Faculty Bibliography

More than 20 years have elapsed since the September 11, 2001 (9/11) terrorist attacks on the World Trade Center (WTC), Pentagon and at Shanksville, PA. Many persons continue to suffer a variety of physical and mental health conditions following their exposures to a mixture of incompletely characterized toxicants and psychological stressors at the terrorist attack sites. Primary care and specialized clinicians should ask patients who may have been present at any of the 9/11 sites about their 9/11 exposures, especially patients with cancer, respiratory symptoms, chronic rhinosinusitis, gastroesophageal reflux disease, psychiatric symptoms, and substance use disorders. Clinicians, especially those in the NY metropolitan area, should know how to evaluate, diagnose, and treat patients with conditions that could be associated with exposure to the 9/11 attacks and its aftermath. As such, this issue of Archives contains a series of updates to clinical best practices relevant to medical conditions whose treatment is covered by the WTC Health Program. This first paper in the 14-part series describes the purpose of this series, defines the WTC Health Program and its beneficiaries, and explains how relevant Clinical Practice Guidelines were identified. This paper also reminds readers that because physical and mental health conditions are often intertwined, a coordinated approach to care usually works best and referral to health centers affiliated with the WTC Health Program may be necessary, since all such Centers offer multidisciplinary care.

Although theoretical insights suggest that empathic accuracy should emerge to play a role in adolescents' romantic relationships, the nature of any such role remains unknown. The current study examined whether empathic accuracy: (1) was developmentally based, (2) differed across gender, and (3) was associated with adolescents' satisfaction with their romantic relationships. Participants were 204 male-female couples who ranged between 14 and 21 years of age and had been dating between 4 weeks and 5 years. On average, both male and female adolescents showed high levels of empathic accuracy that were positively associated with their own and their partners' relationship satisfaction. However, the direction of the associations that emerged, and gender differences in them, depended in part on the type of information being perceived. For instance, while both males' and females' accuracy for discomfort and conflict were positively associated with partners' satisfaction, males'-but not females'-accuracy for connection was negatively associated with their satisfaction, and females'-but not males'-accuracy for persuasion was positively associated with partners' satisfaction. Empathic accuracy was not significantly associated with age or relationship length. Taken together, these results reveal that a complete picture of empathic accuracy requires research on perceptions of various types of information.

This study investigated sexuality as a predictor of the quality of adolescent romantic relationships. Individuals' sexual feelings (desire for partner) and couples' sexual behaviors were examined as components of sexuality, with gender and age as potential moderators. Participants included 211 male-female couples aged 14-21 that had been dating a minimum of 4 weeks. Findings revealed important connections between sexuality and relationship quality. Specifically, kissing and desiring a romantic partner correlated positively to relationship satisfaction and commitment. The link between sexual intercourse and relationship qualities, however, varied according to age. In younger adolescents, the frequency of intercourse was negatively correlated with relationship quality, while in older adolescents, the frequency of intercourse correlated positively with relationship commitment and had no connection with relationship satisfaction. Gender did not moderate the link between sexual behavior and relationship quality. Findings are discussed from a normative framework and implications for social policy are explored.