Creativity,Acceptance, and the Pause: A Case Example of Mindfulness and Art in Therapy with an Adolescent

ABSTRACT

Mindfulness, defined as nonjudgmental awareness, has been integrated into a variety of therapeutic approaches. The benefits of mindfulness for adults have been demonstrated, and mindful interventions for youth are increasing. Creating a space for mindfulness to arise can be challenging within the hectic and technology-filled lives adolescents often lead. Art in therapy with adolescents can be a beneficial way of creating a pause, thereby helping clients to connect to a mindful state. The use of art in therapy to promote mindfulness can be especially useful for adolescents who can be reluctant to engage in traditional forms of talk therapy. In this article, we use a case example of therapy with a Mexican-American male youth to exemplify the clinical application of a combination of mindfulness and various art modalities.     

Occupational Therapist,Biomedical Science Corps Officer and Former Firefighter

Abstract

What the literature reports that adolescents need within their parent-adolescent relationships, as well as what adolescents with serious emotional disturbances may experience within their parent-adolescent relationships are discussed. A framework for providing parent-adolescent group intervention for psychiatrically hospitalized adolescents and their parents to promote positive interaction and co-occupation are provided. Summaries of the parent-adolescent activity group experiences of three families are provided to illustrate how different adolescent psychiatric issues and family dynamics might be addressed in a parent adolescent activity group.     

Mental rotation in blind and sighted adolescents: The effects of haptic strategies

IntroductionWhen observing blind persons in a situation of mental rotation, it is more usual to emphasize their lack of visual experience than their expertise concerning tactile exploration. Nevertheless, it seems important to verify whether the procedures of tactile exploration developed by young blind persons enable them to recognize a shape whatever its orientation in space.ObjectiveThe objective of this study was to compare blind adolescents and sighted adolescents in a situation of mental rotation, with raised patterns.MethodIn this perspective, a group of blind adolescents and a group of sighted adolescents – matched for age and sex – have been observed during two task of mental rotation.ResultsThe results show that the blind adolescents are always faster, and they perform better when the rotation task concerns simple shapes. A fine analysis of the strategies of tactile exploration deployed by the subjects allows us to identify several procedures that are specific to the blind adolescents. These exploratory procedures allow them to compensate for the lack of visual experience, up to a certain level of complexity in the shapes.ConclusionThese results suggest that the recognition of 2D shapes after rotation in space is not necessarily problematic for the blind. These results are discussed in relation with recent work on the haptic competence of blind persons.     

Parataxic Distortions in the Initial Stages of Group Relationships

Abstract

This article highlights the significance food may have in group therapy with children and adolescents and its meanings for particular group members. It focuses on the interactions between the group members and leaders in response to food. Along with providing actual nutrition, food represents emotional and symbolic nurturing, and may trigger salient conflicts and issues with which group members are struggling. An essential role of the group leader is to manage conflicts that may be evoked by the provision of food. Examples are provided to illustrate themes and meanings related to food in group therapy with children and adolescents.     

The use of commitment techniques to support weight loss maintenance in obese adolescents

Objectives: Obesity is a rising problem in adolescents related to unhealthy behaviours. Commitment devises are one type of behavioural intervention that may help people change their behaviours. The current pilot trial tests whether commitment devices delivered via text message help adolescents maintain their recent weight loss.

Methods: During a 12-week pilot trial, adolescents who attended a weight loss camp were randomly assigned to either received text messages that contained only information, i.e. advice, about weight loss management (n = 13) or asked for them to commit to following the same advise (n = 14).

Results: The BMI of the adolescents in the commitment group did not change. In contrast, the BMI of adolescents in the information group increased. A linear regression revealed that group was a significant predictor of BMI change. A logistic regression revealed that adolescents in the information group were nearly eight times more likely to regain weight than those in the commitment group.

Conclusions: This is the first study with adolescents to show weight maintenance using a commitment device. The results suggest that commitment devices can help adolescents maintain their recent weight loss.     

