Parenting in relation to child and adolescent vocational development

Processes of child and adolescent vocational development include acquisition of knowledge, beliefs, and values about work options and requirements, exploration of interests that will be relevant for occupational interest development, development of academic aspirations, self-efficacy, expectations, and attainment. These elements serve to provide preparation for entry into a range of occupations and provide for the establishment of vocational aspirations, occupational self-efficacy, expectations, planning, and attainment. Parenting occurs within a family context influenced by a myriad of factors, including availability of financial capital, human capital, social capital, child agency, work-family interfacing, family roles, family structure, and the historical conditions affecting parents. These family contextual factors promote our understanding of differences in parenting in relation to child and adolescent vocational development. Far more complex than specific steps to entering the labor market per se, child and adolescent vocational development includes the interfacing of parenting and developmental processes.     

Child Abuse and Adolescent Parenting

Abstract

Adolescent parents are commonly identified as an at-risk group in the child abuse literature. However, theoretical models specific to the area of child abuse and adolescent parenting are not well developed. This essay reviews established theories on child abuse, abusive parenting, and adolescent parenting to synthesize a proposed child abuse and adolescent parenting model. An ecological perspective is used to organize the theoretical model. The components of this model are supported by existing research on child abuse and adolescent parenting. The new synthesized model on child abuse and adolescent parenting should be viewed as an informed way to organize and conduct future research in this area. Further theory development on child abuse and adolescent parenting should be encouraged.     

A Model of Therapist Competencies for the Empirically Supported Cognitive Behavioral Treatment of Child and Adolescent Anxiety and Depressive Disorders

While a plethora of cognitive behavioral empirically supported treatments (ESTs) are available for treating child and adolescent anxiety and depressive disorders, research has shown that these are not as effective when implemented in routine practice settings. Research is now indicating that is partly due to ineffective EST training methods, resulting in a lack of therapist competence. However, at present, the specific competencies that are required for the effective implementation of ESTs for this population are unknown, making the development of more effective EST training difficult. This study therefore aimed to develop a model of therapist competencies for the empirically supported cognitive behavioral treatment of child and adolescent anxiety and depressive disorders using a version of the well-established Delphi technique. In doing so, the authors: (1) identified and reviewed cognitive behavioral ESTs for child and adolescent anxiety and depressive disorders, (2) extracted therapist competencies required to implement each treatment effectively, (3) validated these competency lists with EST authors, (4) consulted with a panel of relevant local experts to generate an overall model of therapist competence for the empirically supported cognitive behavioral treatment of child and adolescent anxiety and depressive disorders, and (5) validated the overall model with EST manual authors and relevant international experts. The resultant model offers an empirically derived set of competencies necessary for effectively treating children and adolescents with anxiety and depressive disorders and has wide implications for the development of therapist training, competence assessment measures, and evidence-based practice guidelines for working with this population. This model thus brings us one step closer to bridging the gap between science and practice when treating child and adolescent anxiety and depression.     

An Analysis of the Effects of Occupational Variables on Child bearing Intentions

Recent studies have indicated that the relationship between family size and occupational variables (e.g., work status, occupation, total number of years worked, career decisions) may be influenced by a number of different variables. The present study uses Fishbein's Theory of Reasoned Action to analyze the effects of different occupational variables on the beliefs, attitudes, and subjective norms that underlie intentions to have a child (within the next 3 years). Consistent with the theory, occupational variables were significantly related to childbearing intentions only if they were related to attitudes toward having a child and subjective norms. Furthermore, these latter relationships were themselves dependent upon relations between the occupational variables and underlying beliefs, evaluations, and motivations to comply. As expected, different occupational variables influenced intentions in different ways. Thus, Fishbein's theory allows a means for identifying the loci of effects of occupational variables on childbearing intentions. Finally, the two components of the model were sufficient to predict childbearing intentions; in general, occupational variables did not contribute to prediction of childbearing intentions over and above childbearing attitudes and subjective norms.     

College Student High-Risk Drinking as a Maladaptive Serious Leisure Hobby

The role of occupational therapy in community child and adolescent mental health services (CAMHS) multidisciplinary teams is not well documented. This qualitative study investigated the perception of occupational therapy practice held by community CAMHS workers in the Perth, Australia, metropolitan region. Eight mental health community CAMHS professionals took part in semi-structured interviews. Three themes emerged which included team membership, the nature of the work, and the team and occupational therapy. This article focuses on the third theme. Findings suggest a limited understanding of the scope of occupational therapy practice. Implications for occupational therapy in CAMHS are discussed.     

