Speech Timing of Mood Disorders

Summary

Computerized evaluation of pauses between spoken words can be conducted in the medical office or over the telephone. Frequency and duration of long speech hesitation pauses (LP = > 1 sec.) can be correlated with coronary-risk and mood. Pauses of 100 + msec are sorted into many fluency levels. Peak fluency of LP irrespective of pause-time, and at maximal pause-time, are behavioral correlates of mood. At intermediate fluency they are explained by left-hemisphere, right-hemisphere and interhemispheric transit, respectively. Short pauses (SP = < 1 sec.) sorted at these fluency nodes monitor competence of asymmetric and interhemispheric brain functions. Diurnal mood variation is monitored by comparing the morning and evening frequency and duration of the patient's pauses. The frequency of pauses within < 1.16 second may diagnose manic mood modulated by the basal region of the right temporal lobe. LP and SP may monitor interrelationships among mood and thought disorders subserved by the left dorsal prefrontal cortex.     

Family Social Work: The Past and the Present

SUMMARY

It is easy to blame the dysfunction of a family member on his or her behavioral patterns. I use the title, “It's the Relationship, Stupid!” not to talk down to family therapists, but to remind myself that the source of dysfunction is usually family relationships, especially the marriage relationship. This article gives several case studies for practical application of therapy techniques that focus on developing the “WE” of the family unit. One practical technique that I developed is a communication typology. The married couple (and family members) are divided into “Painters” and “Pointers.” This typology explains much of the conflict and mis-communication that leads to the breakdown of the “WE.” This article also presents dysfunction within the individual as a relationship problem and introduces the concept of the “spirit” of the individual as expressing the relationship the person has with self.     

Impulsivity and pathological gambling across depressive versus bipolar disorders

Impulsivity has been implicated in the development of pathological gambling (PG); sensation seeking and urgency in particular have predicted gambling pathology in undergraduate and psychiatric samples. In light of the relevance of both depressed and elevated mood to impulsivity and gambling, the components of impulsivity associated with PG across mood disorders warrants investigation. The aim of the current investigation was to examine the association between impulsivity and gambling pathology severity across depressive versus bipolar disorders. A total of 275 participants with lifetime depressive or bipolar disorder completed measures of impulsivity and gambling. Urgency was consistently associated with gambling pathology indicators; lack of perseverance was specifically associated with gambling pathology within participants with depressive disorders. Reckless action during negative mood is associated with gambling pathology across mood disorders, whereas difficulty remaining focused is associated with PG solely within depressive disorders. Impulsivity and affective comorbidity may inform current understanding of PG.     

Comorbid mood and adjustment disorders among pathological gamblers seeking treatment in Hong Kong

Research findings on comorbidity and pathological gambling are non–existent in Chinese communities. The objectives of this study were to: (a) determine the prevalence of comorbid mood and adjustment disorders among pathological gamblers seeking treatment in Hong Kong; (b) compare demographic profiles and clinical features in pathological gamblers with and without comorbid mood and adjustment disorders; and (c) explore the association and temporal relationship between pathological gambling and comorbid mood and adjustment disorders. Assessment instruments included demographic data, BSI, SCID-I, ASI and LIFE-RIFT. Results showed that about two-thirds (63.7%; n = 128) of 201 participants reported lifetime comorbid psychiatric disorders. Most common comorbid disorders were mood disorders (29.4%; n = 59) and adjustment disorders (20.9%; n = 42). Pathological gamblers with comorbid mood or adjustment disorders showed more severe levels of psychopathology, impairment in psychosocial functioning and gambling problems. This study is important because it is the first scientific comorbidity study among pathological gamblers in a Chinese context.     

The voice of troubled youth: Children's and adolescents' ideas on helpful elements of care

This article presents the findings of a qualitative study in a Flemish centre for children and adolescents with emotional and behavioural disorders. The aim of this study was twofold. First, we wanted to examine how youth reflect on their own behaviour and that of their peers'. Secondly, we wanted to know what, according to the youth, are the most significant helpful elements of treatment. Analysis shows a continuum of negative behaviour, ranging from relatively ‘normal’ disruptive behaviour such as arguing, up to serious disruptive behaviour such as physical aggression. This behaviour has a negative influence on the climate of the organization. ‘Availability of staff’, ‘nearness of staff’, ‘a clear set of rules and boundaries’, and ‘some time on my own/some alone time’ are perceived as helpful elements of treatment. ‘Strictness’, ‘not listening’, and ‘inappropriate staff attitudes and interventions’ are perceived as counterproductive elements of treatment. Results are discussed and recommendations both on the orthopedagogical as well as on the scientific level are formulated.     

