Juvenile homicide offenders: A 35‐year‐follow‐up study

Murders committed by juveniles have been a major concern in the USA for more than 40 years. Due to decisions in the 21st century by the United States Supreme Court, the likelihood of juvenile homicide offenders being sentenced to life without parole (LWOP) is less than in past decades. In addition, hundreds of individuals in prison who were sentenced to LWOP under mandatory sentencing statutes or their equivalent as juveniles for murder are now eligible for resentencing and may be released. Given these changes in sentencing policies and practices, follow‐up research on juveniles involved in murder is needed. This study is a 35‐year follow‐up study of 59 boys who were convicted of murder and sentenced to adult prisons in a southeastern state, and initially interviewed in the early 1980s. Twenty‐two of these men agreed to participate in clinical interviews about their experiences in prison and upon return to the community if released. The experiences in prison are highlighted for all men. Thereafter, attention focuses on the 19 juvenile homicide offenders who have been released. Of these 19 men, 11 were classified as failures given that they were sent back to prison at least once. Length of time served and completion of GED were the best predictors of post‐release success. Clinical observations, implications of the findings, limitations of the study, and directions for future research are discussed.     

Getting ready for the bad times: self‐esteem and anticipatory coping

When we cannot alter the characteristics of an aversive event, we are still able to prepare ourselves for what is to come. In other words, we can engage in ‘anticipatory coping.’ Known self‐esteem differences in self‐regulation led to the prediction that low self‐esteem (LSE) individuals would evidence different anticipatory coping patterns than high self‐esteem (HSE) people. HSE and LSE participants were faced with either a low or high probability of engaging in a painful task. They were told about, and given the opportunity to engage in, a preparatory strategy aimed at minimizing discomfort during the painful task. Those participants in the low probability condition prepared for the painful task less than did those participants in the high probability condition. As hypothesized, the effect of probability condition was more pronounced for HSE, compared to LSE, participants. Also, in the low probability condition, there was a trend towards LSE participants preparing more than HSE participants. Copyright © 2004 John Wiley & Sons, Ltd.     

Collaborative philosophical inquiry for schoolchildren: Cognitive gains at 2‐year follow‐up

Background. Evidence of maintained gains from thinking skills interventions are rare in the literature even within sectors of education, let alone across sectors. Aims. This study investigated the cognitive effects of collaborative philosophical inquiry at long‐term 2‐year follow‐up, after the participants had transferred to secondary (high) school without experiencing further philosophical inquiry in the interim. Sample. Sample attrition was greater in the control than in the experimental group, but 96 experimental and 52 control subjects were available. Method. Intervened children who engaged in collaborative inquiry for 1 hour per week over 16 months and whose pre‐post cognitive gains were reported in Topping and Trickey (2007) were followed up 2 years later, some time after they had transferred from primary to secondary school, again using the Cognitive Abilities Test. Results. The significant pre‐post cognitive ability gains in the experimental group in primary school were maintained towards the end of their second year of secondary school. Higher achieving pupils were somewhat advantaged in sustaining these gains. The control group showed an insignificant but persistent deterioration in scores from pre‐ to post‐test to follow‐up. Conclusions. Given the pattern of sample attrition, the group difference seems likely to be underestimated. The study provides evidence of maintained cognitive gains from collaborative philosophical inquiry, transferred across contexts. Implications for future research, policy and practice are discussed.     

