On the Semantics and Operations of Primary Prevention and Wellness Enhancement (Or Will the Real Primary Prevention Please Stand Up?)

Compared two recent, major reviews of primary prevention program evaluation research (i.e., Durlak and Wells' meta-analysis of 177 such studies and the Institute of Medicine (IOM) Report's summary of research studies of preventive intervention programs) with respect to specific studies included and input sources used. Whereas the IOM Report defined the goal of primary prevention as reducing the occurrence of new cases of mental disorder, Durlak and Wells' broader definition included both that goal and the promotion of psychological wellness. Overlap in journal sources used by the two reviews was modest and overlap in the actual primary prevention program evaluation studies included was minimal (7%). These findings bespeak somewhat different views of primary prevention and suggest a need for the complementary development of both the above approaches as alternatives, individually and collectively, to mental health's past established restorative ways.     

If “Boys Will Be Boys,” Then Girls Will Be Victims? A Meta-Analytic Review of the Research That Relates Masculine Ideology to Sexual Aggression

In feminist sociocultural models of rape, extreme adherence to the masculine gender role is implicated in the perpetuation of sexual assault against women in that it encourages men to be dominant and aggressive, and it teaches that women are inferior to men and are sometimes worthy of victimization. Many researchers have linked components of masculine ideology to self-reports of past sexual aggression or future likelihood to rape. Thirty-nine effect sizes were examined in this meta-analysis across 11 different measures of masculine ideology to determine how strongly each index of masculine ideology was associated with sexual aggression. Although 10 of the 11 effect sizes were statistically significant, the 2 largest effects were for Malamuth's construct of “hostile masculinity” (e.g., Malamuth, Sockloskie, Koss, & Tanaka, 1991) and Mosher's construct of “hypermasculinity” (e.g., Mosher & Sirkin, 1984), both of which measure multiple components of masculine ideology including acceptance of aggression against women and negative, hostile beliefs about women. The next strongest relationships concerned measures of agreement that men are dominant over women and measures of hostility toward women. Scores on general measures of gender-role adherence, such as the Bem Sex Role Inventory (Bem, 1974), were not strong predictors of sexual aggression. Sociocultural models that link patriarchal masculine id eology and situational factors to sexual aggression should prove most predictive in future research.     

Will the Real Superhero Stand Up? A Critical Review of the National Standards for Headteachers in England

The National Standards for Headteachers (DfEE, 2000) provides the first authoritative statement about the role of the headteacher in English schools. It represents an important element in the drive to improve school leadership by formalizing expectations and improving the criteria for training programmes. The skills needed by headteachers are clearly identified but the expectations of one individual are unrealistic. The personal qualities required in school leadership, such as the discernment to apply knowledge and understanding, are neglected. The Standards need to be based on reasonable expectations of an individual professional or, even better, a school's whole management team. They also need revision to address the personal attributes expected of headteachers.     

Real Relationship: The “Something More” of Psychotherapy

Although it often operates silently, the personal relationship is a part of everything that transpires between therapist and client. Following the psychoanalyst Ralph Greenson's (1967) early lead, the term Real Relationship is used to capture this personal aspect of psychotherapy. It is divided into two elements, realism and genuineness; and both these elements are further divided into magnitude and valence aspects. Research on the real relationship is almost nonexistent, and to an important extent this is due to the lack of a reliable, valid, and convenient measure. The author is involved in a research project aimed at developing such measures from both the client and therapist perspective. Examples of items are provided.     

Hyperactivity in Boys with Attention-Deficit/Hyperactivity Disorder (ADHD): A Ubiquitous Core Symptom or Manifestation of Working Memory Deficits?

