Internet‐Based Self‐Help Versus One‐Session Exposure in the Treatment of Spider Phobia: A Randomized Controlled Trial

The authors compared guided Internet‐delivered self‐help with one session of live‐exposure treatment in a sample of spider‐phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which were presented on a web page, a video in which exposure was modelled, and support provided via Internet. The live‐exposure treatment was delivered in a 3‐hr session following a brief orientation session. The main outcome measure was the behavioural approach test (BAT), and as secondary measures the authors used questionnaires measuring anxiety symptoms and depression. Results showed that the groups did not differ at posttreatment or follow‐up, with the exception of the proportion showing clinically significant change on the BAT. At posttreatment 46.2% of the Internet group and 85.7% in the live‐exposure group achieved this change. At follow‐up the corresponding figures were 66.7% for the Internet group and 72.7% for the live treatment. Within‐group effect sizes for the spider phobia questionnaire were large (d = 1.84 and 2.58 for the Internet and live‐exposure groups, respectively, at posttreatment). The authors conclude that guided Internet‐delivered exposure treatment is a promising new approach in the treatment of spider phobia.     

Psychotherapy and (or) Medications for Depression in Youth? An Evidence-Based Review with Recommendations for Treatment

This article reviews existing research pertaining to antidepressant medications, psychotherapy, and their combined efficacy in the treatment of clinical depression in youth. Based on this review, we recommend that youth depression and its treatment can be readily understood from a social-psycho-bio model. We maintain that this model presents an alternative conceptualization to the dominant biopsychosocial model, which implies the primacy of biological contributors. Further, our review indicates that psychotherapy should be the frontline treatment for youth with depression and that little scientific evidence suggests that combined psychotherapy and medication treatment is more effective than psychotherapy alone. Due primarily to safety issues, selective serotonin reuptake inhibitors should be initiated only in conjunction with psychotherapy and/or supportive monitoring.     

The Emerging Role of Technology in Cognitive–Behavioral Therapy for Anxious Youth: A Review

Research documents the application of cognitive–behavioral therapy (CBT) with technology either as therapeutic adjuncts or stand-alone interventions. The literature evaluating the feasibility and efficacy of using technology with CBT for youth experiencing internalizing disorders is small though steadily emerging. Technological approaches offer cost-effective and efficient service to an increased number of anxious youth for whom a CBT treatment would be otherwise unavailable. The present article aims to review the use of two broad types of technology in CBT for anxious children and adolescents: computer- and internet-based CBT and mobile mental health applications (i.e., mobile phone, smartphone, and tablet technology). Within each section, we provide an overview of the advantages and general principles of each type of technology, and review evidence for the use of each type of technology along with examples of current applications. Finally, we discuss ethical issues, barriers, and future directions for the use of technology in facilitating dissemination of effective treatments.     

Return Migrant or Diaspora: An Exploratory Study of New-Generation Chinese–Canadian Youth Working in Hong Kong

The circular movement of migrants between their homelands and adopted countries has problematized the previous linear understanding of return migration. However, the concept of circular migration tends to apply to migrants whose movement is enabled by their extensive pre-migration connections with their homelands. In this paper, we report findings of a study on a group of new-generation Chinese–Canadian youth working in Hong Kong. Although, like many return migrants, this group of young people had economic reasons for moving to Hong Kong (their parents' homeland), they do not position themselves as return migrants. Instead, they have kept a strong Canadian identity by maintaining unique friendship circles and perceiving Canada as a home to which they will one day return. We highlight in this paper some implications of their experiences for transnational migration studies.     

Cultural and Telehealth Considerations for Trauma‐Focused Treatment Among Latinx Youth: Case Reports and Clinical Recommendations to Enhance Treatment Engagement

Given that trauma exposure among youth, particularly those from communities of color, is high, there is a dire need to improve trauma-focused treatment for young people of color. Growing research has documented that integrating cultural and telehealth considerations into trauma-focused treatment can enhance treatment engagement and lead to positive treatment outcomes. Therefore, the purpose of this paper is to demonstrate how to incorporate cultural and telehealth considerations concurrently to enhance treatment engagement for Latinx youth and their caregivers. Specifically, we describe the process of delivering Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to three trauma-exposed Latinx youths through the use of telehealth technology. Clinical recommendations are discussed to improve treatment engagement of Latinx youth and other young people of color.     

