Pilot Mindfulness Intervention for Children Born with Esophageal Atresia and Their Parents

A pilot mindfulness home intervention was conducted for 6 weeks among 8–12-year-old children born with esophageal atresia and their parents. Participants were randomly assigned to a waiting list control (WLC) group (n?=?8) and an experimental group (n?=?12). When all participants had completed the mindfulness-based program, data were pooled and treated for the entire sample (n?=?19). Self-assessment measures included the Mindful Attention Awareness Scale for Adolescents (MAAS-A), the Child and Adolescent Mindfulness Measure (CAMM), the modified Spielberger State-Trait Anxiety Inventory—Child (STAI-C), the Children’s Depression Inventory (CDI), and the Cognitive Emotion Regulation Questionnaire Kids version (CERQ-k). Parental assessment measures included the modified STAI-C. The results underlined the program’s feasibility and acceptability. Clinical effects of the mindfulness-based program were observed. Self-assessed data for children who had practiced mindfulness compared to the WLC group showed increased mindfulness and decreased depression. Reduced anxiety was found in all groups. Positive affect tended to improve from pre-test to post-test in children who had practiced mindfulness compared to the WLC group. Parental assessments showed significant improvement in positive affect and decreases in anxiety and negative affect in the intervention group compared to the WLC group. Cognitive emotion regulation strategies were also affected by the mindfulness-based program. Rumination scores significantly decreased from pre-test to post-test in the intervention group. This preliminary study suggests that regular mindfulness practice presents a promising approach to reducing the burden of this neonatal malformation.     

Mindfulness Among Genetic Counselors Is Associated with Increased Empathy and Work Engagement and Decreased Burnout and Compassion Fatigue

Genetic counselors experience high rates of compassion fatigue and an elevated risk for burnout, both of which can negatively impact patient care and retention in the profession. In other healthcare professions, mindfulness training has been successfully used to address similar negative psychological sequelae and to bolster empathy, which is the foundation of our counseling work. We aimed to assess associations between mindfulness and key professional variables, including burnout, compassion fatigue, work engagement, and empathy. Data were collected via an anonymous, online survey that included validated measures of mindfulness and these key professional variables. The survey was completed by 441 genetic counselors involved in direct patient care. Half of the respondents (50.1%) reported engaging in yoga, meditation, and/or breathing exercises. Mindfulness was positively correlated with work engagement (r?=?0.24, p?<?0.001) and empathy (as measured through four subscales: perspective taking (r?=?0.15, p?=?0.002), empathic concern (r?=?0.11, p?=?0.03), fantasy (r?=???0.11, p?=?0.03) and personal distress (r?=???0.15, p?=?0.001)). Mindfulness was negatively correlated with compassion fatigue (r?=???0.48, p?<?0.001) and burnout (r?=???0.50, p?<?0.001). Given these findings, mindfulness training may be a valuable addition to graduate and continuing education for genetic counselors. The integration of mindfulness into the genetic counseling field will likely improve professional morale and well-being, while promoting workforce retention and bolstering the relational and counseling aspects of our clinical work.     

The Effect of Short-Term Training of <Emphasis Type="Italic">Vipassana’s</Emphasis> Body-Scan on Select Cognitive Functions

This experiment examined the effect of a short-term body-scan meditation technique of vipassana practice on select cognitive functions. Participants (n?=?77) were randomly divided into an experimental group (n?=?37) and an active control group (n?=?40). The average age of participants in the experimental group and the active control group was 21.67?±?1.16 and 21.40?±?3.14 years, respectively. The experimental group practiced body-scan mindfulness, one session per day for 6 days with each session lasting for 25 min. Participants in the active control group spent an equal amount of time reading fiction of their choice and listening to soothing music. Variables that were studied included five cognitive functions, namely reaction time, attention, learning, working memory, and social-emotional cognition. Results showed that short-term mindfulness meditation decreased reaction time and increased attention, with mild effect size. It may be concluded that short-term mindfulness practice might be an alternative for individuals who, due to various reasons, cannot practice long-term courses.     

