Behav. Sci.2015, 5(4), 537-546; doi:10.3390/bs5040537 (registering DOI) - published 26 November 2015 Show/Hide Abstract
Abstract: Pharmaceuticals and psychotherapy are commonly used in the management of impulsivity. The National Acupuncture Detoxification Association (NADA) protocol is an adjunctive therapy that involves the bilateral insertion of 1 to 5 predetermined ear needle points. One of the main benefits reported by patients, providers, and programs utilizing NADA is the sense of stillness, centering, and well-being. The induction of this attitude is seen as contributing to improved clinical outcomes including engagement and retention. The attitude of stillness is also suggestive of a pathway to mitigating impulsivity. Impulsivity is associated with substance use disorders and other DSM 5 diagnoses. Impulsivity has characteristics that are manifested clinically in behaviors such as disinhibition, poor self-control, lack of deliberation, thrill seeking, risk-taking. NADA holds promise as a useful treatment adjunct in the comprehensive management of disorders for which impulsivity is a prominent component.
Behav. Sci.2015, 5(4), 518-536; doi:10.3390/bs5040518 - published 13 November 2015 Show/Hide Abstract
Abstract: Adolescent girls often perpetrate aggression by gossiping and spreading rumours about others, by attempting to ruin relationships and by manipulating and excluding others. Further, males and females engage in reactive and proactive relational aggression differently. In this study, we examined the individual, peer and parental contextual factors that best explained the use of reactive and proactive relational aggression in girls. Female participants (n = 614; ages 11–18 years) completed questionnaires on aggression, callous-unemotional (CU) traits, delinquency, peer delinquency, gender composition of their peer group, resistance to peer influence and perceived parental overcontrol. Multinomial logistic regression was used to examine the effects of individual, peer- and parent-related variables on the likelihood of being classified as a low aggressor, reactive aggressor or proactive/reactive aggressor. Girls in the combined reactive/proactive aggression group were younger, had greater CU traits, a lower proportion of male peers and greater perception of parental control than both the reactive and low aggressive groups. Both highly aggressive groups were more delinquent and had greater peer delinquency than the low aggressive group. This study suggests those girls who show relational aggression for the purpose of gaining status and revenge feel restrained by their parents and may gravitate toward relationships that support their behaviour.
Behav. Sci.2015, 5(4), 496-517; doi:10.3390/bs5040496 - published 6 November 2015 Show/Hide Abstract
Abstract: This article examines the history of the conceptualization of dissociative, conversion, and somatoform syndromes in relation to one another, chronicles efforts to classify these and other phenomenologically-related psychopathology in the American diagnostic system for mental disorders, and traces the subsequent divergence in opinions of dissenting sectors on classification of these disorders. This article then considers the extensive phenomenological overlap across these disorders in empirical research, and from this foundation presents a new model for the conceptualization of these disorders. The classification of disorders formerly known as hysteria and phenomenologically-related syndromes has long been contentious and unsettled. Examination of the long history of the conceptual difficulties, which remain inherent in existing classification schemes for these disorders, can help to address the continuing controversy. This review clarifies the need for a major conceptual revision of the current classification of these disorders. A new phenomenologically-based classification scheme for these disorders is proposed that is more compatible with the agnostic and atheoretical approach to diagnosis of mental disorders used by the current classification system.
Behav. Sci.2015, 5(4), 477-495; doi:10.3390/bs5040477 - published 30 October 2015 Show/Hide Abstract
Abstract: Modern health services now strive for individualized treatment. This approach has been enabled by the increase in knowledge derived from neuroscience and genomics. Substance use disorders are no exception to individualized treatment even though there are no gene-specific medications yet available. What is available is the ability to quickly and precisely assess and monitor biopsychosocial variables known to vary during addiction recovery and which place addicts at increased risk of relapse. Monitoring a broad spectrum of biopsychosocial health enables providers to address diverse genome-specific changes that might trigger withdrawal from treatment or recovery relapse in time to prevent that from occurring. This paper describes modern measurement tools contained in the NIH Patient-Reported Outcomes Measurement Information System (PROMIS) and the NIH Toolbox and suggests how they might be applied to support recovery from alcohol and other substance use disorders in both pharmacological and abstinence-oriented modalities of care.
Behav. Sci.2015, 5(4), 461-476; doi:10.3390/bs5040461 - published 29 October 2015 Show/Hide Abstract
Abstract: Alcoholism and drug addiction have marked impacts on the ability of families to function. Much of the literature has been focused on adult members of a family who present with substance dependency. There is limited research into the effects of adolescent substance dependence on parenting and family functioning; little attention has been paid to the parents’ experience. This qualitative study looks at the parental perspective as they attempted to adapt and cope with substance dependency in their teenage children. The research looks into family life and adds to family functioning knowledge when the identified client is a youth as opposed to an adult family member. Thirty-one adult caregivers of 21 teenagers were interviewed, resulting in eight significant themes: (1) finding out about the substance dependence problem; (2) experiences as the problems escalated; (3) looking for explanations other than substance dependence; (4) connecting to the parent’s own history; (5) trying to cope; (6) challenges of getting help; (7) impact on siblings; and (8) choosing long-term rehabilitation. Implications of this research for clinical practice are discussed.
Behav. Sci.2015, 5(4), 443-460; doi:10.3390/bs5040443 - published 27 October 2015 Show/Hide Abstract
Abstract: Recent studies have found that age is negatively associated with the accuracy of decoding emotional facial expressions; this effect of age was found for actors as well as for raters. Given that motivational differences and stereotypes may bias the attribution of emotion, the aim of the present study was to explore whether these age effects are due to response bias, that is, the unbalanced use of response categories. Thirty younger raters (19–30 years) and thirty older raters (65–81 years) viewed video clips of younger and older actors representing the same age ranges, and decoded their facial expressions. We computed both raw hit rates and bias-corrected hit rates to assess the influence of potential age-related response bias on decoding accuracy. Whereas raw hit rates indicated significant effects of both the actors’ and the raters’ ages on decoding accuracy for sadness, these age effects were no longer significant when response bias was corrected. Our results suggest that age effects on the accuracy of decoding facial expressions may be due, at least in part, to age-related response bias.