Examining the Dynamics of the Implicit and the Explicit Self-Concept in Social Anxiety: Changes in the Implicit Association Test–Anxiety and the Social Phobia Anxiety Inventory Following Treatment

Data from the first two childhood memories was used to distinguish 15 delinquents from 18 nondelinquent controls. Subjects were male, middle class, 15-17 years of age, and equated for verbal IQ. All delinquents were property offenders. A coding system, devised from the memories of the delinquents and nondelinquents, successfully identified 80% of the delinquents and 100% of the nondelinquents. These prediction rates exceeded those from three clinicians experienced in working with a comparable delinquent population The coding system was then discussed in terms of the axioms and presuppositions which are suggested by the memories of the delinquent sample.     

Psychopathic Traits in Youth: Is There Evidence for Primary and Secondary Subtypes?

The current study employed model-based cluster analysis in a sample of male adolescent offenders (n = 94) to examine subtypes based on psychopathic traits and anxiety. Using the Psychopathy Checklist: Youth Version (PCL:YV; Forth et al. 2003) and the self-report Antisocial Process Screening Device (APSD; Caputo et al. 1999), analyses identified three clusters in males that varied in the severity of psychopathic traits (low, moderate, and high) and anxiety. The high psychopathic group exhibited more negative personality traits and was judged to be at greater risk for dangerousness whereas the low psychopathic group exhibited more positive personality traits and was judged to be at lower risk for dangerousness. Implications regarding potential developmental differences between adolescent and adult psychopathy, as well as treatment considerations are discussed.     

Flexible Manualized Treatment for Pediatric Obsessive–Compulsive Disorder: A Case Study

The following case study describes the treatment of an 8 year-old girl with early-onset obsessive compulsive disorder using a manualized cognitive-behavioral therapy with exposure and response prevention (CBT/EPR) protocol, implemented using a “flexibility within fidelity” approach. The case study focuses on how the treatment manual was successfully implemented in a flexible manner to address unique aspects of the case. These unique factors included the child’s extreme shyness at the beginning of treatment (with implications for rapport building), the primarily obsessional presentation of this child’s symptoms, the child’s avoidance of discussing the content of her obsessive thoughts, and secondary depressive symptoms (excessive guilt, frequent crying, and sadness) that contributed to the child’s impairment and distress. Assessment of progress indicated improvement in symptoms after four sessions of cognitive skill building and again in the last five sessions after implementing increased exposure to obsessive thoughts using narrative techniques. The implications for clinicians and student therapists, including the importance of rapport building, developmentally tailoring treatment, and flexibly implementing treatment to address the unique characteristics of the individual patient are discussed.     

Conceptualizing and Measuring Youth–Adult Partnership in Community Programs: A Cross National Study

Youth participation in program and community decision making is framed by scholars as an issue of social justice, a platform for positive youth development and effective citizenry, and a strategy for nation building. Recent literature reviews have consistently identified youth–adult partnership (Y–AP) as an effective type of youth participation across highly diverse contexts. These same reviews, however, note that indicators of Y–AP have not been conceptualized and validated for measurement purposes. The present study addresses this limitation by developing a brief measure of Y–AP that is explicitly grounded in current theory, research, and community practice. The measure was administered to youth in the United States, Malaysia, and Portugal (N = 610). Validation was assessed through factor analysis and tests of factorial, discriminant, and concurrent validity. Results confirmed the two predicted dimensions of the Y–AP measure: youth voice in decision making and supportive adult relationships. These two dimensions were also found to be distinct from other measures of program quality: safety and engagement. As predicted, they also significantly correlated with measures of agency and empowerment. It is concluded that the measure has the potential to support community efforts to maximize the quality of youth programs.     

