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The aim of the study is to present Dialectical Behavior Therapy (DBT) as a method that can be used in the treatment of post-traumatic stress disorder (PTSD), including its co-occurrence with borderline personality disorder (BPD). The paper includes references to contemporary research conducted between 2017 and 2023 on the effectiveness of DBT in treating complex and relational early childhood trauma resulting from, among other things, sexual abuse and violence. Analyses show that DBT contributes to the reduction of PTSD symptoms in different age groups and that an integrative approach combining DBT with methods such as Cognitive-Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), or Eye Movement Desensitization and Reprocessing (EMDR) can enhance the therapeutic effect. It seems justified to implement programs based on DBT and assess their effectiveness in a group of Polish patients exhibiting symptoms of PTSD or those with co-occurring PTSD and BPD. [ABSTRACT FROM AUTHOR]

Brazilian municipalities have increasingly claimed a more relevant role in the issue of public security. According to IBGE data, most Brazilian municipalities have employed their civil guards in ostensible policing to repress crime. It is interesting to note that this activity has been carried out in spite of the constitutional command, given that art. 144, §8° of the Magna Carta restricts the action of the municipal force to the protection of its patrimony. However, despite the normative issue, the fact is that municipal civil guards have carried out a risky activity, such as that of police officers, without enjoying, however, a series of rights reserved for them, among which special retirement stands out. This situation, which crystallized after the judgment of Theme 1.057 of the STF, when the Court denied the aforementioned right to the civil guards, imposing a situation of flagrant inequality between them and the members of the public security forces. Therefore, this work proposes to discuss, through the dialectical method, the role of the Judiciary, from the perspective of the Democratic State of Law, in ensuring the maximum effectiveness of fundamental rights, even if lacking infralegal regulation, in the sense of promote the correction of social inequalities and build a more just and egalitarian society. [ABSTRACT FROM AUTHOR]

Self-harm behaviour and suicide attempts are considered maladaptive coping mechanisms by individuals with a diagnosis of borderline personality disorder (BPD). Numerous studies have demonstrated that individuals with BPD are at a heightened risk for self-harm behaviour and suicide. Therefore, there is a need for intervention efforts aimed at reducing self-harm and suicide attempts in this population by promoting more functional coping strategies. No systematic review has been conducted to explore the effectiveness of such interventions. A systematic review was performed to identify randomized controlled trials of interventions to reduce self-harm and suicide attempts among individuals with BPD, published between 2012 and 2022. PsycARTICLES, PubMed, Web of Science, Science Direct, and Taylor & Francis databases were examined in the review. A total of 6,760 studies were initially screened, only 13 were selected for review based on the inclusion and exclusion criteria. The results indicated that the standard dialectical behaviour therapy protocol, with the addition of psychological intervention components such as skills training, exposure and acceptance, statistically significantly increased recovery. Statistically significant results have been obtained from various psychotherapeutic intervention groups such as schema therapy, cognitive behavioural therapy and emotion regulation therapy However, it was noted that existing protocols might be inadequate in preventing relapse and addressing potential negative outcomes such as premature termination of therapy. [ABSTRACT FROM AUTHOR]

Objective: Borderline personality disorder (BPD) is a serious public health problem. Dialectical Behavior Therapy (DBT) is a program that has provided encouraging results for its treatment. However, scientific evidence about its efficacy is scarce. Therefore, we aimed to describe the scientific production on the components of the DBT program and its therapeutic efficacy in the treatment of people with BPD. Method: A systematic review with relevant keywords was conducted based on studies available in Scopus, Web of Science, and PubMed until June 2023, including studies in English, research on therapeutic intervention, studies with a randomized controlled trial (RCT) design that included people with the diagnosis of BPD. Results: We found 18 RCTs, most of which supported the effectiveness of DBT for BPD. There were a total of 1,755 participants in these studies, most of whom were women. These studies looked for treating self-injurious behaviors, suicidal thoughts or ideations, number of visits to emergency services, and frequency of hospital admissions. Most studies revealed that both short-term DBT and standard DBT improved suicidality in BPD patients with small or moderate effect sizes, lasting up to 24 months after the treatment period. Furthermore, these studies showed that DBT can significantly improve general psychopathology and depressive symptoms in patients with BPD. Improvement of compliance, impulsivity, mood instability, as well as reduction in hospitalization rate are other findings observed in the trials following DBT. Conclusion: Although DBT shows efficacy in the treatment of BPD, heterogeneity in the methodologies employed is highlighted. Therefore, it is necessary to design studies from a homogeneous theoretical and methodological framework. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Community Mental Health is the property of Canadian Periodical for Community Studies Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Key Points: Question: Is dialectical behavior therapy (DBT) effective in treating mood symptoms, states, and suicidal behavior among adolescents with bipolar spectrum disorder? Findings: In this randomized clinical trial of 100 adolescents with bipolar spectrum disorder, compared with those who received standard of care psychotherapy, youth who received 1 year of DBT had fewer suicide attempts over 1 year. The groups displayed similar improvement in depression and hypomania and mania. Meaning: These findings support DBT as the first psychosocial intervention with demonstrated effects on suicidal behavior for adolescents with bipolar spectrum disorder. This randomized clinical trial evaluates whether dialectical behavior therapy for adolescents with bipolar spectrum disorder is more effective than standard of care psychotherapy in decreasing suicide attempts over 1 year. Importance: Early-onset bipolar disorder conveys substantial risk for suicide. No psychosocial intervention for this population expressly targets suicidal behavior. Objective: To determine whether dialectical behavior therapy (DBT) for adolescents with bipolar spectrum disorder is more effective than standard of care (SOC) psychotherapy in decreasing suicide attempts over 1 year. Design, Settings, and Participants: Adolescents aged 12 to 18 years diagnosed with bipolar spectrum disorder were recruited from a specialty outpatient psychiatric clinic between November 2014 and September 2019. Independent evaluators conducted quarterly assessments over 1 year with participants and parents. Data were analyzed from March 2021 to November 2022. Interventions: Participants were randomly assigned to 1 year of DBT (36 sessions; n = 47) or SOC psychotherapy (schedule clinically determined; n = 53). All youth received medication management via a flexible algorithm. Main Outcomes and Measures: Primary outcomes included suicide attempts over 1 year and mood symptoms and states (depression and hypomania/mania). Secondary analyses included moderation of DBT effects by history of suicide attempt and mediation through emotion dysregulation. Results: Of 100 included participants, 85 (85%) were female, and the mean (SD) age was 16.1 (1.6) years. Participants were followed up over a mean (SD) of 47 (14) weeks. Both treatment groups demonstrated significant and similar improvement in mood symptoms and episodes over 1 year (standardized depression rating scale slope, −0.17; 95% CI, −0.31 to −0.03; standardized mania rating scale slope, −0.24; 95% CI, −0.34 to −0.14). DBT and SOC participants reported similar suicide attempt rates at intake as measured on the Adolescent Longitudinal Follow-Up Evaluation (ALIFE; mean [SD] attempts, 2.0 [4.5] vs 1.8 [3.9], respectively; P =.80). DBT participants reported slightly more suicide attempts at intake as measured on the Columbia-Suicide Severity Rating Scale Pediatric Version (C-SSRS; mean [SD] attempts, 1.4 [3.6] vs 0.6 [0.9]; P =.02). DBT participants reported significantly fewer suicide attempts over follow-up compared with SOC participants via the ALIFE (mean [SD] attempts per follow-up period, 0.2 [0.4] vs 1.1 [4.3], controlling for baseline attempts: P =.03) and the C-SSRS (mean [SD] attempts per follow-up period, 0.04 [0.2] vs 0.10 [0.3], controlling for baseline attempts; P =.03). DBT was significantly more effective than SOC psychotherapy at decreasing suicide attempts over 1 year (ALIFE: incidence rate ratio [IRR], 0.32; 95% CI, 0.11-0.96; C-SSRS: IRR, 0.13; 95% CI, 0.02-0.78). Decreased rate of suicide attempts in DBT was moderated by presence of lifetime history of suicide attempt and time (IRR, 0.23; 95% CI, 0.13-0.44) and mediated by improvement in emotion dysregulation (IRR, 0.61; 95% CI, 0.42-0.89), particularly for those with high baseline emotion dysregulation (standardized β, −0.59; 95% CI, −0.92 to −0.26). Conclusions and Relevance: In this randomized clinical trial, DBT demonstrated efficacy in decreasing suicide attempts among the high-risk population of adolescents with bipolar spectrum disorder. Trial Registration: ClinicalTrials.gov Identifier: NCT02003690 [ABSTRACT FROM AUTHOR]

