The benefits of anticipatory grief for the parents of dying children

Abstract

The authors develop a strategy for intervening into rigidly homeostatic systems. Central to the task is the identification of system rules, which often reveal themselves around “nodal themes.” The authors describe four types of nodal themes and offer clues to identifying them within families. Finally, they suggest ways of using system rules and nodal themes in the development of paradoxical interventions.     

Walking versus biofeedback: a comparison of acute interventions for stressed students

Background: High rates of stress-related problems in college students and low utilization of treatment options demonstrate the need for effective stress-reducing interventions that can be self-regulated. This study compared the effect of brief paced-breathing with biofeedback and exercise interventions on heart rate variability, state anxiety and affect. Methods: Students (n?=?32) with high levels of perceived stress completed three 10-min interventions on separate days: paced-breathing with biofeedback (Biofeedback), a self-paced walk (Exercise), and an attention control condition of quiet studying (Quiet Study). Anxiety and affect were measured before (Pre), immediately after (Post0) and 15 mins after (Post15) the intervention. Heart rate variability was measured pre- and post-intervention using electrocardiogram. Results: Biofeedback reduced anxiety more than the exercise condition (Pre to Post0: Biofeedback d?=??0.48, Exercise d?=??0.13). Secondly, Exercise temporarily increased energy (Pre to Post0: d?=?0.67), whereas Biofeedback temporarily increased calmness (Pre to Post0: d?=?0.51). All conditions significantly increased total heart rate variability (p?Conclusions: Biofeedback and Exercise interventions improved emotional states in high-stress college students, but the type of change observed (i.e. energizing, calming or anxiety reducing) depended upon the condition.     

A comparison between American and Chinese college students on suicide-related behavior parameters

Background/ObjectiveThe United States (US) and China are the two largest economies, but recent and directly comparable studies on suicide-related behaviors in the two countries are lacking. By using the Suicidal Behaviors Questionnaire-Revised (SBQ-R), item-level comparison was performed in assessing self-reported suicide-related behaviors between the US and Chinese undergraduates.MethodThis study involved a total of 3,185 college students aged between 18 to 24 years (1,185 US college students, and 2,000 Chinese students who were randomly selected from a large sample of 11,806 Chinese college students). Participants filled out the 4-item SBQ-R.ResultsParticipants’ responses were compared by country and sex. There was a higher overall risk of suicide-related behaviors among US students (24.3%) compared to Chinese students (17.0%). US students also reported higher lifetime attempt, past-year ideation, and lifetime threat. US female college students reported the highest suicide-related behaviors compared to other sub-groups.ConclusionsThere is a need to tailor specific interventions to alleviate college students’ suicide-related behaviors in the US and China, with a particular focus on US females.     

A Preliminary Investigation of the Effects of Reading Fluency Interventions on Comprehension

Abstract

Brief experimental analyses were conducted using two dependent variables to evaluate the effectiveness of reading interventions. Specifically reading rate (words read correctly per minute) and mean reading comprehension levels for six students with reading difficulties were obtained using six different reading intervention/intervention combinations. These interventions included contingent reinforcement, listening passage preview, repeated reading, listening passage preview with contingent reinforcement, repeated reading with contingent reinforcement, and repeated reading with listening passage preview. Results suggested that no one intervention was best for all students. In addition, it was found that interventions that increased reading rate for half of the students also increased reading comprehension for the same students. Discussion focuses on student-treatment interactions, measuring student reading performance, matching treatments to students, and directions for future research.     

Attributional retraining and achievement goals: An exploratory study on theoretical and empirical relationship

IntroductionAchievement goals and attribution theory are theoretically and empirically linked, but existing literature lacks to explore the link between achievement goals and attributional retraining (AR), a motivational intervention based on the causal attribution theory.Objective(s)The aims of this field study were to determine the effectiveness of an AR treatment aimed to restructure college students’ dysfunctional causal explanations of poor performance and to explore whether achievement goals are predictive of the use of adaptive causal attributions.MethodsStudents’ achievement goals orientation and causal attributions were assessed and AR treatment was provided to a sample of second-year college students with maladaptive attributional schemas.ResultsFindings confirmed the effectiveness of AR treatment in restructuring self-defeating stable attributional explanations and suggested that achievement goals are implicated in the adoption of adaptive causal dimensions.ConclusionThe importance of integrating the two discussed theoretical models in order to provide efficacious AR interventions with students at risk is discussed.     