Zen and the Art of Living Mindfully: The Health-Enhancing Potential of Zen Aesthetics

Amidst the burgeoning enthusiasm for mindfulness in the West, there is a concern that the largely secular ‘de-contextualized’ way in which it is being harnessed is denuding it of its potential to improve health and well-being. As such, efforts are underway to ‘re-contextualize’ mindfulness, explicitly drawing on the wider framework of Buddhist ideas and practices in which it was initially developed. This paper aims to contribute to this, doing so by focusing on Zen Buddhism, and in particular on Zen aesthetic principles. The article concentrates on the seven principles identified by Hisamatsu (1971) in his classic text Zen and the Fine Arts: kanso (simplicity); fukinsei (asymmetry); koko (austere sublimity); shizen (naturalness); daisuzoku (freedom from routine); sei-jaku (tranquillity); and yūgen (profound grace). The presence of these principles in works of art is seen as reflecting and communicating insights that are central to Buddhism, such as non-attachment. Moreover, these principles do not only apply to the creation and appreciation of art, but have clear applications for treating health-related issues, and improving quality of life more generally. This paper makes the case that embodying these principles in their lives can help people enhance their psychosomatic well-being, and come to a truer understanding of the essence of mindful living.     

Trait Socio-Cognitive Mindfulness is Related to Affective and Cognitive Empathy

Research regarding the relationship between empathy and mindfulness is sparse. Within the social scientific literature, there are two major branches of mindfulness research: meditative mindfulness (Kabat-Zinn in Gen Hosp Psychiatry 4(1):33–47, 1982) and non-meditative, socio-cognitive mindfulness (Langer and Moldoveanu in J Soc Issues 56(1):1–9, 2000). Meditative mindfulness is the awareness that arises through paying attention non-judgmentally to the present moment whereas socio-cognitive mindfulness is the process of drawing novel distinctions leading to greater attention to the present moment and sensitivity to context. We hypothesized that the two types of mindfulness would correlate with each other and with empathy broadly defined but that there would be divergence in these relationships given their conceptual distinctions. Four hundred and eighty-four participants from Mechanical Turk completed tasks of socio-cognitive mindfulness, meditative mindfulness, affective empathy, cognitive empathy, and social desirability. Socio-cognitive mindfulness correlated with both affective and cognitive empathy as well as with meditative mindfulness. Meditative mindfulness correlated with only affective empathy but not with cognitive empathy. These findings suggested that, in contrast to meditative mindfulness, socio-cognitive mindfulness involves cognitive processes (e.g., perspective-taking, flexibility) potentially amenable to experimental manipulation aimed at increasing empathy more generally.     

Contextual-Hierarchical Reconstructions of the Strengthened Liar Problem

In this paper we shall introduce two types of contextual-hierarchical (from now on abbreviated by ‘ch’) approaches to the strengthened liar problem. These approaches, which we call the ‘standard’ and the ‘alternative’ ch-reconstructions of the strengthened liar problem, differ in their philosophical view regarding the nature of truth and the relation between the truth predicates T r ⁿ and T r ⁿ⁺¹ of different hierarchy-levels. The basic idea of the standard ch-reconstruction is that the T r ⁿ⁺¹-schema should hold for all sentences of \(\mathcal {L}^{n}\). In contrast, the alternative ch-reconstruction, for which we shall argue in section four, is motivated by the idea that T r ⁿ and T r ⁿ⁺¹ are coherent in the sense that the same sentences of \(\mathcal {L}^{n}\) should be true according to T r ⁿ and T r ⁿ⁺¹. We show that instances of the standard ch-reconstruction can be obtained by iterating Kripke’s strong Kleene jump operator. Furthermore, we will demonstrate how instances of the alternative ch-reconstruction can be obtained by a slight modification of the iterated axiom system KF and of the iterated strong Kleene jump operator.     

Exploration of Male Attitudes on Partnerships and Sexuality with Female <Emphasis Type="Italic">BRCA1/2</Emphasis> Mutation Carriers

Women with BRCA mutations are inundated with decisions about managing cancer risks and childbearing considerations. Decisions become more complicated when women face disclosing their mutation and risk-reduction options to a romantic partner. This study identifies the concerns and perspectives of male romantic partners regarding these unique decisions. Twenty-five male participants completed an online survey posted to cancer support group message boards. Participants reported relationship changes regarding intimacy levels (n?=?9), attraction (n?=?2), and communication (n?=?22) after mutation disclosure. Participants whose partners had not undergone prophylactic mastectomy (n?=?14) reported concerns regarding sexual relations (n?=?5), post-surgical appearance (n?=?2), post-surgical attraction (n?=?5), and health/lifespan (n?=?9). Participants did not express attitude changes toward childbearing. While mutation disclosure conversations and surgical options are concerns for many BRCA mutation carriers in relationships, male partners share these concerns. Aspects of the relationship may change, but male study participants continued to support their partners. This information can benefit female BRCA mutation carriers, their current or future partners, and genetic counselors working with this particular population.     