Copyright of Co-herencia is the property of Universidad EAFIT and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Novel technologies, such as ecological momentary assessment (EMA) and wearable biosensor wristwatches, are increasingly being used to assess outcomes and mechanisms of change in psychological treatments. However, there is still a dearth of information on the feasibility and acceptability of these technologies and whether they can be reliably used to measure variables of interest. Objective: Our objectives were to assess the feasibility and acceptability of incorporating these technologies into dialectical behavior therapy and conduct a pilot evaluation of whether these technologies can be used to assess emotion regulation processes and associated problems over the course of treatment. Methods: A total of 20 adults with borderline personality disorder were enrolled in a 6-month course of dialectical behavior therapy. For 1 week out of every treatment month, participants were asked to complete EMA 6 times a day and to wear a biosensor watch. Each EMA assessment included measures of several negative affect and suicidal thinking, among other items. We used multilevel correlations to assess the contemporaneous association between electrodermal activity and 11 negative emotional states reported via EMA. A multilevel regression was conducted in which changes in composite ratings of suicidal thinking were regressed onto changes in negative affect. Results: On average, participants completed 54.39% (SD 33.1%) of all EMA (range 4.7%-92.4%). They also wore the device for an average of 9.52 (SD 6.47) hours per day and for 92.6% of all days. Importantly, no associations were found between emotional state and electrodermal activity, whether examining a composite of all high-arousal negative emotions or individual emotional states (within-person r ranged from -0.026 to -0.109). Smaller changes in negative affect composite scores were associated with greater suicidal thinking ratings at the subsequent timepoint, beyond the effect of suicidal thinking at the initial timepoint. Conclusions: Results indicated moderate overall compliance with EMA and wearing the watch; however, there was no concurrence between EMA and wristwatch data on emotions. This pilot study raises questions about the reliability and validity of these technologies incorporated into treatment studies to evaluate emotion regulation mechanisms. [ABSTRACT FROM AUTHOR]

Background: People with alcohol and substance use disorders (SUDs) often have underlying difficulties in regulating emotions. Although dialectical behavioral therapy is effective for SUDs, it is often difficult to access. Self-guided, internet-delivered dialectical behavioral therapy (iDBT) allows for expanded availability, but few studies have rigorously evaluated it in individuals with SUDs. Objective: This study examines the feasibility, acceptability, and potential efficacy of an iDBT intervention in treatment-seeking adults with SUDs. We hypothesized that iDBT would be feasible, credible, acceptable, and engaging to people with SUDs. We also hypothesized that the immediate versus delayed iDBT group would show comparatively greater improvements and that both groups would show significant improvements over time. Methods: A 12-week, single-blinded, parallel-arm, randomized controlled trial was implemented, with assessments at baseline and at 4 (acute), 8, and 12 weeks (follow-up). A total of 72 community adults aged 18 to 64 years were randomized. The immediate group (n=38) received access to iDBT at baseline, and the delayed group (n=34) received access after 4 weeks. The intervention (Pocket Skills 2.0) was a self-guided iDBT via a website, with immediate access to all content, additional text and email reminders, and additional support meetings as requested. Our primary outcome was substance dependence, with secondary outcomes pertaining to feasibility, clinical outcomes, functional disability, and emotion dysregulation, among other measures. All outcomes were assessed using self-report questionnaires. Results: iDBT was perceived as a credible and acceptable treatment. In terms of feasibility, 94% (68/72) of the participants started iDBT, 13% (9/68) were early dropouts, 35% (24/68) used it for the recommended 8 days in the first month, and 50% (34/68) were still active 4 weeks later. On average, the participants used iDBT for 2 hours and 24 minutes across 10 separate days. In the acute period, no greater benefit was found for the immediate group on substance dependence, although we did find lower depression (b=-2.46; P=.02) and anxiety (b=-2.22; P=.02). At follow-up, there were greater benefits in terms of reduced alcohol (b=-2.00; P=.02) and nonalcoholic substance (b=-3.74; P=.01) consumption in the immediate access group. Both groups demonstrated improvements in substance dependence in the acute (b=-1.73; P<.001) and follow-up period (b=-2.09; P<.001). At follow-up, both groups reported reduced depression, anxiety, suicidal behaviors, emotional dysregulation, and functional disability. Conclusions: iDBT is a feasible and acceptable intervention for patients with SUDs, although methods for improving engagement are warranted. Although results did not support efficacy for the primary outcome at 4 weeks, findings support reductions in substance dependence and other mental health concerns at 12 weeks. Notwithstanding the limitations of this study, the results suggest the potential value of iDBT in the treatment of SUDs and other mental health conditions. [ABSTRACT FROM AUTHOR]

Since September 2020, Fox News spawned an anti-critical race theory (CRT) disinformation campaign, that has reverberated in the whitestream's echo chamber. The disinformation largely appeals to white people who refuse to see racism, unless they feel it is impinging their rights. The campaign against CRT has penetrated the e-tailer site Amazon. com where books identified by Fox News as CRT texts have experienced increasingly hyperbolic and disinformed customer reviews. Encountering these reviews, we questioned how Amazon reviewers used a mundane platform to reify whiteness, while feigning hurt and ignorance. In this article, we present results from a qualitative critical race content analysis of Amazon.com customer reviews of four books identified by Fox News. A dialectical engagement between the tenets of CRT and key concepts of critical whiteness studies guided our analysis to describe how Amazon reviews enforced en/whitened postdigital spaces. Our results indicate that reviewers transmitted emo-social whiteness, discursively keeping white racism implacable yet, off the table. Framing our discussion, we examine current violent movements resulting from the anti-CRT echo chamber and its impact on education. [ABSTRACT FROM AUTHOR]