Systematic review of the effectiveness of interpersonal coach education interventions on athlete outcomes

ObjectivesTo systematically review and evaluate the literature on the effectiveness of coach education interventions. Specifically, we aimed to: (a) describe the non-formal coach education interventions aimed at coaches' interpersonal knowledge base, (b) highlight underpinning theoretical models, (c) assess the methodological quality of articles evaluating these interventions, (d) identify participant characteristics, and (e) establish the effect of these interventions on athletes' cognitive, affective, and behavioural outcomes.DesignSystematic review of published empirical research.MethodPublished English language articles were identified using electronic databases and manual searches of reference lists. The quality of the identified articles was assessed using the Effective Public Health Practice Project (EPHPP) tool.ResultsFour interventions fulfilled the inclusion criteria and were thus systematically reviewed. Overall, education interventions based on coach effectiveness training and achievement goal theory produced mixed effects on a variety of athlete outcomes, such as anxiety, self-esteem, fear of failure, and motivational orientation.ConclusionsDue to the diversity in athlete outcomes and intervention design, it is difficult to draw firm conclusions around the effectiveness of coach education interventions. The small number of identified interventions highlights the current paucity of empirical data on coach education intervention effectiveness. More research is needed to further our understanding of intervention effectiveness to allow for growth and improvement in coach education. Furthermore, theory-based, rather than “theory inspired” coach education interventions are required.     

Effects of an early reading intervention based on grapho-syllabic decoding and fluency training in French elementary schools

IntroductionStudies conducted in recent decades have led to the development of instructional interventions to help prevent or eliminate a large proportion of reading difficulties. However, few experiments have been conducted in French schools.ObjectiveAims for this research were to create, implement and evaluate a remediation program for French students with reading difficulties up to the end of elementary school.MethodThis paper examines the effects of a decoding-skills and fluency-based intervention on 133 struggling readers in second- to fifth-grade. Depending on the nature of their reading difficulties, students were given a year-long training based either on grapho-syllabic conversion — focusing on syllable units, rather than phonemic units, is considered a promising way of helping French-speaking beginning readers — or on repeated reading techniques, used to improve fluency.ResultsIncreases in written-word identification scores were greater for students who followed the program than they were for a control group of 184 students with reading difficulties who did not follow the program.ConclusionThe results show that programs combining early evaluation of written-word identification abilities followed by a year-long series of remediation sessions focusing on specific difficulties can help students progress in written-word identification. However, further research is needed to examine why our program was less effective with children from disadvantaged (“éducation prioritaire”) areas.     

Beyond Hopelessness

Abstract

The researchers conducted a needs assessment survey of practicing school-based occupational therapists to determine the incidence of grief within existing caseloads, current awareness of the issue, related concerns, and willingness or resistance to address grief in the intervention environment. The survey was administered to a representative sample of 150 school-based therapists throughout the state of Ohio. Fifty-six therapists responded with usable data.

The results suggest that the students who are currently on occupational therapy (OT) caseloads face a large number of grief issues. Although a majority of therapists reported addressing grief issues, only a small percentage typically do so for a variety of reasons. The school therapists offered a number of explanations for the limited follow-through on this issue. These findings support the profession's recent efforts to further establish occupational therapy as a well-recognized and respected provider of interventions to address the mental health and psychosocial needs of children in school settings.     

What matters when children play: Influence of Social Cognitive Theory and perceived environment on levels of physical activity among elementary-aged youth

ObjectivesSocial Cognitive Theory (SCT) has often been used as a guide to predict and modify physical activity (PA) behavior. We assessed the ability of commonly investigated SCT variables and perceived school environment variables to predict PA among elementary students. We also examined differences in influences between Hispanic and non-Hispanic students.DesignThis analysis used baseline data collected from eight schools who participated in a four-year study of a combined school-day curriculum and environmental intervention.MethodsData were collected from 393 students. A 3-step linear regression was used to measure associations between PA level, SCT variables (self-efficacy, social support, enjoyment), and perceived environment variables (schoolyard structures, condition, equipment/supervision). Logistic regression assessed associations between variables and whether students met PA recommendations.ResultsSchool and sex explained 6% of the moderate-to-vigorous PA models' variation. SCT variables explained an additional 15% of the models' variation, with much of the model's predictive ability coming from self-efficacy and social support. Sex was more strongly associated with PA level among Hispanic students, while self-efficacy was more strongly associated among non-Hispanic students. Perceived environment variables contributed little to the models.ConclusionsOur findings add to the literature on the influences of PA among elementary-aged students. The differences seen in the influence of sex and self-efficacy among non-Hispanic and Hispanic students suggests these are areas where PA interventions could be tailored to improve efficacy. Additional research is needed to understand if different measures of perceived environment or perceptions at different ages may better predict PA.     

