Predictors and Correlates of Completing Behavioral Parent Training for the Treatment of Oppositional Defiant Disorder in Pediatric Primary Care

This study examined the role of pretreatment demographic and clinical predictors of attendance as well as barriers to treatment and consumer satisfaction on attendance at therapist-led parent training with 86 families of children ages 3 to 6 years conducted in pediatric primary care settings. Only socioeconomic status (SES) and minority group membership were significantly associated with not completing treatment. Using optimal data analysis procedures, high SES correctly predicted treatment completion 83.6% of the time. Being from a low SES, minority group family correctly predicted noncompletion of treatment 72.7% of the time, but being from a low SES, white family predicted treatment completion 80% of the time. Since barriers to treatment, such as stressors, obstacles to treatment, and treatment demands were unrelated to attendance in the present study, other factors related to social class and minority status that could contribute to better consumer satisfaction and treatment attendance must be investigated.     

Child psychotherapy: Converging traditions

In this paper I outline some of the ways in which I believe the psychoanalytic traditions in North America and in Great Britain are influencing each other. I identify points of convergence and divergence at this moment in the evolution of psychoanalytic theory and technique. I then point out some of the implications of relational perspectives in child psychotherapy as this perspective is developing in the United States.     

Views of the West: Transnationalism in contemporary Ukrainian Baptist churches

Abstract

Ukrainian evangelical churches of all kinds are intimately connected with churches, people and religious ideas in other parts of the world. Because of the close relationship between Ukrainian Baptists and churches in the United States, and also because of the perceived ubiquitous nature of American culture worldwide, including in Ukraine, the idea of ‘the West’ is a strong one in Ukrainian church life. This article, based on research carried out in four Ukrainian Baptist churches over a ten-month period, examines how Ukrainian Baptists view ‘the West’. During focus group discussions and individual interviews, Baptists portrayed the West as an object both of admiration and of distaste; as a place from which help had come for Ukraine, as well as a force that had caused problems in the Ukrainian church and in Ukraine more generally. It was described as a place of freedom, wealth, sin and opportunity; as a factor in intergenerational church conflicts; and as the place that entices church members to emigrate and abandon their home churches. Developed out of a larger study on the geographies of identity among Ukrainian Protestants, this article shows that the contemporary Ukrainian Baptist church is in part defined by a transformation from a relatively insular religious community into one that is open both to Ukrainian and western outsiders. To church members, this shift is to blame for a host of changes ushered in by transnational connections between their churches and churches in the West.     

Re-souling spirituality: redefining the spiritual dimension in schools

Abstract

This article argues that our present model for defining spiritual development within the English school context unhelpfully lends itself to a binary of spirit-body, evoking potential distracting questions about whether or not the soul/spirit actually exists as a separate entity from the body, a question more specifically suited to the religious education curriculum. Instead, using an interdisciplinary approach, the author argues for an alternative model of spirit-soul, based on definitions taken from the contemporary Wholeness movement, in which spirit is perceived as that in us which seeks vision and transcendence, and soul as that which seeks engagement, depth and rootedness. Although the model provides us with an alternative binary, no duality is intended. Rather, the argument is that personal and community maturity implies balance and wholeness of body, soul and spirit, which is more clearly exemplified within this proposed new conceptualisation.     

The Defiant Power of the Human Spirit: Mental Health in Later Life

SUMMARY

This paper sets forth a wholistic perspective on the aging process, that clearly acknowledges the struggles and tensions between both the positive and decremental aspects of aging encountered in this journey. It speaks eloquently of the overarching tapestry of our lives balanced against the precariousness and brevity of life's experience. It speaks of challenges of later life that are experienced as physical decrements progress. Against these are balanced the need for rituals and transcendent symbols to enable the person to move into the spiritual and find meaning in the journey. In presenting this picture of aging, Kimble moves beyond the biomedical paradigm and applying Frankl's material he clearly demonstrates the defiant power and potential of the human spirit in adjusting to and moving through and beyond suffering.     

How African-American ministers communicate HIV/AIDS-related health information to their congregants: a survey of selected black churches in Houston,TX

Throughout history, black churches have played a significant role in the spiritual, social, and political life of African-American communities. Yet attitudes about morality surrounding HIV/AIDS have hampered unconditional involvement of black churches in dealing with the disease. Although the black church's attitudes toward the disease have evolved in the last 25 years, research suggests that a lingering negative disposition still exists. This study examines the current status of church-based HIV/AIDS education and support services provided by the black churches in the Houston area. The data were drawn from 319 church members and 12 ministers, using two separate questioners. Members and ministers were surveyed on a variety of issues related to HIV/AIDS education and support services, and their attitudes and behavior towards the disease. The results seem to confirm the much needed involvement of the black church in providing education and support in dealing with the disease.     

Youth with Oppositional Defiant Disorder at Entry into Home-Based Treatment,Foster Care,and Residential Treatment

We explored and compared rates of youth diagnosed with oppositional defiant disorder (ODD) at entry into three broad program types, home-based care, foster care, and residential care. We also explored factors other than an ODD diagnosis that could be associated with program placement, and compared the presence of these factors in youth with and without an ODD diagnosis. Analyses were conducted using data from an ongoing, private-agency led, outcome measurement project. Programs were grouped into low (home-based), moderate (foster), or high (residential) categories, based upon levels of supervision and structure provided. A sample of 9,564 youth admitted into care between years 2005 and 2007 was used. Results suggested the following rates of ODD: 14.2 % overall; 7.9 % for low level programs; 5.3 % for moderate level programs; 21.1 % for high level programs. Rates were significantly different by program level (p ≤ 0.001). Sixty of 65 additional risk factors were also significantly associated with placement by level of program. No risk factors were unique to youth with ODD. Of the significant factors for youth with ODD, 4 were particularly strong: Classification as a child in need of services (CHINS), history of neglect, verbal aggression, and truancy. Youth classified as CHINS and with substantiated or suspected neglect were more likely placed into a moderate level program. Youth with verbal aggression or truancy were more likely placed into a high level program. Results suggested many factors are considered at program entry. Given the potential for poor prognosis and social costs of ODD, results support an individualized approach to placement determinations, with increased attention to symptoms of ODD and associated features at program entry.     

Optimizing well-being: the empirical encounter of two traditions

Subjective well-being (SWB) is evaluation of life in terms of satisfaction and balance between positive and negative affect; psychological well-being (PWB) entails perception of engagement with existential challenges of life. The authors hypothesized that these research streams are conceptually related but empirically distinct and that combinations of them relate differentially to sociodemographics and personality. Data are from a national sample of 3,032 Americans aged 25-74. Factor analyses confirmed the related-but-distinct status of SWB and PWB. The probability of optimal well-being (high SWB and PWB) increased as age, education, extraversion, and conscientiousness increased and as neuroticism decreased. Compared with adults with higher SWB than PWB. adults with higher PWB than SWB were younger, had more education, and showed more openness to experience.