Pediatrician Identification of Child Behavior Problems: The Roles of Parenting Factors and Cross-Practice Differences

While most primary care pediatricians acknowledge the importance of identifying child behavior problems, fewer than 2% of children with a diagnosable psychological disorder are referred for mental health care in any given year. The present study examined the potential role of parental characteristics (parental affect, parenting style, and parenting self-efficacy) in pediatrician identification of child behavior problems, and determined whether these relationships differed across practices. Parents of 831 children between 2 and 16 years completed questionnaires regarding demographic information, their child’s behavior, their affect, their parenting style, and their parenting self-efficacy. Pediatricians completed a brief questionnaire following visits in four community-based primary care practices in the Midwest. Logistic regressions controlling for child behavior and demographic predictors of pediatrician identification found that an authoritarian parenting style, in which parents yell or strongly negatively react to problem behavior, was negatively associated with likelihood of identification in the overall sample. However, the variables that were predictive of pediatrician identification differed depending on the specific practice. Parental characteristics can aid in understanding which children are likely to be identified by their pediatrician as having behavioral problems. The finding that practices differed on which variables were associated with pediatrician identification suggests the need to potentially individualize interventions to certain physicians and practices to improve identification of child behavior problems in primary care.     

MILFS and Matrons: Images and Realities of Mothers’ Sexuality

Motherhood and sexual appeal are rarely linked in Western culture. There seems to be a notion that once a woman has children she is first and foremost an example, and must be responsible and conservative in a culturally specific way. Most women become mothers at some point in their lives and this is a major physical, emotional, and role transition, one that many women struggle with privately given societal ideals of a ??good?? mother. Despite its essential role in motherhood and life, and the health benefits known to be associated with sexual activity, public expression of sexuality is still primarily associated with being young, childless, and unmarried. Using a social constructionist perspective, we look at the ways in which acceptable expressions of mothers?? sexuality are defined and negotiated by contemporary women. Based on in-depth interviews with fifty women in their 20s, 30s, and 40s, we discuss women??s images of mothers?? sexuality and the ways in which motherhood impacts women??s experiences of sexuality. We find that for most mothers interviewed, the way they felt about sex, their sexual appeal, and their level of sexual desire changed after having children. Coupled with the fatigue and responsibility associated with being a new mother, women felt disconnected from their sexuality for a period of time.     

Interpersonal precipitants and suicide attempts in borderline personality disorder

Borderline personality disorder (BPD) is often characterized by multiple low lethality suicide attempts triggered by seemingly minor incidents, and less commonly by high lethality attempts that are attributed to impulsiveness or comorbid major depression. The relationships among life events, impulsiveness, and type of suicidal behavior has hardly been studied in BPD and mood disorders. This study compared depressed attempters with and without BPD to identify specific suicide precipitants and risk factors in BPD and their relationship to severity of suicidal behavior. Attempters with comorbid BPD and major depressive disorder (MDD) had a higher number of lifetime suicide attempts; made their first attempt at a younger age; reported more interpersonal triggers; and had higher levels of lifetime aggression, hostility, and impulsivity, compared with attempters with major depression only. Environmental triggers of attempts in BPD are more likely to be interpersonal stressors. Lethality of attempts in BPD plus MDD is equal to that in MDD only, indicating that the seriousness of precipitants is unrelated to the lethality of the suicidal behavior. The differences between groups suggest that risk assessment and treatment should target both depression and personality disorder in those with combined illness.     

