Fathers' interactions with their high-risk infants

Fathers' face-to-face interactions with their 4-month-old high-risk infants were compared to mothers' interactions with the same infants and to those interactions of fathers and mothers of normal infants. The high-risk infants were less attentive and less affectively responsive than normal infants, and their mothers were more active. Fathers of both high-risk and normal infants engaged in more game playing and laughed more frequently than mothers during interactions. Although the behaviors of the normal and high-risk infants differed, as did the behaviors of mothers interacting with them, the fathers engaged in similar amounts of activity, smiling, laughing and playing games with normal and high-risk infants. Fathers may be less disturbed than mothers by their high-risk infants' lesser responsivity.     

Adolescent suicide: character traits of high-risk teenagers

Adolescent suicide rates are increasing and are currently higher than ever recorded. Thus, it has become essential for health professionals, counselors, and parents to become familiar with characteristics of the high-risk teenager. This article examines personality traits and life circumstances which place an adolescent at higher risk for suicide. Among the variables examined are: depression, acute suicidal behavior, poor family relationships, alcohol and drug use, recent loss, failure in school, and other characteristics. As adolescents pass through difficult life stages successfully, teenage suicides will decrease. Professional helpers and parents must be able to recognize the signs which are discussed and take an active role in prevention and/or intervention.     

Persistence and remission of incipient stuttering among high-risk children

This investigation concerns the persistence of stuttering and recovery from it among high-risk children. At the end of the second year of a 6-year prospective study, 26 of 93 preschool children with a parental history of stuttering were classified as stutterers. Four years later, seven of these children were classified as persistent stutterers, and 16 children were classified as recovered stutterers. The articulatory and linguistic skills of these two groups of children and the communicative and speaking behaviors of their mothers, were measured before and after the onset of stuttering. The analysis of these measures revealed that the articulatory skills of the children and the communicative style and language complexity of the mothers differentiated the incipient stutters whose stuttering subsequently became chronic from those who recovered.     

Personality traits of high-risk sport participants: A meta-analysis

The purpose of this meta-analysis was to examine the relationships between personality traits and participation in high-risk sport. A total of 149 effect sizes from 39 eligible articles were obtained wherein the personality traits of high-risk sport participants were compared with either low-risk sport participants or individuals not engaged in any sport. Results revealed significant effect sizes in favor of the high-risk participants for sensation seeking, extraversion, and impulsivity. Significant effect sizes in favor of the comparator groups were found for neuroticism, telic dominance, and sensitivity to punishment. No significant differences were observed in psychoticism, sensitivity to reward, socialization, agreeableness, conscientiousness, or openness. The implications of these results and potential avenues of future research are highlighted.     

Adolescent girls in distress: a high-risk intersection

Adolescent girls in distress are at high risk due to their location at the intersection of three populations at risk: adolescents, females, and those in social distress. The first part of this article specifies the parameters of the population in terms of behavioral and personality features, based on empirical research in Israel as well as the United States. The second part discusses the main characteristics of each of the three populations, with special emphasis on the components of transition in each. The third part develops an integrative theoretical model that illustrates the uniqueness of this group and its problems, and that may serve as a basis for the development of diagnostic and treatment tools for helping these girls. In this model, the profiles of adolescents in general, adolescent boys, adolescent girls, and adolescent girls in distress are compared. The comparison is made in terms of physical, cognitive, social, and emotional development, interpersonal relationships, and status in the family. Comparison of the profiles reveals that adolescent girls in distress are located at the extreme end of the spectrum of the six developmental areas. Implications of the findings are discussed in terms of the inconsistency between messages on various levels: explicit versus implicit; intrafamilial versus social; and expectation versus opportunity. It is concluded that the specific needs of this group require the establishment of an appropriate policy as well as a variety of strategies, including nonconventional techniques, for creating a multidimensional intervention program.     

Family interaction and outcome IQ in high-risk boys

This study examined the relationship between measures of family interaction and outcome for 97 boys at risk for psychopathology from having one parent previously hospitalized for psychiatric illness. Measures of communication deviance and of activity, balance and warmth, derived from two family activities, correlated significantly with 3-yr. follow-up adaptive functioning, measured by IQ. Poor family interaction, in previous studies associated with schizophrenic symptomatology, was here correlated with poor cognitive/social/emotional functioning, suggesting that family interaction may be a broad predictor of adequacy of functioning.     

