Individual and Group Child‐Centered Play Therapy: Impact on Social‐Emotional Competencies

The authors conducted a randomized controlled trial study with 56 elementary school children to test the effectiveness of 16 sessions of individual and group child‐centered play therapy (CCPT) in improving social‐emotional assets, including self‐regulation/responsibility, social competence, and empathy. Parent reports indicated that treatment in both CCPT conditions was correlated with substantial gains in overall social‐emotional assets and in the constructs of self‐regulation/responsibility and social competence.     

Child‐Centered Play Therapy: Aggression,Empathy, and Self‐Regulation

The authors conducted a randomized controlled trial to investigate differences among 36 elementary school age children who received 16 sessions of child‐centered play therapy and 35 children who were assigned to a waitlist control group. Pre‐ and postassessments were used to measure children's levels of aggression, self‐regulation, and empathy per parent and teacher report. Results revealed statistically significant positive results for parents and nonstatistically significant results for teachers. Implications and future research are examined.     

Parental interest in children's education,children's self‐esteem and locus of control,and later educational attainment: Twenty‐six year follow‐up of the 1970 British Birth Cohort

Background. Few studies have investigated if mother's interest and father's interest in child's education are linked to educational attainment via their impact on child's self‐esteem and locus of control. Aims. (1) To investigate (after controlling for known confounding factors) the long‐term effect of mother's and father's interest in child's education at age 10 and child's locus of control and self‐esteem at age 10 in educational attainment at age 26; and (2) to explore if mother's interest and father's interest in child's education are linked to child's educational attainment via their effect in increasing child's self‐esteem and internal locus of control. Sample. The study used longitudinal data from sweeps of the 1970 British Cohort Study (BCS70). The initial sample was those 1,737 men and 2,033 women with valid data on age 10 self‐esteem, locus of control, father's interest, mother's interest, and age 26 educational attainment. Of these, 1,326 men and 1,578 women were included in the final analysis. Method. The birth to age 10 factors that were controlled for were birth weight, parental social class, socio‐economic disadvantage, emotional/behavioural problems, cognitive ability, and mother's educational attainment. Results. At the multivariate level, internal locus of control and mother's interest (but not self‐esteem) were significantly related to educational attainment in both men and women. Father's interest was a significant predictor of educational attainment only in women. Parent's interest was not linked to educational attainment via its impact on child's self‐esteem or locus of control. Self‐esteem predicted educational attainment in both genders by increasing internal locus of control, and fathers' interest predicted educational attainment in men by increasing mother's involvement. Conclusion. Although mothers' and fathers' interest in their children's education were not linked to educational attainment via their impact on children's self‐esteem or locus of control, they were significant predictors of educational attainment especially in daughters.     

Intensive Child-Centered Play Therapy for Children on the Autism Spectrum: A Pilot Study

To investigate the effectiveness of intensive child-centered play therapy (CCPT) for children diagnosed with autism spectrum disorder (ASD), the authors randomly assigned 23 children with diagnosed ASD and symptoms of ASD on the Social Responsiveness Scale–2nd Edition (Constantino, 2012), to an intensive CCPT condition (n = 12) or a no-intervention control group (n = 11). Children who participated in 24 sessions of CCPT showed a statistically significant decrease in ASD core symptoms and behavioral symptoms, such as externalizing problems, attention problems, and aggression, compared with children in the control group. Implications are discussed.     

Play Therapy in Elementary Schools: A Best Practice for Improving Academic Achievement

This pilot study of 1st graders who are academically at risk examined the effectiveness of child‐centered play therapy (CCPT). The experimental group received biweekly, 30‐minute play therapy sessions for 8 weeks. Findings indicated that these 1st graders participating in CCPT (n = 21) demonstrated a statistically significant increase on the Early Achievement Composite of the Young Children's Achievement Test (Hresko, Peak, Herron, & Bridges, 2000) when compared with children in the control group (n = 20). Results support using CCPT as an intervention for academic achievement.     