Enrichment and written messages with couples

Abstract

The field of paradoxical therapy has mushroomed in a variety of conceptual and methodological ways. One of the latest methods is the use of paradoxically worded letters that will be given to couples and families, usually at the outset of therapy. To check on the validity of this approach, 56 couples were evaluated before and after a course of six sessions of marital enrichment. One group received no enrichment. A second group received enrichment. A third group received linearly worded messages at the end of the fourth session of enrichment, while a fourth group received paradoxically worded messages. The effect of these messages on the outcome is analyzed and discussed.     

Intervention-enabled autonomy-supportive teaching improves the PE classroom climate to reduce antisocial behavior

BackgroundAutonomy-supportive teaching interventions enhance PE student outcomes. According to previous research, these benefits occur because autonomy-supportive teaching enhances students’ psychological needs, though they may also occur because such teaching enhances the classroom climate. The student benefit of interest was reduced classroom-wide antisocial behavior.ObjectivesWe predicted that teacher participation in the intervention would enhance both classroom climate and psychological needs assessed at the classroom level. We further predicted that improvements in the classroom climate would better explain decreased antisocial behavior.MethodUsing a cluster randomized control trial design with longitudinally-assessed dependent measures, we randomly assigned 49 physical education secondary-grade Korean teachers to participate (or not) in an autonomy-supportive teaching intervention (25 experimental, 24 control). The 1487 students in these 49 classrooms reported their individually-experienced need satisfaction and frustration and their classroom-level supportive climate, conflictual climate, and antisocial behavior across three waves.ResultsA series of doubly latent multilevel structural equation modeling analyses showed that, at the classroom level, (1) intervention-enabled autonomy-supportive teaching improved both students’ psychological needs (more satisfaction, β = 0.84; less frustration, β = −0.66) and the prevailing classroom climate (more supportive, β = 0.77; less conflictual, β = −0.68) and (2) the improved climate best explained why antisocial behavior declined (overall R² = 0.86).ConclusionThese findings show the importance of incorporating classroom climate effects to understand why autonomy-supportive teaching interventions improve student outcomes.     

Internalization as the Change Process

Abstract

The process of change can be understood from a variety of perspectives. Using the case of a self-mutilating woman whose educational, social, and psychological impairments resulted from years of childhood abuse and neglect, this article demonstrates an object relational perspective whereby internalized “bad” self and object representations are modified and replaced by more benign internalizations. Additionally, a wide variety of techniques are suggested and illustrated, including those that represent our strong social work training coupled with interventions that are more usually associated with psychodynamic psychotherapy.     

An Experimental Approach toward the Prevention of Behavior Disorders in a Group of Nursery School Children

Abstract

This paper provides a guide for supervisors in inpatient and partial hospital settings who train beginning group therapists in a variety of group modalities. It addresses basic issues facing the neophyte therapist, including structural aspects of the group, problematic member behaviors, and useful interventions that maximize member engagement and increase overall therapeutic effectiveness.     

A Paradoxical Theology of Biology

Abstract

This article examines a sermon in which Desmond Tutu advocates for gay rights in light of his activism against apartheid in South Africa. In doing so it uncovers a paradoxical theology of biology that enables him to advocate universal notions of justice simultaneously with love for particular persons and bodies. This advocacy, however, is susceptible to the critiques of queer theorists and theologians who worry that liberationist frameworks unwittingly reinscribe injustices against a variety of queer persons. The article concludes by raising new questions to be asked about Desmond Tutu’s theology, and liberation theologies in general, about the potential of liberationist and prophetic frameworks for achieving social justice. It also raises questions for queer theology about the possibility and political efficacy of queering the act of preaching.     

Paradoxical effects of praise and criticism: Social,dimensional and temporal comparisons

Background. When developing a domain‐specific academic self‐concept, students are not restricted to social comparisons; they may also make temporal or dimensional comparisons. Aims. The main purpose of this study was to examine whether these different types of comparison trigger paradoxical effects of praise and criticism in the sense described by Meyer (1992) . University students participated in Study 1 (N=120) and Study 4 (N=83). The Study 2 sample consisted of 180 seventh to ninth grade students, and Study 3 investigated paradoxical effects with a sample of 130 elementary school students. Methods. Participants were presented with vignettes describing the results of 2 students (social comparison condition) versus 1 student in 2 subjects (dimensional comparison) versus 1 student in 2 subsequent tests (temporal comparison). In all cases, the results were identical. Participants were then informed about a teacher's response to these results (praise vs. criticism vs. neutral response), and were asked to estimate the ability of the 2 stimulus persons. Results. Study 1 and Study 2 revealed that dimensional, as well as social, comparisons following praise and criticism elicit paradoxical effects of perceived ability, reflected in corresponding estimations of student effort and teacher expectancies. There were no paradoxical effects following temporal comparisons. Study 3 did not reveal any paradoxical effects, thereby supporting the assumption that the occurrence of such effects depends on the level of cognitive development. Study 4 showed that the paradoxical effects found in Study 1 and 2 occur even when the sanctioned and the neutral achievement are presented independently. Conclusions. Dimensional comparisons, which have been largely overlooked in the past, play a major role in ability inferences.     

