Psychiatric Symptom Impairment in Children with Autism Spectrum Disorders

The general aim of this study was to examine the relation of psychiatric symptom-induced impairment with other common parameters of mental health in children with autism spectrum disorder (ASD). Prevalence rates are used to illustrate the implications of different criteria for caseness. Parents/teachers completed DSM-IV-referenced rating scales for 6–12 year old children with ASD (N?=?115), the majority of whom were boys (86 %). Most children were rated by parents (81 %) or teachers (86 %) as being socially or academically impaired by symptoms of at least one psychiatric disorder. The most common impairing conditions (parent/teacher) were attention-deficit/hyperactivity disorder (67 %/71 %), oppositional defiant disorder (35 %/33 %), and anxiety disorder (47 %/34 %), and the combined rates based on either informant were generally much higher. Agreement between symptom cutoff and impairment cutoff was acceptable for most disorders. A larger percentage of youth were impaired by psychiatric symptoms than met symptom cutoff criteria, and the discrepancy between impairment cutoff and clinical cutoff (impairment cutoff plus symptom cutoff) was even greater. Impairment was moderately to highly correlated with both number and severity of symptoms. Parents’ and teachers’ ratings indicated little agreement as to whether a child was impaired. Findings for youth with ASD were similar to non ASD child psychiatry outpatient referrals, but clearly different in several ways from comparable studies of community-based samples.     

Heterosexuals’ Attitudes Toward Transgender People: Findings from a National Probability Sample of U.S. Adults

Using data from a national probability sample of heterosexual U.S. adults (N?=?2,281), the present study describes the distribution and correlates of men’s and women’s attitudes toward transgender people. Feeling thermometer ratings of transgender people were strongly correlated with attitudes toward gay men, lesbians, and bisexuals, but were significantly less favorable. Attitudes toward transgender people were more negative among heterosexual men than women. Negative attitudes were associated with endorsement of a binary conception of gender; higher levels of psychological authoritarianism, political conservatism, and anti-egalitarianism, and (for women) religiosity; and lack of personal contact with sexual minorities. In regression analysis, sexual prejudice accounted for much of the variance in transgender attitudes, but respondent gender, educational level, authoritarianism, anti-egalitarianism, and (for women) religiosity remained significant predictors with sexual prejudice statistically controlled. Implications and directions for future research on attitudes toward transgender people are discussed.     

Parenting Practices and Prospective Levels of Hyperactivity/Inattention Across Early- and Middle-Childhood

This study examined specific parenting practices as predictors of prospective levels of children’s hyperactivity/inattention across early- and middle-childhood. Participants were a mixed-sex community cohort (N?=?976; 52 % boys) aged 4–10 years (M?=?6.5, SD?=?1.3). Measures of parenting practices, hyperactivity/inattention, conduct problems, and maternal education were collected at baseline, and hyperactivity/inattention re-assessed at 12-month follow-up. Analyses examined predictors of 12-month hyperactivity/inattention while controlling for levels at baseline. High levels of parental involvement were associated with reduced levels of hyperactivity/inattention, but only across early childhood. Conversely, increases in child age were associated with increased levels of hyperactivity/inattention across middle-childhood, but only among children exposed to high levels of inconsistent discipline. Inconsistent discipline and parental involvement appear to be uniquely associated with prospective hyperactivity/inattention across childhood, independent of associated conduct problems. Our results further suggest some developmental specificity with regard to the effects of these distinct dimensions of parenting on hyperactivity/inattention at different points in childhood.     

A Compendium of Sales-Related Literature in Customer Relationship Management: Processes and Technologies with Managerial Implications

This paper presents the first comprehensive and systematic review of the sales-related customer relationship management (CRM) literature. Specifically, from a narrowed sample of 253 CRM-related articles, 38 were qualified as the juxtaposition of CRM strategies and technologies with sales relevance. Themes found within this literature include the evolving nature of channel functioning and interfirm relationships, the strategic organizational processes involving the sales function, the evolving nature of the sales role, and both salesperson and customer adoption of CRM technology. Contributions were derived from the extant literature for both theory and practice. The meager number of published works with direct relevance to sales management along with the practicality of the topic suggests that additional CRM research, both conceptual and empirical, would be beneficial.     

The Nature of the Automatization Deficit in Chinese Children with Dyslexia

Clarifying whether automatization deficits constitute the primary causes or symptoms of developmental dyslexia, we focused on three critical issues of the dyslexic automatization deficit, namely universality, domain specificity, and severity. Thirty Chinese dyslexic children (mean age 10 years and 5 months), 30 chronological-age-, and 30 reading-level-matched children were tested in 4 areas of automaticity: motor, visual search, Stroop facilitation effects, and automatic word recognition. The results showed that the dyslexic children performed significantly worse than the CA-controls but not the RL-controls in all the tasks except for Stroop congruent-color words, on which they performed worse than children in both control groups. The deficits reflect a lag in reading experiences rather than a persistent cognitive deficit.     