Mother–child interaction and sleep regulation in one‐year‐olds

The regulation of sleep–wake states is controlled not only by biological mechanisms but by care‐giving context as well. In this study the association between mother–child relationship and the infant's sleep was examined. Thirty‐seven 12‐month‐olds and their mothers participated in a 10‐minute laboratory play episode. The dyadic interaction was coded with the Early Parent–Child Relational Assessment (Clark, 1985) and with the Emotional Availability scales (Biringen, Robinson, & Emde, 1993). The child's sleep was measured at home with a small‐computerized activity monitor. Although mothers' behavior was not related to the child's sleep, infants who were more responsive in the play episode woke up more frequently compared to infants who were less involved in the interaction. The link between social‐emotional competency and fragmented sleep, among nonrisk infants, could be an age‐related phenomenon. ©2001 Michigan Association for Infant Mental Health.     

Relationship between self‐worrying and self‐critical messages in clients with generalised anxiety engaging in emotion‐focused worry dialogues

Emotion‐focused therapy (EFT) has recently been adapted as a treatment for generalised anxiety disorder (GAD). One intervention used in this adaptation is a worry dialogue, in which the client enacts worry in one chair (“worrier”) and is facilitated to experience the impact of this worry in another chair (“experiencer”). Although not formally studied, anecdotal observations from therapists in the EFT for GAD treatment development study suggested that within worry dialogues there might be a link between client's self‐worrying and self‐critical messages. This study used data from 47 worry dialogues from fourteen study clients who received EFT for GAD. An observation based qualitative analysis of clients' self‐directed messages as present in in‐session worry dialogues was conducted using video/audio recordings of relevant sessions. Results indicate a relationship between self‐worrying and self‐critical messages. A total of 90 paired self‐worry and self‐critic messages across the 47 worry dialogues were logged. Six recurring clusters of themes/relationships were observed: (a) I need to be prepared for future negative events because… I'm weak and a failure; (b) I need to stop worrying… I'm flawed for being a worrier; (c) People will negatively judge me if I engage with them… because I'm not good enough; (d) If I don't worry, there will be negative consequences… and I will be responsible and will be unable to bear it; (e) I worry/ruminate that I cause(d) some damage… because I'm incompetent; and, (f) I must always be prepared against others taking advantage of me… because I'm weak. Given the observed close link between self‐critical and worry processes, it is important that therapists differentiate between these processes and remember to address both in therapy for GAD.     

Relation‐based intervention with at‐risk mothers: Outcome in the second year of life

It has been shown that the UCLA home visiting/mother–infant group intervention made a significant positive impact during the child's first 2 years of life on two indices of the mother's support and on three areas of mother–child and child development: (1) The mother's responsiveness to the needs of her child and the related development of his or her security of attachment; (2) the mother's encouragement of her child's autonomy and the related development of his or her autonomy; and (3) the mother's encouragement of her child's task involvement and the related development of his or her task orientation. By child age 2 years, the mothers experiencing the intervention, in comparison with those that did not, also used verbally persuasive as opposed to coercive intrusive methods of control and their children responded more positively to these controls. Mothers who did not experience the help of the intervention had significantly more difficulty controlling their child if it was a boy as opposed to a girl. They used the least appropriate methods of control, and the boys responded more negatively to these controls. The nature of the development of the mother's use of appropriate controls and the child's response to that control was elucidated by determining on the total sample where 12‐month antecedents influenced the indices of control either independently of or in interaction with the intervention status. The child's endurance in the test situation was an independent predictor of mother‐appropriate control and the child's positive response to that control, while the absence of maternal intrusiveness further enhanced the impact of the intervention on that control. ©2001 Michigan Association for Infant Mental Health.     

Bidirectional influences in mother–toddler dyads: an examination of the relative influence of mothers' and children's behaviours

This study examined bidirectional relationship between mothers' lax and overreactive discipline and children's misbehaviour and negative effect. We examined the moment‐to‐moment stability of mothers' and children's behaviours (actor effects) and mothers' and children's influence on their partners' subsequent behaviours (partner effects). Participants were 71 mothers and their 24‐ to 48‐month‐old children observed during a 30‐min interaction. Both children and mothers exhibited stability in their own behaviours and influenced the subsequent behaviours of their partners. Additionally, a comparison of partner effects indicated that overreactive discipline more strongly predicted child's negative effect than child's negative effect predicted overreactive discipline. In contrast, although a child's negative effect predicted lax discipline, lax discipline did not predict subsequent child's negative effect. Copyright © 2010 John Wiley & Sons, Ltd.     