Emotions,positive self-regulation and resilience. Development and validation of alternative theoretical models and its assessment instrument / Emociones,autorregulación positiva y resiliencia. Desarrollo y validación de modelos teóricos alternativos y su instrumento de evaluación

Abstract

The objective of this study was to examine the organization of emotion coping strategies that reflect positive emotional self-regulation through the contrast of four theoretical models, as well as the relationship between such strategies and resilience. With this aim, the Positive Emotional Self-regulation Questionnaire (PEMSR-Q) for adolescents was developed. A total of 336 secondary school students formed the sample. In order to analyse model fit, four confirmatory factor analyses were realized (a one-factor model/a-three factors model/a hierarchical model/a bifactor model), as well as correlation and regression analyses to determine its concurrent validity. Results have shown that the bi-factor model has the best fit. Besides, the combination of positive self-regulation strategies and problem-focused strategies is associated with better resilience. These results underlie the importance of helping adolescents to develop and use positive self-regulation strategies to increase their resilience.     

Evaluating the Coaching for Life Skills online training program: A randomised controlled trial

ObjectivesHigh school sport is considered a suitable context in which to develop life skills, yet most coaches are not equipped with the knowledge/tools needed to deliberately teach life skills. The purpose of the study was to evaluate the effectiveness of the Coaching for Life Skills online training program in helping coaches create environments conducive to the teaching of life skills.DesignRandomised controlled trial using a concurrent multiple baseline across groups design.MethodA total of 1,238 (58.8% male) Canadian high school coaches completed baseline testing examining coach-athlete relationship, coach interpersonal behaviours, and life skills teaching. Participants were then randomly assigned to an experimental, waitlist, or control group. A final sample of 285 (59.7% male) participants completed the trial (i.e., 36 experimental, 58 waitlist, and 191 control). Data were analysed using 3 x 3 repeated measures factorial analyses.ResultsAcross the three constructs assessed, there were no significant within-subject main effects for time, group, or for the interaction between time and group.ConclusionsAlthough the results were not statistically significant, visual analysis indicated positive directional changes for all three dependent variables, with increases in mean scores observed for both experimental and waitlist group participants following their completion of the Coaching for Life Skills online training program. Findings have implications for the design of online coach training programs aimed at helping coaches teach life skills through sport.     

Factors Determining National Stereotypes

Summary

In order to test various explanations of the fact that perceived competence appears to correlate positively with altruism, Ss were given false feedback as to their competence on a “visual creativity” test and then asked to help with a second task, writing creative color names. Three groups of Ss who were told they were competent were given reduced cost, increased happiness, and increased responsibility as reasons for helping; the other three groups were given no explanations, but were told that their competence was high, or low, or given no information. The three explanation groups helped more than the other three groups, and the reduced cost group helped more than the other five. The three dependent measures of helping (percentage of helpful Ss, duration of help, and magnitude of help) proved differentially sensitive to treatment and sex differences. Only the latter two measures showed greater helping in the reduced cost group; only the magnitude measure showed significantly greater helping for males than females.     

Development of Family Functions and Relationship in Families: A Mixed-Design Study

Abstract

This is a mixed-design study that examines the effects of a psychoeducation program on family functioning and the parent-adolescent relationship. The quantitative dimension of the study was quasi-experimental and included the pretest, post-test and follow-up model with control and experiment groups. The data were collected from both parents and adolescents. In the study, there were 32 adolescents in the experiment group (18 male, 14 female), while the control group consisted of 31 adolescents (15 male, 16 female). The results of the study show that the education program decreases the problem behaviors of adolescents while increasing family functions and promoting the adolescent-parent relationship     

Trajectories of sleep problems among adolescents after the Wenchuan earthquake: the role of posttraumatic stress disorder symptoms

