Single Session Psychology Clinic for Parents of Children with Autism Spectrum Disorder: A Feasibility Study

Children are being diagnosed with autism spectrum disorder at much higher rates than in the past, with the increasing rates arising primarily from the broadened diagnostic criteria and increased public and professional awareness of the disorder. In turn, this has resulted in increased demands for psychological services, which many service providers struggle to meet. Single session clinics are an innovative form of intervention which can facilitate quick access to psychological services, without the burden of lengthy waiting times. This feasibility study examined the nature of presenting problems, attendance rates and parental satisfaction with a single session clinic for parents of children with autism spectrum disorder. The service offers short one-to-one consultation with a psychologist and sessions can be booked up to one month in advance. The single session clinic was developed to provide individual intervention to families within the constraints of an overwhelmed service. Good attendance rates and relatively high satisfaction suggest the single-session consultation for parents of children with autism spectrum disorder is an acceptable form of service. Limitations include the a need for more detailed evaluation of the impact of the sessions on both parental anxiety and child outcomes, and to identify more clearly who may benefit most from this model.     

Anger Can Help: Clinical Representation of Three Pathways of Anger

Anger is a powerful emotion prevalent in therapy. An integrative model situating varied manifestations of anger within a purposive context of healing and repair following relationship trauma is needed. A first paper (Butler, Meloy-Miller, Seedall, & Dicus, 2017) approached anger as a psychological and relational construction of diffuse physiological arousal and provided a conceptual model of how the experience of offense interacts with a person's view of self in relation to other (VSIRO) in the formation of anger. Three resulting trajectories and pathways of anger were outlined. Here we provide clinical representations of these pathways—two pathways of hostile anger arising from pathogenic VSIROs (inflated, with accompanying externalizing anger, and collapsed, with accompanying internalizing anger), and a third pathway of benevolent anger, arising from a balanced VSIRO. Clinical application of the model through several vignettes illuminates its use in discriminating helpful from harmful pathways of anger and developing interventions for reshaping pathogenic anger to beneficent anger.     

Longitudinal Patterns of Self-Regulation among Ethnic Minority Children Facing Poverty

Early poverty is associated with a cumulative load of family and community risk factors that can impact the development of self-regulatory abilities and result in socio-emotional and achievement gaps which begin early and persist across the lifespan. Ethnic minorities are disproportionately represented among children living in poverty. The longitudinal trajectories of self-regulation are important to understand in this population, in order to best inform prevention efforts. This study examines patterns of self-regulation over time among young, ethnic minority children living in low income, urban households. A stratified, random sample of 555 children, ages 2 to 4 years, (46% Black, 46% Hispanic; 47% female) were followed over three waves (including 1 and 5 year follow-ups). Internalizing and externalizing behaviors at approximately age nine were predicted by children’s early self-regulation. Latent class analyses revealed low, medium, and high levels of self-regulatory abilities at wave 1 (mean age: 2.99, SD?=?.81) and low and high levels, 1 year later (mean age: 4.39 (SD?=?.94). A gender effect was found whereby girls were more likely than boys to be in the high self-regulation class relative to the low at both waves. Using Latent Transition Analysis, distal outcomes were examined approximately 5 years after the initial assessment (mean age: 8.83, SD?=?.93). Children who sustained a higher level of self-regulation over time had the lowest internalizing and externalizing behaviors. Transition to low self-regulation at wave 2, regardless of initial self-regulation status, was related to greater severity of internalizing symptoms. Implications for prevention and future research are discussed.     

Normative values for a tablet computer-based application to assess chromatic contrast sensitivity

Tablet computer displays are amenable for the development of vision tests in a portable form. Assessing color vision using an easily accessible and portable test may help in the self-monitoring of vision-related changes in ocular/systemic conditions and assist in the early detection of disease processes. Tablet computer-based games were developed with different levels of gamification as a more portable option to assess chromatic contrast sensitivity. Game 1 was designed as a clinical version with no gaming elements. Game 2 was a gamified version of game 1 (added fun elements: feedback, scores, and sounds) and game 3 was a complete game with vision task nested within. The current study aimed to determine the normative values and evaluate repeatability of the tablet computer-based games in comparison with an established test, the Cambridge Colour Test (CCT) Trivector test. Normally sighted individuals [N = 100, median (range) age 19.0 years (18–56 years)] had their chromatic contrast sensitivity evaluated binocularly using the three games and the CCT. Games 1 and 2 and the CCT showed similar absolute thresholds and tolerance intervals, and game 3 had significantly lower values than games 1, 2, and the CCT, due to visual task differences. With the exception of game 3 for blue-yellow, the CCT and tablet computer-based games showed similar repeatability with comparable 95% limits of agreement. The custom-designed games are portable, rapid, and may find application in routine clinical practice, especially for testing younger populations.     

The effect of propensity to trust and perceptions of trustworthiness on trust behaviors in dyads

Research on trust has burgeoned in the last few decades. Despite the growing interest in trust, little is known about trusting behaviors in non-dichotomous trust games. The current study explored propensity to trust, trustworthiness, and trust behaviors in a new computer-mediated trust relevant task. We used multivariate multilevel survival analysis (MMSA) to analyze behaviors across time. Results indicated propensity to trust did not influence trust behaviors. However, trustworthiness perceptions influenced initial trust behaviors and trust behaviors influenced subsequent trustworthiness perceptions. Indeed, behaviors fully mediated the relationship of trustworthiness perceptions over time. The study demonstrated the utility of MMSA and the new trust game, Checkmate, as viable research methods and stimuli for assessing the loci of trust.