“A Fire in the Blood”: Metaphors of Bipolar Disorder in Jamison’s An Unquiet Mind

Content analysis of three chapters of Jamison's memoir, An Unquiet Mind, shows that depression, mania, and Bipolar Disorder have a common metaphoric core as a sequential process of suffering and adversity that is a form of malevolence and destruction. Depression was down and in, while mania was up, in and distant, circular and zigzag, a powerful force of quickness and motion, fieriness, strangeness, seduction, expansive extravagance, and acuity. Bipolar Disorder is down and away and a sequential and cyclical process that partakes of the metaphors of its component moods. We conclude that metaphors of mood disorders share a number of structural features and are consistent across different authors.     

Reciprocal involvement in adolescent dating aggression: An Italian–Spanish study

This study aimed to: (1) analyse the association of different patterns of reciprocal involvement in dating aggression (reciprocal psychological and physical aggression; reciprocal psychological aggression; non-aggressive individuals) with different qualities of romantic relationship; and (2) compare results in two European countries, Italy and Spain. Participants were 304 adolescents (141 Italy, 163 Spain) with a current dating relationship. Results in both countries showed that adolescents involved in reciprocal psychological and physical aggression are more likely to have higher levels of couple conflict and power imbalance as compared to the reciprocal psychological aggressive group and to the non-aggressive individuals. Besides, adolescents involved in reciprocal psychological aggression are more likely to have lower levels of support as compared to the non-aggressive individuals. Discussion is focused on different patterns of reciprocal involvement differentiated in relation to level of aggression, conflict and power imbalance.     

Gender-Related Effects in the Job-Design–Job-Satisfaction Relationship: An Interactional Approach

In this study, we took an interactional approach to understanding how ethic of care opportunity and self-actualization opportunity, two job design variables, are related to job satisfaction. Ethic of care opportunity in a job is theorized to result in satisfaction when job incumbents have high relational self-definition. Self-actualization opportunity in a job is theorized to result in satisfaction when incumbents have low relational self-definition. To the extent that women are likely to develop high relational self-definition, and men are likely to develop low relational self-definition, we hypothesized that the relationship between ethic of care opportunity and satisfaction would be strongest for women with high relational self-definition. We also hypothesized that the relationship between self-actualization opportunity and satisfaction would be strongest for men with low relational self-definition. Hypotheses were tested in a sample of women (n = 119) and men (n =115) with diverse job titles, and were supported. Results are discussed in terms of the strength of the job-design–job-satisfaction relationship for women and for men.     

Implementation intentions for physical activity in supportive and unsupportive environmental conditions: An experimental examination of intention–behavior consistency

The primary objective of this investigation was to examine the joint influences of intention strength, executive control resources (ECRs) and implementation intentions on physical activity performance in differentially supportive environmental conditions. In two studies, participants were randomly assigned to implementation intentions or control conditions. Individual differences in ECRs, intention strength and physical activity behavior were measured at baseline in the laboratory; follow-up physical activity was measured via an online questionnaire 7 days after the baseline laboratory session. Study 1 was conducted under activity-supportive environmental conditions (i.e., warm weather, little precipitation), whereas Study 2 was conducted under non-supportive environmental conditions (i.e., cold weather, moderate precipitation). In Study 1, a two-way interaction between ECR and intention strength was observed, such that those with relatively stronger ECR demonstrated stronger intention–behavior relationships than those with relatively weaker ECR; this effect was invariant across experimental conditions. In Study 2, a significant 3-way interaction was observed, such that those with lower ECRs showed greater intention–behavior correspondence in the experimental group compared to the control. Together these findings suggest that the beneficial effects of implementation intentions on intention–behavior correspondence for physical activity may be more potent under challenging environmental conditions, and that they may be of special benefit for those with initially low ECRs.     