Impact of play therapy on parent-child relationship stress at a mental health training setting

This study investigated the impact of Child-Centred Play Therapy (CCPT)/Non-Directive Play Therapy on parent-child relationship stress using archival data from 202 child clients divided into clinical behavioural groups over 3-74 sessions in a mental health training setting. Results demonstrated significant differences between pre and post testing on the Parenting Stress Index. CCPT appeared to be especially effective with children identified with clinical externalising behavioural problems, combined externalising and internalising behavioural problems, and children who were not categorised with clinical problem behaviours but whose parents sought counselling services for them. There were also significant differences determined by length of therapy. Results are discussed concerning implications for clinical practice and further research.     

The efficacy of free‐recall,cognitive load,and closed‐ended questions when children are asked to falsely testify about a crime

The current study evaluated the benefits of free‐recall, cognitive load, and closed‐ended questions on children's (ages 6 to 11; N = 147) true and false eyewitness disclosures. Children witnessed an experimenter find a stranger's wallet and were then asked to make a false denial, false accusation, true denial, or true accusation regarding an alleged theft. Overall, the free‐recall question resulted in longer, more forthcoming and more detailed disclosures from older children and those who made a truthful accusation; however, children under the age of 9 and lie‐tellers mostly relied on the closed‐ended questions to discuss the theft. Although the cognitive load questions resulted in newly recalled information, there were no significant narrative differences between true and false statements on these questions. These findings suggest that forensic professionals should consider a child's developmental level, statement veracity, and disclosure‐type (denial vs. accusation) when examining the efficacy of these commonly used questioning strategies.     

A Seven‐Year Follow‐Up Study on Parents' Expectations of Their Children's Further Education

This study examined the role of parents' perceptions of their children's competencies and their educational optimism in forming expectations of their children's further education. A group of parents (N = 352) were asked to estimate the probability of their children's entering gymnasium or vocational school and to assess the child's competencies in the course of primary school years. Parents had crystallized anticipations of their children's further education as early as preschool, and the differences bound to parents' education and child's gender were well established in their expectations. By the end of the 7^th school year, the relationships between the expectations and the competence assessments strengthened and became more uniform among parents, although there were also group‐specific profiles.     

Anorexia Nervosa in Adolescence and Maudsley Family‐Based Treatment

Anorexia nervosa is a serious psychiatric disorder that usually occurs in adolescence. The course of the illness can be protracted. Current empirical evidence suggests that the Maudsley Family‐Based Treatment (MFBT) is efficacious for adolescents. MFBT empowers parents as a crucial treatment resource to assist in their child's recovery. The authors review the diagnostic criteria and course of anorexia in adolescence, present empirical evidence and key theoretical concepts of MFBT, and provide a case study.     

Parent‐implemented brief functional analysis and treatment with coaching via telehealth

We evaluated the use of parent‐implemented brief functional analyses in the home with coaching delivered via telehealth. Parents of 7 children with autism conducted functional analyses of their child's challenging behavior. For 4 participants, the brief functional analysis provided information regarding the function of the child's challenging behavior. A full functional analysis indicated a social function for 1 participant. The brief functional analysis yielded false positive results and subsequent assessment indicated an automatic function for another participant. The final participant did not engage in sufficient rates of challenging behavior to provide information regarding the function of the child's challenging behavior. Treatment evaluations occurred with 4 participants; these evaluations provided support for the results of the functional analysis. Together with previous research, the results indicate that parent‐implemented brief functional analyses, followed by additional assessment as needed, may be an effective method for assessing and treating challenging behavior via telehealth.     

The Efficacy of Interventions Aimed at Reducing Procrastination: A Meta‐Analysis of Randomized Controlled Trials

This meta‐analysis investigated the efficacy of interventions aimed at reducing procrastination in randomized controlled trials. Twelve studies, with a total of 646 participants, met inclusion criteria. The significant meta‐analytic effect size, Hedges's g = 1.18, indicates that the interventions had a large positive effect. Three variables significantly moderated effect size: Higher effects were associated with interventions delivered in person, student samples, and a no‐treatment control condition. The results lay a foundation for procrastination treatment and future research.     