Clinical application of medical resonance therapy music in high-risk pregnancies

Music is an ancient method for healing. In the year 550 B.C., Pythagoras from Greece developed a concept for the use of music in medicine, esteeming music higher than many other medical treatments. The Medical Resonance Therapy Music (MRT-Music) of the German classical composer and musicologist Peter Huebner is built on this concept of Pythagorean music medicine. Its therapeutic effect may be best explained by the natural phenomenon of resonance between the harmony laws of the microcosm of music and the biological laws of the body. Results received after application of MRT-Music indicate multiple positive effects on the organism of pregnant women both with a healthy pregnancy as with a pathologic one, reducing the rate of premature births very effectively. Furthermore, MRT-Music came out to be an effective method in the complex therapy of late gestoses and a nearly irreplaceable method for preoperative preparation of pregnant woman for caesarean section. It demonstrated a powerful anti-stress effect and allowd to reduce the amount of administered pain-killers to pregnant women by the factor 1.5 to 2.0 thus reducing the negative pharmacological load to the foetus. It furthermore reduced labour time and shortened hospital stay. It helped to create optimal conditions for the course of pregnancy and heightened pain sensitivity threshold by means of improving the functional, hormonal, and psycho-emotional conditions of pregnant and lying-in women. Thus, the labour process became more natural, the delivery non-traumatic, and motherhood more happy and safe.     

Professional involvement in self-help groups for parents of high-risk newborns

Patterns of professional involvement and control in self-help groups were studied through a questionnaire completed by representatives of 63 self-help groups for parents of high-risk newborns located throughout the United States. Results indicated that when professionals began a group, they were likely to continue to maintain control over it. Groups controlled by professionals were more likely to utilize professional counseling as a form of support and less likely to provide outreach services to parents following hospital discharge of their infants. Group stability, growth, and innovation were associated with more consultation between parents and professionals in the planning process.     

Family interaction and child outcome in a high-risk sample

This study hypothesized that the quality of family interaction would predict longitudinally children's follow-up functioning. The subjects were 97 boys, functioning on the average within the normal range but considered to be at risk for psychopathology because one parent had previously been hospitalized for psychiatric illness. Family measures of deviant and healthy communication and of activity, balance, and warmth related significantly to children's competent social/emotional/cognitive functioning at a 3-yr. follow-up. The findings suggest the importance of considering multiple predictors of outcome for children and of employing clinical interventions that attend to more than one aspect of family functioning.     

Suicide prevention for high-risk persons who refuse treatment.

A program was developed to exert a suicide prevention influence on high-risk persons who decline to enter the health care system. There were 3,006 patients admitted to a psychiatric in-patient service because of a depressive or suicidal state who were contacted to determine if the post-discharge plan was followed. Half of those who refused their treatment program were contacted by telephone or letter on a set schedule. The contact was limited to expressing interest in the person's well-being. Mortality in the contact group was compared with the no-contact subjects and with the subjects who had accepted treatment, after 1, 2, 3, and 4 years. Suicidal deaths were found to diverge progressively in the three groups, the treatment subjects showing the highest rates, the no-contact group coming next, and the contact subjects showing the lowest. The observed divergence between the contact and no-contact groups provides tentative evidence that a high-risk population for suicide can be identified and that a system-atic approach to reducing that risk can be applied.     

Issues in engaging high-risk adolescent mothers in supportive work

This paper focuses on the identification of the factors associated with the productive and unproductive use of supportive and therapeutic services by high-risk teen parents. Referral and treatment data were analyzed and discussed, as were two case studies. The importance of family support and family relationships to the use of services is highlighted in both the statistical and clinical data. Treatment implications are discussed.     

Stress, coping, and high-risk sexual behavior.

We examined the relation between stress, coping, and a high-risk sexual behavior (unprotected anal intercourse) in 398 nonmonogamous gay and bisexual men from the AIDS Behavioral Research Project in San Francisco. Unprotected anal intercourse during the previous month, the amount of stress experienced during the previous month in each of 10 domains, six types of coping (self-controlling coping, escape-avoidance, distancing, planful problem-solving, seeking social support, and positive reappraisal), and spiritual beliefs and spiritual activities were assessed through self-report. There was no relation between stress and unprotected anal intercourse. However, there was a relation between coping and unprotected anal intercourse. Subjects who reported unprotected anal intercourse used sex more of the time to help cope with stressful situations than did subjects who did not report unprotected anal intercourse. Unprotected anal intercourse was negatively associated with seeking social support and spiritual activities and positively associated with self-controlling coping, which involves keeping one's feelings to oneself, and positive reappraisal. The findings suggest that social aspects of coping may be a key to understanding differences between those who engage in high-risk sexual behavior and those who do not.     

