Influence of Siblings on Child Health Behaviors and Obesity: A Systematic Review

Family structure plays an important role in childhood obesity but the association between having siblings and childhood obesity is not well established. The purpose of this systematic review was to examine the relationship between sibling factors and child health behaviors and child obesity. CINAHL, Cochrane Reviews, PsycINFO and PubMed were searched to identify relevant publications between 2000 and 2016. Of 141 identified studies, 22 peer-reviewed, primary research reports satisfied inclusion criteria and were included in the review. Findings indicated that children without siblings are more likely to be overweight or obese. Having fewer siblings was associated with decreased physical activity, inadequate sleep, and unhealthy dietary habits. The relationship between the number of siblings and childhood obesity persisted over time. All but two studies reported an association between birth order and childhood obesity. Youngest siblings were at a higher risk of becoming overweight or obese than their older siblings. Overall, the findings emphasize the importance of sibling factors in the development of childhood obesity. Further studies are needed to understand the dynamics underlying the effect of siblings on child’s health-related behaviors in order to develop effective childhood obesity prevention programs. Healthcare professionals should focus on family structure and at-risk children when intervening to prevent childhood obesity.     

Equipping the Equippers: The Pedagogical and Programmatic Implications of The Christians' Callings in the World Project

When five theological schools realized (a) their graduates affirmed vocation as central to their theology and practice, yet (b) the parishioners of their graduates nevertheless did not feel called, they knew they had to do something. For six years, faculty teams from these schools conducted a variety of experiments in pedagogy, curriculum reform, and program development in order to train their graduates to equip all of God's people to claim and live their vocational identity in the world. This article introduces the identified challenge and necessary theological and pedagogical shift and then describes five of those experiments in greater detail.     

Evaluation of an indirect assessment for identifying tasks for functional analysis

Although a demand analysis is helpful for identifying potential establishing operations for the functional analysis (FA) demand condition, it may not always be practical due to time constraints. A potential alternative is the Negative Reinforcement Rating Scale (NRRS), an indirect assessment tool that may serve as a time efficient alternative to a demand analysis. The experimenter assessed the reliability and validity of the NRRS for 5 individuals with autism spectrum disorder who exhibited problem behavior. Multiple types of interrater reliability were assessed across 2 informants, and NRRS outcomes were compared to a subsequent demand analysis and FA to assess its validity. Reliability was high (M = 84%) for NRRS numerical ratings of categories but low (M = 32.9%) for specific examples provided. NRRS-identified highly aversive tasks yielded better correspondence with demand analysis outcomes than did NRRS-identified less aversive tasks.     

Functional analysis and treatment of aggression maintained by preferred conversational topics

After an initial functional analysis of a participant's aggression showed unclear outcomes, we conducted preference and reinforcer assessments to identify preferred forms of attention that may maintain problem behavior. Next, we conducted an extended functional analysis that included a modified attention condition. Results showed that the participant's aggression was maintained by access to preferred conversational topics. A function-based intervention decreased aggression and increased an appropriate communicative response.     

Stimulating the creativity of elderly institutionalized women through works of art

The present article reports a controlled intervention study concerning the effects of a nondirected use of pictures of works of art as a way of stimulating creativity in elderly institutionalized women. Participants were randomly allocated either to the intervention (n = 20) or to the control (n = 20) group. After the intervention significant improvement in ratings between the groups was measured, with the intervention group more open and flexible and with a stronger deposition to a creative behavior than subjects in the control group. They also showed greater freedom and variation than the control group in drawing circles and making pictures. In puzzle tests the intervention group constructed increasingly imaginative, irregular, and open alternatives with colored patterns. The control group constructed closed and black forms. Importantly, the status of increased creativity continued to exist four months after the intervention. No changes were seen in the control group. This group showed a rational and precautious personality.     

Some reflections on the links between psychoanalysis and literature

Abstract

I taught literature to students from overseas for a number of years before entering the world of student counselling. Both experiences helped to develop and clarify thoughts that I had long held, albeit in a rather vague fashion, about the ways that literature and psychoanalytic thought can reflect our inner worlds. In the first part of this article I look at certain ideas that I think they have in common, what they both can illuminate and how they can contribute to opening up a therapeutic relationship. Then I give an example, from my work experience, of how I was able to draw on some of these ideas in such a relationship with a student. The psychoanalytic process and the reading of a literary text touch at frequent points: both are ways of finding out about oneself, about one's inner and outer worlds, and how they interact. They enable us to ‘read’ our experiences. They have, therefore, a certain congruence of direction towards self-knowledge. They search for a particular kind of understanding. In exploring the literary text one is discovering oneself, gaining insight into the complexities of the multifarious self. Katherine Mansfield, commenting on the creative act of writing, said that a writer tries to go deep, to speak to the secret self we all have (Lee 1985: xv). Symington (1986: 15) speaks in terms of psychoanalysis occurring ‘at the centre of the individual’, but occurring only ‘through a personal act of understanding’.     

Long‐term Effects of Dieting: Is Weight Loss Related to Health?

“Success” in dieting interventions has traditionally been defined as weight loss. It is implicit in this definition that losing weight will lead to improved health, and yet, health outcomes are not routinely included in studies of diets. In this article, we evaluate whether weight loss improves health by reviewing health outcomes of long‐term randomized controlled diet studies. We examine whether weight‐loss diets lead to improved cholesterol, triglycerides, systolic and diastolic blood pressure, and fasting blood glucose and test whether the amount of weight lost is predictive of these health outcomes. Across all studies, there were minimal improvements in these health outcomes, and none of these correlated with weight change. A few positive effects emerged, however, for hypertension and diabetes medication use and diabetes and stroke incidence. We conclude by discussing factors that potentially confound the relationship between weight loss and health outcomes, such as increased exercise, healthier eating, and engagement with the health care system, and we provide suggestions for future research.     

White Racism and Suboptimal Psychological Functioning Among White Americans: Implications for Counseling and Prejudice Prevention

This study examined the causal relationships between anxiety, racism, and self‐esteem in a sample of White graduate and undergraduate students (N = 169). The results indicated that level of anxiety had a direct effect on anti‐Black attitudes, which, in turn, had a direct effect on self‐esteem. Implications for counseling interventions aimed at preventing prejudice among Whites are discussed. Este estudio examinó las relaciones causales entre la ansiedad, el racismo, y el auto‐estima en un grupo de estudiantes graduados y estudiantes de bachillerato Blancos (N = 169). Los resultados indicaron que el nivel de ansiedad tuvo un efecto directo en las actitudes anti‐Negras, que en torno tuvo un efecto directo en el auto‐estima. Las implicaciones para las intervenciones de consejería dirigidas a prevenir el prejuicio entre los Blancos son discutidas.