Parent-child interaction and developmental outcomes in children with typical and elevated likelihood of autism

BackgroundEarly parent-child interactions have a critical impact on the developmental outcomes of the child. It has been reported that infants with a family history of autism and their parents may engage in different patterns of behaviours during interaction compared to those without a family history of autism. This study investigated the association of parent-child interactions with child developmental outcomes of those with typical and elevated likelihood of autism.MethodThis longitudinal study investigated the relationship between global attributes of parent-child interaction and the developmental outcomes of infant siblings with elevated likelihood (EL: n = 29) or typical likelihood (TL: n = 39) of developing autism. Parent-child interactions were recorded during a session of free-play when the infants were six months of age. Developmental assessments were carried out when the children were 12 and 24 months of age.ResultsThe intensity of mutuality was significantly higher in the TL group than in the EL group, and developmental outcomes were poorer in the EL group when compared to the TL group. Positive associations between parent-child interaction scores at six months and developmental outcomes at 12 months were observed only in the TL group. However, in the EL group, higher levels of infant positive affect and attentiveness paid to the caregiver is associated with lower autism symptoms. Due to the sample size and design of the study, the findings must be viewed as indicative.ConclusionThis preliminary investigation demonstrated differences in the association between parent-child interaction quality and developmental outcomes for children with typical and elevated likelihood for autism. Future studies should combine micro-analytic and macro-analytic approaches to parent-child interaction to further examine the nature of this relationship.     

Conclusion

Abstract

The influence of culture within a parent-child activity group is analyzed in order to explore how leaders of parent-child activity groups can use knowledge of group culture to design effective interventions. This chapter concludes with the author describing revisions to her original guidelines for parent-child activity group intervention which developed through her reflections on the findings of her qualitative study about one parent-child activity group.     

A Review of: “Treating Chronic Illness: A Biosocial Therapy Approach”

Abstract

This article suggests that attention deficit hyperactivity disorder is frequently misdiagnosed, even overdiagnosed, and provides an alternative way of viewing such problem behaviors in children. It presents a framework, based on systems and attachment theory, that views children's behaviors within the context of the parent-child attachment patterns, and it suggests interventions that shift the focus from the child to the parent-child interaction.     

Exploring What Was Missing in One Parent-Child Activity Group

Abstract

Barriers to parent-child interaction that arose in the parent-child activity group studied by the author are discussed. An analysis of what factors within the group may have led to the barriers is provided so that readers can consider how to minimize barriers to parent-child interaction in similar groups.     

Chapter 4. The Intervention Process

Abstract

The qualitative research methods used by the author to study one parent-child activity group are shared. This qualitative research study documented what the participants of a parent-child activity group on a child psychiatric inpatient unit reported about their experiences with each other and how these participants interacted with each other in the group over the course of eight months. The group was studied through     

Motor imagery and ‘placebo-racket effects’ in tennis serve performance

ObjectivesThis study aimed at confirming whether Motor Imagery (MI) enhances tennis serve performance, and determining whether a placebo condition could affect the beneficial effects of MI.DesignThis study used a 3 × 2 factorial design. Three groups of tennis players were compared in service performance outcomes before and after a training session.MethodsTwenty-two tennis players were assigned into three groups: a control (C) and two experimental groups subjected to a similar MI intervention, one group using their regular own racket (MI group) while the other used a placebo racket (P group).ResultsAnalyses of Covariance revealed no significant group difference when comparing serve velocity after training session, but MI training improved serve accuracy and regularity. Combining placebo racket with MI further resulted in greater serve accuracy score as compared to MI alone. Players' perception of their serve quality improved after MI, and this effect was reinforced in the P group.ConclusionThese findings revealed that MI may be useful to achieve peak performance, and that the implement placebo effect might be a factor in sport performance, hence promoting the beneficial effects of alternative methods to improve tennis serve performance.     