Objective: We examined the trajectories of sleep problems in adolescents after the Wenchuan earthquake, and assessed predictors such as posttraumatic stress disorder symptoms. Methods: We surveyed adolescents at 1, 1.5, 2, and 2.5 years after the Wenchuan earthquake. In total, 391 adolescents completed self-report questionnaires. Results: We identified five latent sleep problem trajectories, specifically, U-shaped (3.8%), low-stable (68.0%), high-stable (10.8%), increasing (8.7%), and decreasing (8.7%) trajectories. Additionally, we found that posttraumatic stress disorder hyper-arousal symptoms were more frequent in individuals who had non-low-stable trajectories. Adolescents in the U-shaped group were less likely to have intrusive symptoms. Conclusion: After natural disasters, consequent sleep problems in adolescents do not remain stable over time, and sleep problem trajectories had considerable heterogeneity.     

Temporal organization of syllables in paced and unpaced speech in children and adolescents who stutter

PurposeSpeaking with an external rhythm has a tremendous fluency-enhancing effect in people who stutter. The aim of the present study is to examine whether syllabic timing related to articulatory timing (c-center) would differ between children and adolescents who stutter and a matched control group in an unpaced vs. a paced condition.MethodsWe recorded 48 German-speaking children and adolescents who stutter and a matched control group reading monosyllabic words with and without a metronome (unpaced and paced condition). Analyses were conducted on four minimal pairs that differed in onset complexity (simple vs. complex). The following acoustic correlates of a c-center effect were analyzed: vowel and consonant compression, acoustic intervals (time from c-center, left-edge, and right-edge to an anchor-point), and relative standard deviations of these intervals.ResultsBoth groups show acoustic correlates of a c-center effect (consonant compression, vowel compression, c-center organization, and more stable c-center intervals), independently of condition. However, the group who stutters had a more pronounced consonant compression effect. The metronome did not significantly affect syllabic organization but interval stability improved in the paced condition in both groups.ConclusionChildren and adolescents who stutter and matched controls have a similar syllable organization, related to articulatory timing, regardless of paced or unpaced speech. However, consonant onset timing differs between the group who stutters and the control group; this is a promising basis for conducting an articulatory study in which articulatory (gestural) timing can be examined in more detail.     

Religiousness,collectivism, and helping behavior: The invigorating role of abusive supervision

IntroductionVoluntary helping behaviors are important for spurring organizational effectiveness.ObjectivesThis study investigates how employees’ religiousness and collectivism might enhance their propensity to help their peers on a voluntary basis, as well as how this relationship might be invigorated by the presence of abusive supervision.MethodsSurvey data were collected from employees and their supervisors in Pakistan-based organizations. The hypotheses were tested with hierarchical regression analysis.ResultsReligiousness relates positively to helping behavior, and this relationship is stronger when employees experience abusive supervision, possibly because their religiousness motivates them to protect their colleagues against the hardships created by such a resource-draining leadership style. Although collectivism does not have a direct significant relationship with helping behavior overall, abusive supervision invigorates this relationship.ConclusionFor organizations seeking to increase voluntary work behaviors, the results show that religiousness and collectivism are two personal resources that can enhance an organizational culture that promotes collegiality and mutual support, particularly when employees believe that their supervisors are hostile to followers and abuse their leadership positions.     

The relationships between family functioning and attachment orientations to post-traumatic stress symptoms among young adults who were evacuated from Gaza Strip settlements as adolescents

Background and Objectives: This study examined post-traumatic stress disorder (PTSD) symptoms among young adults that were evicted from their residences in Gaza settlements (“Gush Katif”) as adolescents and actively participated in the resistance events. Furthermore, we examined the moderating role of exposure to forced relocation on the association between attachment orientations and family functioning and PTSD symptoms. Design: We conducted a correlative, cross-sectional study in 2013. Methods: Participants were Israeli evicted residents (ER group; N = 102), comparison groups of evicted nonresidents (ENR group; N = 27), and nonevicted nonresidents (NENR group; N = 53). All participants completed a battery of self-reported questionnaires. Results: The ER group reported a higher number of PTSD symptoms as compared to the comparison groups. However, ER participants did not differ from ENR and NENR participants in their perception of family functioning. Importantly, the group (ER vs. NENR) moderated the association between attachment-anxiety and PTSD symptoms and between family adaptability and PTSD symptoms. Conclusions: Nine years after the forced relocation from Gaza settlements, young adults that were evicted from their residences as adolescents suffer from PTSD symptoms that are more related to the relocation itself than the stress entailed in the resistance events.     