Copyright of Revue de Psychoéducation is the property of La revue canadienne de psycho-education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Jurídica (0103-3506) is the property of Revista Juridica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cuestiones Políticas is the property of Revista Cuestiones Politicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The present study was conducted with the aim of comparing the effectiveness of compassion-focused therapy and dialectical behavior therapy on the adversity quotients and emotional processing of adolescents with a history of self-injury. This research was a semiexperimental study with a pre-test, post-test design with experimental and control groups. The statistical population of the research included all female students of the second secondary level in the academic year of 2020-2021in Bushehr (number of 63290 people), who had a history of self-injury. 60 people were selected from the statistical population of the research and randomly assigned to two experimental groups and one control group (20 people each). The first experimental group underwent compassion-based therapy (Gilbert, 2009) and the second experimental group underwent dialectical behavioral therapy intervention (Linehan, 1993), and the control group did not receive any intervention. The research tool were the self‐ harm inventory (Sansone et al., 1998), Adversity Response Profile (Stoltz, 1997) and The Emotional Processing Scale (Baker et al., 2010). The results showed that both interventions increased the adversity quotients and reduced maladaptive emotional processing in adolescents (p<0.05). Also, the findings of the research indicated that there is a significant difference between compassionfocused therapy and dialectical behavior therapy, and compassionfocused therapy is more effective in increasing the adversity quotients and dialectical behavior therapy in emotional processing (p<0.001). According to the results of the research, it can be said that both compassion-focused therapy and dialectical behavior therapy are effective methods in improving the adversity quotients and emotional processing of adolescents with self-injury [ABSTRACT FROM AUTHOR]

Adolescents from disadvantaged backgrounds are disproportionately at-risk for experiencing chronic stressors, which often decreases their ability to emotionally regulate and negatively impacts their psychological well-being. Effective prevention and early intervention programming that addresses emotion dysregulation is vital for improving mental health outcomes in these populations. School-based dialectical behavior therapy (DBT) offers a promising avenue for bolstering socioemotional health in at-risk students by emphasizing the development of four core skills: emotion regulation, mindfulness, interpersonal effectiveness, and distress tolerance. The purpose of this investigation is to describe the rationale for, and development of, a school-based DBT skills program for students attending a continuation high school in an underserved area, known as School-Based Opportunities for Adolescent Recovery (SOARing). Although it is not the first project to implement school-based DBT, SOARing is among the first to devise a 12-session, group intervention protocol through formative testing and evaluate its preliminary potential. Field note data from a pre-pilot trial were collected in order to determine the program's feasibility and acceptability. Results from these field notes and student satisfaction questionnaires indicate that the intervention was positively received, with constructive feedback from the students successfully incorporated as modifications to the program. These findings have since informed the protocol refinement of a larger randomized proof-of-concept trial that will test the effectiveness of SOARing in improving psychological outcomes. [ABSTRACT FROM AUTHOR]

Copyright of Avances en Psicología is the property of Universidad Femenina del Sagrado Corazon and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Borderline personality disorder (BPD) is a highly prevalent psychiatric disorder and presents a complex therapeutic challenge due to limited treatment modalities. Recent focus has converged on the endocannabinoid system (ECS) as a prospective modulator of psychopathological processes in BPD. To address this hypothesis, we analysed plasma endocannabinoid concentrations, specifically anandamide (AEA) and 2-arachidonoylglycerol (2-AG), in a cohort of 49 female BPD patients and 32 matched healthy controls (HC). Additionally, we examined the effect of the FAAH polymorphism rs324420 and correlates with psychopathology. The results indicate heightened AEA levels and, by trend, augmented 2-AG levels within the patient group, as compared to the HC group. Significant between group differences in AEA levels were evident in the CC genotype (FAAH_rs324420) but not in A-allele carriers while the commonly observed difference in AEA levels between A-allele carriers as compared to the CC genotype was not evident in patients. An effect of genotype was found with higher ratings of depression (Beck's depression inventory, BDI-II) in the CC genotype compared to A-allele carriers (FAAH_rs32442), particularly in the patients. Significant alterations in AEA (and by trend in 2-AG) in patients with BPD may relate to compensatory ECS activity. The finding that the effect is most pronounced in CC homozygotes, might point towards a countermeasure to balance physiologically lower baseline AEA levels. The findings warrant further research to develop potentially beneficial psychopharmacological therapies. [ABSTRACT FROM AUTHOR]

Background: Suicide is a pressing matter for the military. Not only does it pose a health risk, but suicide also compromises operational readiness. Despite provision of suicide prevention clinical best practices, the Department of Defense suffers several challenges (e.g., clinician shortages) limiting the agency's ability to effectively respond to service member suicide. Implementation of evidence-based suicide-specific group therapy is a possible solution to service member well-being needs and system challenges. Service members can also gain coping skills useful beyond managing suicidal thoughts and behaviors. Methods: This 2-arm non-inferiority randomized controlled trial compares a group therapy format of Brief Cognitive Behavioral Therapy (i.e., G-BCBT) with Dialectical Behavior Therapy (DBT) Skills Group. Both therapies are delivered in-person at a United States Naval Medical Center. Participants (N = 136) are active-duty service members with recent suicidal thoughts or suicidal behavior. Evaluation features electronically delivered questionnaires at baseline, after each treatment session, and at 3- and 6-month follow-up. Discussion: The primary outcome concerns G-BCBT impacts on suicidal ideation. Secondary outcomes of interest are suicide attempt, psychological distress (e.g., symptoms of depression, anxiety), and self-regulatory skills (e.g., emotion regulation). We also examine self-regulatory skills as treatment moderators. Clinical trial strengths and limitations are reviewed. Trial registration: This study was registered at Clinicaltrials.gov (protocol NCT05401838). [ABSTRACT FROM AUTHOR]

Background: Treatment trials for borderline personality disorder (BPD) have consistently demonstrated that approaches that are diagnostically tailored are superior to those which are not. Currently, gold standard treatments for BPD are highly intensive, lengthy, and specialized, leading to a critical gap between the supply and demand of effective, evidence-based treatment for patients who receive a diagnosis of BPD. Psychoeducation, which is a common component of most treatments known to be effective, is a low-cost, low-burden intervention proven to relieve symptoms. The present study builds on psychoeducation research, assessing online video prescriptions as a means of disseminating information patients need to know about their diagnosis and care. Methods: This article presents the study protocol for a safety, feasibility, and preliminary efficacy trial of psychoeducational video prescriptions and online assessment with feedback for newly diagnosed individuals with BPD. We aim to recruit 100 adults recently diagnosed with BPD to be randomly assigned to receive videos about BPD or videos about non-BPD mental health topics that are matched in length in the first step of the study. All participants will complete daily surveys about their emotions, interpersonal interactions, and behaviors, as well as self-report assessments and cognitive tests at 4 different time points. Half of the participants in the intervention group will receive feedback on their symptom ratings and cognitive test performance to assess whether there is incremental value in tailoring this online set of interventions with individualized feedback unique to each participant. This study aims to assess the effects of BPD-focused psychoeducational videos with and without personalized feedback, on BPD and depressive symptom severity as well as core mechanisms of the disorder such as loneliness, rejection sensitivity, cognitive control difficulties, and self-clarity. Results will inform efforts to progress to a larger, more definitive trial. Trial registration: Clinical trials registration: The protocol is registered with ClinicalTrials.gov NCT05358925. [ABSTRACT FROM AUTHOR]

