Sex-related effects on clinicians' attributions of parental responsibility for child psychopathology

An attempt was made to reproduce and extend previously reported data suggesting the operation of sex-related bias in clinicians' attributions of parental involvement in children's psychopathologies. More and less sex-role traditional male and female family-oriented practitioners were shown contrived profiles in which a boy or girl was described as masculine or feminine role-deficient, and apportioned maternal versus paternal blame, treatment focus, adjunctive therapy need, and likelihood of sabotage. As in the previous study, mothers were implicated slightly more than fathers and also were viewed as requiring relatively greater therapeutic attention by female than by male clinicians. However, several earlier findings were not replicated. Overall, the results offer only marginal support for the notion of sex-related practitioner bias.     

Evaluation of a group cue-exposure treatment for opiate addicts

Twenty-four detoxified opiate addicts were randomized to an experimental group and a control group to evaluate efficacy of a group cue-exposure treatment to reduce or extinguish classically conditioned responses to drug-related stimuli. Assessment included psychophysiological responses (skin temperature, skin conductance level--SCL--, and heart rate) to a videotape and subjective measures (subjective craving, positive and negative affect) before and after the videotape. The experimental group received a group cue-exposure program to drug-related stimuli that comprised twelve treatment sessions administered three times weekly. The treatment program significantly reduced conditioned responses to drug-related stimuli, as measured by SCL and positive affect.     

Personality and psychopathology of drug addicts in Puerto Rico

Drug abuse is one of the most pressing sociomedical problems of society. The purpose of this study was to examine the personality and psychopathology of addicts. 229 addicts in treatment programs scored high on Neuroticism and on the Lie Scale and low on Psychoticism and Extraversion on the Eysenck Personality Questionnaire for Puerto Rico. An Addiction Scale, based on a factor analysis, showed a high component of Neuroticism items.     

Specificity in contrast effects: Judgments of psychopathology

Three experiments were conducted to explore the specificity of the contrast effect in judgments of psychopathology. In the first two studies, respondents initially attempted to infer whether each item in a series of behavior samples (vocabulary definitions in one study, handwriting samples in the second) came from a schizophrenic or a nonschizophrenic patient. Some respondents were presented with highly pathological samples in this induction series, while others were presented with relatively nonpathological samples. These divergent experiences led to marked contrast effects in evaluating test stimuli from the same behavioral domain (e.g., additional vocabulary definitions), but had significantly less impact on the respondent's reactions to stimuli from a different domain (e.g., handwriting samples). A third experiment yielded similar results, using a paired-comparison methodology. In this study subjects first judged a series of high- vs low-pathology definitions. They were then presented with a series of matched stimulus pairs, each including one vocabulary definition and one hand-writing sample. Respondents were to indicate the member of each pair that seemed more indicative of schizophrenia. People assigned to the high-pathology induction group typically chose the handwriting samples as being more indicative of schizophrenia, compared with respondents who were assigned to the low-pathology conditions. These results were interpreted as supporting a representational (perceptual) theory of contrast.     

同胞冲突及其解决:家庭子系统的影响

同胞冲突是指在一个完整的家庭中, 具有相同生身父母的两个或多个人在行为、目标或活动上所表达出的不相容, 其通常表现为争吵和敌对情绪以及相互间的攻击行为。父母干预同胞冲突的方式分为孩子中心策略、控制策略和不干预策略。家庭系统理论指出, 家庭是一个有等级结构的、动态的系统, 这个系统中的子系统(包括父母婚姻关系、亲子关系和同胞关系)是相互联系、相互影响的。基于这一理论, 探讨家庭子系统对同胞冲突的影响, 整合建构同胞冲突的理论假设模型, 以便从多路径的角度去分析同胞冲突的产生机制。未来的研究需要对同胞冲突及其相关概念进行区分或整合, 关注父母干预同胞冲突的方式的影响因素, 并且以发展的眼光去看待同胞冲突。     

Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex.

Examined the impact of childhood psychiatric disorders on the prevalence and timing of substance use and abuse and tested for sex differences. A representative population sample of 1,420 children, ages 9, 11, and 13 at intake, were interviewed annually. American Indians and youth with behavioral problems were oversampled; data were weighted back to population levels for analysis. By age 16, more than half the sample reported substance use, and 6% had abuse or dependence. Alcohol use began by age 9, and smoking in the 13th year. Mean onset of dependence was 14.8 years, and mean onset of abuse was 15.1 years. Substance use began earlier in boys, but not girls, who later developed abuse or dependence. Disruptive behavior disorders and depression were associated with a higher rate and earlier onset of substance use and abuse in both sexes, but anxiety predicted later onset of smoking. Family drug problems were the strongest correlate of early onset. Despite differences in prevalence of psychopathology, boys and girls showed more similarities than differences in the course of early substance use and abuse, and its associations with psychopathology.     

