Posttraumatic Growth in Young Adults Who Experienced Serious Childhood Illness: A Mixed-Methods Approach

Sixty young adult survivors of a serious childhood illness completed quantitative and qualitative measures assessing the relationship between specific disease and distress factors and posttraumatic growth (PTG). Individuals who had recovered from their illness reported greater growth than those who were currently experiencing their illness. The regression model accounted for 47% of the variance in PTG, with perceived severity, illness status, and posttraumatic stress symptoms emerging as significant predictors. Qualitative analyses identified salient positive and negative factors associated with having had an illness, such as a positive shift in perspective and frequent medical requirements. Being past the daily demands of illness management may allow for greater PTG. Realization of positive aspects of having had an illness may require prompting.     

Assessing Dimensions of Parental Discipline

This study examines the advisability to distinguish dimensions of discipline, by evaluating the Dimensions of Discipline Inventory (DDI, Straus and Fauchier 2007) in a sample of Belgian undergraduate students (N = 371) who retrospectively reported on their mothers’ and fathers’ discipline behaviors aimed at correcting child misbehavior at age 10. First, confirmatory factor analyses showed that a model with nine factors fitted the data best, but also a model with four second-order factors was acceptable. Second, a multigroup confirmatory factor analysis with a Belgian and a U.S. sample (N = 633) provided additional evidence for the nine-factor structure. Correlations between DDI scales and other parenting related variables demonstrated meaningful relations. Additionally, some DDI subscales were associated with measures of current problem behavior. To conclude, the present study illustrated that it is both useful and possible to differentiate between discipline constructs.     

Assessing Advocacies for Forcibly Displaced People: A Comprehensive Approach

This article assesses various advocacy practices for forcibly displaced people (FDP) through the analysis of advocacy networks, the examination of the goals that they pursue, and their ways of working. Three basic approaches, the welfare-based, the legal-based, and the capability-based approaches, are assessed. From this assessment, this study suggests the recognition of shared humanity as an entry point for advocacy, which offers a cosmopolitan understanding of rights and duties, and the most comprehensive protection for FDP. The main argument of this study is that if the demand for recognition is not heard, relief for refugees and other displaced people will lack an essential dimension. It is the demand to be recognized as human beings that engenders responsibility for forced migrants. Instead of prescribing a list of what to do, or not to do, this reflection has rather suggested a way of being and dealing with the forcibly displaced. This stance goes beyond the facility of typical responses that are known in advance.     

Healthy Nests Transition to Parenthood Program: A Mixed-Methods Study

Intimate partner relationship distress is associated with a wide range of negative adult and child outcomes. The transition to parenthood is often a time in the life of a couple where relationship distress increases and satisfaction and intimacy decrease and thus is an ideal time for targeted intervention. The Healthy Nests (HN) intervention is a three-meeting, strength-focused couples intervention for first-time parents designed to decrease maladaptive relationship conflict and increase couple well-being. The authors conducted a mixed-methods exploratory study investigating participants' overall experiences with the HN intervention and measured outcomes associated with relationship satisfaction, help seeking, father involvement, substance use, and depression. A total of 130 parents (65 dyads) participated in a randomized intervention and educational materials–only alternative intervention. Twenty dyads were interviewed as a part of the qualitative portion of the study. While the authors did not find significant quantitative effects on key outcomes, the qualitative findings suggested that participants had a positive experience with the HN intervention and indicated it was useful to have designated time and space to communicate as a couple. Qualitative findings also suggest that the focus on “aspects of strength” and “areas of change” in their relationship was useful. Implications for practice, research, and training are discussed.     

A Multimethod Approach to Assessing Dependency: The Early Memory Dependency Probe

The construct validity and clinical utility of the early memory probe assessing aspects of dependency was investigated. Clinical patients' responses to the feeding, being fed, or eating probe were compared with Rorschach Oral Dependency (ROD) scale scores (Masling, Rabie, & Blondheim, 1967), as well as theoretically and empirically derived behavioral ratings. Sixty-five psychiatric patients and their therapists participated in the study. Results demonstrated moderate to strong correlations between the early memory scores and the ROD scores, thus demonstrating good concurrent validity. A moderate correlation between the early memory scores and therapists' ratings of key behavioral patterns in therapy support the predictive validity of the early memory probes. The earn memory scores also demonstrated discriminant validity when compared with Rorschach object-relational content scales.     

Assessing Specific Effects of Inpatient Group Psychotherapy

Abstract

This article will examine how the psychoanalytic idea of containing can be used in group therapy to form a conceptual bridge such that the group dynamics are not simplistically reduced to individual dynamics, nor that the individual is lost in the “group–as–a–whole” concept. I take the concept of “containing” as versatile in the sense that Bion (1970) meant it to be—that is, the psychological phenomenon of containment is manifest at various system levels: intrapsychic, interpersonal, group, and societal. This article will explore how far this “bridging concept” can be pursued to understand groups theoretically. The article will review various forms of containing, following Bion’s ideas, and in particular a therapeutic, or flexible, form in contrast to rigid and fragile forms.     

