Nonshared environmental processes in social‐emotional development: an observational study of identical twin differences in the preschool period

Differences in mothers’ parenting behaviors toward their identical twin preschoolers were examined to identify nonshared environmental processes in social‐emotional development. The study included 62 pairs of 3½‐year‐old same‐sex identical twins. Indicators of each child’s social‐emotional development (temperament, prosocial behavior, behavior problems and noncompliance) and parenting environment (warmth and negativity, positive and negative control, responsiveness) were assessed using observers’, interviewers’, and parents’ ratings. Mothers treated their identical twins differently, and this differential treatment covaried in expected ways with identical twin differences in social‐emotional adjustment. The twin who received more supportive and less punitive forms of parenting was also higher in positive mood and prosocial behaviors and lower in negative mood and behavior problems when compared to her or his twin.     

Measuring Adherence to Medical Treatments in Childhood Chronic Illness: Considering Multiple Methods and Sources of Information

Adherence to medical treatment is a significant problem for children and adolescents with chronic conditions, such as asthma, diabetes, and cystic fibrosis. The consequences of nonadherence can be serious, contributing to increased symptoms, unnecessary hospitalizations, and declines in physical functioning. The quality of data obtained from clinical trials can also be affected by poor adherence, leading to erroneous conclusions concerning the efficacy of drug treatments and the dosages that are needed to achieve those effects. Adherence problems in both clinical research and practice also lead to substantially higher health care costs. In order to further our understanding of the barriers that lead to poor adherence and identify strategies that are effective in addressing them, we need to develop reliable and valid measures of adherence behaviors. Using cystic fibrosis as a model of a serious, chronic disease that requires a difficult and time-consuming medical regimen, three different types of adherence measures are considered: self-report questionnaires, daily diary reports, and electronic monitors. The specific advantages and disadvantages of each type of measurement are reviewed, and specific recommendations are made for future research.     

The case of Sophie

The analysis of a girl from ages 3 to 5 years old offers a clinical illustration of an alternative theory of change. In this theory the process of change is organized around nodal points of exchange between patient and analyst, designated as “now moments” and “moments of meeting.” In the case presented, these moments were preceded by an intensification of affect and were accompanied by a sense of openness and ambiguity. As often as not they were nonverbal and sometimes did not even involve symbolic representation. The process resulted in a progressively expanded repertoire of ways of being together and ways of doing things together. In a parallel and mutually influencing track, the child was telling me a story that gave meaning to her world, and increased the coherence of her sense of self. © 1998 Michigan Association for Infant Mental Health     

Neuroticism: how does one slice the PI(e)?

Costa and McCrae's operationalization of the Five-Factor Model, the Neuroticism, Extraversion, and Openness Personality Inventory—Revised (NEO-PI-R; Costa and McCrae, 1992a), measures five broad dimensions of personality: Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. According to Costa and McCrae, the Neuroticism (N) domain scale subsumes six facets. Although derived rationally and tested factor analytically, the factorial structure of the facet scales has yet to be unequivocally confirmed with analytic methods imposed at the item level. Using confirmatory and exploratory factor-analytic techniques, this study examines and tests the structure of the N domain scale of the NEO-PI-R. Confirmatory factor analysis indicates poor replication of the structure of the N scale. Results of the exploratory factor analysis indicate that while three of the facets replicated quite well, the other three factors did not correspond to Costa and McCrae's formulation. Future research should elaborate on the factorial structure and construct validity of the N facet scales, especially if they are to be used and interpreted in personality and clinical assessment. © 1997 by John Wiley & Sons, Ltd.     

Enabling Action: Reflections upon Inclusive Participatory Research on Health with Women with Disabilities in the Philippines

People with disabilities experience health disparities arising from social, environmental, and system-level factors. Evidence from a range of settings suggests women with disabilities have reduced access to health information and experience barriers to screening, prevention, and care services. This results in greater unmet health needs, particularly in relation to sexual and reproductive health. Women with disabilities are also more likely to experience physical and sexual violence than women without disabilities, further undermining their health. Community-based participatory research (CBPR) can generate knowledge and underpin action to address such health disparities and promote health equity. However, the potential and challenges of disability inclusion in CBPR, particularly in contexts of poverty and structural inequality such as those found in low- and middle-income countries, are not well documented. In this paper, we reflect on our experience of implementing and evaluating W-DARE, a three-year program of disability-inclusive CBPR aiming to increase access to sexual and reproductive health and violence-response services for women with disabilities in the Philippines. We discuss strategies for increasing disability inclusion in research and use a framework of reflexive solidarity to consider the uneven distribution of the benefits, costs, and responsibilities for action arising from the W-DARE program.     

Abstract Thinking Increases Support for Affirmative Action

Sex Roles - Affirmative action is the proactive process of using resources to ensure that people are not discriminated against based on their group membership, such as gender or ethnicity. It is an...