Sibling deidentification in the clinic: devil vs. angel

A four-member family structure consisting of two siblings contrasting in personality (sibling deidentification) and each identified with a different parent (split-parent identification) was recently reported (15). In well-functioning families, this tetrad or quadrangle is wide-spread in the first pair of siblings in the family and tends to be more common in same-sex pairs, suggesting that sibling deidentification is designed to mitigate the relatively intense sibling rivalry characteristic of these pairs and hence to maintain family harmony. In this collated case report, deidentification is found to follow the same pattern in 39 clinic first pairs. However, contrasting attributes are varied and nonevaluative in nonclinic pairs but mainly "good-bad" in clinic pairs, with polarization extreme. Results suggest that nonclinic siblings negotiate their identity (being) much as they negotiate about possessions (having) and that negotiations are blocked in clinic pairs, freezing mythic devil or angel identity. Intervention is directed at dislodging this block.     

Child psychopathology risk factors for drug abuse: overview.

Introduces the special section on Child Psychopathology Risk Factors for Substance Use Disorders. This article summarizes important principles, the current literature, contributions to this section, and issues for future research. Psychopathological conditions are strongly associated with substance use disorders, and some childhood psychopathological conditions may constitute precursors to this comorbidity. Conduct disorder constitutes a strong risk factor for substance use disorders, and bipolar disorder, although more rare, may also constitute a significant risk. Data for other child psychiatric conditions are mixed or lacking; however, important subgroups may be at risk and merit further attention. Underlying characteristics, such as temperament and self-regulation, merit further study as possible explanatory variables. Such studies hold the key for targeting and improving preventive and therapeutic interventions.     

Temporomandibular disorders: evidence for significant overlap with psychopathology.

Data were analyzed for 277 acute and chronic temporomandibular disorder (TMD) patients to determine if there was a relationship between psychological and physical diagnoses. A significant (p < .01) relationship existed among the following: combined past or current mood disorder-personality disorder and muscle disorder; combined current mood, anxiety, or substance use disorder-personality disorder and muscle disorder; and combined current anxiety disorder-personality disorder and muscle disorder. This study further confirmed other research that has found that significant psychopathology exists in TMD. More important, this psychopathology appears to be linked primarily to muscle disorders, as opposed to disc or joint disorders, within the rubric of TMD.     

Variance Distribution in Sibling Relationships: Advantages of Multilevel Modeling Using Full Sibling Groups

The majority of research on sibling relationships has investigated only one or two siblings in a family, but there are many theoretical and methodological limitations to this single dyadic perspective. This study uses multiple siblings (541 adults) in 184 families, where 96 of these families had all siblings complete the study, to demonstrate the value in including full sibling groups when conducting research on sibling relationships. Two scales, positivity and willingness to sacrifice, are evaluated with a multilevel model to account for the nested nature of family relationships. The distribution of variance across three levels: relationship, individual, and family are computed, and results indicate that the relationship level explains the most variance in positivity, whereas the individual level explains the majority of variance in willingness to sacrifice. These distributions are affected by gender composition and family size. The results of this study highlight an important and often overlooked element of family research: The meaning of a scale changes based on its distribution of variance at these three levels. Researchers are encouraged to be cognizant of the variance distribution of their scales when studying sibling relationships and to incorporate more full sibling groups into their research methods and study design.     

When Sibling Becomes Competitor: A Qualitative Investigation of Same-Sex Sibling Competition in Elite Sport

Abstract

The effects of performance strategies, goal setting, and self-evaluative recording on the acquisition of a novel motoric skill were studied with 90 high school girls. It was hypothesized that greater acquisition would occur when (a) an analytic strategy was used instead of imaginal strategy, (b) practice goals were shifted dynamically during learning instead of remaining unchanging or fixed, and (c) self-evaluative recording of strategic performance processes was present rather than absent. Support for all three hypotheses was found. In addition to improving motoric skill acquisition, these same self-regulatory processes significantly enhanced three sources of learners' motivation: self-efficacy beliefs, self-satisfaction, and intrinsic interest. Additional analyses revealed that self-evaluative recording enhanced strategy attributions during learning which were predictive of improved self-efficacy, self-satisfaction, and intrinsic interest during posttesting. Self-efficacy was highly predictive of subsequent dart-skill performance. The results were discussed in terms of a strategic cycle view of self-regulation of motoric learning.     