Spiritual Spontaneity

Abstract

Parent-child and parent-adolescent activity groups and parent-child occupation-based intervention meet different mental health needs and provide a different service than what is typically offered in a psychiatric setting. These interventions are designed to promote and/or develop positive interactions and engagement between parents and children in co-occupations.     

Couple Crises and the Trigenerational Family

ABSTRACT

A trigenerational approach to couple crises is presented. Key ideas are developed from the work of Bowen, Framo and Whitaker on families of origin; Bowen sends partners back to their own families; Framo invites the extended family into the session with the couple; Whitaker enlarges the unit of observation to include more family members, increasing family resources. For the author, the early phase of therapy is diagnostic, so extended family members are invited to provide information as consultants. One couple'S crisis is reviewed m detail. Issues arising from inviting the couple'S parents and siblings, their children, and the value of individual sessions for the partners are examined using the trigenerational framework.     

The impact of infant-directed videos on parent-child interaction

This study assessed whether infant-directed videos designed to promote parent-child interactions actually support such engagement. Parents watched videos from the Baby Einstein or the Sesame Beginnings series for 2 weeks at home with their 12- or 18-month-old infants. Baby Einstein encourages parents to label objects and actions; Sesame Beginnings models activities in which parents can engage with their children. A control group was not provided videos for home viewing. In laboratory sessions, parent-child interactions were recorded during free play without TV, during the presentation of one of the videos, and immediately after watching. During viewing, interactions decreased in quantity and quality across groups; however, parents used video content as a basis for interaction. Coviewing Sesame Beginnings at home was positively associated with quantity of parent-child interaction during the initial free-play session. Furthermore, the quantity and quality of interactions were greater immediately following viewing of Sesame Beginnings than with Baby Einstein.     

Athletes' experiences of expressive writing about sports stressors

ObjectivesThis study explored athletes' experiences of expressive writing about competitive sport stressors using standard expressive writing and reversal theory framed writing (Apter, 2001).DesignThe study employed a qualitative approach including narrative analysis of expressive writing and semi-structured interviews with athletes.MethodSixteen athletes were randomly allocated to a standard expressive writing or a reversal theory framed writing group. Both groups completed expressive writing about a stressor using standardised instructions. The reversal theory writing group were instructed on reversal theory states and imagery use to recreate them which they employed to write from different state perspectives in four subsequent sessions. Standard writing group participants completed four sessions following usual expressive writing instructions. Both groups completed a final session following these instructions and were interviewed about expressive writing and their perceptions of the stressor.ResultsKey outcomes were: re-evaluation and perspective changes, self development, stressor confrontation, problem solving, emotion management and, future uses of expressive writing.ConclusionsExpressive writing may be a technique that is useful for some athletes and recommendations for its application are made.     

Assessment of mothers' working models of relationships: Some clinical implications

The parent-child relationship exerts a powerful influence upon child behavior. Thus, it has been suggested that psychiatric diagnoses of infants and young children should include a characterization of parent-child relationships and interactions. In this article, we discuss one way of characterizing relationships, which is based upon interviews of parents' childhood histories and their conceptualizations or working models of early experiences (Adult Attachment Interview, George, Kaplan, & Main, 1985). The associations between mothers' working models, their parenting behavior, and the behavior of their children are discussed. Patterns of parent-child relationships described in mothers' subjective histories are discussed with respect to the patterns of interactional behavior of the mothers and their children observed in a laboratory play session. Case examples are given to illustrate the patterns, and implications for clinical use of this system are discussed. The interview appears to be a reliable tool for characterizing parental histories, assessing the associations between subjective conceptualizations and parenting behavior, exploring parental contributions to child behavior, and outlining patterns of relationships.     

