Family Coordination in Families who have a Child with Autism Spectrum Disorder

Little is known about the interactions of families where there is a child with autism spectrum disorder (ASD). The present study applies the Lausanne Trilogue Play (LTP) to explore both its applicability to this population as well as to assess resources and areas of deficit in these families. The sample consisted of 68 families with a child with ASD, and 43 families with a typically developing (TD) child. With respect to the global score for family coordination there were several negative correlations: the more severe the symptoms (based on the child’s ADOS score), the more family coordination was dysfunctional. This correlation was particularly high when parents had to play together with the child. In the parts in which only one of the parents played actively with the child, while the other was simply present, some families did achieve scores in the functional range, despite the child’s symptom severity. The outcomes are discussed in terms of their clinical implications both for assessment and for intervention.     

A Case-Series of Reflective Family Play: Therapeutic Process,Feasibility, and Referral Characteristics

Evidence-based interventions for infants and preschoolers, and their families, have largely focused on the mother-child dyad. In response to the increasing need to diversify treatment approaches in the under six population and include the whole family system, we have developed a new treatment approach called Reflective Family Play (RFP). A manualized, whole-family therapy, RFP allows for the involvement of two parents and siblings when working with infants or young children. In this case-series, we used a qualitative chart review to examine the therapeutic process, acceptability, and feasibility of RFP for 22 families with children ages 0–6, who participated in RFP. We also sought to better understand the referral characteristics of those families who participated in RFP by comparing them to families who were referred to and participated in an established dyadic approach during the same time-period. Session-by-session coding of clinician chart notes revealed evidence of positive shifts throughout the RFP process, including more whole-family play, improvements in coparenting, and better parental mentalization. Parents reported improvements in presenting concerns in all but one case. Improvements in coparenting, sibling relationships, and family alliance were also reported by parents after RFP. Clinical implications and directions for future research are discussed.     

Why Bioethics Should Be Concerned With Medically Unexplained Symptoms

Biomedical diagnostic science is a great deal less successful than we've been willing to acknowledge in bioethics, and this fact has far-reaching ethical implications. In this article I consider the surprising prevalence of medically unexplained symptoms, and the term's ambiguous meaning. Then I frame central questions that remain answered in this context with respect to informed consent, autonomy, and truth-telling. Finally, I show that while considerable attention in this area is given to making sure not to provide biological care to patients without a need, comparatively little is given to the competing, ethically central task of making sure never to obstruct access to biological care for those with diagnostically confusing biological conditions. I suggest this problem arises from confusion about the philosophical value of vagueness when it comes to the line between biological and psychosocial needs.     

Trait Aggressiveness and Aggressive Behavior in the Context of Provocation and Inhibition

Aggressive behavior often occurs despite salient cues within the immediate environment that indicate aversive consequences will likely follow. Prior research has shown high trait aggressiveness to be related to sensitivity to situational provocation; however, little research has examined whether it is also related to insensitivity to situational inhibitors. This study examines the relationship between trait aggressiveness and aggressive behavior in a provocative context with, and without, an unambiguous inhibitory stimulus. Prior to experiencing provocation and being afforded the opportunity to retaliate, participants who varied in trait aggressiveness were explicitly given (or not given) an instruction that aggressive behavior might lead to aversive consequences and, thus, one should not behave aggressively. Findings revealed that without the instruction, those higher in trait aggressiveness exhibited steeper increases in aggressive responding as provocation increased. In the group that received the instruction, trait aggressiveness was unrelated to aggressive responding at all levels of provocation.     

