The Relationships Between Child Maltreatment and Exploratory Behavior Implications for Development.

Findings from the fields of attachment theory, physiology, neurology, neurobiology and cognitive theory, when considered together, enhance understanding of the behavior and development of maltreated children. Each field describes from its own vantage how emotional trauma influences the quality and quantity of exploratory behavior. Development in many spheres is influemced by behavior. There is evidence from the field of neurobiology that experience ultimately influences the anatomy of the brain. Therefore, it can be hypothesized that constricted, overly defensive behavior in childhood ultimately compromises the development of the central nervous system itself. The altered neurobiology may help explain some of the developmental delays and failures seen in some maltreated children. Such developmental disruptions may include lowered intellectual performance, impaired ability to learn from experience, behavioral regressions under stress, and characterological abnormalities. This neurobiologic hypothesis has implications for research, intervention and training of professionals.It encourages 1) the identification of those deficit capacities most vulnerable to becoming neurologically based, 2) identification of ways to help the maltreated child explore and be accessible to developmental experiences, 3) more emphasis on the development of cognitive capacities, and 4) more breadth of training for professionals who work with maltreated children and their families.

Sexual Sensation Seeking, Alcohol Use, and Risky Sexual Behavior Among Men Who Have Sex With Men

Men who have sex with men (MSM) remain most at risk for developing HIV infection. The best prevention in this population is to identify risk factors associated with unprotected sex. Recent research suggests that sexual sensation seeking (SSS) and level of average drinking moderates the relationship between drinking alcohol in the context of sex and risky sexual behavior in a young MSM population (ages 16-20). Current study is an exploratory analysis using multilevel modeling to examine if these results are consistent across a MSM population with a wider range of ages who are also heavy drinkers. Participants (n = 181) included MSM (ages 18-75 years) from a longitudinal clinical research trial. Results indicate that MSM with higher SSS were more likely to have unprotected anal sex if they drank alcohol 3 hours prior to sex than those who did not, (OR = 1.07; 95% CI: 1.03 – 1.12). There was no significant interaction effect for average levels of drinking.

Cross-Disciplinary Collaboration Behavior of Practitioners in the Treatment of Anxiety Disorders

Current research on the collaborative behaviors of conventional and alternative health care providers for the treatment of anxiety is lacking. While there are multiple studies looking at alternative health care integration into primary care, none of them look at anxiety specifically. The purpose of this paper is to provide a preliminary exploration of possible barriers to collaboration between conventional and alternative health care providers for the treatment of anxiety. Quantitative data on collaboration behavior patterns were obtained with an anonymous survey. Data from the surveys were analyzed using a chi-square analysis. Along with these numerical data narrative data from the survey and interviews were collected in order to assess beliefs about the barriers to collaboration from different health care providers. The results indicate that conventional providers collaborate the least with alternative providers and alternative providers collaborate the least with conventional providers. The descriptive results regarding the barriers to collaboration from the study illustrated a common theme, specifically, the lack of education of conventional providers on alternative health care practices on anxiety. This is an exploratory study: therefore it would be beneficial for future researchers to look deeper into the beliefs of health care providers on the barriers to collaboration, possibly identifying the specific barriers to collaboration for each type of healthcare provider.