From parent education to collective action: ‘Childrearing with love’ in post‐war Guatemala

The paper discusses the implementation and effect of group‐based parenting workshops oriented by the principles of liberation psychology in a low‐income, hispanicized community in Guatemala City. The objective of this initiative was not only to improve outcomes in the parent–child relationship, but to galvanize the formation of community‐based support groups that could have multiple ends. The theoretical foundations of the project are introduced, before illustrating their practical application. Sixteen months post‐intervention, largely positive effects were being sustained in parent child relations. The project was also successful in generating social action through the formation of grass‐roots women's organizations. Copyright © 2008 John Wiley & Sons, Ltd.     

Confidence in Dyadic Decision Making: The Role of Individual Differences

Groups typically express more confidence than individuals, yet how individual‐level confidence combines during collaborative decision tasks is not well understood. We prescreened 686 community members using a novel confidence measure (a true/false trivia test) intentionally designed to be difficult (accuracy rates were not significantly better than chance) and randomly assigned 72 individuals to collaborate on a matched version of the same test in dyads composed of two low‐confidence individuals, two high‐confidence individuals, or one of each (“mixed”). Consistent with past research, we found that the confidence expressed by dyads was higher than the confidence expressed by individuals; importantly, however, this pattern varied markedly by dyad type, with low‐confidence dyads showing the largest increase, mixed dyads showing a moderate increase, and high‐confidence dyads showing no increase—despite the fact that all dyads showed similarly low accuracy (about 55%). These results highlight the conditions under which groups express greater confidence than individuals and offer insights for the composition of collaborative decision‐making teams. Copyright © 2015 John Wiley & Sons, Ltd.     

The role of neuropsychology in UK pediatric HIV care: Relevance to clinical practice and research

There has been a dramatic improvement in the survival of children with perinatally-acquired HIV (PHIV) following the introduction of effective treatment in 1990s. The care for children living with PHIV is now focused on more accurately understanding the effects of both HIV and HIV treatment on the developing body and brain. An evaluation of current HIV neuroimaging, and neurocognitive research, when combined with clinical experience in the area of HIV, could help to inform United Kingdom (UK) PHIV service provision. This paper argues that an understanding from a neuropsychological perspective will help these young people to optimize their health, quality of life, and future functioning. The aim of the paper is to bring together research and clinical understanding of HIV and its treatment effects on the developing brain, together with an understanding of other potential neurological risk factors. It is argued here that there is a need for targeted neuropsychology assessment and preventative interventions, supported by clinical and preliminary research on the neurocognitive effects of HIV and its treatments.     

Changes in Late Adolescents and Young Adults’ Attachment,Separation, and Mental Health During Wilderness Therapy

The study explored changes in young adults’ mental health, attachment, and separation from parents during a seven-week wilderness therapy program. Utilizing a longitudinal one-group design, the study examined outcomes of 157 young adults in one wilderness therapy program. From pre to post treatment, participants reported significant improvement in mental health symptoms and interpersonal relationships, as well as increases in the belief that others can be depended upon. Participants reported less resentment and anger towards mothers from pre to post treatment, but an increase in their needs for approval from fathers. The study details a link between young adults’ attachment, independence from parents, and improvement in mental health, suggesting that treatment which targets these links may provide more effective intervention.     

Negative beliefs about low back pain are associated with persistent high intensity low back pain

While previous cross-sectional studies have found that negative beliefs about low back pain are associated with pain intensity, the relationship between back beliefs and persistent low back pain is not well understood. This cohort study aimed to examine the role of back beliefs in persistent low back pain in community-based individuals. A hundred and ninety-two participants from a previous musculoskeletal health study were invited to take part in a two-year follow-up study. Beliefs about back pain were assessed by the Back Beliefs Questionnaire (BBQ) at baseline and low back pain intensity was measured by the Chronic Pain Grade Questionnaire at baseline and follow-up. Of the 150 respondents (78.1%), 16 (10.7%) reported persistent high intensity low back pain, 12 (8.0%) developed high intensity low back pain, in 16 (10.7%) their high intensity low back pain resolved and 106 (70.7%) experienced no high intensity low back pain. While participants were generally positive about low back pain (BBQ mean (SD) = 30.2 (6.4)), those with persistent high intensity pain reported greater negativity (BBQ mean (SD) = 22.6 (4.9)). Negative beliefs about back pain were associated with persistent high intensity low back pain after adjusting for confounders (M (SE) = 23.5 (1.6) vs. >30.1 (1.7), p < .001). This study found negative back beliefs were associated with persistent high intensity low back pain over 2 years in community-based individuals. While further longitudinal studies are required, these findings suggest that targeting beliefs in programs designed to treat and prevent persistent high intensity low back pain may be important.     

