Use of the Adult Attachment Projective Picture System in an Assessment of an Adolescent in Foster Care

Child maltreatment has been associated with a host of negative outcomes including impaired social relationships (Rogosch, Cicchetti, &; Aber, 1995), depression (Toth, Manly, &; Cicchetti, 1992), poor self-concept and motivation (Vondra, Barnett, &; Cicchetti, 1990), and delinquency and conduct problems (Cook et al., 2005; Grotevant et al., 2006; McCabe, Lucchini, Hough, Yeh, &; Hazen, 2005; Ryan &; Testa, 2005). An assessment of the mental representation of attachment relationships could offer additional relevant and useful information to the evaluation of youth in foster care, and could inform treatment and placement considerations. The Adult Attachment Projective Picture System (AAP) is a relatively new measure of internal representations of attachment based on the analysis of a set of stimuli designed to systematically activate the attachment system (George, West, &; Pettem, 1997 George, C. and West, M. in press. The Adult Attachment Projective Picture System, New York, NY: Guilford.  [Google Scholar]). This article considers the use of the AAP with a maltreated adolescent in a clinical setting and uses a case study to illustrate the components of the AAP that are particularly relevant to case conceptualization and interventions.     

Considering Development in Developmental Disorders

Various theorists have argued for the importance of a developmental approach to studying typical development (Karmiloff-Smith, 1998; Lerner, 1996; Lerner & Hood, 1986; Masten & Cicchetti, 2010; Overton, 2014; Overton & Lerner, 2012, 2014), and there are reasons to believe that this issue is even more critical to the study of atypical development (Thomas, 2016; Thomas et al., 2009). In this article, we bring together perspectives from a variety of theorists to outline the importance of conceptualizing both typical and atypical development as a not-necessarily-linear, interconnected, and multifaceted set of individual trajectories embedded in real-world contexts (Karmiloff-Smith, 1998; Masten & Cicchetti, 2010; Overton & Lerner, 2012). Using examples from studies of atypical brain and behavior, we describe 6 lenses that can be applied to developmental research.     

Functional connectivity changes in second language vocabulary learning

Functional connectivity changes in the language network (Price, 2010), and in a control network involved in second language (L2) processing (Abutalebi & Green, 2007) were examined in a group of Persian (L1) speakers learning French (L2) words. Measures of network integration that characterize the global integrative state of a network (Marrelec, Bellec et al., 2008) were gathered, in the shallow and consolidation phases of L2 vocabulary learning. Functional connectivity remained unchanged across learning phases for L1, whereas total, between- and within-network integration levels decreased as proficiency for L2 increased.The results of this study provide the first functional connectivity evidence regarding the dynamic role of the language processing and cognitive control networks in L2 learning (Abutalebi et al., 2005, Altarriba and Heredia, 2008, Leonard et al., 2011, Parker-Jones et al., 2011). Thus, increased proficiency results in a higher degree of automaticity and lower cognitive effort (Segalowitz & Hulstijn, 2005).     

Weakening Relationships We Try to Preserve: Motivated Sacrifice,Attachment, and Relationship Quality

Individuals' motivations for sacrificing are associated with relational outcomes, such that approach‐motivated sacrifices lead to increased satisfaction, whereas avoidance‐motivated sacrifices lead to decreased satisfaction ( Impett et al., 2005 ). Because attachment styles are associated with relational outcomes ( Feeney & Collins, 2003 ), the current study examined whether approach‐ and avoidance‐motivated sacrifices would mediate the association between attachment and satisfaction. Results indicated that avoidance motives did not mediate the relationship between attachment avoidance and satisfaction. However, avoidance motives mediated the relationship between attachment anxiety and satisfaction, whereas approach motives suppressed that relationship. Taken together, these findings suggest that individuals high in attachment anxiety (but not attachment avoidance) seem to unintentionally weaken the relationship for which they are making sacrifices.     

