Sex and genes,part 2: A biopsychosocial approach to assess and treat challenging sexual behavior in persons with intellectual disabilities including fragile X syndrome and 22q11.2 deletion syndrome

Individuals with intellectual disabilities (IDs) – and specifically those with genetic disorders – are more prone to medical and psychological challenges that affect their sexual development, experiences, and fertility. In this review paper we first provide an overview of the biopsychosocial (BPS) model and then explain how the model can guide and improve the assessment and treatment of challenging sexual behaviors by persons with IDs. We discuss two genetic conditions – fragile X syndrome and 22q11.2 deletion syndrome – in case studies, showing how the BPS model can be used to assess and treat the sexual problems of individuals with various types of ID. We conclude with BPS-formulated treatment considerations in three key domains: biomedical treatment (e.g., medication side effects; stopping or changing medications), psychological treatment (e.g., providing psychological therapies), and socio-environmental interventions (e.g., providing socio-sexual education and staff training). Together, these treatment interventions can aid clinicians to prevent and/or treat problematic sexual behaviors of people with IDs.     

Assessment of Executive Functions after Treatment of Childhood Acute Lymphoid Leukemia: a Systematic Review

Neuropsychology Review - Individuals treated for childhood acute lymphoblastic leukemia (ALL) have a high survival rate. This fact, however, may lead to neurocognitive impairments in survivors, as...     

An examination of the effectiveness of multiple summary scoring procedures of the BNBAS in detecting group differences

The Brazelton Neonatal Behavioral Assessment Scale is the most widely used and accepted tool in the study of the behavior of the human newborn; yet there remains some controversy over the most appropriate way to score the results. The present research compares three a priori methods of scoring. The sample consisted of 43 infants: (a) 11 preterms, (b) 10 fullterms in intensive care, (c) 7 fullterms with sick mothers, and (d) 15 healthy fullterms. BNBAS exams administered to these four groups of infants were scored using the Als (1978), Lester, Als, and Brazelton (1982), and Jacobsen, Fein, Jacobsen, and Schwartz (1984) clusters. The data from these three methods were analyzed by means of one-way ANOVAs for group differences. In addition, a factor analysis on the BNBAS scores was also completed. These three approaches all detected differences between medically at-risk and healthy infants on those items assessing motor maturity and orientation. These results suggest that at this time no one scoring system can capture the richness of behavior of the newborn and address the question by researchers, clinicians, and parents.     

Effects of short-term interaction coaching with mothers of preterm infants

This study examined the effects of eight 40-minute interaction coaching sessions on the mother-infant interaction patterns of mother-preterm infant dyads. Thirty-five preterm infants and their mothers were matched for sex and then were assigned randomly to a treatment and a no-treatment control group. Behavior counts and ratings of maternal and infant interactive behavior (Interaction Rating Scale; Field, 1980) were obtained from naturalistic home observations, precoaching, postcoaching, and at a 2-month follow-up. It was hypothesized that coaching, which was intended to facilitate more sensitive responding by mothers, would positively influence mother-infant interaction and mothers' knowledge of infant development. The only marginally significant difference between the groups that emerged over time was in knowledge of infant development, in which the treatment group surpassed the control group.     

Collisions, logrolls, and psychological science

Relationships among science, public policy, and the media have long been a topic of controversy. A discussion of this controversy serves to place views on the Rind et al. affair in a broader context and set the stage for constructing more effective working relationships between scientists and both policy and media experts. To advance these relationships, the author offers several recommendations that emphasize ongoing institutional activities and encourage collaboration with other professional organizations.     

The moderating roles of personal and social resources on the relationship between dual expectations (for instrumentality and expressiveness) and well-being

The authors examined the roles of self-esteem and perceived social support in moderating the relationship between dual social expectations (instrumentality and expressivity) and well-being. Participants were 166 female and 87 male students in an urban community in the midwestern United States. After the authors controlled for the main effects of instrumental and expressive expectations, social support, as predicted, moderated the relationship between dual expectations and well-being: With higher levels of social support, higher levels of dual expectations were associated with higher levels of well-being; with lower levels of social support, higher levels of dual expectations were associated with lower levels of well-being. Contrary to predictions, however, self-esteem did not moderate the relation between dual expectations and well-being. The discussion focuses on the importance of social resources in enhancing the potential benefits of dual expectations in interpersonal contexts.     

The Process Through Which an Advocacy Intervention Resulted in Positive Change for Battered Women Over Time

A prior experimental evaluation of a community-based advocacy program for women with abusive partners demonstrated positive change in the lives of women even 2 years postintervention (C. M. Sullivan & D. I. Bybee, 1999). The current study explored the complex mediational process through which this change occurred, using longitudinal structural equation modeling and formal tests of mediation. As hypothesized, the advocacy intervention first resulted in women successfully obtaining desired community resources and increasing their social support, which enhanced their overall quality of life. This improvement in well-being appeared to serve as a protective factor from subsequent abuse, as women who received the intervention were significantly less likely to be abused at 2-year follow-up compared with women in the control condition. Increased quality of life completely mediated the impact of the advocacy intervention on later reabuse. Discussion places advocacy for women in the context of other efforts that are needed to build an effective community response to preventing intimate violence against women.     

Beyond bruises and broken bones: the joint effects of stress and injuries on battered women's health

We investigated the joint mediating effects of injuries and stress on the relationship between abuse and women's health. A community sample of 397 women, half of whom had been assaulted by an intimate partner within the prior 6 months, was interviewed about their experience of intimate partner violence, injuries, stress, income, depression, and physical health problems. Structural equation modeling techniques confirmed the complex model of hypothesized indirect effects of abuse on women's physical health problems through injuries, stress, and depression. Stress accounted for 80% of the indirect effect of abuse on women's physical health. Its direct effect on physical health was somewhat larger than its indirect effect through depression, but both processes played a key role in determining the effect of abuse on women's physical health problems. Furthermore, abuse was a stronger predictor of women's stress than was poverty. Implication and future research are discussed.     

Visual speech information for face recognition

Two experiments test whether isolated visible speech movements can be used for face matching. Visible speech information was isolated with a point-light methodology. Participants were asked to match articulating point-light faces to a fully illuminated articulating face in an XAB task. The first experiment tested single-frame static face stimuli as a control. The results revealed that the participants were significantly better at matching the dynamic face stimuli than the static ones. Experiment 2 tested whether the observed dynamic advantage was based on the movement itself or on the fact that the dynamic stimuli consisted of many more static and ordered frames. For this purpose, frame rate was reduced, and the frames were shown in a random order, a correct order with incorrect relative timing, or a correct order with correct relative timing. The results revealed better matching performance with the correctly ordered and timed frame stimuli, suggesting that matches were based on the actual movement itself. These findings suggest that speaker-specific visible articulatory style can provide information for face matching.