This document is a compilation of summaries of various articles from the International Journal of Psychology. The articles cover a range of topics related to anxiety, including the effects of COVID-19 on anxiety and stress levels in Turkey, the development of a mental health screening tool for anxiety disorders in Korea, the relationship between perfectionism and anxiety in the Philippines, the use of progressive relaxation training to inhibit pre-competition anxiety in China, the impact of dialectical behavior therapy skills training on social anxiety disorder in Turkey, and the relationship between multidimensional perfectionism and test anxiety in Romania. These articles provide valuable insights into the different factors and interventions related to anxiety in diverse cultural contexts. [Extracted from the article]

Background: Although it has been suggested that family members of persons suffering from Borderline Personality Disorder (BPD) endure high levels of burden, however, the process and the impact of this burden in their lives, and specifically the relation between the burden and emotional regulation has not been broadly investigated among this population. The main objective of this study is to examine the impact of burden on quality of life and depression, anxiety and stress, as mediated by difficulties in emotional regulation in family members of persons diagnosed with BPD. Method: Participants were 167 family members of persons diagnosed with BPD. The Burden Assessment Scale, Difficulties in Emotion Regulation Scale, Multicultural Quality of Life Index, and Depression Anxiety Stress Scale-21 were filled out. Mediation analysis was conducted using the Maximum Likelihood estimator, bootstrap method and listwise deletion for missing data. Results: Burden showed a significant, negative effect on quality of life and positive on depression, anxiety and stress. Difficulties in emotion regulation significantly mediated these relations. After accounting for the mediating role of difficulties in emotion regulation, burden still had an impact on quality of life, depression, anxiety and stress. Women showed a higher level in both burden and stress than men. The caregivers with secondary and higher studies showed higher levels in burden than those with no studies. Not significant differences in burden, emotion regulation, depression, anxiety and stress were found related to marital status. Conclusion: Difficulties in emotion regulation mediate the relations between burden and quality of life, depression, anxiety, and stress. Family members could engage in group interventions designed specifically for family members of people with BPD, oriented toward understanding the disorder or learning skills. [ABSTRACT FROM AUTHOR]

Objective: Improvement in emotion regulation is a proposed transdiagnostic mechanism of change. However, treatment research is limited by disorder-specific investigations that assess a narrow number of emotion regulation strategies. Moreover, most assess pre-to-post-treatment change without examining short-term changes throughout psychotherapy that might influence treatment response. Method: To address these gaps, this study uses daily diary methodology to examine trajectories of change in use of six emotion regulation strategies during partial hospitalization psychiatric treatment. Treatment was rooted in cognitive behavioral principles and included skills adapted from empirically supported cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) manuals. Participants were adults (N = 364; Mage = 34.6 years; 60% female; 85% non-Hispanic White) with various profiles of mood, anxiety, and obsessive–compulsive disorders who completed symptom measures at baseline and discharge and daily measures of emotion regulation. Results: In the first 7 treatment days, patients increased use of engagement strategies (reappraisal, acceptance) and decreased use of disengagement (expressive suppression) and cognitive perseveration (experiential avoidance, rumination) strategies. Day-to-day trajectories found that decreased use of experiential avoidance predicted next-day changes in distraction and suppression use. In predicting treatment outcomes, steeper rates of decreased suppression use predicted reductions in anxiety, depression, and general psychopathology symptoms; similar patterns were observed for decreased rumination and experiential avoidance use and increased reappraisal use. Conclusion: Results add to a growing literature on the value of intentional, constructive engagement with emotional experiences as a mechanism of psychological health. What is the public health significance of this article?: This study suggests that successful cognitive behavioral psychotherapy increases constructive engagement with emotions. These changes can occur within the first few days of transdiagnostic treatments and be maintained at discharge. [ABSTRACT FROM AUTHOR]

Few studies have investigated the feasibility of researching brief forms of dialectical behaviour therapy (DBT) for borderline personality disorder (BPD) in public mental health settings. This study aimed to provide preliminary evidence for the feasibility of implementing DBT over a 6-month period for BPD symptoms within Australian public mental health services. Of the 79 participants with BPD recruited, 62 commenced and 24 participants completed the therapy. The participants attended one of three outpatient DBT programmes and completed measures of BPD symptoms, DBT skills-use, and difficulties with emotion regulation at baseline and after 6 months of treatment. A major challenge with feasibility identified was the high attrition rate (61%). However, for completers there were significant improvements in BPD symptoms, DBT skills-use, and difficulties with emotion regulation. These effect sizes were used to estimate the sample sizes needed by future larger trials of brief DBT for BPD in public health settings. The implementation of brief DBT for BPD patients within a public mental health outpatient setting, appears to result in significant reductions in BPD symptoms. However, further exploration of strategies to reduce drop-out rates are required. [ABSTRACT FROM AUTHOR]

One can find a rich set of empirically evaluated techniques across different schools in couple therapy over its evolution of five decades. Though there are multiple systematic reviews and analyses of couple intervention studies, none focus on reviewing the universal dimensions of change across therapeutic techniques. Understanding the common areas of change would enable integrated learning across therapy modalities for novice therapists. Therefore, the aim is to identify the techniques employed in couple intervention research and categorize their change dimensions. We examined 40 articles on couple interventions published across 16 journals and identified 111 techniques. The five therapeutic change dimensions, namely behavior, cognition, emotion, attachment, and holistic, were categorized based on the common factor integration of techniques. The identified techniques were further classified under the five dimensions using the voting procedure to validate the universality of change dimensions. [ABSTRACT FROM AUTHOR]

Purpose: Dialectical behavior therapy (DBT) is a treatment originally developed för chronically suicidal adults. It is common to adapt it by using one specific component, the DBT skills training (DBT-ST) and apply it in a group therapy setting for a variety of mental disorders. The primary aim of the study was to explore whether patients with extended care needs would report improved mental health after participating in an intensive form of DBT-ST. The secondary aim was to explore whether the use of psychiatric inpatient care for the group would decrease. Methods: Thirty-seven participants completed the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), and visual analogue scale (VAS) at three time points: pre-intervention, post-intervention and at 6-month follow-up after intensive DBT-ST. Results: One-way ANOVA showed a significant effect for time on the CORE-OM: F (2,35) = 7.93, p =.001, η2 = 0.312 (large effect size). Post hoc tests indicated a significant difference between pre-intervention and post-intervention (p =.001) and between pre-intervention and follow-up (p =.01). A Friedman test indicated a statistically significant difference in the VAS scale scores across the three time points, with p-values between 0.00 and 0.05. There was no difference in psychiatric healthcare consumption. Conclusion: These study results confirm to some extent the feasibility and effectiveness of the intensive DBT-ST in a transdiagnostic clinical setting. The participants had a positive outcome from the skills training program, but psychiatric healthcare consumption did not decrease. [ABSTRACT FROM AUTHOR]

