Factors influencing failure to show for a family evaluation

Abstract

An important issue in clinical practice concerns clients' failure to keep their initial evaluation appointments, which has been termed defection (Shapiro and Budman, 1973). Research findings and clinical impressions suggest that client defection can be related to three sets of factors: actuarial variables, client psychological and motivational variables, and client-clinician interaction prior to the initial appointment (Rubinstein and Lorr, 1956; Garfield, 1971). Among the actuarial variables, the following have been suggested as being related to clients' defection: referral source, distance client must travel for the appointment, client socioeconomic status (SES), and waiting time (Brill and Storow, 1960; Raynes and Warren, 1971; Lorion, 1973).     

Conjoint Community Resiliency Assessment Measure-28/10 Items (CCRAM28 and CCRAM10): A Self-report Tool for Assessing Community Resilience

Community resilience is used to describe a community’s ability to deal with crises or disruptions. The Conjoint Community Resiliency Assessment Measure (CCRAM) was developed in order to attain an integrated, multidimensional instrument for the measurement of community resiliency. The tool was developed using an inductive, exploratory, sequential mixed methods design. The objective of the present study was to portray and evaluate the CCRAM’s psychometric features. A large community sample (N = 1,052) were assessed by the CCRAM tool, and the data was subjected to exploratory and confirmatory factor analysis. A Five factor model (21 items) was obtained, explaining 67.67 % of the variance. This scale was later reduced to 10-item brief instrument. Both scales showed good internal consistency coefficients (α = .92 and α = .85 respectively), and acceptable fit indices to the data. Seven additional items correspond to information requested by leaders, forming the CCRAM28. The CCRAM has been shown to be an acceptable practical tool for assessing community resilience. Both internal and external validity have been demonstrated, as all factors obtained in the factor analytical process, were tightly linked to previous literature on community resilience. The CCRAM facilitates the estimation of an overall community resiliency score but furthermore, it detects the strength of five important constructs of community function following disaster: Leadership, Collective Efficacy, Preparedness, Place Attachment and Social Trust. Consequently, the CCRAM can serve as an aid for community leaders to assess, monitor, and focus actions to enhance and restore community resilience for crisis situations.     

Premature twins on a neonatal intensive care unit

This paper presents observations of boy and girl twins on a neonatal intensive care unit, following them through from 10 days old to return home. The observer hypothesizes about the experience of the twins as they progress, based on detailed notes of their actions. The preoccupations of the parents are incorporated, as are reactions and interventions of staff. The place and possible functions of such observation by a child psychotherapist attached to such a unit are elaborated in the concluding section.     

Agreement and similarity in self-other perceptions of moral character

We surveyed well-acquainted dyads about two key moral character traits (Honesty–Humility, Guilt Proneness), as well as several other individual differences. We examined self-other agreement, similarity, assumed similarity, and similarity-free agreement (i.e., self-other agreement controlling for similarity and assumed similarity). Participants projected their own level of moral character onto their peers (i.e., moderately high assumed similarity), but were nonetheless able to judge moral character with reasonable accuracy (moderately high self-other agreement and similarity-free agreement), suggesting that moral character traits can be detected by well-acquainted others. Regardless of reporting method, Honesty–Humility and Guilt Proneness were correlated with delinquency, unethical decision making, and counterproductive work behavior, suggesting that unethical behavior is committed disproportionately by people with low levels of these character traits.     

Nicknames of notorious American twentieth‐century deviants: The decline of the folk hero syndrome

This report examines the public use of personal nicknames for notorious American Twentieth Century Deviants. The analysis documents the frequency of nicknames by decade in the twentieth century, the category of the deviant act committed by the person nicknamed, and the connotations of the nicknames. The relationship between the use of nicknames for deviants, and deviants as folk heroes is explored. The data indicate that the public use of personal nicknames for deviants peaks in the 1920's and 1930's and has been declining ever since. This phenomenon parallels the decline in American's belief in the “rags to riches” type of folk hero.     

SURVIVORS OF THE HOLOCAUST AND THEIR CHILDREN

Despite the importance given in their narratives to the birth of their children and grandchildren, in most of the interviews I conducted with Holocaust survivors they do not discuss their children or family life in detail. Rather, for many of them, discussion is generally connected to how or what they have explained to their children about their experiences during the war. Survivors’ preoccupation with this issue could be understood as a response to the context in which they find themselves, in which a particular social discourse about survivors has developed. This discourse arguably engendered particular responses from survivors: it is a question that survivors expect to be asked, and it is seen as part of their prescribed role. Based on over 50 narrative interviews with survivors of the Holocaust, this article explores how survivors reflect and understand their parenting. It examines to what extent their behaviour has been influenced by their experiences during the war, or in reaction to a particular social discourse. Whilst literature on the second generation has been predominantly based on the responses of the children of survivors, this article provides important evidence of how survivors reflect on and understand their parenting.     

Software for the automatic correction of recorded eye fixation locations in reading experiments

Because the recorded location of an eyetracking fixation is not a perfect measure of the actual fixated location, the recorded fixation locations must be adjusted before analysis. Fixations are typically corrected manually. Making such changes, however, is time-consuming and necessarily involves a subjective component. The goal of this article is to introduce software to automate parts of the correction process. The initial focus is on the correction of vertical locations and the removal of outliers and ambiguous fixations in reading experiments. The basic idea behind the algorithm is to use linear regression to assign each fixation to a text line and to identify outliers. The freely available software is implemented as a function, , written in R.     

Relatedness and Individuation Among Young Adults Born Preterm: The Role of Relationships with Parents and Death Anxiety

Preterm birth may constitute a risk factor for long-term difficulties when facing developmental tasks of relatedness and individuation in young adulthood. Since these early experiences might leave individuals more susceptible to anxiety, we examined whether relationships with parents and death anxiety mediated the associations between preterm birth and difficulties in relatedness and individuation. The sample included 57 emerging adults who were born preterm, and a paired control group that filled out questionnaires: The Perceptions of Adult Attachment Questionnaire, Personal Assessment of Intimacy in Relationships, the death anxiety test, and projective assessment of death anxiety. Preterm young adults and their counterparts exhibited similar levels of closeness with their parents, with romantic partner, and with best friend. A different picture emerged with regard to differentiation and death anxiety. Preterm young adults exhibited higher levels of emotional reactivity and fusion with others, and higher levels of death anxiety than their counterparts. Death anxiety mediated the relations between preterm birth status and differentiation. It appears that, despite the fact that these youngsters experienced a traumatic event early in their lives, they overcame this difficult experience and were successful in maintaining closeness with close others. In contrast, the traces of the preterm birth might be more pronounced in the domain of differentiation. People who experienced separations from significant others, especially early in life, may develop high levels of death anxiety as death is experienced as the ultimate separation from a close person. Enduring death anxiety might complicate the individuation process. Gender differences that were found are in accord with previous findings. The strengths and limitations of the study as well as suggestions for future research are discussed.