"The responsibility to inform, the power to act": a conference for New England college newspaper editors on the role of the campus press in addressing substance use issues.

College newspapers are a powerful but underutilized medium for educating students on health issues, including those related to drug and alcohol use on campus. Editors of these publications are in a position to wield significant influence among their readers. In addition to communicating factual information about the prevalence and impact of substance use among college students, editors can use the press to advocate changes in students' attitudes and behaviors and in college or community policies that affect substance use. A pilot conference was held to help New England college newspaper editors perceive the importance of their role in educating their peers about substance use and other health-related issues, and to offer concrete suggestions as to how they can incorporate these topics into an "activist" campus press.     

Fluctuating capacity of policy advice in Russia: testing theory in developing country context

ABSTRACT

Theories and concepts developed and empirically tested in the context of North American and Western European countries do not always easily transfer to another political landscape. The concept of “policy advisory system” is not an exception. On the one hand, policy processes and policy styles are not unique for each country; therefore, some generalizations can be made. On the other hand, studding particularities of policy process in a specific country can enrich theories, developed for general cases. Applying existing theories to a new context also goes a long way in verification and potential falsification – the fundamental requirement for a scientific process. This article aims to contribute to the debate on the topic of policy advisory system by comparing the development of three policies in Russia, each involving policy advisors to some extent. Based on this analysis, lessons are drawn regarding the conditions under which policy advisors can impact policy changes in an environment, alternative to “western.”     

An intuitive risk factors search algorithm: usage of the Bayesian network technique in personalized medicine

The article focuses on the application of the Bayesian networks (BN) technique to problems of personalized medicine. The simple (intuitive) algorithm of BN optimization with respect to the number of nodes using naive network topology is developed. This algorithm allows to increase the BN prediction quality and to identify the most important variables of the network. The parallel program implementing the algorithm has demonstrated good scalability with an increase in the computational cores number, and it can be applied to the large patients database containing thousands of variables. This program is applied for the prediction for the unfavorable outcome of coronary artery disease (CAD) for patients who survived the acute coronary syndrome (ACS). As a result, the quality of the predictions of the investigated networks was significantly improved and the most important risk factors were detected. The significance of the tumor necrosis factor-alpha gene polymorphism for the prediction of the unfavorable outcome of CAD for patients survived after ACS was revealed for the first time.     

International adoption and the formation of new family attachments

Clinical studies of children in international adoption reveal unique patterns of psychological adjustment to permanent family care. Pre‐adoption history often includes early object loss, medical and nutritional deprivation, multiple care‐giving disruptions, and the lack of primary care‐giving relationships. These factors and the age at the time of adoption are risks to positive emotional and cognitive development. Adoptive parents may be unprepared for the resulting developmental problems. Most significantly, parents and children are often at different points in readiness to establish an attachment relationship. The parents are eager to claim their child, but the child is unready to respond because of emotional fragility and lack of previous attachment experiences. Two clinical vignettes illustrate the importance of a developmental and medical framework in assessing the unique needs of these survivor children, as well as the necessity of an empathic therapeutic holding environment that can sustain the emerging family attachments under stress. The psychological impact of cross‐cultural adoption and traumatic early beginnings reverberates across time but with empathic parental care and treatment recovery can be significant.     

Reflections on the Work of Professor Selma Fraiberg

This paper reviews the work of Professor Selma Fraiberg who became a leading figure in the field of infant mental health. Born in 1918 she first received an MSW in Social Work and then undertook her Analytic Training in Detroit Michigan. While she maintained her identity as a social worker throughout her life, she integrated insights from the fields of social work, psychoanalysis and developmental and ego psychology in her research and practice. This paper traces her development as a clinician, researcher, and educator. Three cases describe her ability to integrate social work methodologies with analytic insights. The cases describe the treatment of a latency age child at a time of social change, a clinical research study of the developmental risk of children blind from birth, and a groundbreaking study in the field of infant mental health. Her study of infants at developmental risk focused on the parent /infant relationship and parents were included in the treatment process so that they could become more attuned to their young child. Her work highlighted the intergenerational issues that shaped the parental capacity for empathic nurturance between parent and child. The article Ghosts in the Nursery incorporated the major theoretical concepts of the new theoretical approach to treatment and is still much read in graduate programs today. Although extensive new research has added to the field of infant mental health, her contributions are still relevant to research and practice today.     

After the fall: a conflict management program to foster open society

A conflict management program developed to support the transition from a closed to open society in postcommunist eastern and central Europe focuses on the future leaders of this region: adolescents.     

A Family Therapy Approach to Alcoholism*

Data accumulated from recent studies strongly suggest that family therapy is a promising method of treatment for alcoholism. In this paper a comprehensive treatment approach is proposed, based on known characteristics of alcoholic family systems and the author's clinical experiences in working with families of alcoholics. Specific strategies are described that can enhance treatment success by reducing resistances and maximizing changes in dysfunctional family interaction patterns. The relationship between the spouses is such as to perpetuate the need for alcohol. The major focus in therapy therefore is on understanding and changing the marital relationship.     

EMDR、适应性信息加工与个案概念化(下)

EMDR是一个整合性的、以咨客为中心的心理治疗方法。该方法用于治疗那些不是由器质性损伤为病理学基础的心理问题,它的治疗重点是处理大脑的信息加工系统中的痛苦记忆。EMDR既能处理那些引起困扰的经历和体验,也能帮助咨客获得达到更健康的心理状态所需要的经历和体验。综览EMDR的历史、发展和研究,它是一个主要以经验为支持的治疗方法。本文在阐述适应性信息加工模型之后,用一个延续的个案实例,来说明EMDR的个案概念化和8个阶段的治疗。EMDR技术主要是加工那些有病理学基础的早期记忆和引发不良功能的当前情境,并为未来适应性的行为提供模板,包括克服技能不足和(或)发展性的不足所需的知识与行为。整合的EMDR与家庭系统观点的好处是可以提供最综合的治疗效果。