Vulnerabilities of Academically Gifted Students

Abstract

It is often assumed that gifted students enjoy relatively good social and emotional adjustment, vibrant mental health, and overall well being. Unfortunately, this is not always the case, and a significant number of gifted students experience painful, troubling and often debilitating psychological problems. Gifted children and youth possess a set of personality characteristics that make them uniquely vulnerable. School personnel and parents need to be cognizant of these risk factors so that they can provide coordinated and comprehensive educational and social opportunities to foster resilience and, when needed, provide preventive and therapeutic mental health interventions for those gifted students with actual psychological problems.     

In Search of the Virgin and Child in Egypt: Coptic Art in Specialized Encyclopedias

Abstract

This article examines a variety of specialized encyclopedias from several disciplines that can be used to introduce students to the topic of Coptic art. The reference works included here can be found in a variety of academic libraries, from Carnegie research institutions to learning resource centers in community libraries, and will help students develop the foundational knowledge necessary to approach more specific topics within Coptic art. Although students may be comfortable, with varying degrees of effectiveness, searching the online catalog or navigating library databases to find books and journal articles, they are, for the most part, unaware of the wealth of useful information found on the metaphorical reference shelves. It is here that librarians can serve a valuable role identifying specific reference titles that introduce students to scholarly texts on a myriad of topics.     

Effects of school-based interventions on motivation towards physical activity in children and adolescents: A systematic review and meta-analysis

IntroductionAssuming that motivation is the key to initiate and sustain beneficial health behaviors, the aim of this systematic review was to analyze the effects of school-based physical activity interventions on a variety of motivational outcomes towards PA in school-aged children and adolescents.MethodsA comprehensive literature search was carried out in six electronic databases to identify randomized controlled trials and quasi-experimental trials examining the effects of PA interventions implemented during the regular school day, e.g., during physical education lessons or lunch breaks. Primary outcomes of interest were students' motivation, basic psychological needs, goal orientation, enjoyment, and motivational teaching climate in physical education. Meta-analyses were conducted for these outcomes using Comprehensive Meta-analysis software. Secondarily, intervention effects on students' PA behaviors were examined and the findings summarized narratively. Methodological quality of studies was evaluated using the Cochrane Collaboration's tool for assessing risk of bias for randomized trials; certainty of evidence on outcome level was evaluated using the GRADE approach.ResultsIn total, 57 studies carried out between 2001 and 2018 were included in this review. Sixteen individual meta-analyses were performed and revealed significant pooled effects for the outcomes enjoyment (g = 0.310), perceived autonomy (g = 0.152), identified regulation (g = 0.378), intrinsic motivation (g = 0.419), self-determination index (g = 0.672), task/mastery climate (g = 0.254), ego/performance climate (g = −0.438), autonomy supportive climate (g = 0.262), task goal orientation (g = 1.370), ego goal orientation (g = −0.188). The narrative data synthesis indicated an increase in students' PA behavior. The overall risk of bias was high across all studies and certainty of evidence of meta-analyzed outcomes ranged from very low to moderate. Moderate certainty of evidence was found for ego/performance climate and ego goal orientation. Conclusions: Meta-analyses suggest that school-based PA interventions may be effective in increasing a variety of motivational outcomes. However, the certainty of evidence was limited in the majority of outcomes. Further research is needed to identify effective intervention strategies that increase students’ motivation towards PA.     

Health messages to promote fruit and vegetable consumption at different stages: A match-mismatch design

Objective: To examine the effectiveness of matching health messages promoting fruit and vegetable intake to the Health Action Process Approach stages of change.

Design: In a randomised controlled trial, 205 undergraduate students (non-intenders n = 123; intenders n = 82) were exposed to one of three health messages, targeted at non-intenders, intenders and controls.

Main outcome measures: Three longitudinal assessments of stage, fruit and vegetable intake, and social-cognitive determinants were obtained.

Results: Stage-specific effects of the interventions were confirmed. For self-efficacy, a stage by health message crossover interaction emerged, with both non-intenders and intenders in the matched conditions scoring higher in self-efficacy. Furthermore, in line with predictions, non-intenders in the matched condition showed higher risk perception, outcome expectancies, intention, and stage progression immediately after message exposure, and lower levels of action planning and coping planning a week later in the mismatched condition, but for these outcomes no differences across conditions were obtained among intenders. Multiple mediation analyses confirmed the facilitating role of self-efficacy and behavioural intention among non-intenders.

Conclusions: Stages should be considered when designing health messages, although more interactive interventions for intenders and extended measurement time frames may be required.