Weighing the success of a national Alzheimer's disease service demonstration

As the need for long-term care services within the United States has grown dramatically, Congress has consistently deflected the primary responsibility for such care to state governments, local organizations, and, ultimately, the family. This paper examines the impact of the Alzheimer's Disease Demonstration Grants to States (ADDGS) program, a small federally funded initiative within the context of this trend. Although the demonstration can be deemed a huge success relative to the goals of creating new services for an underserved target population, questions are raised about the merits of the program relative to the exploding need for an effective network of long-term care services.     

Single-cell antisense RNA amplification and microarray analysis as a tool for studying neurological degeneration and restoration

Neurodegenerative diseases typically affect subpopulations of neurons. Characterizing these vulnerable cells and identifying the factors that make them susceptible to damage while neighboring cells remain resistant are essential to the understanding of molecular pathogenesis that underlies neurodegenerative diseases. Classically, molecular analysis of the central nervous system involves the identification and isolation of an anatomic region of interest; next, the relevant tissue is pulverized, and the resulting homogenate is analyzed. Although this method provides useful data, its effectiveness diminishes when used in areas of high cellular diversity or in instances in which one cell type is lost as a consequence of selective cell death or quiescence. A technique that affords the ability to assess molecular events in a very precise anatomical site would provide a powerful tool for this research discipline. In this review, we discuss the amplification of messenger RNA from single neural cells and the subsequent use of the RNA to probe DNA microarrays in an effort to create cell-specific molecular profiles. Specifically, recent work in single-cell expression profiling in Alzheimer's and Huntington's diseases is discussed. We also review some new work with neural stem cells and their application to restorative neurobiology. Finally, we discuss the use of cell-specific molecular profiles to better understand the basics of neuronal cell biology.     

Acceptance of Global Positioning System (GPS) Technology Among Dementia Clients and Family Caregivers

The purpose of this study was to examine the acceptance of Global Positioning System (GPS) used to help people with dementia, who are at risk for wandering in their communities. We used a mixed methods research approach that included use logs, pre and post paper-based questionnaires, and focus groups. Forty-five client-caregiver pairs (dyads) were included to use one of the GPS devices for an average of 5.8 months over a 1-year period. GPS acceptance was high; dyads were likely to continue using the GPS. According to the participants, the GPS provided caregivers peace of mind and reduced anxiety in dyads when clients got lost.     

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Sexual risk among older adults (OAs) is prevalent, though little is known about the accuracy of sexual risk perceptions. Thus, the aim was to determine the accuracy of sexual risk perceptions among OAs by examining concordance between self-reported sexual risk behaviors and perceived risk. Data on OAs aged 50 to 92 were collected via Amazon.com’s Mechanical Turk. Frequency of sexual risk behaviors (past six months) were reported along with perceived risk, namely, sexually transmitted infection (STI) susceptibility. Accuracy categories (accurate, underestimated, overestimated) were established based on dis/concordance between risk levels (low, moderate, high) and perceived risk (not susceptible, somewhat susceptible, very susceptible). Approximately half of the sample reported engaging in vaginal (49%) and/or oral sex (43%) without a condom in the past six months. However, approximately two-thirds of the sample indicated they were “not susceptible” to STIs. No relationship was found between risk behaviors and risk perceptions, and approximately half (48.1%) of OAs in the sample underestimated their risk. Accuracy was found to decrease as sexual risk level increased, with 93.1% of high-risk OAs underestimating their risk. Several sexual risk behaviors are prevalent among OAs, particularly men. However, perception of risk is often inaccurate and warrants attention.     

Parent–child negative emotion reciprocity and children's school success: An emotion‐attention process model

Research has demonstrated that emotions expressed in parent–child relationships are associated with children's school success. Yet the types of emotional expressions, and the mechanisms by which emotional expressions are linked with children's success in school, are unclear. In the present article, we focused on negative emotion reciprocity in parent–child interactions. Using structural equation modeling of data from 138 parent to child dyads [children's mean age at Time 1 (T1) was 13.44 years, SD = 1.16], we tested children's negative emotionality (CNE) at T1 and low attention focusing (LAF) at Time 2 (T2) as sequential mediators in the relation between parent and child negative emotion reciprocity at T1 and children's grade point average (GPA) and inhibitory control at T2. Our findings supported an emotion‐attention process model: parent–child negative emotion reciprocity at T1 predicted CNE at T1, which predicted children's LAF at T2, which was, in turn, related to low inhibitory control at T2. Findings regarding children's GPA were less conclusive but did suggest an overall association of negative reciprocity and the two mediators with children's GPA. Our findings are discussed in terms of emotion regulation processes in children from negatively reciprocating dyads, and the effects of these processes on children's ability to obtain and use skills needed for success in school.     

The Effect of Excessive Crying on the Development of Emotion Regulation

The goal of this study was to examine the effect of excessive crying in early infancy on the development of emotion self‐regulation. Cry diaries were used to categorize excessive criers and typical criers at 6 weeks of age. At 5 and 10 months of age, infants and mothers participated in procedures to elicit infant reactivity and regulation during a frustration task and maternal sensitivity and intrusiveness during a free‐play session. Last, maternal ratings of temperament were obtained. Results revealed excessive criers to show higher levels of negative reactivity than typical criers. Excessive criers also demonstrated lower regulation, but this finding was only significant for male infants. Boys in the excessive criers group exhibited the lowest level of emotion self‐regulation. Maternal behavior and ratings of temperament at 5 and 10 months failed to distinguish the 2 cry groups. The findings suggest that excessive crying may influence the developmental trajectory of the ability of boys to self‐regulate emotion. The hypothesized processes involved in this outcome are discussed.     

REVIEWS

Hardy, K. V., & Laszloffy, T. A. (2005). Teens who hurt: Clinical interventions to break the cycle of adolescent violence .
Hayes, S. C., Follette, V. M., & Linehan, M. M. (Eds.). (2004). Mindfulness and acceptance: Expanding the cognitive–behavioral tradition .
Swenson, C. C., Henggeler, S., Taylor, I., & Addison, O. (2005). Multisystemic therapy and neighborhood partnerships: Reducing adolescent violence and substance abuse .
Derrig-Palumbo, K., & Zeine, F. (2005). Online therapy: A therapist's guide to expanding your practice .     

Field Notes

This article provides a framework for using the Myers–Briggs Type Indicator (MBTI) to help social work field instructors work effectively with students of a variety of personality types. The article describes the MBTI and includes strategies for using it to assess students' needs, determine issues in supervisory style, and enhance supervisor–student relationships. Within the framework are strategies for respecting and responding to type differences and for learning to act against preference to work effectively with students of different types. The authors emphasize the ethical use of the MBTI in field instruction and limitations of its use.