The migration phenomenon, in which the mind travels ahead of the body, especially among would-be travellers, has received scholarly attention within migration studies. Research in this area has not unpacked the cognitive migration experiences of those who have already moved. This autoethnographic article explores the feelings, thoughts and experiences of an individual living abroad in the United Kingdom but cognitively imprisoned at his ancestral home in Igbo land. It draws on the concept of cognitive migration and the author's own experiences and feelings to introduce and explain the phenomenon of cognitive immobility, which exemplifies the dialectical conflict between the aspirations of longing for and emotions of belonging to a place against a simultaneous desire to remain distant from it. This article advocates the recognition of this cognitive experience of being trapped in place while mobilised in-person elsewhere in migration studies, providing a lens to view such experiences that have erstwhile received inadequate attention. This article contributes to the growing body of knowledge in relation to cognitive migration processes and experiences of those contemplating or participating in human mobility. [ABSTRACT FROM AUTHOR]

Introduction: During the COVID-19 pandemic, the mental health of college students was typically poor; somatic symptoms, depression, negative thoughts, and hopelessness were widespread issues that should have been addressed through therapy and intervention. Objective: To examine the effect of dialectical behavioral-based Intervention (DBBI) on female nursing college students' hope, somatic symptoms, and negative thoughts during COVID-19. Methodology: In the quasi-experimental study, 28 female nursing college students were treated with DBBI (intervention group). This group was compared to 28 students who received no intervention (the control group). The somatic self-rating scale, the adult hope questionnaire, and the automatic thought questionnaire 30 were used to assess changes in students' somatic symptoms, hope, and negative thoughts. Results: The DBBI group's value-added total score of student's hope and negative thoughts were both considerably higher than the control group (t = 2.53, p = 0.01 and t = 2.36, p = 0.03, respectively), while the value added of the total score of somatic symptoms was not statistically significant (t = 0.93, p = 0.36). The depression subscale's value-added score was significantly higher in the DBBI group than in the control group (t = 2.23, p = 0.02). Conclusions: Dialectical behavioral-based intervention is advised to develop knowledge and empower students against depression and its components because of its effectiveness in lowering negative thoughts and raising the level of hope. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to investigate the acceptability, appropriateness, feasibility, and preliminary effectiveness of a three‐credit college Wellness and Resilience Course (WRC) for improving student mental health and well‐being outcomes in the context of the coronavirus disease 2019 (COVID‐19) pandemic. Method: Undergraduate students aged 18–24 years old on five campuses in Western Pennsylvania or West Virginia who had either enrolled in the WRC (n = 81) or were attending university as usual (i.e., not enrolled in the WRC; n = 171) participated in surveys at baseline (beginning of semester), end of semester, and 3‐month follow‐up during the Spring and Fall 2020 semesters. Results: Overall, students rated the WRC as acceptable, appropriate, and feasible. From baseline to the end of semester, students who received the WRC reported significant improvements in psychological flexibility (d = 0.30), mindfulness (d = 0.42), distress tolerance (d = 0.36), and use of dysfunctional and adaptive coping skills (d = 0.32), compared with students who did not receive the WRC. At follow‐up, all gains remained statistically significant and students who received the WRC additionally reported significant improvements in stress (d = 0.44) and life satisfaction (d = 0.35) compared with students who did not receive the WRC. Conclusions: These findings offer preliminary evidence that college courses focused on mental wellness may be an important component of campus strategies to increase universal access to mental health support and skills. This study was registered on clinicaltrials.gov on April 8, 2020. [ABSTRACT FROM AUTHOR]

Previous research demonstrates that parents' communication skills may contribute to the development and maintenance of their young person's borderline personality disorder (BPD). Carers of people with BPD also experience their own psychosocial stressors and feel unsupported. Consequently, Dialectical Behavior Therapy for adolescents (DBT‐A) invites parents to partake in group therapy alongside their young person. Despite this involvement, little research exists examining parents' perspective of engaging in a DBT‐A program, and specifically whether they experience their own benefits and changes from being part of the program. To examine this, the current study interviews 34 parents who engaged in an early intervention DBT‐A program. Thematic analysis resulted in seven key themes and 16 subthemes beginning with parents' expectations of the program, followed by the key elements of the program that facilitated change, and the actual changes and benefits attributed to these elements. Overall, parents were surprised by their own gains from the program, and how the skills they learned facilitated personal development that improved family communication and functioning with their young person and more broadly. This study addresses the gap in understanding the parent perspective with clinical implications for the benefits of involving parents in therapy more generally. [ABSTRACT FROM AUTHOR]

Summary: Theoretical models of insomnia disorder recognise an emotional component in the maintenance of the disorder. Nonetheless, the field of emotions is vast and different processes are involved in psychological well‐being. The present narrative review focusses on emotion regulation and affect dynamics, synthesising some of the most recent and relevant evidence on emotions in relation to the quality of sleep and to insomnia disorder. The literature underlines the close association between impaired sleep quality and difficulties in regulating emotions. Impaired sleep quality is also associated with reduced positive affect and increased negative affect, but little evidence supports a bi‐directional association between affective states and sleep. Affect variability in relation to sleep has been less investigated. Initial evidence suggests that high variability in positive affect has a negative impact on sleep. Neurobiological and behavioural evidence indicates that insomnia disorder is associated with emotion dysregulation, negative affect, and a distinct daily profile of affective states. More research is needed on the affective experience of patients with insomnia disorder, adopting multiple sampling of affect across the day and the week. Understanding how the unfolding of emotions over time interact with sleep alterations may help to improve the tailoring and monitoring of treatments addressing disturbed emotional processes in insomnia disorder. [ABSTRACT FROM AUTHOR]

In this article, I demonstrate that temporal domination over subjects and producers in capitalist society is Marx's central category in the critique of political economy. Hartmut Rosa who is well known in the critical tradition for his works on social acceleration refers to Marx's value theory to explain the economic motor of social acceleration in the sphere of production and distribution, but he does not reach the very depth of Marx's critique of abstract time domination and considered it as a subordinate and marginal aspect of Marx's theory. I argue that Marx's critique of class exploitation and commodification of social relations, in the final analysis, consists in the critique of domination of time over man. In particular, I articulate their relationship by representing the Hegelian onto-logical couple of essence and appearance; it is demonstrated that class exploitation as an internal and substantial structure of capitalism posits the temporal domination as an form of appearance which presupposes the first. Moreover, this article shows that class domination has taken a more inverted and mysterious form in digital capitalism through new time appropriation strategies. This implies that in contrast to Rosa who considers social acceleration above and beyond class boundaries, it still reinforces class exploitation and acts through it. [ABSTRACT FROM AUTHOR]