Le rôle joué par les événements stressants sur la transmission intergénérationnelle de l’attachement

Associations between maternal internal working models (IWM) (adult attachment projective: AAP) [George, C., West, M., Pettem, O., 1997. Adult attachment projective: protocol and classification scoring system. Manuscrit non publié. Mills College, Californie], preschool child attachment (separation–reunion procedure) [Cassidy, J., Marvin, R. S., 1992. Attachment organization in preschool children: procedures and coding manual. Manuscrit non publié. MacArthur Working Group on Attachment; Dev Psychol 24 (1988) 415–526] and stressful life-events were examined in 119 dyads. A convergence for transmission similar to what has been reported in the literature [Psychol Bull 117(3) (1995) 387–403] was found (76% for security, kappa = 0.53; p < 0.001). Moreover, unresolved mothers with disorganized–controlling children reported more stressful life-events (F [3, 106] = 4.70; p < 0.01). The present study therefore indicates the importance of including contextual factors [van IJzendoorn, M.H., Bakermans-Kranenburg, M.J., 1997. Intergenerational transmission of attachment: a move to the contextual level. In: Atkinson et, L., Zucker, K.J. (Eds.), Attachment and Psychopathology. The Gilford Press, New York, pp. 135–170] to better understand attachment transmission and offer support for the validity of the AAP.     

An Evaluation of a Summer Treatment Program for Adolescents With ADHD

Although adolescents with attention-deficit/hyperactivity disorder (ADHD) experience serious life impairment (Molina et al., 2009; Wolraich et al., 2005), very few effective psychosocial interventions exist to treat this population (Pelham & Fabiano, 2008; Smith, Waschbusch, Willoughby, & Evans, 2000). Intensive child-directed interventions are an important component in the treatment of childhood ADHD (Pelham et al., 2005), yet no study exists that fully evaluates an intensive adolescent-directed intervention. The current investigation is a pilot study of 19 adolescents with ADHD (age range: 11-16) who participated in an 8-week intensive Summer Treatment Program–Adolescent (STP-A) during the summer of 2009. The program was developed to address specific difficulties associated with ADHD in adolescence. As such, the program was designed to be ecologically valid, age appropriate, and parent-involved. Results suggest that almost all adolescents who attended the STP-A benefitted from the program according to parent, self, and staff ratings and objective measures. These ratings also indicated that participants showed moderate improvement in each of the 6 domains targeted by treatment (i.e., conduct problems, adult-directed defiance, social functioning, inattention/disorganization, mood/well-being, and academic skills). All parents indicated that both they and their children benefitted from the program and all but 1 parent indicated that the STP-A was more effective than the treatments they had utilized in the past. A case example is presented to illustrate typical improvement patterns during the STP-A. Discussion addresses the role of the STP-A in the treatment of ADHD in adolescence.     

Attentional distractor interference may be diminished by concurrent working memory load in normal participants and traumatic brain injury patients

A reduction in congruency effects under working memory (WM) load has been previously described using different attentional paradigms (e.g.,  and ). One hypothesis is that different types of WM load have different effects on attentional selection, depending on whether a specific memory load demands resources in common with target or distractor processing. In particular, if information in WM is related to the distractors in the selective attention task, there is a reduction in distraction (Kim et al., 2005). However, although previous results seem to point to a decrease in interference under high WM load conditions (Kim et al., 2005), the lack of a neutral baseline for the congruency effects makes it difficult to differentiate between a decrease in interference or in facilitation. In the present work we included neutral trials in the task introduced by Kim et al. (2005) and tested normal participants and traumatic brain injury patients. Results support a reduction in the processing of distractors under WM load, at least for incongruent trials in both groups. Theoretical as well as applied implications are discussed.     

Attentional distractor interference may be diminished by concurrent working memory load in normal participants and traumatic brain injury patients

A reduction in congruency effects under working memory (WM) load has been previously described using different attentional paradigms (e.g., Kim et al., 2005, Smilek et al., 2006). One hypothesis is that different types of WM load have different effects on attentional selection, depending on whether a specific memory load demands resources in common with target or distractor processing. In particular, if information in WM is related to the distractors in the selective attention task, there is a reduction in distraction (Kim et al., 2005). However, although previous results seem to point to a decrease in interference under high WM load conditions (Kim et al., 2005), the lack of a neutral baseline for the congruency effects makes it difficult to differentiate between a decrease in interference or in facilitation. In the present work we included neutral trials in the task introduced by Kim et al. (2005) and tested normal participants and traumatic brain injury patients. Results support a reduction in the processing of distractors under WM load, at least for incongruent trials in both groups. Theoretical as well as applied implications are discussed.     

