Securing the Downside Up: Client and Care Factors Associated with Outcomes of Secure Residential Youth Care

Although secure residential care has the potential of reducing young people's behavioral problems, it is often difficult to achieve positive outcomes. Research suggests that there are several common success factors of treatment, of which the client's motivation for treatment and the quality of the therapeutic relationship between clients and therapists might be especially relevant and important in the context of secure residential care. The objective of the present study was to explore the association of these potential success factors with secure residential care outcomes. A repeated measures research design was applied in the study, including a group of adolescents in a secure residential care center that was followed up on three measurements in time. Interviews and questionnaires concerning care outcomes in terms of adolescents' behavior change during care were administered to 22 adolescents and 27 group care workers. Outcomes in terms of adolescents' treatment satisfaction were assessed by the use of questionnaires, which were completed by 51 adolescents. Adolescents reported some positive changes in their treatment motivation, but those who were more likely to be motivated at admission were also more likely to deteriorate in treatment motivation from admission to departure. Treatment satisfaction was associated with better treatment motivation at admission and with a positive adolescent-group care worker relationship. The results suggest that outcomes can be improved by a more explicit treatment focus on improving the adolescent's treatment motivation and the quality of the adolescent-care worker relationship during secure residential care

Макрофагальная активность в коже больных псориазом при NB-UVB (311 нм) терапии

Досліджено 55 пацієнтів хворих на псоріаз. Пацієнти були розділені на 2 групи. Група 1 – 27 пацієнтів, які отримували тільки стандартне лікування і група 2 – 28 пацієнтів, які отримували стандартну і NB-UVB терапію. NB-UVB призначалась 3 рази в тиждень, при цьому використовували стартову дозу 0,1-0,3 J/cm2 , середня кумулятивна доза від 30 до 60 J/cm2 . Рівень макрофагальної активності в біоптатах шкіри досліджували за допомогою імуногістохімічного методу на 1 і 21 добу. NB-UVB терапія призовдить до зниження рівня експресії CD68 – маркера макрофагів, більшою часткою якої є функціонально-активні клітини, що свідчить про адекватність імуної відповіді і зниження запальної реакції.There were researched 55 psoriasis patients. Patients were divided in two groups. Group 1 – 27 patients who received only standard therapy and Group 2 – 28 patients who received standard and NB-UVB therapy. NB-UVB treatment was applied three times weekly. Starting UVB dose 0.1-0.3 J/cm2 , the mean cumulative UVB dose was 42.0 J/cm2 . The level of macrophage activity in skin biopsy was investigated by an immunohistochemical method on 1 and 21 days. NB-UVB therapy is linked to decline of level of CD68 expression with predominant of functionally active cells which testifies to adequacy of immune reactions and decline of inflammatory reaction

Studying Adolescent Male Sexuality: Where Are We?

This article critically reviews the literature about adolescent males’ sexuality in order to describe the state of the science and to identify promising concepts and research designs that have the potential to guide the next generation of research. A critique was conducted on 94 peer-reviewed studies of sexual behaviors that included a sample of adolescent males; 11 scholarly texts and 2 dissertations. Most studies lacked a theoretical foundation and had cross-sectional designs. For those studies with a theoretical base, 3 perspectives were most often used to guide research: cognitive, biological, or social-environmental. Studies frequently relied on older adolescents or young adult males to report behaviors during early adolescence. Male-only samples were infrequent. Findings include (a) the measurement of sexual activity is frequently limited to coitus and does not explore other forms of “sex”; (b) cognitive factors have been limited to knowledge, attitudes, and intent; (c) little is known about younger males based on their own self-reports; (d) little is known about the normative sexuality development of gay adolescent males; and (e) longitudinal studies did not take into account the complexities of biological, social, and emotional development in interaction with other influences. Research on adolescent sexuality generally is about sexual activity, with little research that includes cognitive competency or young males’ sense of self as a sexual being. The purpose of the paper is to critically review the literature about male sexuality in order to describe the state of the science as well as to identify potential directions to guide the next generation of adolescent male sexual being research.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45299/1/10964_2005_Article_5762.pd