Machiavellian emotion regulation in a cognitive reappraisal task: An fMRI study

Affective coldness is one of the main features of Machiavellianism. Recent studies have revealed that Machiavellians are emotionally detached and that this “affective blunting” is associated with intense feelings, emotional instability, negative emotions, and difficulty in enduring distress. We used brain-imaging techniques to investigate emotion regulation in Machiavellianism at a neuropsychological level. We used situations in which participants were required to demonstrate emotional flexibility to explore the controversy surrounding the fact that Machiavellianism is associated with both cold-mindedness and emotional instability. Participants performed a reappraisal task in which emotionally evocative pictures (from the International Affective Picture System) were presented in different contexts (negative, positive, and neutral). They were asked to interpret a scenario according to its title and to reinterpret it according to another context created by a new title (e.g., negatively labeled pictures shifted to positively labeled ones). During task performance, Machiavellians showed increased activation of brain regions associated with emotion generation—for example, the amygdala and insula. This indicates that Machiavellian individuals are able to be involved emotionally in social situations. Increased activation in the temporal and parahippocampal regions during reappraisal suggests that Machiavellians use semantic–perceptual processes to construct alternative interpretations of the same situation and have enhanced memory for emotional stimuli. Furthermore, they seem to possess an intense awareness that leads them to shift attention from external to internal information to detect environmental changes. These cognitive processes may enable them to adjust their behavior quickly. This study supports the flexibility hypothesis of Machiavellianism and suggests that Machiavellians’ approach to emotion regulation is linked to their rational mode of thinking.     

Counselor Empathy; Religiosity; and Lesbian,Gay, and Bisexual Perspectives

Values-based conflicts, such as between counselor religiosity and ability to work with lesbian, gay, and bisexual (LGB) clients, can present a challenge for counselors and trainees who seek to provide ethical and competent care. Because empathy can facilitate understanding a client's frame of reference, the authors examined the relationships between counselor religiosity, empathy, and LGB perspectives, as well as the potential mediating effects of empathy on values conflicts. The authors discuss implications for counselor education and practice.     

A new approach for training infant intervention specialists

This paper describes a new approach to training infant specialists. A joint Master's degree program, based in graduate schools of public health and education, emphasizes cross-disciplinary coursework in maternal and child health and special education. The program emphasizes the importance of forging crucial linkages among the different disciplines and agencies that care for handicapped and at-risk infants. The program emphasizes improved skills in assessing, planning, and intervening on behalf of infants at risk for developmental delays or with severe or multiple handicaps; the ability to work with families; and the ability to develop and appraise community resources.     

Parent–Child Relationships and ADHD Symptoms: A Longitudinal Analysis

Evidence both from psychological research and clinical intervention studies suggests that there are bidirectional influences between overt child behavior problems and parent–child relations. Very little research however, has considered the pattern of relations that exists between Attention Deficit Hyperactivity Disorder (ADHD) and the parent–child relationship within a longitudinal context. Using a longitudinal community sample from the United Kingdom which included 194 school aged children (46% male and 54% female) and both parents, this study examined the relationship between child ADHD symptoms and displays of rejection in the parent–child relationship. These relationships were investigated separately for mothers and fathers using cross-lagged panel correlation and reciprocal effects analysis. Mothers and fathers reported on ADHD symptoms and children reported on their feelings of rejection in the mother–child and father–child relationships. Results suggested differences in the direction of effects linking mother– and father–child rejection and child ADHD symptoms; with ADHD symptoms affecting the mother–child relationship and the converse pattern of effects noted for fathers. Implications for future research focusing on the link between ADHD symptoms and parent–child relationships are discussed.