Hyperactivity is currently considered a core and ubiquitous feature of attention-deficit/hyperactivity disorder (ADHD); however, an alternative model challenges this premise and hypothesizes a functional relationship between working memory (WM) and activity level. The current study investigated whether children’s activity level is functionally related to WM demands associated with the domain-general central executive and subsidiary storage/rehearsal components using tasks based on Baddeley’s (Working memory, thought, and action. New York: Oxford University Press 2007) WM model. Activity level was objectively measured 16 times per second using wrist- and ankle-worn actigraphs while 23 boys between 8 and 12 years of age completed control tasks and visuospatial/phonological WM tasks of increasing memory demands. All children exhibited significantly higher activity rates under all WM relative to control conditions, and children with ADHD (n = 12) moved significantly more than typically developing children (n = 11) under all conditions. Activity level in all children was associated with central executive but not storage/rehearsal functioning, and higher activity rates exhibited by children with ADHD under control conditions were fully attenuated by removing variance directly related to central executive processes.

Parents’ Judgments about the Desirability of Toys for Their Children: Associations with Gender Role Attitudes,Gender-typing of Toys,and Demographics

Parental toy selection and responses to toy play are important factors in children’s gender socialization. Reinforcing play with same-gender-typed toys guides children’s activities and limits their action repertoires in accordance with gender stereotypes. A survey of 324 Austrian parents of three- to six-year-old children was conducted to investigate parents’ judgments about the desirability of different types of toys for their children and how these judgements relate to parents’ gender-typing of toys, gender role attitudes, and demographics (age, education, gender). Results show that parents rated same-gender-typed and gender-neutral toys as more desirable for their children than cross-gender-typed toys. The traditionalism of parents’ gender role attitudes was not associated with their desirability judgments of same-gender-typed toys, but was negatively related to their desirability judgments of cross-gender-typed toys. This indicates that egalitarian parents permit a greater range of interests and behaviors in their children than traditional parents do. Younger parents, parents with lower educational levels, and fathers reported more traditional gender role attitudes than did older parents, parents with higher educational levels, and mothers. However, no differences based on age, educational level or gender were found in parents’ judgments of toy desirability. The present study demonstrates that parents’ judgments about the desirability of toys for their children do not accurately reflect their gender role attitudes. This finding highlights the importance of simultaneously investigating different aspects of parents’ gender-related attitudes in order to gain a better understanding of parental transmission of gender stereotypes.     

Review of “Toxic Divorce: A Workbook for Alienated Parents,” by Kathleen M. Reay

Abstract

The interrelationships between perceived family functioning, personality dimensions, life satisfaction, and self-concept were examined in 183 Australian adolescents. Moderate inverse relationships were obtained between Eysenck's Psychoticism dimension and perceived family health. Sociability was positively and moderately related to healthy family functioning. Eysenck's Neuroticism dimension demonstrated a significant, yet modest, relationship to a healthy balance of autonomy and intimacy in the family of origin. In comparison to Eysenck's personality dimensions, life satisfaction and self-esteem were much more strongly associated with perceived family functioning. These findings are discussed in the light of previous research, and some suggestions for future research are made.     

Diagnosis of ADHD in Adults: What Is the Appropriate DSM-5 Symptom Threshold for Hyperactivity-Impulsivity?

Objective: To empirically identify the appropriate symptom threshold for hyperactivity-impulsivity for diagnosis of ADHD in adults. Method: Participants were 88 adults (M [SD] age = 41.69 [11.78] years, 66% female, 16% minority) meeting formal DSM-IV criteria for ADHD combined or predominantly inattentive subtypes based on a structured diagnostic interview keyed to DSM-IV (Conners' Adult ADHD Diagnostic Interview for DSM-IV [CAADID]). All participants also completed the Conners' Adult ADHD Rating Scale (CAARS), which was normed on the general adult population and includes subscales for DSM-IV inattentive and DSM-IV hyperactive-impulsive symptoms. A T-score threshold of 65 (at least 1.5 SD above population mean) on the CAARS DSM-IV hyperactive-impulsive dimension was used to identify participants with empirically elevated symptom severity. Results: Of 88 participating adults, 48 (55%) had a T-score of at least 65 (1.5 SD) on the CAARS DSM-IV Hyperactive-Impulsive scale. Of these, only 25 (52%) met the DSM-IV cutoff of six hyperactive-impulsive symptoms on the CAADID. Thus, approximately half of those who reported empirically elevated hyperactive-impulsive complaints on the CAARS did not concurrently meet the six-symptom DSM-IV cutoff on the CAADID. An alternative cutoff of four hyperactive-impulsive symptoms on the CAADID captured 39 (81%) cases identified by the CAARS. Conclusion: In adults, mandating at least six hyperactive-impulsive symptoms excludes a significant percentage (almost half) of adults who are at least 1.5 SD above the population mean on a dimensional measure of hyperactivity-impulsivity. These data provide a compelling basis for lowering the symptom threshold of hyperactivity-impulsivity for adults in the DSM-5.     