The Association of Parent Mindfulness with Parenting and Youth Psychopathology Across Three Developmental Stages

The primary purpose of the current study was to test a model examining the process by which parent dispositional mindfulness relates to youth psychopathology through mindful parenting and parenting practices. The universality of the model across youth at three developmental stages was examined: young childhood (3–7 years; n?=?210), middle childhood (8–12 years; n?=?200), and adolescence (13–17 years; n?=?205). Overall, participants were 615 parents (55 % female) and one of their 3-to-17 year old children (45 % female). Parents reported on their dispositional mindfulness, mindful parenting, positive and negative parenting practices and their child’s or adolescent’s internalizing and externalizing problems. Consistent findings across all three developmental stages indicated that higher levels of parent dispositional mindfulness were indirectly related to lower levels of youth internalizing and externalizing problems through higher levels of mindful parenting and lower levels of negative parenting practices. Replication of these findings across families with children at different developmental stages lends support to the generalizability of the model.     

Mindful awareness of feelings increases neural performance monitoring

Mindfulness has been associated with enhanced performance monitoring; however, little is known about the processes driving this apparent neurocognitive benefit. Here, we tested whether focusing present-moment awareness toward the nonjudgmental experience of emotion facilitates rapid neural responses to negative performance outcomes (i.e., mistakes). In particular, we compared whether directing present-moment awareness toward emotions or thoughts would enhance the neurophysiological correlates of performance monitoring: the error-related negativity (ERN) and the error positivity (Pe). Participants were randomly assigned to either a thought-focused or an emotion-focused group, and first they completed a preinduction go/no-go task. Subsequently, the groups followed inductions that promoted mindful attention toward either thoughts or emotions, before completing a final postinduction go/no-go session. The results indicated that emotion-focused participants demonstrated higher neural sensitivity to errors in the time course of the ERN, whereas focusing on thoughts had no effect on performance monitoring. In contrast, neither induction procedure altered the amplitude of the later Pe component. Although our manipulations also induced changes in behavior, the ERN effects remained significant after controlling for performance. Thus, our results suggest that mindfulness meditation boosts early neural performance monitoring (ERN amplitude), specifically through meditation’s influence on affective processing.     

<Emphasis Type="Italic">Above</Emphasis>, <Emphasis Type="Italic">on</Emphasis>, or <Emphasis Type="Italic">shang</Emphasis> (上)? Language and spatial representations among English–Mandarin bilinguals

This study investigated if exposure to spatial language could affect spatial cognition in English-Mandarin bilinguals by focusing on contact/noncontact distinctions, an area that has been a source of contention in the language-and-thought literature. Sixty-three participants were first primed with sentences containing spatial terms (e.g., above, on) before performing a spatial decision task. Approximately half of the participants (n = 33) were primed in English; for the remaining participants (n = 30), primes comprising Mandarin spatial terms―which mark spatial distinctions differently than in English (e.g., shang in Mandarin signifies both above and on in English)―were employed instead. Our findings revealed that participants’ performance was influenced by spatial primes in the English experiment, thereby proffering evidence for thinking-for-speaking effects. However, these findings were not mirrored for the Mandarin experiment, confirming that the contact/noncontact specificity of spatial terms may have been instrumental in engendering the thinking-for-speaking effects observed in English.     

A Psychometric Evaluation of the Behavioral Inhibition Questionnaire in a Non-Clinical Sample of Israeli Children and Adolescents

This study examined the psychometric properties of a Hebrew version of the Behavioral Inhibition Questionnaire (BIQ) in a non-clinical sample of Israeli children and adolescents. We produced a Hebrew translation of the BIQ and collected 227 responses to it from parents of children aged 4–15. Some respondents in the larger sample also completed the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire (n?=?91) and the Conners’ Abbreviated Parent-Teacher (CONNERS) questionnaire (n?=?39), in addition to the BIQ. Lastly, 21 children of BIQ respondents (aged 8–14) completed a self-report version of the questionnaire. Confirmatory factor analysis (CFA) was performed to assess how well the established six correlated factor model of the BIQ applied to the sample data. The Hebrew BIQ demonstrated good internal consistency (Chronbach’s α?=?.94, n?=?227) and 3 month test–retest reliability, (r?=?.95, p?<?.001, n?=?21). It also showed both convergent validity, as scores on the BIQ were correlated with the SCARED (r?=?.66, p?<?.01. n?=?91), and discriminant validity, as BIQ scores were not correlated with the CONNERS (r?=?.24, n?=?39). Finally, mother reports of BI were significantly correlated to child reports of BI via the BIQ (r?=?.60, p?<?.01, n?=?21). Thus, through this preliminary study we demonstrated that the Hebrew version of the BIQ is an effective tool for screening for BI among Israeli children, making it a useful instrument for future research.     

