Faith,Folie à Famille,and Mummification: A Brief Review of the Literature and a Rare Case Report

Folie à deux is a rare clinical syndrome characterized by the transference of delusional ideas from one person to one or more other people in close association with the primary affected patient. Mummification indicates the preservation of the corpse of a person for a variable period of time. A brief review of the literature in this field is presented, and an exceptional case is described, characterized by the association of both these rare phenomena. The case is an example of folie à fammille which developed out of a condition of extreme religiousness and seclusion of an entire family. The shared psychosis led to the horrible death of some of the family members, while the last surviving member of the family lived for more than a year and a half with their mummified remains. The Judge commissioned a forensic psychiatry assessment to verify the survivor's ability to bear witness. The development of the psychiatric syndrome and its consequences are extensively discussed.     

Family Dysfunction and Social Isolation as Moderators Between Stress and Child Physical Abuse Risk

Stress is a significant contributor to child physical maltreatment risk. Family and social supports are expected, but less studied, risk factors. Little empirical support clarifies the interactive influence on abuse risk for non-abusive parents. This study examined whether the stress-abuse risk relation was moderated by family dysfunction and social isolation. Subjective appraisals of these factors were administered to 95 community mothers. After creating composite scores using factor loadings from a CFA, multiple regression analyses were conducted to predict abuse risk. As expected, stress predicted abuse risk, with social isolation and, to a lesser extent, family dysfunction serving as moderators. Perceived stress and dysfunctional supports are important, interactive predictors of abuse risk. Future directions consider interactions within other ecological levels.     

An Examination of Local Climate Change Policies in the Great Plains

As the United States struggles with national solutions to address climate change, state and local governments have become leaders in both mitigation and adaptation policy. Although a significant and growing body of research targets these policies, most studies have assumed common factors motivating both adaptation and mitigation policy adoption. There remains a need for more research on cities of all sizes, their adoption of specific local policies, the factors motivating those choices, and whether the influences for mitigation differ from those that motivate adaptation. The paper uses data from a new survey of over 200 local governments in eleven states of the Great Plains region, including measures distinguishing between mitigation and adaptation policies. These data are employed to test the relative influence of factors from three areas: the policy environment, the attitudes of governmental actors, and community atmosphere, in explaining observed variation in the adoption of climate change policies.     

Critical evaluation of planning frameworks for rural water and sanitation development projects

Poor initial planning processes have been implicated in the high failure rate of rural water and sanitation development projects. This article critically examines 17 existing planning frameworks for rural water supply and sanitation projects with respect to key attributes of good planning practice, in order to discover the extent to which these address the elements of planning that relate to sustainability. It identifies sustainability-related factors from the sector that have been recognised as such and incorporated into current frameworks, as well as factors that are not yet well covered, and makes recommendations to practitioners wishing to employ such frameworks.     

Typologies of Intimate Partner Violence: Evaluation of a Screening Instrument for Differentiation

Given the prevalence and impact of intimate partner violence (IPV) in both community and therapeutic settings, it is vital that the varying typologies of IPV be identified and treated accordingly. The present study sought to evaluate the efficacy of a screening instrument designed to differentiate between characterologically violent, situationally violent, and distressed non-violent couples; focus was placed on identifying situationally violent couples so that they could be invited to participate in a conjoint pyschoeducational workshop. Couples from two samples were assessed to achieve this goal. Situationally violent couples (N = 115) from Sample 1 were screened into the study via a phone interview and participated in an in-home assessment, which assessed self-reported relationship violence. These couples were compared to a previously collected sample (Sample 2; Jacobsen et al. 1994) of characterologically violent, distressed non-violent, and situationally violent couples. The main hypotheses stated that couples from Sample 1 would report less severe relationship violence than characterlogically violent couples from Sample 2, and would report greater amounts of low-level violence than distressed non-violent couples from Sample 2. Additionally, similar rates of both self-reported violence would be seen for situationally violent couples from Samples 1 and 2. Multivariate analyses supported this with the exception that situationally violent couples from Sample 1 did not differ significantly across all domains from distressed non-violent couples in Sample 2. Implications for the screening instrument’s utility in clinical and research settings are discussed.     

Musculoskeletal stress marker (MSM) differences in the modern American upper limb and pectoral girdle in relation to activity level and body mass index (BMI)

Obesity is a widespread condition affecting modern Americans. The prevalence of obesity has led to questions of how it can affect the skeleton, and if so can it be identified in unknown skeletal material. This study attempts to decipher the effects of activity level and body mass in modern Americans by employing musculoskeletal stress markers (MSM) to estimate osseous responses to workload and body weight. A total sample of 108 skeletons of known activity level and body mass index (BMI) was observed for MSM in the upper extremity (excluding hands). The entheses selected included arm muscles used during the sit-to-stand transition, which is common in most persons, regardless of activity level and BMI. Using the three categories: normal, active, and obese, logistic regression was calculated on MSM to ascertain which markers were the best indicators of these three categories. Numerous muscles of the upper limb were significant predictors of activity level and body mass, although they did not perform much better than chance. MSM may be used as predictors of activity level and/or BMI in forensic contexts; however, they should be used in conjunction with other indications of workload and/or BMI.