The correlates of dyadic synchrony in high-risk, low-income toddler boys

Synchrony has been broadly conceptualized as the quality of the parent-child dyadic relationship. Parenting, factors that compromise caregiving quality, and child characteristics have all been theoretically linked to synchrony, but little research has been conducted to validate such associations. The present study examined correlates of synchrony including parenting, maternal psychological resources and child attributes, among a sample of 120 mother-son dyads who were participating in a treatment study for children identified as being at risk for developing early conduct problems. There families participated in an at-home assessment, which included a series of mother-son interactions. Synchrony was associated with aspects of parenting and child attributes, including maternal nurturance, and child emotional negativity and language skills. The findings are discussed in terms of parent and child contributions to the development of synchrony.     

Clinical application of Medical Resonance Therapy Music in high-risk pregnancies.

Music is an ancient method for healing. In the year 550 B.C., Pythagoras from Greece developed a concept for the use of music in medicine, esteeming music higher than many other medical treatments. The Medical Resonance Therapy Music (MRT-Music) of the German classical composer and musicologist Peter Huebner is built on this concept of Pythagorean music medicine. Its therapeutic effect may be best explained by the natural phenomenon of resonance between the harmony laws of the microcosm of music and the biological laws of the body. Results received after application of MRT-Music indicate multiple positive effects on the organism of pregnant women both with a healthy pregnancy as with a pathologic one, reducing the rate of premature births very effectively. Furthermore, MRT-Music came out to be an effective method in the complex therapy of late gestoses and a nearly irreplaceable method for preoperative preparation of pregnant woman for caesarean section. It demonstrated a powerful anti-stress effect and allowed to reduce the amount of administered pain-killers to pregnant women by the factor 1.5 to 2.0, thus reducing the negative pharmacological load to the foetus. It furthermore reduced labour time and shortened hospital stay. It helped to create optimal conditions for the course of pregnancy and heightened pain sensitivity threshold by means of improving the functional, hormonal, and psycho-emotional conditions of pregnant and lying-in women. Thus, the labour process became more natural, the delivery non-traumatic, and motherhood more happy and safe.     

Neurophysiologic evaluation of early cognitive development in high-risk infants and toddlers

New knowledge of the perceptual, discriminative, and memory capabilities of very young infants has opened the door to further evaluation of these abilities in infants who have risk factors for cognitive impairments. A neurophysiologic technique that has been very useful in this regard is the recording of event-related potentials (ERPs). The event-related potential (ERP) technique is widely used by cognitive neuroscientists to study cognitive abilities such as discrimination, attention, and memory. This method has many attractive attributes for use in infants and children as it is relatively inexpensive, does not require sedation, has excellent temporal resolution, and can be used to evaluate early cognitive development in preverbal infants with limited behavioral repertories. In healthy infants and children, ERPs have been used to gain a further understanding of early cognitive development and the effect of experience on brain function. Recently, ERPs have been used to elucidate atypical memory development in infants of diabetic mothers, difficulties with perception and discrimination of speech sounds in infants at risk for dyslexia, and multiple areas of cognitive differences in extremely premature infants. Atypical findings seen in high-risk infants have correlated with later cognitive outcomes, but the sensitivity and specificity of the technique has not been studied, and thus evaluation of individual infants is not possible at this time. With further research, this technique may be very useful in identifying children with cognitive deficits during infancy. Because even young infants can be examined with ERPs, this technique is likely to be helpful in the development of focused early intervention programs used to improve cognitive function in high-risk infants and toddlers.     

Children vulnerable to psychopathology: The Stony Brook high-risk project

The study of children at risk for the development of schizophrenia is a promising research strategy for increasing our understanding of the etiology of schizophrenia. This paper describes the methods and procedures of such an investigation. Three groups of children are being followed: those who have a schizophrenic parent, those who have a depressive parent, and those whose parents have no psychiatric history. There are three major foci of our assessment procedures. First, the patient, spouse, and family environment are examined. Second, the children are assessed in school from the vantage point of both peers and teachers. Finally, the children are tested with several laboratory measures of cognitive processes, attention, emotional responsivity, and social interaction.This research was supported by Grant MH-21145 from the National Institute of Mental Health and by funds from the W. T. Grant Foundation.