Purpose: The current study is intended to see the efficacy of dialectical behaviour therapy (DBT), with child sexual abuse (CSA) related posttraumatic stress disorder (PTSD). Design/Methodology/Approach: Present study employed experimental research design. The randomly selected sample for the study consisted of 28 children who were victims of contact sexual abuse (14 experimental groups and 14 wait-list control group). The CSA-related PTSD symptoms were assessed using the Child PTSD Symptom Scale for DSM-V (CPSS-V-SR). In intervention arm, one session was scheduled for per week for 12 weeks in individual settings. For a period of twelve weeks, a dialectical Behaviour therapy was employed to treat the intervention group. The wait-list control group received only parental care as treatment. Both groups received a Posttest following the final therapy session. Findings: Results revealed that significant mean difference was found between experimental and wait-list control group participants on scales of CPSS-V-SR. That showed that traumatized children experienced PTSD symptoms at pretest level and after application of DBT symptoms improved in intervention group. Implications/Originality/Value: Present study concluded that DBT was an effective therapeutic treatment for CSA related posttraumatic stress disorder among young adolescents. [ABSTRACT FROM AUTHOR]

Background: Sexual desires and sexual activities are one of the natural needs of every human being, which if not used in the right direction, may become problematic and lead to various sexual disorders, including hypersexuality. The aim of this research was to compare the dialectic behavior therapy and aripiprazole drug on impulsive behavior in hypersexual patients. Methods: The paper is an experimental study based on control and treatment groups with pre-test and post-test and follow up. 54 male and female patients with hypersexuality having at least diploma, from four hospitals and psychiatric centers of Isfahan, were selected and assigned randomly in two groups of treatment (18 patients in every group) and one group of control (18 patients). Pre-test stage was done for three groups by Barratt Impulsiveness Scale Version 11 (BIS- 11). The first treatment group underwent DBT intervention for 8 sessions of 2 hours (once a week) and the second experimental group was prescribed aripiprazole for two months. Afterwards, the post-test and follow up was done for all three groups. Results: A significant difference was observed regarding the variable of impulsive behavior and all its components between the experimental and control groups (P<0.05). And the drug Aripiprazole had an effect on the motor impulsivity component of impulsive behavior and improved it (P = 0.01). Also, there is a difference between the effects of DBT and aripiprazole, with the greater effect of DBT, in the variables of impulsive behavior (P = 0.01). Conclusion: Based on the results, it can be said that the intervention of DBT and aripiprazole drug can have an effect on impulsive behavior of patients and DBT can be used as an complementary treatment. [ABSTRACT FROM AUTHOR]

This is the protocol for an evidence and gap map. The objectives are as follows: To map available randomized control trials, economic evaluations, and systematic reviews that assess the effectiveness and cost‐effectiveness of non‐pharmacological interventions for older people with a diagnosis of depression and identify any existing gaps in the evidence that can inform future research. [ABSTRACT FROM AUTHOR]

Emerging adulthood is a period of significant exploration, transformation, variability, and growth. Simultaneously, this developmental period presents unique challenges as emerging adults work to achieve developmental milestones including self-identity formation, the establishment of long-term intimate relationships, career advancement, and independence from parents. For those who are vulnerable, this period is also marked by the development of significant mental health problems and associated impairment, which prevents individuals from successfully reaching these developmental milestones. To address the various challenges unique to this developmental period, we created and implemented a multifaceted DBT treatment protocol to specifically address emotional dysregulation within emerging adults. The current study presents an evaluation of a novel, intensive, outpatient DBT program called System for Adult Growth and Emergence—Foundations (SAGE-F). We aim to first introduce the SAGE-F treatment protocol, and then to assess both its short and long-term therapeutic value. Participants enrolled in SAGE-F were administered a testing battery assessing symptom severity, functioning capacities, and coping strategies at intake, upon completion of the program 6-weeks later, and at 3-month follow-up. It was found participants who completed SAGE-F reported significant reductions in depression and anxiety symptoms, as well as non-suicidal self-injurious behaviors. Simultaneously, participants also reported improvements in their daily functioning and coping capacities. Follow-up assessments indicated therapeutic progress remained. [ABSTRACT FROM AUTHOR]

This study analyzes the normative definition of the guarantees of political rights of citizens. A dialectical methodology of knowledge of law is used, and law is interpreted as an attribute of social management of society. A legal norm is understood as a process of necessity, the elements of which are the hypothesis, disposition and sanction of the norm in their organic connection. It is shown that the political rights and freedoms of a person and a citizen are established by the disposition of the legal norm, and their guarantees are determined by the sanction of the legal norm. The public legal character of political rights conditions their guarantee by legal acts of the court of administrative justice, as a type of justice. The study concludes that improving the normative definition of the guarantees of political rights is an urgent task for the management and legal regulation of political relations in modern society. [ABSTRACT FROM AUTHOR]

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As a Chinese scholar of the academic circle Leo Tolstoy studies after the reform and opening up, Chen Jianhua has made significant achievements both in the study of Tolstoy's creative works and in that of Tolstoy's life in the perspective of comparative literature and academic history. His concepts of Tolstoy's novels, such as "antipodes" and "the unity of subject participation and aesthetic distance," have renovated the domestic academic circle's understanding of Tolstoy's novels in terms of the art of creative writing and characterization techniques. In the field of Sino-Russian literary relations, Chen Jianhua, with his broad vision and dialectical historical outlook, has sorted out the historical context of Tolstoy's acceptance in our academic circles, comprehensively studied Tolstoy's thought and aesthetics from the Chinese perspective, insightfully pointed out Tolstoy's influence on the construction and development of Chinese culture, and constructed the image of this great writer as a whole in China. He is a scholar who has made significant contributions to the systematic study of Leo Tolstoy in China from these two aspects. [ABSTRACT FROM AUTHOR]

This paper aims to discuss a well-known concept from argumentation theory, namely the principle of charity. It will show that this principle, especially in its contemporary version as formulated by Donald Davidson, meets with some serious problems. Since we need the principle of charity in any kind of critical discussion, we propose the way of modifying it according to the presupponendum—the rule written in the sixteenth century by Ignatius Loyola. While also corresponding with pragma-dialectical rules, it also provides additional content. This will be termed the dialectical principle of charity, and it offers a few steps to be performed during an argument in order to make sure that the participants understand each other well and are not deceived by any cognitive bias. The meaning of these results could be of great significance for argumentation theory, pragma-dialectics and the practice of public discourse as it enhances the principle of charity and makes it easier to apply in argumentation. [ABSTRACT FROM AUTHOR]