Cronbach's Alpha: Review of Limitations and Associated Recommendations

This paper discusses the limitations of Cronbach's alpha as a sole index of reliability, showing how Cronbach's alpha is analytically handicapped to capture important measurement errors and scale dimensionality, and how it is not invariant under variations of scale length, interitem correlation, and sample characteristics. In addition, the limitations and strengths of several recommendations on how to ameliorate these problems were critically reviewed. It was shown that the reliance on Cronbach's alpha as a sole index of reliability is no longer sufficiently warranted. This requires that other indices of internal consistency be reported along with alpha coefficient, and that when a scale is composed of large number of items, factor analysis should be performed, and appropriate internal consistency estimation method applied. This approach, if adopted, will largely minimize and guard against uncritical use of Cronbach's alpha coefficient.     

FINDING ROTHKOWITZ: THE JEWISH ROTHKO

While Mark Rothko's canvases are renowned for their rich, monumental expanses of colour, he has insisted that his paintings should be appreciated on more than an aesthetic level. “The people who weep before my pictures,” he commented in 1956, “are having the same religious experience I had when I painted them.” While various critics and scholars have recognized the importance of this remark, just what Rothko meant by “religious experience” has been highly contested. In this article I will argue that Rothko's Jewish identity—informed by his experiences in Russia and New York—influenced his understanding of “religious experience” in subtle but powerful ways. I will not attempt to spot a raft of Jewish symbols and references in Rothko's work, an endeavour that has yielded spurious results in previous studies. Instead, I will examine Rothko's sense of “religious experience” as an evolving concept in his thought and painting; a process which finds its culmination in the Rothko Chapel, a space informed but not defined by the artist's Jewishness.     

Confucianism, Democracy, and the Virtue of Deference

Some democratic theorists have argued that contemporary people should practice only a civility that recognizes others as equal persons, and eschew any form of deference to authority as a feudalistic cultural holdover that ought to be abandoned in the modern era. Against such views, this essay engages early Confucian views of ethics and society, including their analyses of different sorts of authority and status, in order to argue that, properly understood, deference is indeed a virtue of considerable importance for contemporary democratic societies and the citizens who constitute them.     

Predictors of Response and Mechanisms of Change in an Organizational Skills Intervention for Students with ADHD

The purpose of the study was to evaluate predictors of response and mechanisms of change for the Homework, Organization, and Planning Skills (HOPS) intervention for middle school students with Attention-Deficit/Hyperactivity Disorder (ADHD). Twenty-three middle school students with ADHD (grades 6–8) received the HOPS intervention implemented by school mental health providers and made significant improvements in parent-rated materials organization and planning skills, impairment due to organizational skills problems, and homework problems. Predictors of response examined included demographic and child characteristics, such as gender, ethnicity, intelligence, ADHD and ODD symptom severity, and ADHD medication use. Mechanisms of change examined included the therapeutic alliance and adoption of the organization and planning skills taught during the HOPS intervention. Participant implementation of the HOPS binder materials organization system and the therapeutic alliance as rated by the student significantly predicted post-intervention outcomes after controlling for pre-intervention severity. Adoption of the binder materials organization system predicted parent-rated improvements in organization, planning, and homework problems above and beyond the impact of the therapeutic alliance. These findings demonstrate the importance of teaching students with ADHD to use a structured binder organization system for organizing and filing homework and classwork materials and for transferring work to and from school.     

Does the Chinese construct of guan export to the West?

This study reverses the usual process of assessing universality by examining whether a construct originating in non‐western cultures has functional relevance in the West. The construct of guan or “training” was proposed by Chao (1994) as reflecting important Chinese parenting practices also shared by other Confucian cultures. She proposed that this construct is more relevant to the understanding of outcomes among Asian‐American youth than constructs that have been developed in the West, such as “authoritative” parenting. The association among the behaviours incorporated in this construct and other “universal” parenting styles such as parental warmth has not been previously reported. Nor has there been a previous report of the prevalence and perceived desirability of guan behaviours from Western individuals. Participants in the present study were US (N = 118), Hong Kong (N = 171) and Pakistani (N = 98) nursing students. In all three cultures, guan items had adequate internal consistency (Cronbach's alphas ranging from .69 to .76), associated positively with parental warmth (Pearsons' r ranging from .37 to .52), and were seen as attributes of ideal parents. Mothers in all three cultures were perceived as showing more guan than fathers show. The associations between parental guan and the outcomes of perceived health, relationship harmony and life satisfaction were significant for the Asian participants. Tests of guan's functional relevance in the West had equivocal results with weak associations to positive outcomes in the West compared to Asia. However, the differences between cultures did not reach statistical significance. When the cultures were merged, parental training perceptions predicted a significant proportion of the variance in outcomes. Mothers' guan predicted self‐esteem in their children, whereas fathers' guan predicted life satisfaction. Although guan may have emerged from a Chinese cultural context, it appears to function similarly in many cultural systems, and may represent the Asian face of authoritative parenting.