This case reports the implementation of post-care patient interviews to determine whether or not patients received screening and brief intervention (when needed) for alcohol problems.

Micro-expressions are brief facial expressions of emotion (40 to 500 ms) that are posited to represent true reflections of an individual’s emotional state that have 'leaked’ through voluntary attempts to neutralize or mask the involuntary expression. As such, correct recognition can have important benefits. The Japanese and Caucasian Brief Affect Recognition Task (JACBART) has been proposed as the standardized measure of affect recognition capabilities with micro-expression durations (i.e., facial expressions lasting less than 500 ms). In this paradigm target expressions of emotion are briefly presented between two neutral expressions. However, limited research has explored the temporal thresholds and the various factors that may influence performance in a JACBART paradigm. In three studies, the current thesis sought to determine the effects of a forward mask with a variable duration (Study 1), the inclusion/exclusion of a ‘neutral’ response category (Study 2), and expressions portrayed at lower intensities (Study 3). Although a variable-duration forward mask was found to have little effect on performance, significant effects were observed for the inclusion of a ‘neutral’ response option and when reducing the expression intensity. In addition, a trend was observed across all three studies that demonstrated a recognition advantage for expressions of happiness and surprise. Performances for these two expressions exceeded the psychometric threshold with durations of as little as 5 to 10 ms, whereas presentation times as long as 113 ms were necessary to elicit above-threshold recognition rates with negative emotions (i.e., anger, disgust, fear, and sadness). Altogether, the current findings present some methodological considerations for studies interested in measuring brief affect recognition with a JACBART paradigm. More generally, they expand our understanding of how various relevant factors affect the speed at which facial expressions can be processed.

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No description available.

<p> The possible contribution of neural plasticity to ON, OFF and steady state responses elicited by brief, repetitive trains of stimulation was investigated in the intact human subject with the use of the electroencephalogram (EEG). Experiment One implemented trains of stimulation at three different repetition rates, 1.5Hz, 4Hz and 13Hz. The goal was to investigate the nature of the ON, OFF and steady state responses evoked at these repetition rates. The experiment was carried out in three modalities: visual (n=13), auditory (n=lO) and somatosensory (n=12). The main result was that the ON and OFF responses were enhanced at 13Hz compared to the lower repetition rates. Experiment Two sought to answer the question of whether enhancement depended on the repetition rate or the increased experience provided by the higher frequencies. The number of stimuli in the 13Hz trains was reduced to equal the 1.5Hz condition from Experiment One. Graded exposure was then provided to the 13Hz stimulation. This procedure was implemented in two groups of subjects: Replication One (n=12) used 13Hz stimulation and Replication Two (n=24) used 14Hz stimulation. A subset (n=IO) of the Replication Two subjects returned for a second session (Day 2) 24 hours after the first. An assessment of effects was made after minutes and hours. There were four main results. The OFF response was observed after nine 13Hz pulses and did not change over the course of the experiment. The ON response increased with exposure to the 13Hz trains. Steady state responses diminished and showed a phase shift over the experimental session. Results for Day 1 and Day 2 were not different. Within session changes, as a result of exposure to the stimulus, were seen. These effects were not long lasting. </p> / Thesis / Master of Science (MSc)

High-risk drinking among college students is believed to be the most serious health issue facing college and universities throughout the United States. In 1999, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) established a task force to address the issue and released a report with recommendations for intervention and prevention. Brief Alcohol Screening and Intervention for College Students (BASICS) emerged as an evidence-based practice to address high-risk drinking. Quantitative researchers produced results that indicate BASICS and interventions similar to BASICS are an effective means to reduce high-risk drinking and the negative outcomes associated with high-risk drinking. Despite strong evidence for the effectiveness of BASICS, little is known about its fidelity when BASICS is implemented in a practical setting. The purpose of this study was to explore the perspectives and experiences of practitioners in the mental health profession who use the BASICS intervention via semi-structured interviews. Themes emerged related to the application of the intervention, the strongest and weakest aspects of intervention, and barriers to implementation. The themes linked to the application of BASICS on campuses included: (1) a comprehensive/progressive approach to address high-risk drinking; (2) modifications; and (3) the mandated student. The themes relating to the strongest aspects of the intervention were: (1) harm reduction; (2) education; (3) personal awareness; and (4) self-empowerment while the weakest aspects were: (1) the dilemma of one size fits all and (2) the personalized feedback report (PFR). The themes connected to barriers were: (1) the referral process; (2) training; and (3) onus on the facilitator. These twelve themes provide insight into the benefits and challenges of implementing BASICS in a practical setting on college campuses. Implications for both mental health practitioners and student affairs professionals are discussed, study limitations are provided, and suggestions for future research are offered. This study concludes with specific recommendations for student affairs professionals that includes the use of BASICS combined with other best practices to effectively address the issue of high-risk drinking and the negative consequences associated with this behavior on college campuses. / Ph. D.

Purpose: To assess dental students and pediatric dental residents’ knowledge and attitudes towards motivational interviewing and evaluate the efficacy of a pediatric-focused brief motivational interviewing training program. Methods: A total of 66 participants were enrolled; 35% were third year dental students, 46% were fourth year dental students and 18% were pediatric dental residents. Participants completed three questionnaires: the first before the training, the second immediately after the training and the third approximately 3.5 months after the training. Results: A significant increase in correct responses was found for 4 of the 5 questions assessing participants’ knowledge. Participants were satisfied with the training (94%) and were interested in further training (89%). Participants believed patients and their parents would benefit from the intervention (97%). Conclusions: The pediatric-focused BMI training program is a valuable addition to pre-doctoral and residency curricula by preparing students and residents to employ this beneficial technique.

Zugleich: Diss. Siegen, 2006. / Literaturverz.

Construction projects experience design changes and much time and effort is put into trying to address fluctuations in client and project requirements; however, in many cases, insufficient value is delivered to the client. The successful use of Lean Management in the construction stage has opened up the possibility of using it in the design stage – thus helping to establish a systematic approach to managing construction projects and business. Attention is turning towards Lean Design Management to address deficiencies in the design phases that many would argue should have been dealt with in the early project delivery stages. Aspects of ineffective briefing process practice have been shown to have negative consequences and implications for the efficient performance of design management. The client is asked to provide requirements without ensuring that they have established sufficient knowledge of the project to do so. These requirements, most likely, will change then over time, because in most cases the initial decision was not made based on sufficient project knowledge or a well-established vision. The client needs to be made smarter and to learn about the building early on in the project, long before the architect sketches the concept design.

The problem of this study addresses a preliminary Rasch rating scale analysis of the Brief Symptom Inventory in relation to reliability and validity. Also, this investigator will utilize information provided by the latent trait psychometric model.