The article confronts genre theory with considerations of temporality. Starting from the assumption that the genres of essay and manifesto lend themselves to divergent constructions of time, it interrogates the artificiality of generic demarcations and highlights formalisations of time in the blended genre of the essay manifesto. Considering select representative texts, the article brings into view manifold dynamics that might otherwise be missed, especially with regard to temporality. Rather than assuming contrastive constructions of time on a spectrum of tension between the poles of duration (length of time and permanence) and momentariness (brevity and transitoriness), the article introduces the concept of dialectical gestures of time in the sense of two interrelated, mutually constitutive notions of momentary duration and enduring momentariness. As is shown, foregrounding dialectical temporal gestures in the essay manifesto highlights critical functional aspects of this form, including polemical disruption and explorative reflection. [ABSTRACT FROM AUTHOR]

This study explores how middle-class migrant East Asian mothers approach their children's education in England, where educational culture is perceived to be considerably different from East Asia. Based on dichotomous perceptions about East Asian and English education cultures, dialectical perspectives were used to analyse the life history interview data, particularly four dialectical frameworks developed by [Baxter, L.A. (1990). Dialectical contradictions in relationship development. Journal of Social and Personal Relationships, 7, 69–88. https://doi.org/10.1177/0265407590071004]: selection, separation, neutralization, and reframing. In order to release tensions arising from the two-perceived different educational systems these mothers used different dialectical strategies. The paper argues that East Asian mothers' behaviour towards their children's education cannot be categorized using a uniform cultural framework and a diasporic space provides multiple possibilities for exercising divergent approaches for them. [ABSTRACT FROM AUTHOR]

As the sole grammatical treatise and historiographical source for medieval Sicilian Arabic, Tathqīf al-Lisān wa-Talqīh al-Janān, authored by Ibn Makkī al-Siqillī (d. 501/1107--8), has occupied a central position in the history of Lahn al-'Āmma literature and Arabic linguistics in general. And yet modern scholars did not register enough of the underlying assumptions about language internal to Ibn Makkī's methodology and logic. In this paper, I argue that his methodological insistence on cataloging the multiple grammars of spoken, dialectical Arabic reflects a recognition of the intrinsically diachronous and polyphonic nature of Arabic. Resisting a conception of language as static and normative, Ibn Makkī refrains from labeling spoken expression as categorically "incorrect." This paper first studies the methodological shift in Tathqīf al-Lisān from a prescriptive to a descriptive approach to language centered on linguistic polyphony. From the formal organization in Tathqīf al-Lisān to its various methodological innovations, this article attempts to address significant shortcomings in modern scholarship on this grammatical treatise. Ultimately this paper reads the Tathqīf al-Lisān not merely as a repository of Sicilian Arabic semantic or morphological data, but rather as a milestone in the history of methodologies in premodern writings on Lahn al-'Āmma. [ABSTRACT FROM AUTHOR]

The core idea of Pragma-dialectical Theory is critical discussion which means resolving disagreement via argumentative dialogues. The Pragmatic-dialectic Model describing critical discussion has not only reasonableness and validness in logic, but also rhetorical effectiveness and pragmatic properties in intra-cultural context. However, the model cannot appropriately describe intercultural discussion since the discussants try to negotiate both in meaning and in divergence. People from different cultures do not necessarily behave pragmatically in the same way. In order to better describe the process of intercultural discussion, an exploratory approach was taken to first propose modifications of the model and then to confirm the modified model in a case study. The modifications include two aspects: first, its rhetorical and pragmatic properties can be expanded by taking Burke's "Identification" and by replacing "speech acts" with more comprehensive "pragmatic acts"; second, the argumentation stage can be explored further with "motivation" and "mediation" added to the model. The case study reveals that the discussants with the motivation to seek common substances could take proper pragmatic acts to negotiate on certain substances, and that the mediation by the third party and by the discussants exerted influence both on the motivation and on the pragmatic acts. The modified model is expected to broaden the application scope of Pragma-dialectical theory to intercultural communication, and to better explain many kinds of intercultural discussions. [ABSTRACT FROM AUTHOR]

Objectives: Emotional eating is recognized as a potential contributor to weight gain. Emotional eaters often hide their problems because of feelings of shame about their behavior, making it challenging to provide them with the necessary support. The introduction of a virtual coach might offer a potential solution in assisting them. To find out whether emotional eaters are receptive to online personalized coaching, we presented emotional eaters with two essential prototypical problem situations for emotional eaters: "experiencing cravings" and "after giving in to cravings," and asked them whether they preferred one of the three coaching strategies presented: Validating, Focus-on-Change and Dialectical. Methods: An experimental vignette study (2 × 3 design) was carried out. The vignettes featured two distinct personas, each representing one of the two common problem scenarios experienced by emotional eaters, along with three distinct coaching strategies for each scenario. To identify potential predictors for recognition of problem situations, questionnaires on emotional eating (DEBQ), personality traits (Big-5), well-being (PANAS), and BMI were administrated. Results: A total of 62% of the respondents identified themselves with "after giving in to cravings" and 47% with "experiencing cravings." BMI, emotional eating and emotional stability appeared to be predictors in recognizing both the problem situations. In "experiencing cravings," the participating women preferred Dialectical and the Validation coaching strategies. In the "after giving in to cravings" condition, they revealed a preference for the Dialectical and the Focus-on-Change coaching strategies. Conclusion: Using vignettes allowed a less threatening way of bringing up sensitive topics for emotional eaters. The personas representing the problem situations were reasonably well recognized. To further enhance this recognition, it is important for the design and content of the personas to be even more closely related to the typical problem scenarios of emotional eaters, rather than focusing on physical characteristics or social backgrounds. This way, users may be less distracted by these factors. With the knowledge gained about the predictors that may influence recognition of the problem situations, design for coaching can be more customized. The participants represented individuals with high emotional eating levels, enhancing external validity. [ABSTRACT FROM AUTHOR]

Suicidal ideation is a complex phenomenon influenced by several predisposing, contextual, and mediating factors that seem more common among healthcare workers, especially nurses. We investigated the association of bullying and burnout with suicidal ideation among Bangladeshi nurses and identified the associated factors. We conducted a cross-sectional study among 1264 nurses in Bangladesh between February 2021 and July 2021. We applied a modified Poisson regression model with robust error variance to determine the association of bullying and burnout with suicidal ideation. Among 1264 nurses, the female was 882 (70.02%), and the mean age was 28.41 (SD = 5.54) years. The prevalence of high levels of suicidal ideation was 13.26%. In the Poison regression model, high risk bullying (RR = 6.22, 95% CI 3.13–12.38), targeted to bullying (RR = 7.61, 95% CI 3.53–16.38), and burnout (RR = 8.95, 95% CI 2.84–28.20) were found to be significantly associated with suicidal ideation. Furthermore, we found significant interaction between workplace bullying and burnout with suicidal ideation (p < 0.05). The high prevalence of bullying, burnout, suicidal ideation, and their association indicate an unsafe workplace for the nurses. Initiatives are needed to make a favorable work environment to improve nurses' overall mental health and reduce suicide ideation. [ABSTRACT FROM AUTHOR]