Are Infants’ Theory-of-Mind Abilities Well Integrated? Implicit Understanding of Intentions,Desires, and Beliefs

The development of theory of mind (ToM) in infancy has been mainly documented through studies conducted on a single age group with a single task. Very few studies have examined ToM abilities other than false belief, and very few studies have used a within-subjects design. During 2 testing sessions, infants aged 14 and 18 months old were administered ToM tasks based on the violation-of-expectation paradigm which measured intention, true belief, desire, and false-belief understanding. Infants’ looking times at the congruent and incongruent test trials of each task were compared, and results revealed that both groups of infants looked significantly longer at the incongruent trial on the intention and true-belief tasks. In contrast, only 18-month-olds looked significantly longer at the incongruent trial of the desire task and neither age group looked significantly longer at the incongruent trial on the false-belief task. Additionally, intertask comparisons revealed only a significant relation between performance on the false-belief and intention task. These findings suggest that implicit intention and true-belief understanding emerge earlier than desire and false-belief understanding and that ToM constructs do not appear to be integrated, as is the case for explicit ToM.     

Evidence that anticipated stigma predicts poorer depressive symptom trajectories among emerging adults living with concealable stigmatized identities

People living with concealable stigmatized identities are vulnerable to experiencing greater depressive symptoms as a result of occupying a lower social status. In the present research, we examine the effect of changes in enacted stigma and changes in anticipated stigma on trajectories of depressive symptoms over time. A sample of 192 college-aged emerging adults (81.0% female, 81.9% Caucasian, M_age = 18.82 years) living with a concealable stigmatized identity (e.g., mental illness and sexual minority status) completed measures of enacted stigma, anticipated stigma, and depressive symptoms at two time points across eight weeks. Hierarchical linear modeling analyses indicate that increases in anticipated stigma, but not enacted stigma, predicted poorer trajectories of depressive symptoms, controlling for the effect of baseline rumination and other identity-related variables. These data are among the first to demonstrate that worries about future devaluation predict poorer depressive symptom trajectories over time among college-aged emerging adults.     

DEPLOYMENT STATUS: A DIRECT OR INDIRECT EFFECT ON MOTHER–CHILD ATTACHMENT WITHIN A CANADIAN MILITARY CONTEXT?

Research has suggested that military spouses experience increased depressive symptoms and parenting stress during a military member's deployment. A relationship between maternal depressive symptoms, parenting stress, and child attachment security has been found in the general population, as has an indication that social support may provide a buffering effect. While there appears to be an association between the emotional well‐being of military spouses and child emotional well‐being during deployment, data are limited regarding the association between maternal emotional well‐being and child attachment security. The current study explores the association between deployment status and child attachment to the nonmilitary parent (i.e., the mother in this study) in a sample of 68 Canadian military families. Results revealed a significant impact of deployment status on maternal depressive symptoms and on quality of child attachment. The impact of deployment status on attachment was not mediated through the maternal variables, and despite a main effect of social support on the maternal variables, there was no moderating effect. Thus, our results suggest that deployment may affect child attachment independently of maternal well‐being.     

A new typology of fathering: defining and associated variables

Our goal was to identify different types of parenting based on self‐report measures of fathers' involvement and parental attitudes. The present investigation studied 468 two‐parent, French Canadian families with at least one child between 0 and 6 years of age, living in a disadvantaged environment. The study, conducted on a sample of fathers, revealed the presence of the three basic types of parenting identified by Baumrind (authoritarian, authoritative and permissive), and also of a new type of parenting (stimulative parenting). The fathers in this latter group provide more emotional support to children and are more stimulating, as is evidenced by the greater psychological presence of children in the father's cognitions and by the fact that they more frequently introduce their children to new activities. These fathers are characterized by more secure social relationships. The father's parental stress level was found to be the most important variable discriminating between different types of fathering. Authoritarian and authoritative fathers are more at risk of maltreating their children because their more favourable attitude towards the use of physical punishment is combined with greater parental stress, less parental involvement of mothers, and a larger number of children in the home. Authoritarian fathers are even more at risk of maltreating their children because of more difficult family socioeconomic conditions, particularly lower levels of maternal education and income. Copyright © 2000 John Wiley & Sons, Ltd.