Bringing Two Worlds Together: A Collaborative Interview With JoEllen Patterson

JoEllen Patterson is Professor in the Marital and Family Therapy Program at the University of San Diego. She is also an Associate Clinical Professor of Family Medicine and Psychiatry at the University of California, San Diego, directing a medical family therapy clinic embedded in a Family Medicine residency (equivalent to General Practice in New Zealand). She also works in Pediatrics and Reproductive Medicine at UCSD. At present her work involves training family therapy students and family medicine residents to do interdisciplinary work using a biopsychosocial model. Research suggests that our bodies are influenced by our mental health; our immune systems and cardiovascular systems seem especially susceptible to mind‐body interplay. JoEllen is particularly interested in how family functioning influences the mind‐body system. In 2003, JoEllen Patterson received a Fulbright Senior Scholars award to visit the Wellington School of Medicine and Health Sciences, and the Child, Adolescent and Family Service in Lower Hutt, New Zealand. She spent two weeks between the clinical service and the academic department, teaching, consulting and advising. I was lucky enough to arrange this posting and to spend time with her during it.     

Academic incentives for students can increase participation in and effectiveness of a physical activity program

The authors sought to determine whether a greater academic incentive would improve the effectiveness and student adherence to a 12-week voluntary exercise program designed to decrease students' percentage of body fat. They randomly assigned 210 students to 1 of 2 groups with different academic reward structures. The group with the greater reward structure showed better exercise adherence and lost more body fat than those without the additional incentive. These findings suggest that an academic incentive can increase overall student adherence to a voluntary exercise program and can boost the effectiveness of the program in a university environment. The findings also have potential implications for on-campus promotion of physical activity.     

Gambling Screens: Does Shortening the Time Frame Affect their Psychometric Properties?

Gambling screening tools such as the South Oaks Gambling Screen (SOGS) and a DSM-IV Screen for Gambling Problems (NODS) developed by the National Opinion Research Council have psychometrically validated lifetime and past-year versions. As research questions often dictate shorter time intervals, researchers have adapted the time frames of these instruments to their specific purposes without examining whether changing the time frame affects the psychometric properties. In this study, 3-month versions of SOGS and NODS were administered to a sample of 80 pathological gamblers (59 men, 21 women, mean age 44) seeking treatment at a state-funded facility. The 3-months versions had good internal consistency, good convergent validity with each other, with gambling behaviors assessed via the timeline followback method, and with measures of impulsivity. The 3-month versions also showed good discriminant validity with demographic variables and a measure of verbal IQ. Together the data indicate that shortening the time frame to 3 months does not seem to have adverse effects on the psychometric properties of SOGS and NODS. Thus these adapted versions could profitably be used for shorter time intervals, including as pre/post-treatment and follow-up measures in treatment outcome studies.     

Guilty or not? A path model of women's sexual force fantasies

This study estimated a path model of women's forceful sexual fantasies. Constructs examined were childhood sexual abuse, feminist beliefs, sexual guilt, erotophilia, and sexual experience. The study clarifies how these factors mediate one another in relationship to forceful sexual fantasies, and is first to examine the effects of feminist beliefs on forceful sexual fantasy. Adult women (N = 261) participated by completing an online survey. A path from sex guilt to forceful sexual fantasy, mediated by erotophilia, was found, wherein low levels of sex guilt and high levels of erotophilia were found to predict forceful sexual fantasy. A direct path between childhood sexual abuse and forceful sexual fantasy was also found. The resulting model is discussed in relation to previously-proposed theories on the role of force in women's sexual fantasies.     

Perspectives of college students and their primary health care providers on substance abuse screening and intervention

The authors conducted a needs assessment among students and health-care providers of a southwestern university health center with the goal of developing health-care-provider training addressing substance-abuse screening and intervention. They collected data from focus groups of undergraduate students and structured interviews and questionnaires with health-care providers. They identified gaps in provider and student perspectives on the extent of substance abuse on campus and the perceived roles of health-care providers and patients in screening and conducting interventions for substance abuse. These findings suggest that training for college health-care providers regarding substance-abuse brief screening and intervention should emphasize confidentiality of student medical records, the importance of nonjudgmental attitudes toward students, and the role of the provider as one who is competent and appropriate to address substance abuse. Such training should also educate providers about the types of substances students are using.     