Adaptation and implementation of the German social–emotional learning programme Papilio in Finland: A pilot study

This study investigated the cross-national adaptation and implementation of Papilio, a German social–emotional learning programme, in Finnish early childhood education and care (ECEC) centres. Papilio is a developmentally focused, scientifically based intervention programme focused on preventing behavioural problems and fostering social–emotional competence in children aged 3–7. The aim of this study was to investigate and evaluate the cross-national adaptation and cross-cultural adaptation and implementation of Papilio in the Finnish ECEC context. Results from qualitative interviews with one Finnish Papilio trainer, 11 early childhood education (ECE) teachers, two ECE special education teachers and two nursery nurses are supplemented with teachers' and nursery nurses' (N = 75) questionnaire data. Qualitative thematic analysis revealed that cultural adaptations were necessary on four levels: accommodation of materials, adaptation of the contents of the materials, structure and delivery. The materials and training contents were culturally adapted, whereas the delivery of the intervention was adapted according to Finnish ECEC practices. The structural adaptation included discarding timeout, due to opposition by some educators. The educators were committed to implementing the programme as instructed and resolving the practical difficulties they encountered. Their motivation to implement Papilio increased as they observed improvements in the children's social–emotional competence during intervention.     

The Family Cycle: An Activity to Enhance Parents’ Mentalization in Children’s Mental Health Treatment

This article introduces the Family Cycle, a therapeutic activity informed by attachment theory, family systems theory, and current literature on reflective functioning. The Family Cycle helps clinicians and families create a narrative about a child’s psychopathology that considers complex trauma and/or adverse childhood experiences. It reframes observable dysfunctional phenomena as behavioral sequelae of more deeply rooted emotional loss. After the theoretical underpinnings of the Family Cycle are laid out, we describe the implementation of the Family Cycle within the context of an intensive home-based, family-focused intervention created at the Yale Child Study Center, the Intensive In-Home Child and Adolescent Psychiatric Service (IICAPS). The Family Cycle provides a teachable clinical framework to facilitate the treatment of families with complex, multigenerational trauma.     

Repetition Priming Effects in Proficient Mandarin–Cantonese and Cantonese–Mandarin Bidialectals: An Event-Related Potential Study

The present study adopted a repetition priming paradigm to investigate the bidialectal (bilingual) representation of speakers with different native dialects by event-related potential (ERP) technique. Proficient Mandarin–Cantonese and Cantonese–Mandarin bidialectals participated in the study. They were required to judge whether a word was a biological word or not, when the words (target word) were represented under four types of repetition priming conditions: Mandarin (prime)–Mandarin (target), Mandarin (prime)–Cantonese (target), Cantonese (prime)–Cantonese (target) and Cantonese (prime)–Mandarin (target). Results of reaction time and accuracy primarily indicated larger repetition priming effects in Mandarin–Mandarin and Cantonese–Cantonese (within-language) conditions than that in Mandarin–Cantonese and Cantonese–Mandarin (between-language) conditions. But more importantly, P200 and N400 mean amplitudes revealed distinct repetition priming effects between two types of participants. Specifically, both P200 and N400 indicated that the repetition priming effect in Mandarin–Mandarin condition was larger than that in Cantonese–Cantonese condition for Mandarin–Cantonese participants, whereas it was opposite for Cantonese–Mandarin participants. In addition, P200 also suggested opposite patterns of repetition priming effects in between-language priming conditions for two groups of participants. The repetition priming effect in Mandarin–Cantonese condition was larger than that in Cantonese–Mandarin condition for Mandarin–Cantonese participants, while for Cantonese–Mandarin participants, it was opposite (Mandarin–Cantonese < Cantonese–Mandarin). The results implied a clear asymmetric representation of two dialects for proficient bidialectals. They were further discussed in light of native dialect and language use frequency.     

Leader–Follower Attachment: Implications for Personality Assessment in Organizational Contexts

As a life-span theory of personality that is supported by more than 40 years of empirical research, attachment theory and associated measures have contributed immensely to our understanding of emotion regulation, social dynamics, and behavior. Nevertheless, little attention has been given to how attachment dynamics influence relationships at work or the extent to which adult attachment patterns are mirrored in leaders' perceptions and behaviors toward their direct reports. Moreover, attachment measures that use romantic relationships as their referent might not be appropriate for use in organizational settings with executive clients. Thus, a measure that directly references direct reports and that could be put to use in organizational contexts is needed. The two studies reported here supported the two-factor orthogonal structure of such a measure and results from a sample of Fortune 500 executives reveal that leader attachment relates in theoretically consistent ways with general adult attachment, the Big Five, emotional intelligence, and critical thinking. Results are discussed in terms of integrating attachment measures into organizational personality assessment to inform work with organizational clients.