骨质疏松症影像学诊断技术评价

越来越多的健康体检领域把骨定量超声测定技术用于评估受检者的骨密度,但该技术在临床应用方面仍存在争议.目前用于评估骨质疏松骨折风险度的技术有三:双能X线(DXA)、定量CT(QCT)及骨定量超声测量(QUS).DXA测量骨密度是最常用的诊断骨质疏松症和评估其治疗效果的手段.QCT是真正意义上的体积骨密度测量技术,能更准确地测量骨密度.QUS是一种诊断骨质疏松症和预测骨折风险的新技术,不但可反映骨密度,还可反映骨的微结构、弹性和脆性等骨结构特性.本文回顾了三种评估骨质疏松症的常用测量技术的特点及临床应用方面的优缺点.     

Implementing Family-Based Musical Interventions in Family Therapy: A Mixed-Methods Research

Although rarely used by family therapists, musical interventions have the potential to become a more common technique in family therapy. Music’s unique therapeutic properties engage families, including young children and adolescents, in a meaningful, therapeutic, “here-and-now” creative process. Musical interventions act as catalysts, enable direct communication, and augment authentic communication patterns in a playful atmosphere. The purpose of this explanatory mixed-methods research was to obtain a greater understanding of the clinical applicability, therapeutic value and future implementation of a musical intervention carried out by family therapists in a family therapy context. The study explored the outcomes of 35 participating family therapists who attended a designated workshop on a structured family-based musical intervention, 18 of whom then applied 38 family-based musical sessions focused on family roles in their clinical work. The results illustrate the family-based musical intervention is a noteworthy tool for family clinical assessment and treatment, easily applicable in a variety of private and public settings with diverse populations. Musical instruments used as intermediary objects are potent vehicles for growing family awareness, functioning, and congruence, as well as inducing opportunities for change. The family-based musical intervention manifests the potential of an interdisciplinary, holistic, biopsychosocial approach to promoting individual and family wellbeing. The article also addresses ethical considerations and implications for family therapy training and education programs.     

Theorizing the Temporal Aspect of Ikigai or Life Worth Living among Japanese University Students: a Mixed-Methods Approach

Although cross-cultural and non-Western studies have advanced our knowledge on well-being, many studies have adopted English words including ‘happiness’ as their guiding concepts, which may have limited and biased their insight. The current study is part of a larger mixed-methods project that theorizes how Japanese university students pursue ikigai or a life worth living. The first qualitative study, based on 27 photo-elicitation interviews, generated a grounded theory of houkousei, or life directionality. Our qualitative findings suggested that when students formed explicit associations among the past, present, and future, they gained strong ikigai feelings. These associations were developed either cognitively by mentally associating existing present experiences with the past or future, or behaviourally by strategically choosing current experiences more pertinent to the past or future than alternatives. These actions resulted in two subjective states: life legacy and life momentum. Life legacy was the perception that one’s past had meaningfully contributed to his or her present experiences, life, and self. Life momentum meant the belief that one’s present experiences were helping him or her achieve the desired future. Lastly, having defining past experiences and setting clear goals both facilitated the associative actions. To further validate this theory, we collected online survey data from a national sample of 672 Japanese students. Our quantitative results, based on partial least squares structural equation modelling (PLS-SEM), largely supported our theoretical model. Our findings are discussed in light of the ikigai and eudaimonic well-being literatures.

     

High-Stakes Testing Case Study: A Latent Variable Approach for Assessing Measurement and Prediction Invariance

Psychometrika - The existence of differences in prediction systems involving test scores across demographic groups continues to be a thorny and unresolved scientific, professional, and societal...     

Connecting Past with Present: A Mixed-Methods Science Ethics Course and its Evaluation

We present a graduate science ethics course that connects cases from the historical record to present realities and practices in the areas of social responsibility, authorship, and human/animal experimentation. This content is delivered with mixed methods, including films, debates, blogging, and practicum; even the instructional team is mixed, including a historian of science and a research scientist. What really unites all of the course’s components is the experiential aspect: from acting in historical debates to participating in the current scientific enterprise. The course aims to change the students’ culture into one deeply devoted to the science ethics cause. To measure the sought after cultural change, we developed and validated a relevant questionnaire. Results of this questionnaire from students who took the course, demonstrate that the course had the intended effect on them. Furthermore, results of this questionnaire from controls indicate the need for cultural change in that cohort. All these quantitative results are reinforced by qualitative outcomes.     

Assessing Resources in a Population of Hemodialysis Patients: A New Approach to Improve Quality of Care

Journal of Contemporary Psychotherapy - Hemodialysis patients constitute a vulnerable population. Their health needs are considerable and they often present psychological symptoms such as...     