Have You Ever Googled a Patient or Been Friended by a Patient? Social Media Intersects the Practice of Genetic Counseling

Patients and healthcare providers are becoming increasingly connected via social media, bringing new opportunities and challenges. Direct connection can occur between patients and providers using online tools such as Facebook and LinkedIn. In addition, providers can gather information about patients using a search engine such as Google, referred to as patient-targeted Googling (PTG). An online 54-item survey was used to gain information on (1) how and to what extent genetic counseling students and genetic counselors connect directly with patients via social media sites, and (2) gather information on providers using PTG. Four hundred genetic counseling students and genetic counselors participated in the survey. The majority of respondents (88.9%; n?=?344/387) find it is never or rarely acceptable to interact with current patients via social media sites; however, 27.7% (n?=?110/397) have visited a patient’s social media site. Gathering information for patient care was the most commonly reported reason (76.8%; n?=?43/56). Thirty-three percent (n?=?130/394) have considered searching online or actually searched online for information about a patient. Curiosity was the most common reason (92.7%; n?=?114/123); although, respondents also used PTG to obtain contact information and to prepare for patient sessions. Our study supports the need for development and dissemination of professional guidelines to serve as a valuable resource for practicing genetic counselors and genetic counseling training programs.     

Development and Validation of the Knowledge of Parenting Strategies Scale: Measuring Effective Parenting Strategies

The current study aimed to develop and evaluate a measure of parenting knowledge, the Knowledge of Parenting Strategies Scale (KOPSS); specifically, to establish the scales internal reliability, ensure a clinically appropriate length, provide a community sample for future comparison, demonstrate adequate test–retest reliability and convergent validity, and to compare the scale to dysfunctional discipline styles. A total of n?=?865 parents were involved in the development and evaluation of the scale. In Study 1, data was collected from n?=?229 parents and Rasch analyses revealed seven items did not fit the measurement model. Study 2 involved a further sample of community families (n?=?346) and revealed the scale could be further shortened to 16 items. Study 3 revealed the scale has good test–retest reliability over a one-week period (r?=?.88, p?<?.001). Study 4 demonstrated convergent validity through a comparison to the Knowledge of Effective Parenting Scale (r?=?.583, p?=?.009). Study 5 utilised a sample of community families (n?=?190), revealing the scale was negatively correlated with hostile and lax discipline (r?=??.29, p?<?.001; r?=??.15, p?<?.05). Lastly, Study 6 showed scores on the KOPSS significantly improved following clinic-based and Internet-based Behavioural Parent Training. The KOPSS was found to be a valid and reliable measure of parenting knowledge of effective parenting strategies, which can be used to evaluate knowledge acquisition in parenting programs, and test the role of knowledge in behaviour change.     

Therapeutic Identity among Clinical Psychology Professionals in India

This study explored the therapeutic identity among clinical psychology professionals in India with objectives of assessing therapeutic style, attitudes, orientation, values and its relationship with work experience, age and gender. Out of 79 clinical psychology professionals contacted, 50 gave written informed consent for participation in study. The data obtained from Psycho-Therapeutic Identity Questionnaire (ThIdQ). Cluster analysis of the responses on attitude scales revealed broad themes of therapeutic identity in the form of three cluster profiles: Vague psychodynamic assumptions with high self-doubt and low optimism about change (n = 9); Entangled in their own strong feelings of limitations and doubts as a therapist (n = 16); and Eclectic approach with low self-doubt and high optimism about change(n = 25). A lack of synchrony was seen between assessed and reported therapeutic orientation with overuse of the cognitive behavioural therapy (CBT) orientation. Correlation findings indicated that increased work experience in the field and higher age were associated with low self-doubt and high optimism about change in therapy. Findings on therapeutic identity provide mixed bag of results, positive as well as negative, with equal number of participants on each side.     

Perseverance Counts but Consistency Does Not! Validating the Short Grit Scale in a Collectivist Setting

The present research aims to validate the Short Grit Scale (Duckworth et al. Journal of Personality Assessment 91:166–174, 2009) among a sample of university (n?=?220) and high school students (n?=?606) from a collectivist culture (i.e., the Philippines) using both within-network and between-network approaches to construct validation. Our results revealed interesting cross-cultural differences in grit. First, grit was comprised of two distinct dimensions rather than as a hierarchical construct. Only the perseverance of effort dimension loaded onto the higher-order grit factor. Second, perseverance of effort was more salient in predicting key psychological outcomes (i.e., academic engagement and subjective well-being) compared to consistency of interests. This suggests that in collectivist cultures, the perseverance of effort dimension of grit is more relevant compared to the consistency of interest. Theoretical and practical implications are discussed.     