Treating Parents and Children Together

SUMMARY

In this paper I look at two traditions of psychotherapy with children: family therapy {here considered in its common paradigm of systems theory and not in its diversity of approaches) and individual psychodynamically oriented child therapy. The author examines how, in these two modalities of treatment, the real world of the parent-child relationship, which remains mostly a world of women and children, tends to be left out in practice. Many family therapists “exclude” children from their sessions and concentrate on the marital relationship while child therapists “exclude” parents from the core of the therapeutic process. The issues for therapists and the consequences for adults and children in families in this com-partmentalization of services are examined within a feminist framework. The development which is advocated is for therapists to expose themselves fully to the world of the parent-child relationship as a fust step in reexamining their stereotypical views of motherhood and fatherhood which trap women in conflicted and potentially exploitative situations and do not consider that children actively construct their own relationships.     

Feasibility and acceptability of an exergame intervention for schizophrenia

ObjectivesTo evaluate the feasibility and acceptability of an exergame intervention as a tool to promote physical activity in outpatients with schizophrenia.DesignFeasibility/Acceptability Study and Quasi-Experimental Trial.MethodSixteen outpatients with schizophrenia received treatment as usual and they all completed an 8-week exergame intervention using Microsoft Kinect^® (20 min sessions, biweekly). Participants completed pre and post treatment assessments regarding functional mobility (Timed Up and Go Test), functional fitness performance (Senior Fitness Test), motor neurological soft signs (Brief Motor Scale), hand grip strength (digital dynamometer), static balance (force plate), speed of processing (Trail Making Test), schizophrenia-related symptoms (Positive and Negative Syndrome Scale) and functioning (Personal and Social Performance Scale). The EG group completed an acceptability questionnaire after the intervention.ResultsAttrition rate was 18.75% and 69.23% of the participants completed the intervention within the proposed schedule. Baseline clinical traits were not related to game performance indicators. Over 90% of the participants rated the intervention as satisfactory and interactive. Most participants (76.9%) agreed that this intervention promotes healthier lifestyles and is an acceptable alternative to perform physical activity. Repeated-measures MANOVA analyses found no significant multivariate effects for combined outcomes.ConclusionThis study established the feasibility and acceptability of an exergame intervention for outpatients with schizophrenia. The intervention proved to be an appealing alternative to physical activity. Future trials should include larger sample sizes, explore patients' adherence to home-based exergames and consider greater intervention dosage (length, session duration, and/or frequency) in order to achieve potential effects.     

Positive affect moderates inhibitory control and positive affect following a single bout of self-select aerobic exercise

PurposeResearch suggests that individual differences in baseline cognitive performance moderates subsequent cognitive benefits following a single bout of exercise. The present study seeks to evaluate additional moderating mental states – specifically positive affect – on inhibitory control and affect following exercise.MethodsUsing a within- and between-participants pre-post cross-over design, eighty university students (54 females; 21.7 ± 2.7 years old) completed a flanker task and affect measures before and after a single bout of aerobic exercise at a self-selected intensity or studying for class (15-min) on separate days. Groups of high-positive affect (HPA; n = 41) and low-positive affect (LPA; n = 39) were determined based on a median split of positive affect measures prior to the exercise bout.ResultsThe HPA group revealed shorter reaction time (RT) from before to after exercise and rest with no difference observed between exercise and rest. The LPA group revealed shorter RT after exercise compared to before exercise and after rest. For accuracy, the LPA group improved performance during the exercise session compared to the rest session to a level comparable to the HPA group. Lastly, positive affect decreased in the LPA and HPA groups from before to after rest; however, only the LPA group’s positive affect increased from before to after exercise.ConclusionIndividuals with low positive affect experience greater cognitive and positive affect improvements following acute aerobic exercise at a self-select intensity, further supporting intraindividual differences in mental states as a mechanism for subsequent cognitive and affective benefits encompassing healthy behaviors of exercise.     