"A war that had come right to them": group work with traumatized adolescents following September 11

This paper describes therapeutic foci for group intervention with traumatized adolescents. These include targeting the symptoms of trauma, helping members to weave a coherent, temporally ordered narrative of the event, providing psycho-education, and addressing bereavement issues and secondary adversities, all ultimately aimed at helping the adolescents proceed with development. The particular benefits of group are highlighted and clinical vignettes, drawn from the aftermath of September 11, are presented to illustrate these concepts.     

A cluster randomised controlled trial of an intervention based on the Health Action Process Approach for increasing fruit and vegetable consumption in Iranian adolescents

Objective: To evaluate an intervention programme based on the Health Action Process Approach and designed to increase the intake of fruit and vegetables (F&V) among Iranian adolescents aged 13 to 18.

Design: A randomised controlled trial with three arms examined the short- (1 month) and long-term (6 months) effects of the intervention. There were two intervention groups (one included adolescents only [A group; n = 510]; the second included mothers and adolescents [M + A group; n = 462]) and a control group (n = 483). All participants were recruited from schools.

Main outcome measures: Social cognitions, self-regulatory processes and F&V intake.

Results: The intervention led to an increase in F&V intake for adolescents in the short and long terms. Adolescents in the M + A group increased their F& V intake more than adolescents in the A group. Outcome expectancies, self-monitoring, intentions, action and coping planning, perceived social support and behavioural automaticity mediated the effect of the intervention on F&V intake.

Conclusion: The theory-based intervention led to an increase in F&V intake and promoted more positive social cognitions and self-regulatory processes among Iranian adolescents. The findings also provide evidence that involving mothers in an intervention can confer additional benefit.     

Bullies,blades, and barricades: Practical considerations for working with adolescents expressing concerns regarding gender and identity

ABSTRACT

Background: Adolescents, by their very nature and need for maturity, struggle with issues of the self and identity, while challenging the very systems that are there to support them. However, gender diverse adolescents may become detached and overwhelmed as a trans identity solidifies during this time. Bullies, blades and barricades describes the challenges, hardship and dispossession that some gender diverse adolescents face from interpersonal and intrapersonal conflicts, societal pressure and hostility.

Method: This paper utilizes the current research on safety and risks affecting trans youth, the authors clinical experience of trans and gender diverse adolescents, and recommendations in the literature for professional care and support of gender diverse adolescents to identify the various ways gender diverse adolescents are negatively affected by their experiences.

Results: Bullying is not limited to school or peer environments and may be present in adolescents' homes, in local communities, in professional services or from sources of information such as the media. The physical dangers gender diverse adolescents face may arise from victimization, violence or rejection, or self-harming behaviors due to negative beliefs, fear or frustration. Barriers preventing disclosure and expression of gender and/or identity may stem from negative experiences, rejection, pubertal changes, imposed limitations, dependence upon school, home or legal environments, or other spheres of influence.

Discussion: Affirmative approaches, individual focus, recognition of family dynamics, inclusion of significant others, advocacy in school and local community environments as well as professional training are the most commonly recommended interventions. This paper provides an inclusive review of the myriad of challenges confronting gender diverse adolescents including often unrecognized forms of pressure, oppression and restrictions. This paper aims to support clinicians by contextualizing the adversity that gender diverse adolescents face and offers strategies for engagement and intervention.     

Specificity of peer difficulties to social anxiety in early adolescence: categorical and dimensional analyses with clinical and community samples

Background and Objectives: We investigated the specificity of social difficulties to social anxiety by testing associations of social anxiety and other anxiety presentations with peer acceptance and victimization in community and treatment-seeking samples of adolescents aged 12–14 years.