The Engineering and Science Issues Test (ESIT): A Discipline-Specific Approach to Assessing Moral Judgment

To assess ethics pedagogy in science and engineering, we developed a new tool called the Engineering and Science Issues Test (ESIT). ESIT measures moral judgment in a manner similar to the Defining Issues Test, second edition, but is built around technical dilemmas in science and engineering. We used a quasi-experimental approach with pre- and post-tests, and we compared the results to those of a control group with no overt ethics instruction. Our findings are that several (but not all) stand-alone classes showed a significant improvement compared to the control group when the metric includes multiple stages of moral development. We also found that the written test had a higher response rate and sensitivity to pedagogy than the electronic version. We do not find significant differences on pre-test scores with respect to age, education level, gender or political leanings, but we do on whether subjects were native English speakers. We did not find significant differences on pre-test scores based on whether subjects had previous ethics instruction; this could suggest a lack of a long-term effect from the instruction.     

A Latent-Variable Modeling Approach to Assessing Reliability and Validity of a Creativity Instrument

ABSTRACT: A multiple-choice paper-and-pencil test was developed based on the constructs from the Torrance Test of Creative Thinking (TTCT). The rationale of this new instrument was to shorten the amount of time required for the administration and scoring of creativity tests. This instrument was translated into Spanish and administered along with the TTCT and the Villa and Auzmendi Creativity Test (VAT) to 2,270 students in Spain. Teachers' ratings of student creativity were also obtained. Using a traditional concurrent validation approach from an earlier study, we found low but significant correlations between the scores of the four subscales of the new test and the same subscales of the VAT and TTCT, as well as the students' academic achievement measures. In terms of reliability, mostly moderate (internal consistency) reliability coefficients were found for the new test. As an alternative to the traditional approach, this study employed structural equation modeling (SEM) with multiple indicators to examine the validity and reliability of the new creativity test. The results indicated that substantial improvements in the validity and reliability estimation over the traditional approaches can be made by using SEM with multiple indicators.     

A Multi-informant Approach to Assessing Fear of Positive Evaluation in Socially Anxious Adolescents

Fears of positive evaluation form important components of social anxiety. Researchers developed the Fear of Positive Evaluation Scale (FPES) to assess these fears. The FPES reliably and validly assesses fears of positive evaluation in undergraduates and adult social anxiety patients. However, it remains unclear if the FPES reliably and validly assesses these fears in clinic-referred adolescents. Further, implementing the FPES in clinical assessments of adolescents likely requires a multi-informant approach. Indeed, long lines of work indicate low cross-informant correspondence in reports of anxiety and anxiety-related constructs, and support the combined use of multiple informants’ reports (e.g., parents and adolescents). We examined the FPES in a clinic-referred sample of adolescents aged 14–17 years (M = 15.11; 20 females; 59.5 % African American). Thirty-seven parent-adolescent pairs completed the FPES, as well as reports of adolescent social anxiety, safety-seeking behaviors, and depressive symptoms. Both parent and adolescent reports on the FPES evidenced adequate levels of internal consistency. Further, when taking both parent and adolescent reports into consideration, the FPES significantly and positively related to measures of social anxiety and safety-seeking behaviors, over and above other widely used measures of adolescent social anxiety and depressive symptoms. The findings indicate that a multi-informant administration of the FPES yields internally consistent and valid estimates of fears of positive evaluation in a clinical sample of adolescents. These findings have important implications for properly assessing and treating social anxiety concerns in adolescents.     

A Multi-Informant Approach to Assessing Safety Behaviors among Adolescents: Psychometric Properties of the Subtle Avoidance Frequency Examination

Safety behaviors are subtle avoidance strategies for minimizing distress within social situations (e.g., avoidance of eye contact). These behaviors factor prominently in the development and maintenance of social anxiety concerns, and when patients use these behaviors within psychosocial treatments for social anxiety, this may impede treatment response. Prior work supports the need to include measures of safety behaviors within evidence-based assessments of social anxiety. Along these lines, researchers developed the Subtle Avoidance Frequency Examination (SAFE) to assess safety behaviors among adults. However, we know relatively little about the SAFE’s psychometric properties when administered to adolescents. We tested the SAFE’s psychometric properties using adolescent self-reports and parallel parent reports in a mixed-clinical/community sample of 96 14 to 15 year-old adolescents and their parents (33 clinic-referred; 63 community control; 59.4% African American). Adolescent and parent SAFE reports displayed moderate correspondence with each other. Both adolescent and parent SAFE reports related positively to well-established measures of adolescent social anxiety and depressive symptoms. Both reports distinguished adolescents on referral status as well as cut scores on well-established measures of adolescent social anxiety. Further, both adolescent and parent SAFE reports displayed incremental validity in relation to survey reports of adolescent social anxiety, over-and-above survey reports of adolescent depressive symptoms, which commonly co-occur with social anxiety. However, adolescent (but not parent) SAFE reports predicted adolescents’ social anxiety and state arousal as displayed within social interactions with unfamiliar peer confederates. These findings have important implications for leveraging multi-informant approaches to assessing safety behaviors among adolescents.     

Early Childhood Discipline: A Review of the Literature

In this literature review concerning early childhood discipline we particularly highlight American children's discipline with respect to historical perspectives, generational theories, gender issues, parental styles, methods of discipline, and corporal punishment. We also address corporal punishment's history, the debate among experts, beliefs and practices among parents, the controversy in public schools, religious influences, and a conflation of the issues.