Communication Counseling as Part of a Treatment Plan for Depression

It has been estimated that 1 in 4 persons will experience a depressive episode over his or her lifetime (G. Gintner, 2001). The author discusses various etiologies of depression, interpersonal factors related to depression, and research on various communication‐focused counseling interventions. The author maintains that published literature supports a communication‐skills‐centered approach to alleviating the symptoms of depression and recommends that professional counselors assert their ability to provide their clients with effective and healthy treatment for depression.     

Definitions of Multicultural Competence: Frontline Human Service Providers' Perspective

In this qualitative study, the authors explored definitions of multicultural competence given by 99 frontline human service providers. The providers had no formal training in counseling but served in a helping role. Seven thematic definitions emerged: color blindness, client focused, acknowledgment of cultural differences, textbook consistent, resource driven, skills‐based, and self‐integrated. Implications for multicultural competence are discussed. En este estudio cualitativo, los autores exploraron las definiciones de competencia multicultural ofrecidas por 99 proveedores de servicios humanos de primera línea. Los proveedores no tenían una formación oficial en consejería, pero actuaban en roles de ayuda. Surgieron como resultado siete definiciones temáticas: indiferente al color, enfocada hacia el cliente, reconocimiento de diferencias culturales, libro de texto, guiada por los recursos, habilidades y autointegrada. Se discuten las implicaciones para la competencia multicultural.     

Say-do correspondence to improve disruptive behaviors in adults with Down's syndrome

The most acknowledged strategies for the treatment of disruptive behaviours are those that are based on direct contingency management. Other procedures allow the therapist, or educational agent, not to be present in the context in which the behavioural change has to take place: the say-do correspondence training procedures, which have proven effective across behaviours and populations. Nevertheless, there is surprisingly little evidence of the effectiveness of such procedures with populations presenting developmental disabilities. This study describes the implementation of say-do correspondence training to modify 5 disruptive behaviours present in 5 adult subjects diagnosed with Down's syndrome, showing very positive results. The advantages of using say-do correspondence training procedures in developmental disabilities are discussed.     

Psychosocial Perspectives on Pregnancy: Prenatal Maternal Stress and Coping

Pregnancy is a momentous life event experienced by most women that involves biomedical and psychosocial changes that are potentially stressful. High levels of maternal stress in pregnancy contribute to adverse fetal, infant, child, and adult outcomes, including cognitive, emotional, neurodevelopmental, and physical health effects. This article discusses definition, measurement, and effects of stress in pregnancy and describes current research questions such as whether the timing or pattern of prenatal stress accentuates its effects and whether prenatal stress accounts for ethnic disparities in adverse birth outcomes in the United States. We review research on the ways that women cope with prenatal stress and research examining associations of coping with maternal emotional state, health, and birth outcomes. Additionally, we describe important factors that improve women's psychosocial adaptation to pregnancy, their health, and their birth outcomes, specifically trait optimism, social support, and physical activity, and we emphasize interventions that utilize these factors.     

Emergent Values and the Experience of Aging

This study examined the role of values or guiding principles emerging from the life histories and reflections of 111 older adults as predictors of the experience of aging. Participants completed a detailed life history interview in which they described themselves on 10 major life dimensions. They also completed standardized questionnaires of well-being, personality traits, and intolerance of uncertainty. Participants expressed a mix of prosocial and self-interest values in their interviews. Multiple regression analyses indicated that social support and intolerance of uncertainty positively predicted the extent of values articulated in the interviews. Better quality of aging was predicted positively by extent of emergent values and greater well-being and negatively by age. The results indicate that an examination of values provides a unique contribution to the understanding of the experience of aging.     

