Impact of Social Determinants on Parent Sense of Competence in Mothers Who are Homeless or Poor Housed

Unfavorable social determinants can impact mothering of young children who are homeless or poor housed and parent sense of competence. Social determinants influence on mothers’ parent sense of competence parent self-efficacy and satisfaction was investigated. Homeless mothers reported worse scores than poor housed mothers on 5 of 10 social determinants including: mother moves, abuse, un/underemployment, less stable partner relationships and student roles. Homeless mothers scored lower than poor housed mothers on parent sense of competence satisfaction and parent sense of competence total, but not on parent sense of competence efficacy. No one social determinant predicted parent sense of competence. Results underscore the need to address social determinants of health in occupational therapy community-based practice.     

A comparison of two multicomponent procedures to increase food consumption

We compared two procedural variations of response cost (RC) of preferred materials to increase mouth clean in a five‐year‐old boy diagnosed with autism. Noncontingent presentation of preferred materials (NCR) was compared to differential reinforcement of alternative behavior (DRA) when returning preferred materials once they have been removed for refusal or expulsion of food. Results indicated that both procedures increased swallowing and reduced problem behavior; however, NCR + RC was superior to DRA + RC with respect to overall mean and initial treatment measures. Copyright © 2005 John Wiley & Sons, Ltd.     

Cognitive Processing Therapy for Acute Stress Disorder Resulting From an Anti-Gay Assault

This case study describes Cognitive Processing Therapy (CPT) with a 30-year-old gay man with symptoms of acute stress disorder (ASD) following a recent homophobic assault. Treatment addressed assault-related posttraumatic stress disorder symptoms and depressive symptoms. Also addressed were low self-esteem, helplessness, and high degrees of internalized homophobia. Client symptomatology was tracked using the PTSD Symptom Scale and the Beck Depression Inventory over the course of 12 sessions and for a 3-month posttermination session. Symptoms were significantly reduced by the end of the 12-week therapy and were maintained at 3-month follow-up. This case highlights the utility of this therapy in targeting both ASD symptoms and internalized homophobia relating to experiencing a hate crime-related assault. The authors elaborate on theoretical and applied issues in adapting a structured cognitive-behavioral intervention to the treatment of ASD symptoms associated with experiencing a hate crime.     

Medical Students' Motivations to Volunteer: An Examination of the Nature of Gender Differences

A sample of medical students was surveyed using the Volunteer Functions Inventory, an instrument that assesses the importance of 6 possible motives to volunteer that range from altruistic and humanitarian concern for others to more self-interested, career-related motives. Researchers in the past have described mean differences and rank differences for gender. Profile analysis was conducted to assess the relative importance of each motive by gender. Women rated all motives higher than did men. The relative ranking of the importance of the motives was similar for both genders. Contrary to previous studies, women rated instrumental motives at least as high as did men. Both genders rated altruistic motives highly. The results of this study may be used to inform a training curriculum or advertising campaign aimed at increasing volunteer efforts.     

The development of metasuggestibility in children

One component of metasuggestibility is the understanding that a person's statements can influence another person's reports. The purpose of the present study was to examine the development of this understanding in school‐aged children. We produced a short video in which a boy makes a false allegation about being hit following an adult's suggestive interview. Children aged 6–13 years (N = 196) watched the video and answered open‐ended and forced‐choice questions about why the boy made a false allegation. The 6‐ and 7‐year‐olds performed poorly on all question types, whereas the 12‐ and 13‐year‐olds were at ceiling. There were developmental increases in metasuggestibility between 8 and 11 years. Our findings indicate that metasuggestibility undergoes prolonged development well into the school years. Implications for child witness training programs are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Age-related changes in the signal value of tears

Emotional tears may be uniquely human and are an effective signal of distress in adults. The present study explored whether tears signal distress in younger criers and whether the effect of tears on observers is similar in magnitude across the life span. Participants rated photographs of crying infants, young children, and adults, with tears digitally removed or added. The effectiveness of tears in conveying sadness and eliciting sympathy was greatest for images of adults, intermediate for images of children, and least potent for images of infants. These findings suggest that the signal value of tears varies with the age of the crier. The results may shed light on the functional significance of crying at different stages of human development.     

