“C3, C4, C5 keep you alive,” or do they?

Contrary to traditional teaching in anatomy courses, historical data suggest that bilateral loss of phrenic nerve function does not necessarily result in death.     

“What do you say to them?” investigating and supporting the needs of lesbian,gay, bisexual,trans, and questioning (LGBTQ) young people

This study explores the experiences and support needs of lesbian, gay, bisexual, transgender and questioning (LGBTQ) young people living in Sussex (UK), and the training needs of practitioners working with LGBTQ young people. The aims were to explore the experiences of young people including bullying, “coming out,” social service and educational needs, and to investigate how practitioners view the needs of LGBTQ young people. Twenty‐nine interviews were conducted and analyzed thematically. Participants stressed the social and health impact of discrimination and bullying on young people as well as barriers faced in accessing services. Young people require support, yet practitioners lack the training to provide that support. Practitioners are open to this training and both groups of participants believe effective training should include youth in the development and delivery. There is an urgent need for the development of appropriate and dedicated LGBTQ youth training for all practitioners working with young people. © 2011 Wiley Periodicals, Inc.     

How does routinely delivered cognitive–behavioural therapy for gambling disorder compare to “gold standard” clinical trial?

Currently, it is unknown whether treatment outcomes derived from randomized controlled trials (RCTs) of cognitive–behavioural therapy (CBT) for problem gamblers still hold when applied to patients seen in routine practice. Thus, data from an RCT of cognitive therapy versus exposure therapy for problem gambling versus patients of a gambling help service were compared. Assessments of problem gambling severity, psychosocial impairment, and alcohol use were undertaken at baseline and post‐treatment and evaluated within a counterfactual framework. Findings showed that the contrast between routine CBT for pokies and horse betting had a significant effect, indicative of a 62% lower gambling urge score if routine CBT recipients had all been horse/track betters opposed to gambling with “pokies.” However, the majority of contrasts indicated therapeutic outcomes achieved in routine CBT treatments were of equivalent robustness relative to RCT conditions. The present findings infer routine practice treatment outcomes are as efficacious as those generated in RCT contexts.     

“Why do they have to grow up so fast?” Parental separation anxiety and emerging adults' pathology of separation‐individuation

This study examined associations between parental separation anxiety, controlling parenting, and difficulties in the separation-individuation process, as manifested in separation-individuation pathology. In a sample of emerging adults involved in the process of home leaving (N = 232) and their parents, it was found that parental separation anxiety is positively related to separation-individuation pathology in emerging adults. Dependency-oriented controlling parenting served as an intervening variable in the relationship between parents' feelings of separation anxiety and pathology of the separation-individuation process in emerging adults. These associations were not moderated by emerging adults' residential status (i.e., living with parents or (semi-)independently), suggesting that parental characteristics and behaviors remain important antecedents of separation-individuation pathology even when one no longer lives in the parental household.