Encourager la réflexion en chirurgie robotique : l’autoconfrontation croisée comme instrument de développement du travail interprétatif dans un environnement technologique complexe

This paper presents an intervention with Finnish surgeons using robotic technology for radical prostatectomy. It is based on the methodology of cross self-confrontations (Clot et al., 2000), enriched with the works of L. Norros around interpretativeness in complex technological environments (Norros et al., 2005). We view a collective intervention method as a way of enhancing productive reflection (Boud et al., 2006), and comment two sequences in which productive reflective can be traced. These two sequences display an interesting case of double stimulation: in these dialogues, fine-grained observation of the video recordings and dialogue of the surgeons are triggered and driven by the presence of positive margins, i.e., a medical information on whether all cancerous cells have been likely to be removed (or not), which is available a posteriori in the patient file. The paper uses this powerful double stimulation in the methodological framework of crossed self-confrontations to draft a learning method supporting productive reflection and interpretative orientation at work.     

Disagreeable narcissism mediates an effect of BAS on addictive behaviors

Some forms of personality dysfunction that are associated with substance use and other externalizing behaviors, such as Narcissistic Personality Disorder, are characterized by low five-factor Agreeableness. Low Agreeableness and high Extraversion are both associated with the Behavioral Approach System in the revised Reinforcement Sensitivity Theory of Personality (RST; McNaughton & Corr, 2008). Meta-analyses examining personality predictors of Substance Use Disorders (Kotov et al., 2010) and Pathological Gambling (MacLaren et al., 2011) have implicated low Agreeableness but not Extraversion. In the present study, we sampled undergraduate students (N = 346) to examine relationships between two aspects of grandiose narcissism measured by the Narcissistic Personality Inventory (NPI), approach motivation measured by the BIS/BAS scales, and self-reported addictive behaviors. Disagreeable and Extraverted subscales of the NPI were examined for possible mediation of associations between BAS and addictive behaviors. The more disagreeable aspect of narcissism mediated the effects of BAS on drug use, gambling, sex, and maladaptive intimate relationships. These results suggest that one mechanism through which the Behavioral Approach System may promote addictive behavior among grandiose Narcissists is through its association with their aggressive and antagonistic interpersonal style.     

依恋与大学生人际适应——个人自主的中介作用

采用问卷法对638名大学生的依恋、个人自主及人际适应状况进行测查,运用结构方程建模技术对数据进行分析,结果发现：（1）依恋与个人自主均能显著预测大学生人际关系适应;（2）依恋焦虑通过个人自主间接预测大学生人际适应,个人自主在依恋焦虑与人际适应间起完全中介作用;（3）依恋回避直接预测人际适应。该结果对进一步制定提高与改善大学生人际适应的干预措施具有重要的指导意义。     

Measuring alcohol-related protective behavioral strategies among college students: further examination of the Protective Behavioral Strategies Scale.

Heavy drinking among college students has been recognized as a public health problem on American college campuses (e.g., R. Hingson, T. Heeren, M. Winter, & H. Wechsler, 2005). Recently, protective behavioral strategies, or cognitive-behavioral strategies that can be implemented when using alcohol to reduce consumption and resulting negative consequences, have been shown to be associated with less alcohol use and fewer alcohol-related problems (e.g., S. L. Benton et al., 2004; M. P. Martens et al., 2005). The purpose of the present study was to conduct additional psychometric work on a measure designed to assess the use of such strategies: the Protective Behavioral Strategies Scale (PBSS; M. P. Martens et al., 2005). Data were collected on 505 undergraduate students from 2 universities who reported having consumed alcohol at least once in the past 30 days. Results of a confirmatory factor analysis supported the hypothesized 3-factor version of the PBSS, and scores on each subscale were correlated in the expected direction with both alcohol use and alcohol-related problems. Thus, the PBSS appears to be reliable and valid for use among college student drinkers.     

Interactively guided introspection is getting science closer to an effective consciousness meter

The ever-increasing precision of brain measurement brings with it a demand for more reliable and fine-grained measures of conscious experience. However, introspection has long been assumed to be too limited and fallible. This skepticism is primarily based on a series of classic psychological experiments, which suggested that more is seen than can be retrospectively reported (Sperling, 1960), and that we can be easily fooled into retrospectively describing intentional choices that we have never made (Johansson et al., 2005, Nisbett and Wilson, 1977). However, the work by Petitmengin, Remillieux, Cahour, and Carter-Thomas (2013) could resolve this dilemma. They showed that subjects can be interactively guided to become better aware of their past experience, thereby overturning the “choice blindness” results of Johansson et al. (2005). Although some more fine-tuning of the experimental protocol is needed, interactively guided introspection may well become the most reliable and exhaustive measure of consciousness.     

