When conveying a message may hurt the relationship: Cultural differences in the difficulty of using an answering machine

Cultures differ in their emphasis on the two core functions of communication, conveying information and maintaining the relationship. Because answering machines primarily serve the former function, their use may show cultural differences. Leaving a message is cognitively more taxing for Japanese than Americans, as indicated by poorer performance on a secondary task (Study 1). This performance decrement reflects that Japanese allocated more cognitive resources to tailoring the message to the recipient, consistent with their culture’s higher emphasis on relationship goals. Such cross-cultural differences were not restricted to the laboratory situation. Although equally likely to own an answering machine, Japanese reported a higher rate of hanging up when reaching an answering machine than Americans (Study 2). The difficulties that Japanese experience when leaving a message on an answering machine are partly due to the lack of feedback channel. Theoretical implications are discussed.     

Juvenile drug addiction: a typology of heroin addicts and their families

In this article the authors propose: 1) a typology of drug addiction cases consisting of four main classes: A. traumatic drug addiction, B. drug addiction from actual neuroses, C. transitional drug addiction, and D. sociopathic drug addiction; 2) a clinical study (with 18 months of follow-up data) involving 131 heroin addicts mostly treated with structural or counterparadoxical family therapy in the same psychotherapy center and in the same year; and 3) some preliminary conclusions emerging from an examination of the four-class typology with respect to the effectiveness of family therapy interventions. If, for example, structural family therapy techniques seem more suitable in type-B cases (similar to cases described by Haley in his Leaving Home), the counterparadoxical techniques are likely to be more effective in type-C cases (similar to the anorectics described by Selvini-Palazzoli).     

Trauma and processes of separation from parental figures

Abstract

Extreme conditions in some young persons' life-experiences might postpone or even hinder the natural process of mourning of lost childhood omnipotence, ambivalent feelings towards and separation from parental figures. The psychic mechanisms behind these youngsters' flight from the loving grip of their parents to the conflicting situations which later traumatise them are described. The traumatic events following their choice of leaving the parental home were later unconsciously experienced as punishment—a direct consequence of the forbidden separation. Guilt problems otherwise within the normal range of development, here get a special colouring which can be recognised among others in the difficulties to establish a working-alliance with the therapist and problems in establishing intimate relationships later in life.     

Brief Behavioral Intervention for Young Children with Disruptive Behaviors

Parent reported behavioral difficulties in young children are relatively common. Without adequate intervention, some children will later present with more severe problem behaviors. Parent management training is one of the best methods of treatment for behavior problems; however, existing treatments can be lengthy and difficult to conduct outside of a research setting. The Brief Behavioral Intervention was designed as a briefer version of a manualized parent management training treatment package. Thirty-one parents of children aged 2–6.5 presenting with behavior problems were included in this initial study of treatment effectiveness. Based on parent and teacher report, treatment was effective in a mean of 7.2 sessions.     

Parent Report of Attention Problems Predicts Later Adaptive Functioning in Children with Brain Tumors

Children with brain tumors are at risk for psychological and behavioral difficulties. This study examined the ability of parent report of attention problems, withdrawal, anxiety, and depression, as well as IQ, to predict later adaptive functioning in 42 children treated for brain tumors. Age at diagnosis, SES, gender, and scores on the Neurological Predictor Scale (NPS) also were examined as predictors. Parent report of attention problems, SES, and NPS were significant predictors of later adaptive functioning across domains. This finding highlights the ability of parent report of attention problems to predict later adaptive functioning in children treated for brain tumors.     

Greater attention problems during childhood predict poorer executive functioning in late adolescence

Attention problems (behavior problems including inattention, disorganization, impulsivity, and hyperactivity) are widely thought to reflect deficits in executive functions (EFs). However, it is unclear whether attention problems differentially relate to distinct EFs and how developmental stability and change predict levels of EFs in late adolescence. We investigated, in an unselected sample, how teacher-rated attention problems from ages 7 to 14 years related to three correlated but separable EFs, measured as latent variables at age 17. Attention problems at all ages significantly predicted later levels of response inhibition and working memory updating, and to some extent set shifting; the relation to inhibiting was stronger than the relations to the other EFs or IQ. Growth models indicated that attention problems were quite stable in this age range, and it was the initial levels of problems, rather than their changes across time, that predicted later EFs. These results support the hypothesis that attention problems primarily reflect difficulties with response inhibition.     