How need for cognition and perceived control are differentially linked to emotional outcomes in the transition to retirement

This study contrasts how need for cognition and perceived control relate to positive and negative affect in 351 adults experiencing the transition to retirement (age range 44–79 years, M = 60). Structural equation modeling was used to identify significant pathways between exogenous variables of conscientiousness, openness, and education to need for cognition, and between neuroticism and health to perceived control. Need for cognition and perceived control emerged as separate and distinct forms of motivation, contributing to positive and negative affect in this model through differing patterns and to different degrees. Mediators between need for cognition and positive affect were frequency of cognitive activity and problem-focus coping. Perceived control had direct effects on positive and negative affect and indirect effects through cognitive activity on positive affect. The model helps to explain some of the psychological mechanisms instrumental in successful adaptation to change in adulthood. The dispositional motivation of need for cognition is described as a character strength with unique predictive value for older adults.     

The influence of emotional awareness and expressiveness on care-giving burden and health complaints in women and men

This study was designed to investigate the role of emotional awareness and expressiveness as influences on the experience of burden and impaired health for women and men maintaining a spouse or relative at home who had been diagnosed as having dementia. One hundred and thirty-one Caucasian care givers, 41 males and 90 females, participated in the study. Multivariate analysis of variance indicated that women scored higher than men on measures of burden, health complaints, and awareness of others' emotions. Regression analysis indicated that self-awareness of emotions interacted with care-giver gender to decrease health complaints for female care givers but increased health complaints for male care givers. Self-awareness of emotions also increased feelings of burden for male care givers in general and for female care givers experiencing low levels of burden. Awareness of others' emotions tended to reduce feelings of burden. Emotional expressiveness did not influence burden or health complaint scores.This research was funded by grants from the Health Research Funds of Quebec, the Quebec Council for Social Research, and the Montreal Alzheimer Society. The authors would like to express their gratitude to Valerie Takeda, Charlene Stamegna, and Helene Fyfe for their work on the project, and to the families, patients, and staff of the various referral agencies for their cooperation with the study.To whom reprint requests should be addressed at Centre for Research in Human Development, Concordia University, 1455 de Maisonneuve Boulevard West, Montreal, Quebec, Canada, H3G 1M8.     

Spelling,reading and adult illiteracy

Summary This is a study of the relationship of spelling to reading in adults. The spelling of six adult literacy students who read well or poorly was analysed to discover whether error patterns resembled those previously reported for children. Three tasks were administered, including dictation and free writting of real words, and dictation of nonsense words. Good readers made many more phonetic errors than poor readers did, indicating that their cognitive processes in spelling are similar to children's. In the nonword task, poor readers were less able than good readers in translating phonemes to graphemes. It is argued that implicit knowledge of the relationships of letters to sounds provides a strategy for dealing with unfamiliar written material and it is in this process that poor readers are impaired.     

Sexuality in children 9-14 years old

The aim of this study was to analyze sexual behaviors and attitudes of children 9-14 years old in Spain. In this article we present data from 470 children of which 52% are boys and 48% girls. In order to evaluate the sample, Information, Attitudes and Behaviors related to Health Questionnaire (CIACS-II) was used. Results evidence that boys 9 years old already show behaviors that evidence their interest towards sexuality. 8% have sometimes masturbated and 9% have used pornography for becoming excited. 14% of children 11-12 years old have already had sexual relations and 38% state to have sexual fantasies. Girls start to masturbate and to have sexual relations later than boys and show a prevalence of sexual fantasies and use of pornography very lower. It is necessary sexual education programs to be implanted since early ages in schools.     

A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic

This meta-analysis tested the major theoretical assumptions about behavior change by examining the outcomes and mediating mechanisms of different preventive strategies in a sample of 354 HIV-prevention interventions and 99 control groups, spanning the past 17 years. There were 2 main conclusions from this extensive review. First, the most effective interventions were those that contained attitudinal arguments, educational information, behavioral skills arguments, and behavioral skills training, whereas the least effective ones were those that attempted to induce fear of HIV. Second, the impact of the interventions and the different strategies behind them was contingent on the gender, age, ethnicity, risk group, and past condom use of the target audience in ways that illuminate the direction of future preventive efforts.