The impact of civility interventions on employee social behavior, distress, and attitudes

Although incivility has been identified as an important issue in workplaces, little research has focused on reducing incivility and improving employee outcomes. Health care workers (N = 1,173, Time 1; N = 907, Time 2) working in 41 units completed a survey of social relationships, burnout, turnover intention, attitudes, and management trust before and after a 6-month intervention, CREW (Civility, Respect, and Engagement at Work). Most measures significantly improved for the 8 intervention units, and these improvements were significantly greater than changes in the 33 contrast units. Specifically, significant interactions indicating greater improvements in the intervention groups than in the contrast groups were found for coworker civility, supervisor incivility, respect, cynicism, job satisfaction, management trust, and absences. Improvements in civility mediated improvements in attitudes. The results suggest that this employee-based civility intervention can improve collegiality and enhance health care provider outcomes.     

LGB-Affirmative Cognitive Behavioral Treatment for Social Anxiety: A Case Study Applying Evidence-Based Practice Principles

Guided by the American Psychological Association's principles of evidence-based practice, this article reviews a single-case treatment outcome study whereby a client characteristic, sexual identity, was integrated into the assessment and treatment of social anxiety symptoms. The case involved a young adult European-American male who presented to a training clinic with a primary diagnosis of social anxiety disorder as well as secondary symptoms of excessive worry and concerns of sexual identity confusion. Recent evidence suggests that gay men report more symptoms of social anxiety when compared to heterosexual men, and those who make more efforts to conceal their sexual identity experience increased anxiety and have greater difficulty committing to a personal identity. Further, it has been hypothesized that fear of rejection from heterosexual individuals underlies this anxiety. The client attended 50 sessions over the course of 18 months. Treatment progress was assessed via self-report questionnaires assessing social anxiety and worry. Consistent with principles of evidence-based practice, a cognitive behavioral treatment protocol was employed at the outset of therapy and resulted in a decline in the client's social anxiety scores. However, once the case conceptualization and treatment focus shifted to focus on sexual identity, his scores continued to decline at an even steeper rate. He ultimately came to identify himself as having a same-sex sexual orientation, began living his life in a manner consistent with that identification, and reported a number of positive outcomes at termination of therapy. Implications for treatment of social anxiety in sexual minorities are discussed.     

The Rise of Voluntary Work in Higher Education and Corporate Social Responsibility in Business: Perspectives of Students and Graduate Employees

The Higher Education and Employment strand of the Learning for Life project focused on exploring some of the values of 169 students and graduate employees (Arthur et al. 2009a, b). A major theme suggested by participants, which arose naturally from the data and emerged from people’s accounts during in-depth interviews, involved the close relationship they felt existed between voluntary work and core values. It is this aspect of the project that is reported. There are several important and new findings that will be highlighted, including: voluntary work as a dimension for the development of character, personal development and a venue for developing people’s skills (which universities and employers often seek in their processes of recruitment); the types of voluntary work conducted by students and graduate employees; the role of ethnic minorities; people’s moral motivations behind engaging in voluntary work; the rise of the gap year volunteer; and the link between voluntary work at university and Corporate Social Responsibility (CSR) in the working world.     

A preliminary investigation of the relationship between induced rumination and state body image dissatisfaction and anxiety

The current study investigated the relationship between cognitive rumination and state body image distress using an experimental design. Specifically, the study examined whether participants induced to ruminate about an imagined negative body image event would report more body image dissatisfaction and anxiety compared to those induced to distract themselves. Ninety-nine undergraduate women completed two measures to assess depressive symptomology and baseline body image distress. All participants then silently read a body image scenario intended to evoke negative emotions. After reading the scenario, participants were randomized into one of two conditions, rumination or distraction, and were then re-administered the self-report measures. Statistical analyses revealed that the rumination group reported more state body image dissatisfaction and anxiety after the manipulation. The findings provide preliminary support for the hypothesis that a ruminative response style, specifically within a body image domain, predicts body image dissatisfaction and anxiety.