Developmental changes in neural letter‐selectivity: A 1‐year follow‐up of beginning readers

The developmental course of neural tuning to visual letter strings is unclear. Here we tested 39 children longitudinally, at the beginning of grade 1 (6.45 ± 0.33 years old) and 1 year after, with fast periodic visual stimulation in electroencephalography to assess the evolution of selective neural responses to letter strings and their relationship with emerging reading abilities. At both grades, frequency‐tagged letter strings were discriminated from pseudofont strings (i.e. letter‐selectivity) over the left occipito‐temporal cortex, with effects observed at the individual level in 62% of children. However, visual words were not discriminated from pseudowords (lexical access) at either grade. Following 1 year of schooling, letter‐selective responses showed a specific increase in amplitude, a more complex pattern of harmonics, and were located more anteriorly over the left occipito‐temporal cortex. Remarkably, at both grades, neural responses were highly significant at the individual level and correlated with individual reading scores. The amplitude increase in letter‐selective responses between grades was not found for discrimination responses of familiar keyboard symbols from pseudosymbols, and was not related to a general increase in visual stimulation responses. These findings demonstrate a rapid onset of left hemispheric letter selectivity, with 1 year of reading instruction resulting in increased emerging reading abilities and a clear quantitative and qualitative evolution within left hemispheric neural circuits for reading.     

Stability and change in burnout: A 10‐year follow‐up study among primary care physicians

The aim of the present study is (1) to investigate the impact of patient demands on primary care physicians’ burnout and (2) to examine the stability and change of burnout across time. Participants were drawn from the official Dutch registration system for primary health care, and longitudinal panel data (n= 165) from three waves with a 5‐year time interval were used. They filled in the Maslach Burnout Inventory (MBI) and a validated scale for the assessment of patient demands. The results of various stability and change models that were tested using structural equation modelling (SEM) indicated that demanding patient contacts lead to increased burnout among physicians. In addition, the findings suggested that about one quarter of the variance in physician's actual burnout levels across one decade is accounted for by a stable component, whereas about three quarters is accounted for by a change component. Hence, physician burnout seems to be a rather chronic condition that may be aggravated by exposure to demanding patients.     

A person‐centred approach to investigate the development trajectories of job‐related affective well‐being: A 10‐year follow‐up study

The primary aim of this three‐wave 10‐year follow‐up study was to investigate the intra‐individual change trajectories of job‐related affective well‐being among Finnish managers (n= 402). Job‐related affective well‐being as indicated by anxiety, depression, comfort, and enthusiasm was measured in 1996, 1999, and 2006. The characteristics of the trajectories were sought from experienced career disruptions (i.e., periods of unemployment or lay‐offs) and perceived job insecurity. The growth mixture modelling (GMM) revealed altogether three latent trajectories that differed from each other in their mean levels and regard to changes in job‐related affective well‐being over time: (1) high and improving well‐being (n= 347), (2) decreased well‐being (n= 32), and (3) low and improving well‐being (n= 23). The associations between job‐related affective well‐being trajectories and career disruptions depended upon the timing of the career disruptions. In addition, perceived job insecurity is associated with concurrently decreased occupational well‐being. Overall, the results highlighted both typical and untypical development trajectories of job‐related affective well‐being and related career characteristics.     

A follow‐up study of the long‐term effects of counselling in a primary care counselling psychology service

Despite much recent work examining the short‐term effect of counselling in primary healthcare settings, to date relatively little research has examined the effectiveness of such treatment programmes over the longer term. In this study, 58 participants underwent brief, time‐limited integrative counselling sessions, with symptoms being measured using the CORE‐OM immediately before, immediately after, and 30 months after counselling. It was found that in addition to participants reporting significantly lower levels of psychological distress immediately post‐counselling, a further significant improvement at 30‐month follow‐up was also apparent, indicating that the benefit from counselling was maintained. In addition to this reduction in symptoms post‐counselling, a significant reduction in GP visits was also detected in the 12 months following counselling when compared with the 12 months prior to counselling, indicating a lower reliance on the primary healthcare team after counselling.     

