PRFI predicts theoretically related attachment constructs, demonstrating the promise of the Mini‐PRFI to increase the accessibility of interview‐based PRF measurements to clinicians and researchers.     

Maternal Responsiveness and the Development of Directed Vocalizing in Social Interactions

For effective communication, infants must develop the phonology of sounds and the ability to use vocalizations in social interactions. Few studies have examined the development of the pragmatic use of prelinguistic vocalizations, possibly because gestures are considered hallmarks of early pragmatic skill. The current study investigated infant vocal production and maternal responsiveness to examine the relationship between infant and maternal behavior in the development of infants' vocal communication. Specifically, we asked whether maternal responses to vocalizations could influence the development of prelinguistic vocal usage, as has been documented in recent experimental studies exploring the relation between maternal responses and phonological development. Twelve mother–infant dyads participated over a six‐month period (between 8 and 14 months of age). Mothers completed the MacArthur Communicative Development Inventory when infants were 15 months old. Maternal sensitive responses to infant vocalizations in the previous months predicted infants' mother‐directed vocalizations in the following months, rather than overall response rate. Furthermore, mothers' sensitive responding to mother‐directed vocalizations was correlated with an increase in developmentally advanced, consonant–vowel vocalizations and some language measures. This is the first study to document a social shaping mechanism influencing developmental change in pragmatic usage of vocalizations in addition to identifying the specific behaviors underlying development.