The biasing of figure-ground assignment by shading cues for objects and faces in prosopagnosia

Prosopagnosia is defined by impaired recognition of the identity of specific faces. Whether the perception of faces at the categorical level (recognizing that a face is a face) is also impaired to a lesser degree is unclear. We examined whether prosopagnosia is associated with impaired detection of facial contours in a bistable display, by testing a series of five prosopagnosic patients on a variation of Rubin's vase illusion, in which shading was introduced to bias perception towards either the face or the vase. We also included a control bistable display in which a disc or an aperture were the two possible percepts. With the control disc/aperture test, prosopagnosic patients did not generate a normal sigmoid function, but a U-shaped function, indicating that they perceived the shading but had difficulty in using the shading to make the appropriate figure-ground assignment. While controls still generated a sigmoid function for the vase/face test, prosopagnosic patients showed a severe impairment in using shading to make consistent perceptual assignments. We conclude that prosopagnosic patients have difficulty in using shading to segment figures from background correctly, particularly with complex stimuli like faces. This suggests that a subtler defect in face categorization accompanies their severe defect in face identification, consistent with predictions of computational models and recent data from functional imaging.     

Self-Objectification, Self-Esteem, and Gender: Testing a Moderated Mediation Model

The purpose of the present research was to test the mediating roles of body shame and appearance anxiety in the relation between self-surveillance and self-esteem; and to investigate whether gender (male, female) and stereotypical gender roles (masculinity, femininity) moderated the proposed mediation model. Canadian undergraduate university men and women (n?=?198) completed measures of self-surveillance, gender, gender roles, body shame, appearance anxiety, and self-esteem. Regression analyses demonstrated that greater self-surveillance predicted lower self-esteem, and this relation was fully mediated by body shame and appearance anxiety. With the exception of masculinity interacting with self-surveillance to predict body shame and appearance anxiety, neither gender nor stereotypical gender roles moderated the proposed paths. Implications are discussed.     

TEACHING SOCIAL SKILLS TO STUDENTS WITH AUTISM TO INCREASE PEER INTERACTIONS IN AN INTEGRATED FIRST-GRADE CLASSROOM

We investigated the use of social skills groups to facilitate increased social interactions for students with autism and their nonhandicapped peers in an integrated first-grade classroom. Social skills groups consisted of training students and peers in initiating, responding, and keeping interactions going; greeting others and conversing on a variety of topics; giving and accepting compliments; taking turns and sharing; asking for help and helping others; and including others in activities. Training occurred during the first 10 min of 20-min play groups, four times per week. Using a multiple baseline across subjects design, results demonstrated increases in the frequency of, time engaged in, and duration of social interactions, as well as the responsivity of students and peers to each other. Results were maintained when students were monitored and given feedback on social performance in play groups and during follow-up.     

The word without the tachistoscope

In experiments with an unlimited viewing time, we were able to isolate specific stimulus factors that lead to the word-superiority effect. We discovered that advantages of words over nonwords, and words over single letters, are caused by different factors. The word-nonword effect was found in a variety of circumstances, such as with small type, low contrast, or a simultaneously present mask. The advantage of words over single letters occurs only when the stimuli are embedded in a mask making it difficult to find a single letter. In addition, we obtained a word-detection effect without a brief exposure: Subjects were more accurate detecting the presence of words than nonwords. However, this effect only occurred when subjects were required to discriminate letters from nonletters. Thus, the word-superiority (word-nonword difference) and word-detection effects both involve letter discrimination and can be explained by similar mechanisms.     

Running with emotion: When affective content hampers working memory performance

This study tested the hypothesis that affective content may undermine rather than facilitate working memory (WM) performance. To this end, participants performed a running WM task with positive, negative and neutral words. In typical running memory tasks, participants are presented with lists of unpredictable length and are asked to recall the last three or four items. We found that accuracy with affective words decreased as lists lengthened, whereas list length did not influence recall of neutral words. We interpreted this pattern of results in terms of a limited resource model of WM in which valence represents additional information that needs to be manipulated, especially in the context of difficult trials.     

The effects of preference assessment type on problem behavior

Individuals with intellectual and developmental disabilities who engage in problem behavior maintained by access to tangibles may exhibit more problem behavior during certain preference assessments. We compared three common preference assessments to determine which resulted in fewer problem behaviors. The paired stimulus and multiple‐stimulus without replacement assessments produced higher rates of problem behavior than the free operant (FO) assessment, suggesting that the FO assessment may be the most appropriate assessment for individuals who engage in problem behavior maintained by access to tangibles.