Couples therapy: effectiveness of treatment and long‐term follow‐up

Most couples therapy theories are developed and tested in the USA. In this clinical study, we investigated such therapies in a Swedish context. Over 300 couples were enrolled in the study of whom just under half completed the end‐of‐treatment assessment and just over 40 per cent a two‐year follow‐up. At the start, the study group displayed severe problems in marital adjustment, dyadic interactions and psychiatric symptoms. A relatively short treatment was used and 50 per cent of the couples attended less than nine sessions. Outcomes of treatment showed significant improvements in relationship matters, individual mental health and enhanced coping abilities. At long‐term follow‐up, all results remained the same and in some aspects improved for both sexes. This study confirms the effectiveness of such therapies in a Swedish context.     

Heterogeneity of treatment changes after psychodynamic therapy within a one year follow‐up: A replication study

Naturalistic psychotherapy effect studies commonly report effect sizes for the total sample. However, a previous study of SCL‐90 Global Severity Index (GSI) improvement in a large outpatient sample used a cluster analytic strategy and reported clinical relevant outcome trajectories that could be grouped into early within‐treatment improvement, late improvement in the follow‐up period, and deteriorating patients with slight improvement that was lost at follow‐up. We explore GSI outcome trajectories and clinical significant change in a sample of 320 patients at a public psychiatric outpatient psychodynamic group therapy unit, the majority with anxiety, personality, and mood disorders. The study revealed large discharge and follow‐up effect sizes but more than one third of the patients were without measurable improvement. The major clusters described above were confirmed, and revealed unique clinical and socio‐demographic characteristics. Late improvers, as compared with early improvers, were characterized by anxiety symptoms and lack of network support after controlling for GSI at admission. Similarly, deteriorating patients had longer duration of illness and less favourable social characteristics compared with the other two groups. Early improving patients were less likely to have participated in short‐term groups, and only one third participated in additional treatment compared with more than 69% of the other patients. Severe and socially affected psychiatric patients, and patients with anxiety and agoraphobic symptoms may be less optimally treated in short‐term time limited psychodynamic groups. There is an obvious need for diversity of treatment offers, better integration of psycho‐social treatment components, and long‐term open ended treatment.     

A 10 year follow‐up of stereotypic behavior with eight participants

Eight people who displayed high‐rate stereotyped behavior were followed up 10 years later. Seven of these subjects were located: all were still displaying some stereotypy and most were still exhibiting very high rates of the behavior. Overall the findings point to the chronic, intractable nature of stereotyped behavior. Copyright © 1999 John Wiley & Sons, Ltd.     

Meaningful patterns of activity amongst the long‐term inner city unemployed: a qualitative study

A number of studies have sought to establish the social psychological factors involved in the maintenance of active lifestyles during long‐term unemployment. The aim of this study was to describe and account for the development and maintenance of different patterns of activity, with reference to their perceived meaningfulness. This was undertaken with a sample of Birmingham's inner city, long‐term unemployed population recruited from three inner city Jobcentres, including men and women, and White, Asian and African Caribbean participants (N = 24). Interviews were conducted using a semi‐structured interview guide. Using the qualitative software program, NUD.IST, the data were analysed according to the principles of the grounded theory approach. Activities were characterized as: domestic; educational; work‐like; socializing; and none. A model of meaningful activity in the context of formal unemployment was developed. The main components of the model were: features of formal employment that inhibited participants' engagement in it; the requirements for personal meaningful activity (challenging activity, effort and commitment, and being valued by others); the consequences of meaningful activity (opportunities for self‐determination and self‐development, and achievement, competence, and confidence) and consolidating factors (social comparison, self‐appraisal, religious and political beliefs, and social support). Theories of unemployment of Jahoda, Warr, and Fryer are considered in the light of the present findings. Copyright © 2002 John Wiley & Sons, Ltd.     