Where's poppa? The relative lack of attention to the role of fathers in child and adolescent psychopathology.

Compared with mothers, fathers are dramatically underrepresented in clinical child and adolescent research. The author reviewed empirical and theoretical clinical child and adolescent literature to ascertain the reasons for this underrepresentation. Four somewhat interrelated factors are discussed: practical issues in participant recruitment, differential base rates of paternal vs. maternal psychopathology, theory-driven research based on sexist theories, and research assumptions based on outdated societal norms. Suggestions for future research are discussed, including parallel investigations of paternal characteristics whenever maternal characteristics are investigated, assessment of both similarities and differences in the role of fathers and mothers in child and adolescent psychopathology, and investigation of parenting factors for both fathers and mothers (e.g., time spent in actual caretaking, career vs. family orientation) in relation to child and adolescent psychopathology.     

The expectancy model in the analysis of occupational preference and occupational choice

The differences between the factors related to occupational preference and occupational choice were explored for upper-division college students from business and psychology classes. The results strongly supported a valance-instrumentality-expectancy model in the context of occupational choice. Occupational preference was primarily a function of occupational valence, the multiplicative relation between the outcome valences and the instrumentalities of the occupations for these outcomes. Occupational choice was primarily a function of the force to choose an occupation, the multiplicative relaitonship between occupational valence and the expectancy of attaining an occupation and the expected costs of attaining an occupation.     

Incremental validity in the psychological assessment of children and adolescents

Incremental validity in the process of psychological assessment of children and adolescents is explored. The authors highlight the dependence of the incremental validity of assessment information on factors such as goal of assessment, other information available, base rate of the problem or outcome, age or gender of the child, and type of problem being assessed. The authors discuss the incremental validity of assessment information from alternate sources, methods, and constructs. In view of the limited number of studies directly relevant to incremental validity in child clinical assessments, the authors call for more clinically relevant research. To have the greatest impact on child and adolescent services, this research must be readily generalized and immediately relevant to actual clinical practice.     

A Theoretical Approach to the Treatment of Work Difficulties in Borderline Personalities

This paper reviews the psychodynamic basis of borderline personality disorder with special reference to work difficulties. The model of human occupation is reviewed, and its use as a theoretical framework model for a formulation of borderline occupational functioning is proposed. A hypothetical model is conceptualized and the expected deficits in the volitional, habituation, and performance subsystems described. The primary occupational dysfunction of the borderline patient is shown to occur at the level of exploratory behavior, or play, and to manifest itself in the inability to perform autonomous adult roles. A treatment approach derived from this formulation is delineated, emphasizing the need for a context of exploration and curiosity. A specific treatment program is described and the therapeutic change process is illustrated through clinical case examples.     

Mental Health and Adverse Childhood Experiences

The theoretical basis of occupational therapy interventions was investigated in two mental health facilities in the Midwestern United States. Using retrospective cohort and grounded theory designs, 121 medical records were reviewed and five occupational therapy practitioners were interviewed. Theoretical reasoning was not explicitly documented, but according to analysis, the behavioral/cognitive-behavioral model, client-centered models, and the model of human occupation were the most frequently used theories to guide interventions. Lack of documentation of theory use has significant implications for the value accorded to occupational therapy skills in health care. A larger study is recommended to increase external generalizability of the findings.     

Family Economic Strain and Adolescent Aggression during the COVID-19 Pandemic: Roles of Interparental Conflict and Parent–Child Conflict

Although the link from family economic strain to adolescent aggression has frequently been hypothesized, the results are mixed. Both interparental conflict and parent–child conflict are considered to be potential mediators of this link. However, the empirical evidence supporting this proposition is lacking. The present study investigated the direct effect of family economic strain on adolescent aggression as well as indirect effects through interparental conflict and parent–child conflict. Based on multi-informant data from 971 families with a child in middle and high schools in Y City, in Shanxi Province, structural equation modeling is conducted to examine the proposed theoretical model. Findings show that family economic strain has no significant direct impact on adolescent aggression. Interparental conflict and parent–child conflict mediate the link between family economic strain and adolescent aggression simultaneously and sequentially. This study expands current literature and deepens our understanding of the mechanisms underlying the relationship between family economic strain and adolescent aggression. Implications for policies and interventions to reduce the risk of adolescent aggression are discussed.