Background: Since the onset of the COVID-19 pandemic, the worldwide prevalence of maternal depression has risen sharply; it is now estimated that one quarter of mothers experience clinically significant depression symptoms. Exposure to maternal depression during early childhood increases the risk for the development of childhood mental illness (MI) in offspring, with altered parenting practices mediating the association between maternal depression and child outcomes. Dual-generation interventions, which aim to simultaneously treat parent and child mental health, show promise for improving outcomes for mothers with depression and their young children. The Building Regulation in Dual Generations (BRIDGE) program combines Dialectical Behavior Therapy (DBT) and parenting skills training to concurrently treat maternal depression and improve parenting practices. In pilot within-group studies, BRIDGE has led to large reductions in maternal depression and child MI symptoms. The aim of the current study is to evaluate the efficacy of BRIDGE in reducing maternal depression and child MI symptoms (primary outcomes) as well as parenting stress and harsh parenting (secondary outcomes). Methods: A three-armed randomized control trial with equal group sizes will be conducted to compare the efficacy of (1) BRIDGE (DBT + parenting skills), (2) DBT skills training, and (3) services-as-usual. Participants (n = 180) will be mothers of 3- to 5-year-old children who report elevated depression symptoms. Those randomized to BRIDGE or DBT skills training will complete a 16-week group therapy intervention. Assessments will be administered at pre-intervention(T1) post-intervention (T2), and 6-month follow-up (T3). Discussion: Dual-generation programs offer an innovative approach to prevent the intergenerational transmission of mental illness. The current study will add to the evidence base for BRIDGE by comparing it to a stand-alone mental health intervention and a services-as-usual group. These comparisons will provide valuable information on the relative efficacy of including parenting support in a mental health intervention for parents. The results will contribute to our understanding of how maternal depression affects children's development and how intervening at both a mental health and parenting level may affect child and family outcomes. Trial registration: Name of registry: Clinical Trials Protocol Registration and Results System; trial registration number: NCT05959538; date of registry: July 24, 2023; available: https://classic.clinicaltrials.gov/ct2/show/NCT05959538 [ABSTRACT FROM AUTHOR]

Background: Low self-esteem is common and can be impairing for adolescents. Treatments that primarily target low-esteem are lacking. Internet-delivered cognitive behaviour therapy (ICBT) is a treatment that can be used for adolescents but ICBT is yet to be evaluated for low self-esteem using qualitative methods. The aim of this study was to investigate experiences of participating in a novel ICBT treatment for adolescents suffering from low self-esteem. Method: Fifteen adolescent girls who had received ICBT consented to participate in a semi-structured qualitative telephone interview at post-treatment. Data were analysed and categorised using inductive Thematic Analysis. Results: Four overarching themes were identified; (1) Increased awareness and agency in difficult situations, (2) Enhanced self-image, (3) Unique but not alone, and (4) Widened understanding and new perspectives. Participants reported positive changes in their thinking and behaviour, as well as helpful learning experiences in relation to themselves and their self-esteem. For instance, participants described a more self-accepting attitude, learned how to manage negative thoughts, and experienced an increased sense of connection to others. Conclusion: The results suggest that ICBT is experienced as helpful and will inform further use and development of ICBT for low self-esteem. Future studies should validate and further evaluate experiences of ICBT for low self-esteem in other settings and in particular for boys as the study only include female participants. [ABSTRACT FROM AUTHOR]

This essay asks what is "the image of unpayable debt"? I approach Ferreira da Silva's assemblage from the angle delineated by Walter Benjamin's concept of the "image," a multi-layered composite of time-spaces. I include Benjamin's weak Messianism, via the democratic debt jubilee, and the general strike reconfigured for the present as the feminist strike against debt. The "image" formed in this process is multiple and sedimented with layers of time-space, containing a caesura. This "break" is comprised of weak Messianism and blackness. The essay concludes by asking how the debt-image can be projected into the world as the general strike. [ABSTRACT FROM AUTHOR]

Purpose: To assess the effect of esketamine nasal spray on patient-reported outcomes (PROs) in patients with major depressive disorder having active suicidal ideation with intent (MDSI). Methods: Patient-level data from two phase 3 studies (ASPIRE I; ASPIRE II) of esketamine + standard of care (SOC) in patients (aged 18–64 years) with MDSI, were pooled. PROs were evaluated from baseline through end of the double-blind treatment phase (day 25). Outcome assessments included: Beck Hopelessness Scale (BHS), Quality of Life (QoL) in Depression Scale (QLDS), European QoL Group-5-Dimension-5-Level (EQ-5D-5L), and 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9). Changes in BHS and QLDS scores (baseline to day 25) were analyzed using a mixed-effects model for repeated measures (MMRM). Results: Pooled data for esketamine + SOC (n = 226; mean age: 40.5 years, 59.3% females) and placebo + SOC (n = 225; mean age: 39.6 years, 62.2% females) were analyzed. Mean ± SD change from baseline to day 25, esketamine + SOC vs placebo + SOC (least-square mean difference [95% CI] based on MMRM): BHS total score, − 7.4 ± 6.7 vs − 6.8 ± 6.5 [− 1.0 (− 2.23, 0.21)]; QLDS score, − 14.4 ± 11.5 vs − 12.2 ± 10.8 [− 3.1 (− 5.21, − 1.02)]. Relative risk (95% CI) of reporting perceived problems (slight to extreme) in EQ-5D-5L dimensions (day 25) in esketamine + SOC vs placebo + SOC: mobility [0.78 (0.50, 1.20)], self-care [0.83 (0.55, 1.27)], usual activities [0.87 (0.72, 1.05)], pain/discomfort [0.85 (0.69, 1.04)], and anxiety/depression [0.90 (0.80, 1.00)]. Mean ± SD changes from baseline in esketamine + SOC vs placebo + SOC for health status index: 0.23 ± 0.21 vs 0.19 ± 0.22; and for EQ-Visual Analogue Scale: 24.0 ± 27.2 vs 19.3 ± 24.4. At day 25, mean ± SD in domains of TSQM-9 scores in esketamine + SOC vs placebo + SOC were: effectiveness, 67.2 ± 25.3 vs 56.2 ± 26.8; global satisfaction, 69.9 ± 25.2 vs 56.3 ± 27.8; and convenience, 74.0 ± 19.4 vs 75.4 ± 18.7. Conclusion: These PRO data support the patient perspective of the effect associated with esketamine + SOC in improving health-related QoL in patients with MDSI. Trial registration: ClinicalTrials.gov Identifier: ASPIRE I, NCT03039192 (Registration date: February 1, 2017); ASPIRE II, NCT03097133 (Registration date: March 31, 2017). [ABSTRACT FROM AUTHOR]

The standard assumption for what perception must do in order to represent a "higher level" content—say, tiger—is that it must represent the kind as such. I argue that this "as such condition" is not constitutive of what it means for a content to be "higher‐level", and that embracing it produces a range of unfortunate dialectical consequences. After offering this critique, I give an alternative construal, the "extended perceptual space" view of higher‐level contents. This view captures the phenomena targeted by the "higher‐level content" thesis, is empirically supported, and avoids the negative dialectical consequences of the as such condition. [ABSTRACT FROM AUTHOR]