Continuity and change in the measurement of infant attachment: comment on Fraley and Spieker (2003)

R.C. Fraley and S.J. Spieker (2003) refocused attention on the important question of continuous versus categorical measurement of infant attachment. This commentary begins with a brief response to Fraley and Spieker's position. Next, it highlights the usefulness of the categorical approach by reviewing some of the major advances in the field that have been fostered by a categorical approach. These include the identification of the disorganized attachment group, the development of the concept of conditional behavioral strategies, the creation of systems for coding attachment beyond infancy, and a greater understanding of cross-generational associations. The author then makes several propositions for future research that are necessary for clarifying how best to measure infant attachment.     

Functions of parent-child reminiscing about emotionally negative events

Parent-child reminiscing about negative experiences influences children's developing "emotional self-concept", which comprises three interrelated functions: self-defining (this is the kind of emotional person I am), self-in-relation (this is how I express and share my emotions with others), and coping (this is how I cope with and resolve negative emotion). In this study, we examined how 70 mostly white, middle-class mothers discuss three negative experiences (fear, anger, and sadness) with their 4-year-old children. Conversations about fear elaborate on the facts of the event and emotional resolutions, thus focusing on coping. Conversations about sadness contain evaluative feedback and emotional resolutions, thus focusing on self-in-relation and coping. Finally, conversations about anger highlight the emotional state itself, thus focusing on self-definition. Mothers are also more elaborative and more evaluative with daughters than with sons, and place emotional events in a more interpersonal context with daughters than sons. Thus girls may be forming a more elaborated and more interpersonal emotional self-concept than boys.     

Communicative interactions, knowledge of a second language, and theory of mind in young children

In this study, the authors explored the effect that particular patterns of communicative interactions may have on young children's understanding of representations and the link between knowledge of a 2nd language and theory of mind. The authors tested 140 single language users and 57 dual language users (aged 3-4 years old) on a deceptive task with 3 experimental conditions. In the deceptive-context condition, an experimenter made a reference to the deceptive object. In the older peer condition, an experimenter made a reference to an older child who was actively participating in the experimental manipulations. In the deceptive-interaction condition, the experimenter made reference to his or her own deceptive interventions. The most significant finding was that knowledge of a 2nd language significantly improved young children's understanding of both mental and nonmental representations. Moreover, the results indicated that an experimenter's reference to a deceptive interaction greatly facilitated 3-year-old children's understanding of false belief.     

Relational operants: processes and implications: a response to Palmer's review of Relational Frame Theory

Palmer has recently criticized Relational Frame Theory (RFT) on the grounds that it has developed data in search of a principle. In this reply, we show that he has done so by attacking fundamental concepts within behavior analysis itself, including the functional nature of an operant and contingencies of reinforcement as a behavioral process. His claim that RFT appeals to new behavioral principles to explain the development of relational operants is shown to be incorrect: As with any operant, RFT appeals to a history of contacted consistencies in contingencies across multiple ex-emplars to explain them. New principles only emerge later as a logically necessary extension of such operants if they exist--a view that Palmer failed to address or appreciate. Palmer's desire to see the use of methods other than matching-to-sample is proper but already largely satisfied in the empirical literature on RFT. We show Palmer's defense of Skinner's definition of verbal behavior to be illogical and unresponsive to the empirical challenge behavior analysis faces. Palmer's alternative common sense mediational associationistic account is another in more than a century of such accounts, all of which have failed empirically. At its root, Palmer's criticism is based on a mechanistic philosophy that is hostile to a traditional functional behavior analytic approach.     

A Novel Approach to the Assessment of Fidelity to a Cognitive Behavioral Therapy for PTSD Using Clinical Worksheets: A Proof of Concept With Cognitive Processing Therapy

Fidelity monitoring is a critical indicator of psychotherapy quality and is central to successful implementation. A major barrier to fidelity in routine care is the lack of feasible, scalable, and valid measurement strategies. A reliable, low-burden fidelity assessment would promote sustained implementation of cognitive behavioral therapies (CBTs). The current study examined fidelity measurement for cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) using clinical worksheets. External raters evaluated patient worksheets done as a part of treatment, both guided by the therapist and completed independently as homework. Results demonstrated that fidelity ratings from CPT session worksheets were feasible and efficient. Notably, they were strongly correlated with observer ratings of the fidelity of CPT strategies that were present on the worksheets. Agreement among ratings conducted by individuals with a range of experience with CPT was acceptable to high. There was not a main effect of therapist-guided, in-session worksheet ratings on PTSD symptom change. However, patient competence in completing worksheets independently was associated with greater PTSD symptom decline and in-session, therapist-guided worksheet completion was associated with larger symptom decreases among patients with high levels of competence. With further research and refinement, rating of worksheets may be an efficient way to examine therapist and patient skill in key CPT elements, and their interactions, compared to the gold standard of observer ratings of therapy video-recordings. Additional research is needed to determine if worksheets are an accurate and scalable alternative to gold standard observer ratings in settings in which time and resources are limited.     

Congenital heart disease: A primer for the pediatric neuropsychologist

Congenital heart disease (CHD) affects millions of people worldwide, including over one million children in the United States. Approximately 25% of children born with CHD require intensive surgical intervention within the first year of life. Despite improved rates of survival into adulthood – rates that exceed 90% in the modern era – children and adolescents with CHD remain at risk for neurological injury and a range of neurobehavioral and psychosocial challenges that pose a threat to quality of life across the lifespan. Consequently, as experts in both clinical psychology and brain development, neuropsychologists are becoming increasingly involved in cardiac follow-up and monitoring to promote optimal developmental outcomes. The primary objective of this paper is to provide an evidence-based, clinically-oriented primer on CHD for pediatric neuropsychologists working with this growing population of survivors. Following an introduction to current standard-of-care guidelines for managing children and adolescents with CHD, we present an overview of brain development within the context of CHD, review neuropsychological outcomes, examine factors influencing variability in outcomes, and discuss implications and strategies for clinical assessment.     

The Implicit Relational Assessment Procedure (IRAP) as a Measure of Implicit Relative Preferences: A First Study

The Psychological Record - The Implicit Relational Assessment Procedure (IRAP) was designed to examine implicit beliefs or attitudes. In Experiment 1, response latencies obtained from Irish...     

Introduction to the Special Issue on Clinical Psychology and Behavioral Science: Processes,Principles, and Analytic Strategies

The Psychological Record -