Subtypes of psychopathology in children referred for neuropsychological assessment.

The validity of a Personality Inventory for Children-Revised edition (PIC-R) typology was examined in a sample of 323 children aged 6-16 years. These children had been referred to a children's mental health centre for neuropsychological assessment. In study 1, K-means cluster analysis (k = 12) was applied to the PIC clinical scales in an attempt to replicate the 12 clusters identified by Gdowski, Lachar, and Kline (1985). Partial cluster replication was achieved. Examination of the obtained clusters revealed significant overlap, suggesting that fewer clusters would represent an optimal solution. In study 2, a two-stage cluster analysis yielded a seven-cluster solution consistent with several key forms of psychopathology previously reported in the literature using specific neuropsychological populations. Identified subtypes included profiles characterized as: normal, cognitive deficit, cognitive deficit with internalized psychopathology, cognitive deficit with social impairment, cognitive deficit with hyperactivity, cognitive deficit with both internalized and externalized psychopathology, and combined internalized and externalized psychopathology without a cognitive deficit component.     

Modulatory role of serotonin in neural information processing: implications for human psychopathology.

Investigation of the role of 5-hydroxytryptophan (5-HT), which functions as a modulator in the central nervous system, across behavioral contexts suggests that a general principle of transmitter function may be derived that is independent of specific behaviors and specific neural loci. A functional principle of 5-HT action in neural information processing in the central nervous system is proposed. Extremes deviations in 5-HT activity result in biases in information processing that may have direct effects on behavior. Such biases may predispose to pathological conditions such as violent suicide and aggression.     

Searching for an environmental effect of parental alcoholism on offspring alcohol use disorder: a genetically informed study of children of alcoholics

The children-of-twins design was used to isolate a potentially causal environmental impact of having an alcoholic parent on offspring alcohol use disorder, by an examination of whether the children of alcoholics were at a higher risk for alcohol use disorders than were the children of nonalcoholic parents, even after correlated familial factors were controlled. Participants were 1,224 male and female twins from 836 twin pairs selected from the Australian Twin Registry, 2,334 of the twins' 18-39-year-old offspring, and 983 spouses of the twins. Lifetime histories of Diagnostic and Statistical Manual of Mental Disorders (4th ed.) alcohol use disorders were obtained by structured, psychiatric, telephone interviews conducted individually with each of the family members. Comparisons of the offspring of twins who were discordant for alcoholism indicated that there was no longer a statistically significant difference between the children of alcoholics and the children of nonalcoholics after genetic and family environmental factors correlated with having an alcoholic parent were controlled. The results of this study suggest that the direct causal effect of being exposed to an alcoholic parent on offspring alcohol use disorder is modest at best.     

Long-term effects from a randomized trial of two public health preventive interventions for parental depression.

This article presents long-term effects of a randomized trial evaluating 2 standardized, manual-based prevention strategies for families with parental mood disorder: informational lectures and a brief, clinician-based approach including child assessment and a family meeting. A sample of 105 families, in which at least 1 parent suffered from a mood disorder and at least 1 nondepressed child was within the 8- to 15-year age range, was recruited. Parents and children were assessed separately at baseline and every 9 to 12 months thereafter on behavioral functioning, psychopathology, and response to intervention. Both interventions produced sustained effects through the 6th assessment point, approximately 4.5 years after enrollment, with relatively small sample loss of families (<14%). Clinician-based families had significantly more gains in parental child-related behaviors and attitudes and in child-reported understanding of parental disorder. Child and parent family functioning increased for both groups and internalizing symptoms decreased for both groups, with no significant group differences. These findings demonstrate that brief, family-centered preventive interventions for parental depression may contribute to long-term, sustained improvements in family functioning.     

Adolescent adjustment and well-being: effects of parental divorce and distress

This study investigates the long-term effects of parental divorce on adolescent psychological adjustment and well-being, and to what extent the effects are accounted for by parental psychological distress. Data were collected among 8,984 Norwegian adolescents (13-19 years) and their parents. Outcome variables were symptoms of anxiety and depression, subjective well-being, and three areas of school problems. Parental divorce was found to be associated with both higher mean levels and larger variances in adolescent problems. Divorce and parental distress contributed independently to adolescent distress, supporting the notion of "double exposure" effects. The prevalence of adolescents with substantial distress symptoms was 14% among those with non-distressed non-divorced parents and 30% among those with divorced and distressed parents. In general effects remained when controlling for demographic factors. Long-term effects of divorce on symptoms of anxiety and depression were stronger among girls than among boys.