Maternal Emotion Regulation and Children’s Behavior Problems: The Mediating Role of Child Emotion Regulation

Children’s difficulties managing emotions are contributors to their behavior problems, and parents’ emotion regulation difficulties are also likely contributors to their children’s regulatory challenges and behavioral difficulties. This study examined the associations among mothers’ emotion regulation, children’s emotion regulation, and children’s behavior problems. Children’s emotion regulation difficulties were hypothesized to mediate the association between maternal difficulties with emotion regulation and children’s internalizing and externalizing problems. A sample of 454 mothers completed the Difficulties in Emotion Regulation Scale, the Emotion Regulation Checklist, and the Child Behavior Checklist for their children aged 3–7. Children’s emotion regulation difficulties accounted for the indirect association between mothers’ lower emotion awareness and both internalizing and externalizing problems. On the other hand, children’s emotional negativity accounted for the indirect association between mothers’ difficulties with emotion regulation and behavior problems. Future directions for research and clinical intervention focused on promoting parental and child emotion regulation are discussed.     

Maternal depression and child adjustment: a longitudinal analysis

This study examined the relation between maternal depression and child adjustment. Two major issues were addressed. First, to assess the specificity to depression of observed child adjustment difficulties, four groups of female subjects were included: clinically depressed psychiatric patients, nondepressed psychiatric patients, nondepressed medical patients, and nondepressed nonpatients. Second, to assess the stability of the observed effects, data were collected early in the patients' treatment and again approximately 8 weeks later. The results indicated that the depressed mothers described their children as having various behavior problems; interestingly, interviewers also rated these children as demonstrating disturbed behavior. Although the offspring of the depressed mothers were the most impaired children in the sample, the lack of significant differences between children of the depressed and the nondepressed psychiatric patients suggests that child adjustment is more strongly related to the presence of maternal psychopathology than it is to diagnostic status. Finally, children of the psychiatric patients continued to demonstrate problems at the second assessment. Implications of these results for models of depression are discussed, and directions for future research are offered.     

Development and Implementation of a Function-Based Clinical Interview to Evaluate Childhood Behavior Problems

The most common reason that children are referred to mental health providers relates to behavior and emotional problems. Without intervention, children with maladaptive behaviors are at risk for poor school performance, interpersonal difficulties, and significant conduct problems later in life. Previous research on the assessment of these problems has focused primarily on caregiver self-report questionnaires, observational coding, and/or diagnostic classification. The behavior literature has far fewer examples of best-practice interview strategies to solicit meaningful clinical information from primary stakeholders. Since caregiver report is essential during initial interviews to better understand his or her child’s presenting issues and given the primary role of assessment is to integrate information into the design of an evidence-based intervention (Barlow et al., 2005), additional published guidance on the content of these clinical interactions is warranted. The following paper outlines an approach to gathering pertinent information from caregivers about their children’s behavior in a way that is germane to treatment planning. In addition, the authors include validity and reliability data to substantiate the interview’s continued use in the clinical setting.     

Effectiveness of the home‐start parenting support program: Behavioral outcomes for parents and children

This study examined effectiveness of Home‐Start, a program designed to support parents with young children. The aims were (a) to examine whether Home‐Start improved maternal well‐being and (b) to examine whether Home‐Start led to changes in the behavior of mothers or children. Self‐reported and observational data were collected in two waves, using data from 54 mothers and their children between 1.5 and 3.5 years of age who participated in this intervention program for 6 months. These data were compared to 51 comparison families who reported need for parenting support. The results showed a significant improvement in perceived parenting competence, but no effects on maternal depressive moods. Mixed results were found for parenting behavior: Parental consistency and observed sensitivity improved significantly in the Home‐Start group whereas no effects were found on the other parenting variables. Child behavioral problems seemed to diminish at the second measurement in both groups, and therefore these changes cannot be attributed to Home‐Start.     