“Please watch right” – Evaluation of a speech-based on-demand assistance system for urban intersections

In a driving simulator study we evaluated a speech-based driver assistance system for urban intersections (called Assistance on Demand AoD system) which supports the driver in monitoring and decision making. The system provides recommendations for suitable time gaps to enter the intersection based on the observation of crossing traffic. Following an “on-demand”-concept, the driver activates the assistance only if support is desired.In one drive, drivers used the AoD system in every situation they experienced to guarantee that every driver had the same exposure to the system when evaluating it. During another drive, drivers were free to decide if they want to use the system or not. The experimental study compared the AoD system with driving manually and with driving supported by a more conventional visual-based system which was always active at intersections (system showing colored arrows in a simulated head-up display (HUD) to visualize the crossing traffic). This resulted in four drives the drivers had to perform. Every drive consisted of several intersections with varying traffic conditions. The drivers had to turn left at every intersection.A total of 24 drivers took part in the study; one group with 14 middle-aged drivers and another group with ten high-aged drivers. Several questionnaires and online ratings were used to assess drivers’ acceptance, perceived usefulness, benefits and specific characteristics of both system variants. In addition, driving behaviour with regard to gap choice and drivers’ monitoring behaviour (using head tracking data) were analyzed.The results show that the AoD system reaches high acceptance ratings and is preferred compared to the visual, always active system. Using the speech modality for communication and the on-demand concept were both highly appreciated by the drivers. With regard to driving behaviour, the AoD system is comparably safe as manual driving while at the same time making driving easier by facilitating the monitoring of vehicles while waiting at an intersection.     

Engaging with the Hatred of the Other: Personal Reflections Discussion of “States of Exile and Marginalization”

Drawing upon experiences associated with racialized tensions and interactions related to living in neocolonial, post-apartheid South Africa, I engage with Gillian Straker’s complex paper on “States of Exile and Marginalization” (this issue) as elaborated in response to Moffatt’s film Night Cries. In particular, I question what it means to receive the hatred of the other in contexts in which previous relations of power become challenged and inverted and grapple with how it may be possible to sustain a relational ethics in such instances. Straker’s reading of the tension between the real and the symbolic in Night Cries and what this signals for modes of expression, multiplicity of meaning, and potentialities in relating is also highlighted.     

Parents and carers of young people with mental ill-health: What factors mediate the effect of burden on stress?

A substantial body of research has reported negative outcomes due to caregiving, however, little is known about how caring for a young person with mental ill-health impacts on parents and carers. This study aims to examine whether, like carers of older people, they experience elevated levels of caregiver burden and stress. It expands on earlier studies by examining potential mediators of burden and stress, with a specific focus on how activity restriction affects this association. There were 226 Australian parents and carers of young people (12–25 years) experiencing mental ill-health who voluntarily completed a self-report questionnaire reflecting how their young person’s ill-health had affected them over the past month. Hierarchical regression and multiple mediation analyses were conducted to examine the relationship between caregiver burden and stress, and whether adaptive coping, self-efficacy and activity restriction mediated this relationship. Caregiver burden and stress were strongly related, and both activity restriction and self-efficacy mediated their association, with activity restriction having the stronger effect. Strategies aimed at increasing awareness of the impact of activity restriction and encouraging parents and carers to find ways to maintain essential activity may reduce stress, improving mental health and well-being in parents and carers.