Long‐term immigrant adaptation: Eight‐year follow‐up study among immigrants from Russia and Estonia living in Finland

This study was a longitudinal investigation of the three different dimensions of long‐term immigrant adaptation (i.e., psychological, sociocultural, and socioeconomic adaptation) and the relationships between them in an 8‐year follow‐up with panel data. The 282 respondents were immigrants in Finland, born between 1961 and 1976, coming from the former Soviet Union. The results suggest that the adaptation of these immigrants has developed favourably. In 8 years, the respondents had improved their Finnish language skills and their position in the labour market. No differences were observed in their levels of psychological well‐being between the two assessments. Of the three adaptation dimensions assessed, sociocultural adaptation, measured as proficiency in understanding, speaking, reading, and writing Finnish, turned out to be the most significant predictor of the two other long‐term outcomes of immigrant adaptation (i.e., socioeconomic and psychological). In particular, the better the initial command of the Finnish language, the better were their socioeconomic and psychological adaptation outcomes after 8 years of residence. These results demonstrate the importance of parallel and longitudinal assessments of the different outcomes of immigrant adaptation in order to address which particular dimensions of adaptation are most critical in the beginning of acculturation in terms of determining positive development and long‐term immigrant adaptation.     

How to study the ‘quality of psychoanalytic treatments’ and their long‐term effects on patients' well‐being: A representative,multi‐perspective follow‐up study3

How can we study the ‘quality of psychoanalytic treatments’? The authors attempt to answer this question by discussing a naturalistic, multi‐perspective and representative follow‐up study of psychoanalyses and long‐term psychoanalytic psychotherapies. We studied a representative sample (n = 401) of all the patients who had terminated their psychoanalytic treatments with members of the German Psychoanalytical Association (DPV) between 1990 and 1993. Between 70 and 80 per cent of the patients achieved (average 6.5 years after the end of treatment) good and stable psychic changes according to the evaluations of the patients themselves, their analysts, independent psychoanalytic and non‐psychoanalytic experts, and questionnaires commonly applied in psychotherapy research. The evaluation of mental health costs showed a cost reduction through fewer days of sick leave during the seven years following the end of long‐term psychoanalytic treatments. The results achieved using non‐psychoanalytical instruments are complemented by the richness of the idiosyncratic findings, gained by the psychoanalytic research instruments.     

Evidence‐based interventions for reading and language difficulties: Creating a virtuous circle

Background. Children may experience two very different forms of reading problem: decoding difficulties (dyslexia) and reading comprehension difficulties. Decoding difficulties appear to be caused by problems with phonological (speech sound) processing. Reading comprehension difficulties in contrast appear to be caused by problems with ‘higher level’ language difficulties including problems with semantics (including deficient knowledge of word meanings) and grammar (knowledge of morphology and syntax). Aims. We review evidence concerning the nature, causes of, and treatments for children's reading difficulties. We argue that any well‐founded educational intervention must be based on a sound theory of the causes of a particular form of learning difficulty, which in turn must be based on an understanding of how a given skill is learned by typically developing children. Such theoretically motivated interventions should in turn be evaluated in randomized controlled trials (RCTs) to establish whether they are effective, and for whom. Results. There is now considerable evidence showing that phonologically based interventions are effective in ameliorating children's word level decoding difficulties, and a smaller evidence base showing that reading and oral language (OL) comprehension difficulties can be ameliorated by suitable interventions to boost vocabulary and broader OL skills. Conclusions. The process of developing theories about the origins of children's educational difficulties and evaluating theoretically motivated treatments in RCTs, produces a ‘virtuous circle’ whereby theory informs practice, and the evaluation of effective interventions in turn feeds back to inform and refine theories about the nature and causes of children's reading and language difficulties.     

