Biomedical subjects

S G Stradling

Publications and source records attributed to S G Stradling.

5 recordsLinked to original sources

PubMed2001

Translating the psychobiology of post-traumatic stress disorder into clinically useful analogy.

Psychological theorizing about post-traumatic stress disorder (PTSD) has developed considerably since early behavioural formulations (Brewin, Dalgleish, & Joseph, 1996; Mowrer, 1960) and there have been parallel developments in biological understanding (Yehuda, 1998). However clinical practice has not been affected by the new psychobiology. It is suggested that it is possible to translate this new understanding into a clinically useful analogy that will help circumvent the difficulties of forming a therapeutic alliance with trauma victims which have been reported (Pitman et al., 1991; Scott & Stradling, 1997).

Amygdala↗

PubMed1998

The role of social deviance and violations in predicting road traffic accidents in a sample of young offenders.

Lawton, Parker, Stradling & Manstead (1997) examined the relationship between mild social deviance (West, Elander & French, 1993 a), driving violations and road traffic accident involvement in a sample of 830 drivers. The relationship between mild social deviance and accident involvement was shown to be partly mediated by propensity to commit driving violations and by factors associated with driver age. The present research replicates and extends this study with a sample of 100 young, male offenders. Self-reports of violations and errors (using the Manchester Driver Behaviour Questionnaire), an extended measures of social deviance, speed preference and accident involvement were collected, together with information about age, annual mileage driven and the type of offence for which the driver was under remand. Factor analysis of the social deviance items yielded two factors: extreme and mild social deviance. Logistic regression was used to investigate the relationship between predictor variables and accident involvement. Both propensity to commit driving violations and extreme social deviance predicted accident involvement in this sample. However, the relationship between extreme social deviance and accident involvement was partly mediated by a tendency to commit driving violations. The implications of the findings for intervention strategies aimed at the prevention of accidents are considered.

Accidents, Traffic↗

PubMed1997

Client compliance with exposure treatments for posttraumatic stress disorder.

Clients with posttraumatic stress disorder (PTSD) do not wish to "relive" their trauma, but exposure based treatments try to ensure that they do. While such treatments have proven efficacy in controlled outcome studies, how acceptable are they in routine clinical practice? The attempted clinical application of two such exposure treatments is briefly reported here. In the first, only 1 of 14 clients completed the image habituation procedure for homework in the manner described by its authors. In the second (N = 37), only 57% complied with an audiotape exposure treatment, and compliance was related to initial symptom severity and to severity of comorbid depression. Exposure based treatments are not 'treatment of choice' for some clients.

Abreaction↗

PubMed1994

Post-traumatic stress disorder without the trauma.

Examples are reported of PTSD cases showing full symptomatology (intrusive imagery, avoidance behaviour, disordered arousal) in the absence of a single, acute, dramatic trauma of the kind required by the current DSM-III-R definition. Such trauma is thus not a necessary condition for PTSD, and other evidence shows it to be not a sufficient condition. It is suggested that the DSM-III-R Axis IV distinction between acute and enduring psychosocial stressors be incorporated into the definition to distinguish two pathways to stress disorder, post-traumatic (PTSD) and prolonged duress (PDSD). Differential treatment implications of the two routes are noted.

Adult↗

PubMed1992

Determinants of intention to commit driving violations.

Ajzen's theory of planned behaviour was used to measure the attitudes and intentions of a large stratified sample of drivers (N = 881) towards four driving violations. Measures were taken of respondents' attitudes to four imaginary scenarios depicting their commission of the four violations concerned. Demographic subgroups of drivers within the sample were differentiated on the basis of their beliefs about and evaluations of their commission of the violations. We were able to identify attitude items differentiating the younger, statistically more "accident liable" drivers in the sample from their older, and statistically safer counterparts. The implications of using this approach to inform future road safety campaigns are discussed.

Adolescent↗