An outreach approach to high risk parents and their infants

This paper describes a special project designed to evaluate services to high risk parents and their infants. Twenty-three families were served by intensive outreach and home-based model of intervention. Sixty-one percent of these parents had significant mental health problems prior to referral. The paper describes the sample, outlines the approach to therapy and gives a specific case example. The data post-treatment is summarized and results detailed.     

Archival Data: Advantages and Disadvantages for Research in Psychology

Archival data may be thought of as any sort of information, previously collected by others, amenable to systematic study. Here, the focus is on information that may be used to answer questions related to psychological phenomena, with an overview of the myriad sources of data available to the psychological researcher, and the advantages and disadvantages of secondary versus primary data use. Particularly creative uses of archival data and good examples of archived studies, along with resources for those interested in archival data, are given.     

The development of pretend language: Toward an understanding of the child's theory of mind

Is has been suggested that there exists a linkage between the mental representation of pretense, the acquisition of the cognitive internal state lexicon, and the development of theory of mind. Using an empirically derived taxonomy of pretend language, predictions derivable from such a relationship were tested. In three related studies, the pretend lexicons of 4 1/2- to 5-year-old children and the adults who interacted with them in home and school situations were examined for evidence of sophisticated pretend language use, for parallels in child and adult pretend language, and for connections between pretend and other mental state words. Results did not support the hypothesis that pretense and the language associated with it were linked to mental state language acquisition. However, the findings that are reported provide converging evidence for the claim that pretense in young children is a form of acting-as-if behaivor rather than a form of mental represetnational activity.     

Pathways maintaining physical health problems from childhood to young adulthood: The role of stress and mood

Objective: Poor physical health in childhood is associated with a variety of negative health-related outcomes in adulthood. Psychosocial pathways contributing to the maintenance of physical health problems from childhood to young adulthood remain largely unexamined, despite evidence that factors such as negative mood and stress impact physical health.

Design: The current study tested the direct and indirect effects of ongoing health, chronic stress, health-related chronic stress, and depressive symptoms at age 20 on the link between health problems in childhood and young adulthood (age 21) in a longitudinal sample (n = 384).

Main Outcome Measures: The hypotheses were tested using a multiple mediation path analysis framework; the primary outcome measure was a composite index of health status markers in young adulthood.

Results: The proposed model provided an adequate fit for the data, with significant total indirect effects of the four mediators and significant specific indirect effects of health-related chronic stress and depressive symptoms in maintaining health problems from childhood into young adulthood.

Conclusions: Health problems are maintained from early childhood into young adulthood in part through psychosocial mechanisms. Depressive symptoms and health-related chronic stress have significant, unique effects on the relationship between health problems in early childhood and young adulthood.     

Information Deprivation Trauma: Definition,Assessment, and Interventions

Information deprivation trauma (IDT; Schild & Dalenberg, 2012b) is a concept that has not been adequately addressed in the trauma literature. IDT is a concept requiring a negative emotional response (e.g., fear, helplessness, horror) consequent to (a) a lack of understanding of the extent, magnitude, consequences, and probability of a current or impending meaningful event; and (b) an inability to access information about this event that would reasonably allow a person to prepare, appropriately respond, or self-protect. Arguments are presented that information deprivation itself might constitute a trauma, in addition to and apart from the possibility that information deprivation might enhance vulnerability to traumatization. Clinical examples are provided, and the Information Deprivation Trauma Interview (IDTI) is introduced for use in clinical and research settings.     

Cognitive vulnerability in children at risk for depression

Cognitive, developmental, and psychodynamic theories all hypothesize that negative self-concepts acquired in childhood may induce vulnerability to depression. Children at risk because of maternal major affective disorder, compared with children of medically ill and normal mothers, were examined for evidence of negative cognitions about themselves, and were found to have more negative self-concept, less positive self-schemas, and more negative attributional style. It was further predicted that negative cognitions about the self would be related to maternal depression and chronic stress, and to the quality of perceived and actual interactions with the mother. In general, the predicted associations were obtained, supporting speculations about how maternal affective disorder is associated with stress and with relatively negative and unsupportive relationships with children that in turn diminish children's self-regard.This research was supported by a William T. Grant Foundation award to Dr. Hammen and a Veterans Administration Merit Award to Dr. Hiroto.     

The second androgyny: A proposed revision in adaptive priorities for college women

Evidence has accumulated suggesting that androgyny, as popularly conceived (i.e., balanced and flexible display of masculine and feminine behaviors across situations), has more adaptive value for women than for men and even that it holds less value than believed for women. Four sex types were compared in a series of studies bearing upon psychological adjustment in college women: (1) balanced androgyny, (2) blended androgyny that integrates masculinity and femininity, (3) femininity, and (4) masculinity. In three out of four studies that considered daily stress symptoms, Type A characteristics, and menstrual distress, balanced androgynes demonstrated the poorest psychological adaptation and blended androgynes the best. The fourth study considered the psychological characteristics associated with eating disorders and found feminine women to be the most maladapted. Interpretation of the trend of results in terms of identity problems for the balanced androgynous woman was offered.     

The age of androgyny: The new views of psychotherapists

Male therapists no longer engage in sexual stereotyping in their views of mentally healthy men and women as 15 previous studies had shown. Both male and female therapists, both psychiatrists and psychologists, held a single androgynous standard of mental health for both men and women. Psychologists scored higher on this androgyny factor than psychiatrists. Therapists with many women patients scored higher on this androgyny factor than therapists with few women patients.