Six‐month follow‐up of two mother–infant psychotherapies: Convergence of therapeutic outcomes

Fifty‐eight mothers and infants participating in two infant–mother psychotherapeutic interventions in a comparative infant–mother clinical intervention study were followed six months after treatment ended. One treatment was an infant‐led psychotherapy, Watch, Wait, and Wonder (WWW). The other was a more traditional mother–infant psychodynamic psychotherapy (PPT). Infants ranged in age from 10 to 30 months at the outset of treatment, which took place in weekly sessions over approximately five months. Results indicated that positive effects observed from the beginning to the end of treatment in both treatment groups in infant symptoms, parenting stress, and mother–infant interaction were maintained or improved further at six‐month follow‐up. Additionally, decreased maternal depression, gains in infant cognitive development and emotion regulation, and improved infant–mother attachment security or organization had been observed posttreatment only in the WWW group. Interestingly, between the posttreatment to follow‐up period the PPT group also showed such gains. Thus, for these variables it would be more accurate to say that the outcomes were similar for the two treatment groups but change emerged at a different pace. Nevertheless, an advantage persisted in the WWW group in relation to mothers' comfort dealing with infant behaviors and their ratings of parenting stress which improved more in this group from the end of treatment to follow‐up. The direct inclusion of the infant as an initiator in WWW was set forth as an explanation of differentially timed treatment effects. ©2002 Michigan Association for Infant Mental Health.     

Job‐seeking,adaptation and re‐employment experiences of the unemployed: a 3‐year follow‐up

The aim was to find predictors of employment status (Employed, Active Job‐Seeker, Not a Job‐Seeker) with a 3‐year longitudinal design. Also predictors of the quality of re‐employment were studied. Initially unemployed Finnish men and women were followed‐up. Of the original sample (n=559), 318 (56.9%) responded to the questionnaire. Baseline health and participation in labour market interventions were not predictive of employment status. Passive baseline job‐seeking and female gender were predictive of being a passive job‐seeker 3 years later. Good vocational education was central for high‐quality re‐employment. Long duration of unemployment and high baseline level of psychological distress were predictive of a perceived need for adjustment in the new job. Copyright © 1999 John Wiley & Sons, Ltd.     

Analytic change: Assessing ways of being in a psychoanalytic follow‐up interview

The article argues that the concepts of relational scenario, structuralized affect and actualized affect are proposed candidates for observation of changes in relational ways of being as it is expressed in transference. A psychoanalytic follow‐up interview of a former analytic patient is presented in order to illustrate how change in relational ways of being may be registered and studied. By triangulating the patient's verbal report of change with nonverbal information and transference–countertransference dynamics, one may grasp qualitative changes in relational ways of being. The case presented illustrates a former patient's on‐going process of working towards representing aggression in a more direct manner and how this process is made observable with the aid of the proposed concepts in the interview situation. The proposed concepts of relational scenario, structuralized and actualized affect discussed are compared to the concept of transference used in studies of core conflictual relationship theme (CCRT).     

The benefits of a preventive job search program on re‐employment and mental health at 2‐year follow‐up

This study investigated whether a preventive, group‐based job search program has long‐term beneficial effects on the re‐employment and mental health of participants who have been unemployed for a prolonged period of time. A total of 1,227 unemployed Finnish job seekers participated in this randomly assigned experimental field study. Participation in the programme significantly decreased symptoms of depression, and increased the self‐esteem of the participants during the 2 years of follow‐up. Compared to the control group, the participants of the experimental group were engaged significantly more often in the labour market, either employed, or participating in vocational training.     

Fathers' and mothers' attachment representations as predictors of preadolescents' attachment security: A ten‐year follow‐up of Finnish families

The question of how mothers' and fathers' representations of attachment correlate ten years later with children's perceptions of attachment relationships was examined in a longitudinal study on Finnish families (N = 42). The parents completed the Adult Attachment Interview (AAI) during the child's first year of life. At 11 years, the children filled out three scales on how secure they perceive the relationship with each parent. Parents' AAI classifications and AAI dimensions based on continuous scales were used as predictors of the preadolescents' attachment security. Regression analyses demonstrated that fathers' but not mothers' State‐of‐Mind and Experience dimensions predicted preadolescents' security of attachment to father. The discussion focuses on the predictive validity of the classical categorical versus the recently proposed continuous approach and the different roles of parents in transmitting security from one generation to another.