Background: Most of the existing research on the terrorist attacks of September 11, 2001 (9/11) has narrowly focused on posttraumatic stress disorder, limiting the potential to learn about other important consequences of this disaster. This qualitative study examined survivors' views of justice regarding the 9/11 attacks on New York City's World Trade Center. Method: A volunteer sample of 196 employees with varied 9/11 disaster-trauma exposures from 8 affected agencies in the New York City area was recruited approximately 35 months after the incident. The participants completed structured interviews about their disaster experiences and wrote brief essays describing what justice meant to them in relation to their experience of the 9/11 attacks. The qualitative analysis first identified 4 themes regarding justice and revenge in the text of the essays, and the content of the essays was then coded into these 4 themes, yielding final definitions of the content in them. Results: The accountability-for-perpetrators theme was coded in more essays than any other themes. The essays had little discussion of revenge relative to the amount of discussion on justice. PTS was not mentioned in any of the essays. Conclusion: These findings suggest the importance of broadening the focus of future studies examining justice in relation to disaster.Editor's Note. Continue the conversation by submitting your comments and questions about this article/book review to PeacePsychology.org/ peaceconflict. (The editor of PeacePsychology.org reserves the right to exclude material that fails to contribute to constructive discussion.) This article was published Online First December 13, 2018. MEAGAN WHITNEY holds a M.D. She is a third year psychiatry resident at the
KCTD13 deletion leads to decreases in ubiquitination and increases in levels of ADSS KCTD13 deletion increases S-Ado levels, a metabolite observed in ADSL deficiency Treatment of KCTD13 deletion neurons with an ADSS inhibitor reduces S-Ado levels Human KCTD13 variants can alter ubiquitination of ADSS
Purpose of Review The prevalence of alcohol use disorder (AUD) among older adults in the United States is rising, but remains underdiagnosed, underreported, and inadequately managed. This review highlights the medical, social, and cultural factors of AUD in older adults and provides guidelines for its screening, evaluation, and management. Recent Findings The COVID-19 pandemic has created additional challenges and barriers to care, as older adults may have disproportionate worsening of anxiety, depression, and substance use resulting from increased isolation related to physical distancing and shelter-in-place guidelines. Summary All older adults should be routinely screened for AUD with standardized screening tools. If a patient's screening results are positive, a clinician should conduct a brief assessment, which may be supplemented by laboratory tests. Most older adults at risk for alcohol misuse do not need specialized SUD treatment, but most can benefit from Screening, Brief Intervention, and Referral to Treatment (SBIRT) to prevent substance misuse before it occurs. Medications for the treatment of AUD in older adults include naltrexone, acamprosate, disulfiram, gabapentin and topiramate. Psychosocial treatments, including mutual help groups, are equally important.
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