Seven‐year‐olds’ aggressive choices in a computer game can be predicted in infancy

Concerns about the relationship between computer games and children's aggression have been expressed for decades, but it is not yet clear whether the content of such games evokes aggression or a prior history of aggression promotes children's interest in aggressive games. Two hundred and sixty‐six 7‐year‐old children from a nationally representative longitudinal sample in the UK played a novel computer game (CAMGAME) in which the child's avatar encountered a series of social challenges that might evoke aggressive, prosocial or neutral behaviour. Aggressive choices during the game were predicted by well‐known risk factors for aggressive conduct problems and the children's own early angry aggressiveness as infants. These findings suggest that children who are predisposed to aggression bring those tendencies to virtual as well as real environments.     

Contacting a 19 month‐old mute autistic girl: A clinical narrative

Conveying that psychoanalysis offers rich opportunities for the very early treatment of autistic spectrum disorders, this clinical communication unfolds the clinical process of a 19 month‐old ‘shell‐type’ encapsulated mute autistic girl. It details how, in a four‐weekly‐sessions schedule, infant Lila evolved within two years from being emotionally out‐of‐contact to the affective aliveness of oedipal involvement. Following Frances Tustin's emphasis on the analyst's ‘quality of attention’ and Justin Call's advice that in baby–mother interaction the infant is the initiator and the mother is the follower, it is described how the analyst must, amid excruciating non‐response, even‐mindedly sustain her attention in order to meet the child half‐way at those infrequent points where flickers of initiative on her side are adumbrated. This helps attain evanescent ‘moments of contact’ which coalesce later into ‘moments of sharing’, eventually leading to acknowledgment of the analyst's humanness and a receptiveness for to‐and‐fro communication. Thus the ‘primal dialogue’ (Spitz) is reawakened and, by experiencing herself in the mirror of the analyst, the child's sense of I‐ness is reinstated. As evinced by the literature, the mainstream stance rests on systematic early interpretation of the transference, which has in our view strongly deterred progress in the psychoanalytic treatment of autistic spectrum disorders.     

Maternal Psychological Absence and Toddlers' Social‐Emotional Development: Interpretations From the Perspective of Boundary Ambiguity Theory

The current study tests a novel latent construct reflecting psychological absence and examines its relations with maternal depression, mother–toddler interactions, and toddlers' social‐emotional outcomes in a low‐income sample (N = 2,632). Structural equation modeling confirmed a psychological absence construct and revealed that psychological absence, measured at the child's 36‐month birthday‐related assessment, is a significant predictor of children's social‐emotional development at 36 months, mediated by mother–child interaction. Results are interpreted within a boundary ambiguity framework.     

Differential Estimation of Treatment Effect Between Clinician‐Administered and Self‐Reported PTSD Assessments

This study reported the findings of a meta‐analysis exploring differences between clinician‐administered (C‐A) and self‐reported (S‐R) outcomes of counseling and therapy interventions for posttraumatic stress disorder. A sample of 17 randomized trials resulted in 46 effect sizes (23 C‐A, 23 S‐R) representing the data of 1,405 participants. No statistically significant differences were detected between C‐A and S‐R outcome estimates alone or when considering treatment setting; however, differential estimates emerged for modality across age groups.     

The role of eye‐gaze in understanding other minds

From an early age, infants are sensitive to eye‐gaze direction. This study examined Baron‐Cohen's (1994, 1995) claim that the ability to use eye‐gaze plays a crucial role in the child's developing understanding of other minds. Children aged 3 and 4 years participated in a face‐reading task, which assessed their capacity to infer mental states from a character's direction of eye‐gaze, and in a false‐belief task. As predicted, no child passed the false‐belief task without prior success on the face‐reading task. However, contrary to a central claim within Baron‐Cohen's model of mind‐reading, presentation of an eye‐gaze cue in the false‐belief task did not enhance children's performance. Furthermore, children did not solely rely on eye‐gaze as a cue, but used another directional cue (an arrow) in inferring a character's desire and intention. These results question the special role of eye‐gaze in the child's developing ability to mind‐read.