Das Absetzen antiandrogener Medikation im ambulanten Setting

In the Forensic Therapeutic Outpatient department in Berlin a total of n?=?20 individually justified, therapeutically accompanied withdrawals from antiandrogenic treatment have been implemented. The sample was compared with n?=?20 patients under antiandrogenic treatment. Patients with withdrawal have been significantly older, than patients without withdrawal. No differences were found regarding their duration of further imprisonment and standardized risk-assessment (HCR-20, LSI-R, Static-99, Stable-2007, PCL-R). Firsts results of the monitoring of the withdrawals indicate, that the symptom-checklist SCL-90-R is not appropriate for that purpose. However, post-hoc both known sexual reoffendings could be identified by the Massachusetts General Hospital Sexual Functioning Questionnaire. By means of practical experience results are getting discussed.     

Interference Control in Children with Attention Deficit/Hyperactivity Disorder

The view that Attention Deficit/Hyperactivity Disorder (ADHD) is associated with a diminished ability to control interfference is controversial and based exclusively on results of (verbal)-visual interference tasks, primarily the Stroop Color Word task. The present study compares medication-naïve children with ADHD (n?=?35 and n?=?51 in Experiments 1 and 2, respectively) with normal controls (n?=?26 and n?=?32, respectively) on two interference tasks to assess interference control in both the auditory and the visual modality: an Auditory Stroop task and a Simon task. Both groups showed reliable but equal degrees of interference on both tasks, suggesting that children with ADHD do not differ from normal controls in their ability to control interference in either modality.     

Neurocognitive Functioning in Depressed Young People: A Systematic Review and Meta-Analysis

Background: Depression is among the most common mental health problems for young people. In adults, depression is associated with neurocognitive deficits that reduce the effectiveness of treatment and impair educational and vocational functioning. Compared to adults, less is known about the neurocognitive functioning of young people with depression, and existing research has reported inconsistent findings. Method: This systematic review and meta-analysis synthesized the literature on neurocognitive functioning in currently depressed youth aged 12–25 years in comparison to healthy controls. Results: Following a systematic review of the literature, 23 studies were included in the meta-analysis. Poorer performance in the domains of attention (SMD: .50, 95% CI: .18–.83, p?=?.002), verbal memory (SMD: .78, 95% CI: .50–1.0, p?<?.001), visual memory (SMD: .65, 95% CI: .30–.99, p?<?.001), verbal reasoning/knowledge (SMD: .46; 95% CI: .14–.79; p?<?0.001) and IQ (SMD: .32; 95% CI: .08–.56; p?=?0.01) were identified in depressed youth. Relative weaknesses in processing speed/reaction time and verbal learning were also evident, however, these findings disappeared when the quality of studies was controlled for. Moderator analysis showed a tendency for poorer set-shifting ability in younger depressed participants relative to controls (although non-significant; p?=?.05). Moderator analysis of medication status showed taking medication was associated with poorer attentional functioning compared to those not taking medication. Conclusion: The findings suggest that currently depressed young people display a range of neurocognitive weaknesses which may impact treatment engagement and outcome. The findings support the need to consider neurocognitive functioning when treating youth with depression.     

Abstract-concept learning in Black-billed magpies (<Emphasis Type="Italic">Pica hudsonia</Emphasis>)

Abstract relational concepts depend upon relationships between stimuli (e.g., same vs. different) and transcend features of the training stimuli. Recent evidence shows that learning abstract concepts is shared across a variety species including birds. Our recent work with a highly-skilled food-storing bird, Clark’s nutcracker, revealed superior same/different abstract-concept learning compared to rhesus monkeys, capuchin monkeys, and pigeons. Here we test a more social, but less reliant on food-storing, corvid species, the Black-billed magpie (Pica hudsonia). We used the same procedures and training exemplars (eight pairs of the same rule, and 56 pairs of the different rule) as were used to test the other species. Magpies (n = 10) showed a level of abstract-concept learning that was equivalent to nutcrackers and greater than the primates and pigeons tested with these same exemplars. These findings suggest that superior initial abstract-concept learning abilities may be shared across corvids generally, rather than confined to those strongly reliant on spatial memory.