     

Gender variation in developmental trajectories of educational and occupational expectations and attainment from adolescence to adulthood

Adolescents' future expectations are a potentially important precursor of adult attainment and may illuminate how males and females vary in schooling and work. Thus, this longitudinal study examined gender variation in developmental trajectories of educational and occupational expectations from adolescence to adulthood and in connection to corresponding adult attainment. National data (NELS:88) including individuals aged 14 to 26 and hierarchical linear modeling analyses yielded several findings: Males and females had similar developmental trajectories of educational expectations from adolescence to adulthood with the sample average expecting to attend college. Probabilities of expecting a professional occupation were lower for males than females. Adolescent educational and occupational expectations predicted corresponding attainment in adulthood, although the relationship varied by gender. Males who reported high occupational expectations in adolescence had higher occupational attainment in adulthood compared to males with low occupational expectations, whereas females' adult occupational attainment did not vary by their adolescent occupational expectations. Gender variation in expectations and attainment is discussed in light of historical changes, and future directions of research are proposed.     

Clinical Decision Making in Alzheimer's Disease

In the treatment of Alzheimer's Disease the occupational therapy goal is to enable persons to function as optimally as possible. Maximizing the patient's functioning in daily life necessitates a framework for clinical reasoning. Clinical reasoning currently emphasizes what persons can do but may fail to recognize the complex factors involved in what a person actually will do. A framework to guide clinical decision making for persons with Alzheimer's disease based on the model of human occupation was developed. The use of this framework is illustrated through a case application.     

Clinical Application of the Model of Human Occupation in Dementia of the Alzheimer's Type

Dementia of the Alzheimer's type (DAT), termed the disease of the century (Braly, 1986), has affected over two million Americans (Katzman, 1986). As the population ages, this figure will rise, presenting a continued challenge to health care systems and to occupational therapists who will increasingly confront people with DAT In their various clinical settines. The Model of Human occupation is suggested as a framework Kr guiding assessment and treatment for the person with DAT. A brief review of the symptoms and potential disturbances affecting occu ational function within the framework of the model is presented, followed by a case study illustrating clinical application bf the model.     

Does a corresponding set of variables for explaining voluntary organizational turnover transfer to explaining voluntary occupational turnover?

This study proposed and tested corresponding sets of variables for explaining voluntary organizational versus occupational turnover for a sample of medical technologists. This study is believed to be the first test of the Rhodes and Doering (1983) occupational change model using occupational turnover data. Results showed that corresponding job (occupational) satisfaction and intent to leave organization (occupation) variables were each significant for explaining subsequent organization (occupation) turnover. Job insecurity was found to be a significant correlate for organizational turnover while work exhaustion was found to be a significant correlate for occupational turnover. Study limitations and directions for future research are discussed.     

Psychosocial Intervention with an Adolescent with Diabetes Using the Model of Human Occupation

This article describes the use of the Model of Human Occupation as a framework for guiding the occupational therapy assessment and psychosocial intervention for an adolescent with diabetes mellitus. Psychosocial issues related to having diabetes are discussed and implications for daily life functioning are explored. A case study is used to exemplify the application of the Model of Human Occupation in addressing the psychosocial needs of an adolescent with diabetes mellitus.     

La perception parentale de la pratique du bilan psychologique de l’enfant et de l’adolescent

The psychological assessment is a widespread approach in child and adolescent psychology, but few studies have examined the experiences of the main stakeholders during this process. This study was conducted among 105 parents consulting for their child in a psychological counseling centre, and investigated by ad-hoc questionnaires the dimensions that can be involved at different moments of the assessment: expectations and perceptions, motivation for change, working alliance, and satisfaction with care. The results highlight the importance of parents’ initial representations and the quality of first contact with psychologists. This study enhances our understanding of procedural elements little studied and yet determinant for the engagement of parents in the psychological assessment and the intervention that would follow.     

Father identification,achievement, and occupational behavior of rural youth: 5-Year follow-up

Rural economically deprived adolescent males, who had previously been surveyed as high school seniors and again 1 year after graduation concerning their post-high school plans, were surveyed again 5 years after graduation concerning their occupational status and aspirations, their educational achievements, their satisfaction with their present status, their evaluation of their high school preparation in regard to their present jobs, and their optimism about the future. The subjects had been divided in an earlier study into two groups, low identification males (LIM) and high identification males (HIM) based on independent evaluators' judgments of the adequacy of their fathers as identification models. Each group's responses to the survey were compared. The results indicate that there are no statistically significant differences between the two groups on the variables of satisfaction with present status or evaluation of their high schools' preparation of them for their current occupation. There are statistically significant differences on the variables of occupational status, occupational aspirations, educational achievements, and optimism about the future.