Parental relationships and coping with life stress

Abstract

The primary goal of this investigation was to explore how the quality of parent-student relationships relates to coping style by examining multiple aspects of this relationship–including support and conflict–and by examining the contribution that both parents' and students' perceptions of their relationship make to students' coping reports. We found that perceptions of conflict and depth in the parent-child relationship were each associated with different styles of coping. Moreover, parents' and students' perceptions each accounted for unique variance in students' coping reports. Greater perceived depth (both parent and student reports) predicted higher problem-focused scores, while students' perceptions of conflict predicted higher emotion-focused coping scores. Specific support provisions reported by students and parents also related differentially to the specific coping styles. Finally, the extent to which parents and students reported coping in a similar fashion was predicted by the quality of their relationship.     

Comparing the effects of goal types in a walking session with healthy adults: Preliminary evidence for open goals in physical activity

ObjectivesGoal-setting is one of the most common strategies used to increase physical activity. Current practice is often based on specific, measurable, achievable, realistic, and time-bound (SMART) goals. However, theory and research suggests that this approach may be problematic. Open goals (e.g., “see how well you can do”) have emerged as a possible alternative, but are yet to be tested experimentally in physically active tasks. In a walking-based session, this study aimed to experimentally compare the effects of open, SMART and do-your-best goals with a control condition on distance walked and psychological variables related to engagement.DesignRepeated measures design (mixed model).MethodParticipants (N = 78; M_age = 55.88) were randomly assigned to one of four goal conditions: an open, SMART, or do-your-best goal, or a control condition (“walk at your normal pace”), before completing a baseline and two manipulated attempts of a 6-min walking test.ResultsOpen, SMART, and do-your-best goals achieved greater distance walked, and higher ratings of perceived exertion, than the control across both experimental attempts. Open and SMART goals led to greater enjoyment of the session. However, SMART goals led to higher pressure/tension, while open goals led to higher perceptions of performance and higher interest in repeating the session.ConclusionsThese findings provide preliminary evidence for the efficacy of setting open goals in physical activity, and suggest that they may be more psychologically adaptive to pursue than SMART or do-your-best goals. Implications are discussed, and recommendations are made for future goal-setting research in physical activity.     

Traditional and Modern Characteristics Across the Generations: Similarities and Discrepancies

Abstract

The authors examined, through an analysis of self-construals and beliefs about social interaction, the traditional and modern orientations of younger and older generations of Taiwanese people. The authors surveyed 169 pairs of parent-child dyads with a battery of structured questionnaires. Within-subjects analyses revealed high generational correlations as well as discrepancies in both traditional and modern characteristics. Between-subjects analyses further indicated that individual traditional and modern characteristics were affected by age and gender and by their interactions. The authors discuss (a) the pattern of generational similarities and discrepancies in the framework of culture stability and change and (b) the coexistence of traditional and modern characteristics in a rapidly changing society.     

Prolongement du dispositif d’accompagnement sens de la vie et sens du travail : « Développer le sens de sa vie en cultivant ses liens aux autres et aux communautés sociales »

IntroductionAs an extension of the counseling program for adults, dedicated to meaning of life and meaning of work, a complementary session called “Developing the meaning of one's life by cultivating one's links with others and social communities” has been created. It is developed under the impetus in particular of formulated research perspectives in which broadening the focus is encouraged, by no longer focusing solely on individuals but also on social groups, collectives and communities.ObjectiveThe intention is to understand the way through which meaning is developed by way of contact with social interactions and how the development of reflection on social communities makes it possible to enrich the individual in the construction of his identity, his references and of his social integration. This session strives not to reinforce, with the accompaniment to meaning, individualism, excessive self-centeredness, withdrawal into oneself within what is known of the intimate sphere. On the contrary, it strives to promote an awareness of the importance of the link to others, of an openness to otherness which is fundamental in the construction of meaning.ProcedureThe objective of this study is to present the session by considering its processes and its effects in order to provide practicing psychologists and counselors in the field of orientation with an intervention device and operational tools.Concluding discussionThe scientific and practical implications are discussed in the light of the main results collected during the 2019 experimentation of this session with four communities and its application within five counseling programs validating its contributions for the beneficiaries and for the overall device.