新生儿重症监护室（NICU）中放弃治疗的决策

随着现代主义哲学与伦理学,尤其是生命价值理论对"放弃治疗"的支持,以及相关科学标准和程序法则的建立,对于新生儿重症监护室中的一部分病情危重且又预后不良的新生儿来说,理应作出放弃治疗的决策。但在实施的过程中,存在许多困难,医生有客观告知的义务,但最后的决策权仍在患儿父母。从NICU中放弃治疗的对象、依据、医院面临的困境、决策的实施以及解决实施过程中矛盾冲突的对策方面加以讨论。     

Matching therapeutic interventions to drug and alcohol abusers’ stage of motivation: The clients’ perspective

The present study aims to explore the issue of matching the appropriate therapeutic intervention according to the stage of readiness for change in addictive clients, following the model proposed by Prochaska and DiClemente in the 1980s. The study focuses solely on the perspectives of people with drug and alcohol problems, in contrast to previous ones which have been concerned with the researchers’ understandings and postulations of the issue under exploration. One of the most important findings of this study is that participants in the “early” stages of their readiness to change their addictive behaviour, irrespective of their gender or whether they had seen a therapist significantly prefer non-action-oriented therapeutic interventions than action-oriented interventions. Similarly, participants in the “later” stages, showed a significant preference to action-oriented than non-action interventions, irrespective of their gender or previous experience of counselling. It is suggested then that careful assessment of the stage of motivation and individual-tailored intervention should be an essential element of any treatment program for drug and alcohol addicted clients.     

Cognitive behaviour therapy with adults with intractable epilepsy and psychiatric co-morbidity: preliminary observations on changes in psychological state and seizure frequency

Cognitive behaviour therapy (CBT) was undertaken with six adults with chronic, poorly controlled seizures and co-existing psychiatric and/or psychosocial difficulties. During 12 sessions of CBT from an experienced CBT Nurse Specialist, treatment focused concurrently on epilepsy-related problems, associated psychopathology and on the development of psychological strategies to reduce seizure occurrence. At the end of treatment participants rated their initial epilepsy-related problem as having less impact on their daily lives and at one-month follow-up reported less deleterious impact on everyday life in terms of their psychological difficulties. In addition participants demonstrated significant improvements in terms of their self-rated work and social adjustment, and in their decreased use of escape-avoidance coping strategies. These positive findings occurred despite the absence of a significant decrease in seizure frequency. Issues raised by the complexity and severity, both of these patients' psychological/psychosocial difficulties and their epilepsy, are discussed in relation to the optimal length of treatment that may be required when adopting a CBT model in this patient group.     

Exclusion and Discrimination: Zimbabwean Migrant Children and South African Schools

Post-2005 migration movements from Zimbabwe to South Africa have included a growing number of children. These children face considerable difficulties in accessing the South African educational system. School attendance rates are significantly lower amongst migrant than South African children. This paper is based on recent interviews with Zimbabwean parents and guardians in Cape Town and Johannesburg and shows the levels and types of discrimination they and their children face as well as their powerlessness to effect change. The exclusion of migrant children from education contravenes South Africa’s international human rights obligations as well as its own Bill of Rights and Department of Education directives. The Department of Home Affairs, however, makes schools sites for the enforcement of the draconian provisions of the 2002 Immigration Act. School authorities therefore operate with conflicting mandates. The evidence suggests that most prefer to side with the Department of Home Affairs and make their schools unwelcoming spaces for Zimbabwean children.     

Daily-life difficulties in person recognition reported by young and elderly subjects

Elderly people frequently complain spontaneously about their inability to remember people and their names. Naturalistic methods such as diaries, checklists, etc. provide useful means to study and make more explicit the nature of such memory difficulties among the elderly, as well as to better understand normal memory functioning. We developed a checklist (inspired by a study by Young, Hay and Ellis, 1985) to explore normal young and elderly people's difficulties in person recognition. The checklist is composed of four parts, each one corresponding to a particular context in which the difficulty took place. Each part has the same structure and consists of precise questions about the type of incident, the circumstances, the persons involved, and the way the incident ended. Three groups of normal subjects kept records of their difficulties and errors in recognizing people for 1 month: young subjects with a bad memory for faces, young subjects without particular problems of face memory, and a group of elderly subjects. A total of 299 records were collected. They were classified with respect to the functional components presumably implied in the process breakdown. The elderly subjects experienced difficulties with retrieving names, first names, or nicknames (Name Codes), while the young subjects with a bad memory for faces reported overall the greatest number of incidents and were particularly impaired in access to Face Recognition Units. A characterization of these two kinds of difficulties is proposed. Young subjects without problems of face memory presented equal numbers of difficulties at all stages of person recognition. These patterns of results will be discussed in terms of current cognitive models of person recognition.     