Design: Cross-sectional, quantitative survey.

Methods: Adolescents from the community (n?=?116) and a clinical setting (n?=?154) completed ratings of anxiety symptoms, perceived social acceptance, and peer victimization. Their parents also completed ratings of the adolescents’ anxiety and social acceptance.

Results: Social acceptance was lowest among adolescents with social anxiety disorder (SAD) and lower among adolescents with other anxiety disorders than in the community sample. Anxiety symptoms were negatively correlated with social acceptance, but these associations were not unique to social anxiety symptoms. Girls in the community sample reported more overt victimization than girls with SAD and with other anxiety diagnoses. Relational victimization was associated with social and nonsocial anxiety symptoms only in the community sample.

Conclusions: Our findings supplement recent laboratory-based observational studies on social functioning among adolescents with SAD and other anxiety disorders. Although social anxiety may be associated with unique social skill deficits and impairment, concerns about peer relations should also be considered among adolescents with other anxiety symptoms.     

An Examination of Gendered Violence and School Push-Out Directed Against Urban Black Girls/Adolescents: Illustrative Data,Cases and a Call to Action

ABSTRACT

This article focuses on Black girls/adolescents, a frequently neglected group, given a dominant focus on Black males and their risk status within the school-to-prison pipeline. This article provides a framework for the analysis of the gendered violence to which Black girls/adolescents are subjected while urging a shift in focus from individual-level behavior to a focus on social contextual, structural, and social determinant factors; this means a shift from focusing on proximal factors to distal or upstream factors operating as underlying mechanisms. Both illustrative data and cases are presented and analyzed to highlight how racial disparities in suspension, expulsion, and discipline—which disproportionately negatively impact Black girls/adolescents compared to White girls/adolescents—necessitate a major call to action to close these disturbing gaps.     

Experiential avoidance in adolescents with borderline personality disorder: comparison with a non-BPD psychiatric group and healthy controls

ABSTRACT

Previous research has identified experiential avoidance (EA) as related to a host of adolescent internalizing and externalizing problems, as well as borderline personality disorder, suggesting that it is a crosscutting factor for adolescent psychopathology. It remains unclear whether EA differs among adolescents with BPD compared to adolescents with other psychiatric disorders and healthy adolescents. The aims of this study were to 1) examine EA in adolescents with BPD compared to non-BPD inpatient adolescents and healthy adolescents, and 2) to evaluate whether EA has a unique relationship to borderline pathology over and above internalizing and externalizing. Self-report measures of BPD features, EA, and psychopathology were completed by 692 adolescents (64.5% female, M_age= 15.20). This sample included a group of psychiatric inpatient youth (n = 197 BPD; n = 403 non-BPD) and a group of healthy adolescents (n = 92). Results revealed that EA differed significantly across all three groups, with the highest level of EA evidenced in adolescents who had BPD. Furthermore, there was a significant, unique association between BPD symptoms and EA over afnd above internalizing and externalizing pathology. These findings pinpoint EA as an important risk marker and possible target of prevention or intervention for adolescent BPD.     

Validation d’une mesure de climat de groupe chez des adolescentes en centre de réadaptation : le vécu éducatif partagé au travers de trois dimensions essentielles

Introduction and objectiveThe present study examines the construct validity and reliability of a group climate measure (QCGCR), associated to real life intervention, in a sample of 153 girls (M age = 15.2 years) placed in Canadian residential care centers.MethodConfirmatory factor analysis have been performed on three distinctive factors of group climate measure: “peer relation”, “relation with educators” and “educative practices”.ResultsThe results show an adequate fit to the data, indicating construct validity of this measure of group climate. Cronbach's alpha reliability coefficients are also good for all the 12 associated scales.ConclusionsThis measure of group climate reflects the life in units of residential care centers, through these three distinctive factors, and fits to re educative context links to adolescents in social re adaptation.