Secure Body Attachment and the Prevention of Eating Disorders: A Case Application

Drawing on attachment theory, the author explores the particular physical presence of the body as a significant aspect of the attachment relationship between two people, most notably between two females (the mother and the daughter). Recognizing the nature of one’s body attachment as a protective and a risk factor provides a greater understanding of the potential for resilience, as well as the presence of vulnerability in relationship to one’s body. Through a case application, the author argues that without a model of secure attachment to the body, a female is more likely to develop an attachment to cultural ideals as an extension of primary relationships and at the expense of her own body, moving her from exposure to action in the form of an eating disorder.     

Resistance and Work in Adolescent Groups

This paper examines the nature and function of resistance in adolescent groups and suggests that resistance can be better understood in the context of (a) stages of group development, and (b) work/resistance cycles which are the central mechanism of tension regulation in the group.     

IGLOO: An integrated framework for sustainable return to work in workers with common mental disorders

ABSTRACT

Current research on return to work (RTW) for employees with common mental disorders suffers from two limitations. First, research mostly focuses on the influence of resources during the absence period ignoring the resources which may facilitate sustainable RTW, i.e. employees continuing to work and thrive at work post-return. Second, research tends to view the work and non-work domains separately and fails to consider the interaction of resources at the individual, group, leader and organisational levels, once back at work. In the present position paper, we present an integrated framework and a preliminary definition of sustainable RTW. Based on current occupational health psychology theory and existing research on RTW, we develop ten propositions for the resources in and outside work, which may promote sustainable RTW. In addition to the individual, group, leader, and organisational levels, we also argue for the importance of the overarching context, i.e. the societal context and the culture and legislation that may promote sustainable RTW. Our framework raises new questions that need to be addressed to enhance our understanding of how key stakeholders can support employees with common mental health disorders staying and thriving at work.     

透明质酸钠介入治疗老年颞下颌关节紊乱病的临床疗效分析

目的评价分析关节腔注射透明质酸钠介入治疗老年颞下颌关节紊乱病患者的临床疗效。方法临床选择经保守治疗无效的40例颞下颌关节紊乱病引起的张口受限合并关节区疼痛的老年患者,将患者随机分为两组：实验组（关节腔冲洗后注射透明质酸钠）,对照组（单纯关节腔冲洗）,观察两组治疗前后患者开口度和疼痛变化。结果经一个疗程（每周一次,三周）治疗后,实验组和对照组之间比较：实验组疼痛均较治疗前减轻,与对照组之间有统计学意义（显著性差异）（P〈0.01）,开口度有统计学意义（显著性差异）（P〈0.01）,侧向运动有统计学意义（显著性差异）（P〈0.01）。结论关节腔注射透明质酸钠介入治疗老年颞下颌关节紊乱病的疗效优于单纯进行关节腔冲洗,透明质酸钠可以明显改善老年患者开口度和疼痛症状的缓解。     

The cluster that never was: germ warfare experiments and health authority reality in Dorset

In 1997 intense media coverage raised public concerns about germ warfare simulation experiments conducted by the Ministry of Defence during the 1960s, which included the release of bacteria over Dorset. Families in East Lulworth, Dorset, have linked this with allegedly high rates of miscarriages, still-births, congenital malformations, learning and other neurodevelopmental disabilities in their village. The response of the Dorset Health Authority (DHA) included the examination of background information from the Ministry of Defence, national data on congenital malformations in Dorset, health information collected by campaigners and a systematic health survey conducted by the DHA among former and current residents of East Lulworth. The investigation did not confirm the presence of a cluster. It is debatable whether the DHA should have proceeded with their survey when none of the other more immediately available results indicated the presence of a cluster.