Treatment approaches for sleep difficulties in college students

College students face many challenges and live experiences that may lead to sleep difficulties, including: varied and changing schedules, repeated deadlines, increased freedom and self-responsibility, and group living arrangements, to name but a few. A high frequency of sleep difficulties is commonly reported among college student and others who encounter similar life experiences. The prevalence of sleep difficulties is explored and a rationale provided for treatment. It is suggested that interventionists need to consider the impact of sleep difficulties on their clients' immediate and long-term functioning. To help psychologists, counsellors, and therapists better ameliorate sleep problems a number of proven techniques are reviewed which are applicable to individuals in both clinical and non-clinical settings.     

青少年早期社交淡漠对同伴关系的预测：学习成绩的调节作用

摘要：对787名小学4年级至初中二年级学生进行一学年的追踪研究,考察社交淡漠对其后同伴接纳、同伴欺侮的预测,以及学习成绩对上述预测关系的调节效应。结果表明：（1）前测社交淡漠可以负向预测后测的同伴接纳,正向预测后测的同伴欺侮;（2）前测学习成绩可以正向预测后测的同伴接纳,负向预测后测的同伴欺侮;（3）社交淡漠对同伴接纳、同伴欺侮的预测受学习成绩的调节,较高的学习成绩会弱化社交淡漠对同伴关系不良的预测效应。这一结果表明,学习成绩可能是一种重要的缓冲因素,可以在一定程度上保护社交淡漠的青少年免受同伴的消极对待。     

Implementing behavior modification programs with limited consultation time

It may be possible to reduce significantly the amount of consultation time required in applying behavior modification techniques to classroom behavior problems if modifications are made in certain procedures commonly associated with a behavioral approach, including recording frequency data, teaching behavioral principles in individual cases, establishing criteria, and continuing to work with unresponsive cases. Consultation time can also be reduced if techniques for anticipating certain difficulties in implementing behavior programs can be developed, such as establishing that alternative treatment plans are not available, using social and naturalistic reinforcers, anticipating certain predicatable variations in target behaviors, concentrating consultations during the early stages of a behavioral program, and consulting with teachers in small groups.     

Emotion Knowledge and Attention Problems in Young Children: a Cross-Lagged Panel Study on the Direction of Effects

Attention problems are likely to hinder children in acquiring knowledge of their own and others’ emotions. Children with little knowledge of emotions tend to have difficulties with representing emotions, interpreting them, and sharing them, so that they are likely to spend more time in making sense of them and may thus appear to be inattentive. In order to disentangle the direction of effects between emotion knowledge and attention problems, 576 four- to- six-year-olds were interviewed at T1 and about 12 months later (T2) about their emotion knowledge. Their kindergarten teachers rated their attention problems, and their conduct problems at T1 and T2. A cross-lagged panel model indicates that children’s emotion knowledge at T1 contributed to the explanation of their attention problems at T2, after language ability and attention problems at T1 were controlled. The other cross-path from attention problems (T1) to emotion knowledge (T2) was not significant. Adding gender, behavioral self-regulation, working memory, conduct problems, or SES as alternative explanations by third variables did not alter this direction of effects. How emotion knowledge impinges on attention problems is discussed.     

Young Adult Educational and Vocational Outcomes of Children Diagnosed with ADHD

Decreased success at work and educational attainment by adulthood are of concern for children with ADHD given their widely documented academic difficulties; however there are few studies that have examined this empirically and even fewer that have studied predictors and individual variability of these outcomes. The current study compares young adults with and without a childhood diagnosis of ADHD on educational and occupational outcomes and the predictors of these outcomes. Participants were from the Pittsburgh ADHD Longitudinal Study (PALS), a prospective study with yearly data collection. Significant group differences were found for nearly all variables such that educational and occupational attainment was lower for adults with compared to adults without histories of childhood ADHD. Despite the mean difference, educational functioning was wide-ranging. High school academic achievement significantly predicted enrollment in post-high school education and academic and disciplinary problems mediated the relationship between childhood ADHD and post-high school education. Interestingly, ADHD diagnosis and disciplinary problems negatively predicted occupational status while enrollment in post-high school education was a positive predictor. Job loss was positively predicted by a higher rate of academic problems and diagnosis of ADHD. This study supports the need for interventions that target the child and adolescent predictors of later educational and occupational outcomes in addition to continuing treatment of ADHD in young adulthood targeting developmentally appropriate milestones, such as completing post-high school education and gaining and maintaining stable employment.