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The influence of psychosocial maturity on male juvenile offenders' comprehension and understanding of the Miranda warning.

Self-report measures of psychosocial maturity and screening measures of achievement and intelligence (Wechsler Abbreviated Scale of Intelligence; WASI) were used to investigate the influence of psychosocial maturity on male juvenile offenders' comprehension and appreciation of the Miranda warning (Grisso's Instruments for Assessing Understanding and Appreciation of Miranda Rights; GUAM). A sample of 67 male juvenile offenders, placed in a short-term detention facility or juvenile boot camp facility, participated in the study. Demographic differences revealed that youths in short-term detention were approximately one year older than boot camp youths. The two groups did not differ in IQ or measures of psychosocial maturity. Detention youths had GUAM subtest scores that were slightly higher than, but comparable to, those of boot camp youths. Consistent with previous research, verbal IQ correlated positively with GUAM subtest scores and was a significant predictor of all four scores after controlling for setting and age in a series of hierarchical regressions. In addition, the psychosocial maturity factor of Responsibility was a significant predictor of two GUAM subtests (CMR and FRI), while the Temperance and Perspective factors were not.

Adolescent↗

Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees.

BACKGROUND: Political instability and the civil war in Southern Sudan have resulted in numerous atrocities, mass violence, and forced migration for vast parts of the civilian population in the West Nile region. High exposure to traumatic experiences has been particularly prominent in the Ugandan and Sudanese of the West Nile Region, representing an indication of the psychological strain posed by years of armed conflict. METHODS: In this study the impact of traumatic events on the prevalence and severity of posttraumatic stress disorder (PTSD) in a random sample of 3.339 Ugandan nationals, Sudanese nationals, and Sudanese refugees (1.831 households) of the West Nile region is assessed. RESULTS: Results show a positive correlation between the number of traumatic events and the number of endorsed PTSD symptoms. Of the 58 respondents who experienced the greatest number of traumatizing experiences, all reported symptoms which met the DSM-IV criteria for PTSD. CONCLUSIONS: There is a clear dose-effect relationship between traumatic exposure and PTSD in the studied populations with high levels of traumatic events. In this context, it is probable that any individual could develop PTSD regardless of other risk-factors once the trauma load reaches a certain threshold.

Adolescent↗

Lateralization of temporal lobe epilepsy and learning disabilities, as defined by disability-related civil rights law.

PURPOSE: Epilepsy research has identified higher rates of learning disorders in patients with temporal lobe epilepsy (TLE). However, most studies have not adequately assessed complex functional adult learning skills, such as reading comprehension and written language. We designed this study to evaluate our predictions that higher rates of reading comprehension, written language, and calculation disabilities would be associated with left TLE versus right TLE. METHODS: Reading comprehension, written language, and calculation skills were assessed by using selected subtests from the Woodcock-Johnson Psycho-Educational Tests of Achievement-Revised in a consecutive series of 31 presurgical patients with TLE. Learning disabilities were defined by one essential criterion consistent with the Americans with Disabilities Act of 1990. Patients had left hemisphere language dominance based on Wada results, left or right TLE based on inpatient EEG monitoring, and negative magnetic resonance imaging (MRI), other than MRI correlates of mesial temporal sclerosis. RESULTS: Higher rates of reading comprehension, written language, and calculation disabilities were associated with left TLE, as compared with right TLE. Nearly 75% of patients with left TLE, whereas fewer than 10% of those with right TLE, had at least one learning disability. CONCLUSIONS: Seizure onset in the language-dominant hemisphere, as compared with the nondominant hemisphere, was associated with higher rates of specific learning disabilities and a history of poor literacy or career development or both. These results support the potential clinical benefits of using lateralization of seizure onset as a predictor of the risk of learning disabilities that, once evaluated, could be accommodated to increase the participation of patients with epilepsy in work and educational settings.

Adult↗

[Therapeutic possibilities regarding somatoform disorders in soldiers].

The authors used the ICD-10 classification and presented the most common psychopathological syndromes from the category "neurotic disorders connected to stress and somatoform disorders" present amongst recruited soldiers. Recruitment to the army is a "situation which is endangering to the mental health" (from the Act on mental health protection), however socio-political changes that took place in our country are an additional factor which can lead to such disorders. The limitations in treatment of these disorders, which are due to army specifications, cause for the majority of those soldiers affected to be unable to carry out their duty. As a consequence of this, civil units carry out the therapeutic processes. Particular attention, amongst the other disorders described, is attributed to the so-called organ neuroses. The authors stress upon the need for psychoprophylactic actions which would reduce the health consequences of being recruited into the army.

Adaptation, Psychological↗