Obfuscating Child Sexual Abuse II: Listening to Survivors

The reality of the extent and experience of child sexual abuse cannot be revealed while children are unable to ‘stand up and be counted’. Limited alternatives, lack of information and dependence on adults prevent the true scale of the problem being appreciated. Similarly, media and legal treatment of abused children also operate to suppress the truth. The expertise and knowledge of those who have suffered abuse need to be acknowledged and utilized in order that child sexual abuse can no longer be obfuscated. © 1997 John Wiley & Sons, Ltd.     

Police Accounts of Body-Worn Camera Footage In News Media

People offer accounts in response to actions that are subjected to valuative inquiry. Recordings of police actions captured on body-worn camera (BWC) video can become subject to valuative inquiry when footage is publicly released. This footage may possibly undermine police legitimacy. Managing legitimacy is a basic rationale for why police provide accounts in response to their conduct. Proponents of BWCs assert that the devices enhance legitimacy and, while police have long used accounts to justify their conduct, less is known about how body cameras affect police accountability in practice. Drawing from Scott and Lyman's accounts theory framework, this qualitative, exploratory study examines official police accounts as both outcomes of police accountability in practice and as provided in the context of news media coverage of publicly released body-worn camera footage. This allows us to ask the following questions: What types of accounts have police officials provided in news media reports in the context of publicly released BWC footage? And, more generally, what insight might an analysis of police accounts provide about accountability in relation to the implementation of BWCs? A key finding reveals that the timing of police accounts varied quite considerably, and that accounts were usually not static. The findings provide some general insight into what kinds of actions captured on body camera recordings constitute acceptable use of force by officers, even in situations when police actions resulted in death. This study also provides a small empirical window into when and how police officials provide accounts in response to publicly released body camera footage.     

Interagency practice in children with non‐organic failure to thrive: is there a gap between health and social care?

Failure to thrive is a child protection issue that crosses the boundaries between many professional groups. It is a condition that places children at risk of negative developmental, social, physical and emotional consequences, but it has complex causal roots. Although there are known to be links between neglect, emotional abuse and failure to thrive, health and social care providers have differing responses and interventions with children who are failing to thrive. An examination of recent Scottish statistics supports the argument that there may be a gap between health and social care that some children may be falling through. Evidence from the literature regarding interagency roles and responsibilities is ambiguous, and the different, albeit overlapping, professional constructions of failure to thrive may result in a gap in care for some vulnerable children. It is only by beginning to understand the crucial links between different professions that we can contribute towards effective interagency child protection policy and practice. Copyright © 1999 John Wiley & Sons, Ltd.     

On the trimmed mean and minimax-variance L-estimation in Kolmogorov neighbourhoods

We consider the properties of the trimmed mean, as regards minimax-variance L-estimation of a location parameter in a Kolmogorov neighbourhood K() of the normal distribution: We first review some results on the search for an L-minimax estimator in this neighbourhood, i.e. a linear combination of order statistics whose maximum variance in K_t() is a minimum in the class of L-estimators. The natural candidate – the L-estimate which is efficient for that member of K_t,() with minimum Fisher information – is known not to be a saddlepoint solution to the minimax problem. We show here that it is not a solution at all. We do this by showing that a smaller maximum variance is attained by an appropriately trimmed mean. We argue that this trimmed mean, as well as being computationally simple – much simpler than the efficient L-estimate referred to above, and simpler than the minimax M- and R-estimators – is at least “nearly” minimax.     

The paradox of parental participation and legal representation in ‘edge of care’ meetings

This paper assesses the nature of parental participation and legal representation in pre‐proceedings meetings in England and Wales. These are called when a local authority is considering care proceedings on a child. The parent(s) are invited to a meeting to discuss the concerns, and are entitled to attend with a lawyer. The paper draws on findings from a study of the process which included a file survey of over 200 cases, observations of 36 meetings and interviews with more than 90 key informants, including parents. The aim of the process is (usually) to reach an agreement to prevent the case going to court, but the families are usually well known to children's services, and have been through many meetings and agreements before. What then are the possibilities for parental participation and legal representation in the meetings? The study shows that they may help bring a greater degree of clarity to the local authority's proposals, but are not expected to challenge them. Paradoxically, they serve to reinforce the authority's position. The meetings can help divert cases, but it is important to be realistic about the chances of change in these often long‐standing ‘edge of care’ cases.