Assessment of the functions of vocal behavior in children with developmental disabilities: a replication

Although experimental analysis methodologies have been useful for identifying the function of a wide variety of target behaviors (e.g., Iwata, Dorsey, Slifer, Bauman, & Richman, 1982/1994), only recently have such procedures been applied to verbal operants (Lerman et al., 2005). In the current study, we conducted a systematic replication of the methodology developed by Lerman et al. Participants were 4 children who had been diagnosed with developmental disabilities and who engaged in limited vocal behavior. The function of vocal behavior was assessed by exposing target vocal responses to experimental analyses. Results showed that experimental analyses were generally useful for identifying the functions of vocal behavior across all participants.     

Eating Disorders,Impaired Mentalization,and Attachment: Implications for Child and Adolescent Family Treatment

ABSTRACT

This article reviews the attachment and neuroscience model of Mentalization Based Treatment (MBT) (Allen, Fonagy, & Bateman, 2008) and its application for understanding and treating eating disorders (Skarderud & Fonagy, 2012). Mentalization, or mentalizing, refers to the capacity to apprehend one’s own and others’ behavior in terms of underlying mental states (needs, emotions, desires, beliefs, goals, reasons, and thoughts). Evidence from prospective studies suggests that insecure attachment and poor mentalizing difficulties may be risk factors for the development of eating pathology (Jewell et al., 2015; Rothschild-Yakar, Levy-Shiff, Fridman-Balaban, Gur, & Stein, 2010; Rothschild-Yakar & Stein, 2013). Preliminary research on the use of MBT for treating eating disorders, with nonsuicidal self-injury co-morbidity, suggests some promise for this model (Robinson et al., 2015). The theoretical rationale and key interventions of the MBT eating disorder model (MBT-ED) used in a multicenter research and treatment project are discussed (Skarderud & Fonagy, 2012; Robinson et al., 2015). Modifications of MBT-ED’s structure and techniques are proposed for family treatment of adolescent and child patients with eating disorders. Case example illustrates the impact of problems in the family system with mentalizing capacities on family cohesion, the therapeutic process, and the family’s ability to help the child recover.     

Personal Therapy in Psychotherapeutic Training: Current Research and Future Directions

Recent research literature in the field of personal therapy for psychotherapists shows that therapists claim overwhelmingly positive outcomes with few negative effects (Orlinsky et al., The Psychotherapist’s own psychotherapy: Patient and clinician perspectives. Oxford University Press, Oxford, 2005). However, there has been little interest to date in the extent to which the personal characteristics of therapists might have a bearing on the way in which personal therapy is experienced in psychotherapeutic training. This paper reviews some of the current research in the field and then discusses a subset of results from a small-scale qualitatively-driven study (Rizq and Target, Counselling Psychology Quarterly 23(4):1–27, 2010b) suggesting that early attachment experience may be a relevant factor in understanding how a mandatory training therapy is perceived and experienced within psychotherapeutic training. Implications for psychotherapeutic education are briefly discussed and some directions for future research proposed.     

Mapping Gray’s BIS and BAS constructs onto Factor 1 and Factor 2 of Hare’s Psychopathy Checklist – Revised

Reinforcement sensitivity theory (RST; Gray, 1987; Gray & McNaughton, 2000) has proven to be a valuable tool for understanding psychopathy (e.g., Fowles, 1980, 1988; Newman & Malterer, 2009; Poythress et al., 2008). Recent research has linked two RST constructs, the Behavioral Inhibition System (BIS) and the Behavioral Activation System (BAS), to individuals with primary psychopathy and secondary psychopathy (Lykken, 1995; Newman, MacCoon, Vaughn, & Sadeh, 2005): Primary psychopaths manifest low BIS reactivity and secondary psychopaths manifest high BAS reactivity. In the present study, we examine the relationships between the BIS/BAS constructs and Factors 1 and 2 of the Psychopathy Checklist – Revised (PCL-R) in a sample of 472 incarcerated male offenders. Paralleling their relationships with primary and secondary psychopathy, the BIS/BAS constructs were differentially related to the two PCL-R factors. Specifically, the influence of the BIS was found to be more prominent than the influence of the BAS for Factor 1, and the influence of the BAS was more prominent than that of the BIS for Factor 2.     

Correlates and predictors of positive mental health for school going children

The relationship between positive mental health and well-being was examined in 604 North Indian high school and secondary high school going children aged 11–18 years. The study employed various scales such as Mental Health Continuum-Short Form (MHC-SF; Keyes, 2005), Scale of Positive and Negative Experiences (SPANE) and Flourishing Scale (FS; Diener et al., 2010), World Health Organization Quality of Life-BREF (WHOQOL-BREF, 1996) and Personal Well-being Index Scale-School Going Children (PWI-SC; Cummins & Lau, 2005). The MHC-SF predicted the positive mental health and the various predictors used in this study were SPANE, FS, WHOQOL-BREF and PWI-SC. Positive mental health was found positively correlated with SPANE P, life satisfaction, personal well-being, flourishing and all four domains of quality of life (physical health, psychological well-being, social relationships and environmental health) and negatively correlated with SPANE N. Well-being measures of flourishing, SPANE P, SPANE-N, all four domains of quality of life (physical health, psychological well-being, social relationships and environmental health) significantly predicted children’s positive mental health (49% of variance) and its dimensions like emotional well-being (41% of variance), social well-being (24% of variance) and psychological well-being (47% of variance).     

The relationship between peer servant leadership,social identity,and team cohesion in intercollegiate athletics

Servant leadership is characterized by a leader’s emphasis on serving their followers first. Within the sport context, servant leadership has been studied primarily in coaches and has been associated with positive athlete outcomes, such as increased athlete satisfaction, motivation, and performance. However, the impact of servant leadership from an athlete perspective (e.g., formal team captains) has been underexplored. As such, the purpose of the present study was to examine the relationships between peer servant leadership, cohesion, and social identity within intercollegiate athletes. Two hundred and eighty-eight Division I and Division III NCAA intercollegiate athletes participated in the present study (female n = 165; male n = 123; M_age = 19.41, SD_age = 1.09) and completed the Revised Servant Leadership Profile for Sport (RSLP-S; Hammermeister et al., 2008), Group Environment Questionnaire (GEQ; Carron et al., 1985; Eys et al., 2007), and Social Identity Questionnaire for Sport (SIQS; Bruner & Benson, 2018). Structural equation modeling was used to assess the relationships between peer servant leadership, cohesion, and social identity. Results revealed that peer servant leadership positively predicted cohesion, and this relationship was fully mediated by social identity. The current study supports the effectiveness of peer servant leadership in sport contexts and provides theoretical support for the social identity approach to leadership.     

Dialectical Behavior Therapy With Prolonged Exposure for Adolescents: Rationale and Review of the Research

Among adolescents, interpersonal trauma has been associated with severe post-traumatic stress disorder (PTSD) and impairments across multiple domains of functioning (e.g., Derosa, Amaya-Jackson & Layne, 2013; Ford, Courtois, Steele, van der Hart, & Nijenhuis, 2005; van der Kolk, 2005). Such difficulties can include high-risk behaviors such as active suicidality (Middlebrooks & Audage, 2008) and nonsuicidal self-injurious behavior (NSSI; Hu, Taylor, Li, & Glauert, 2017). While there have been many advances in the treatment of trauma, treatment dropout for adolescents seeking trauma-informed treatment is predicted by diagnostic comorbidity and complexity (Sprang et al., 2013), as well as the number of traumatic events endorsed (Wamser-Nanney & Steinzor, 2016). Many traumatized adolescents with high-risk behaviors are referred to Dialectical Behavior Therapy (DBT-A). However, DBT-A does not yet include a specific, evidence-based protocol for treating PTSD, without which treatment gains may not be sustained for traumatized adolescents (Harned, Korslund, & Linehan, 2014). While Prolonged Exposure (PE) is indicated as the gold-standard treatment for PTSD and has proven effective for adolescents (PE-A; Foa, McLean, Capaldi, & Rosenfield, 2013), it has not yet been validated with adolescents who are actively suicidal. However, PE has successfully been integrated within DBT for adults with co-occurring Borderline Personality Disorder and PTSD (e.g., DBT-PE; Harned et al., 2014). Based upon this model, the current paper proposes the integration of DBT-A and PE-A to treat adolescents with interpersonal trauma who also present with high-risk behaviors. The paper discusses anticipated complications related to adapting this model for adolescents and provides direction for future research.